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About JDayBFL

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    Physician Assistant

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  1. @EMEDPA or those who have knowledge of program— Regarding the Lynchburg program: I completed a intensive 12 month surgical fellowship back in 2017. Does this shave off a portion of the clinical fellowship portion and in turn make the program cost less and take a shorter period of time?
  2. As a residency grad (although not in EM, I am in surgery) I was definitely able to command a higher salary right out of the gate. The main advantage is that you will have negotiating power with all jobs you apply for— my training institution couldn’t even match several of the high offers I got from applying elsewhere. I applied for 5 jobs three months prior to graduation and received 4 interviews within 1-2 days of applying. Most places treated me as if I had 3-5 years of experience on the pay scale and credentialing was a breeze since I had case and procedure logs to prove competency. I would
  3. I work for a large, non-profit pediatric center. I am in a surgical sub-specialty and 50% of our volume has been cut because of elective cancellations. We have six APPs in our specialty and really only enough work for 1-2 per day so we are just rotating who is in each day. Some surgical specialties have had their volumes cut >80%. Hospital board of trustees announced they are dipping into a very large rainy day fund and paying 100% base pay to all 7,000 employees through July and will reassess again then. Some employees of clinics that are closed are helping out in other areas of h
  4. Peds Neurosurgery here. I mostly feel for the parents of the children who have died or in the process of dying. Especially after they just get through telling me it is their only kid and they spent years going through IVF treatments. Or the car accident was their fault and they go through all the agonizing replays in their head of how it could have been avoided. How they were walking down the street and just looked away for a few seconds before their child walked out into traffic and hit by a car. Another situation: homeless single mom and child who didn’t have money to buy OTC Tylen
  5. As long as you can keep up with the CME and paramedic skills. I work in a completely different field now than my pre-hospital/paramedic background and no longer wish to keep up paramedic skills and the related CME. I will probably retire that cert this year and let my certification go. If I still worked in EM/FM setting I would probably continue to keep it but really have no use for it in surgical setting.
  6. So, this is not really a post where I am complaining, but just wanting to hear about others experiences. I work in surgical sub specialty. I did a fellowship and now 3 years our of school. I get paid hourly and employed through hospital. I typically only work 40-45 hours per week. I get paid time and half for any hours past 40. I negotiated an hourly rate that was very competitive when I started but did realize that the hospital had a cap for APP hourly rate that I would reach in just a few years with typical 3% raises. When I hit hourly rate cap, instead of raises every year I just get a
  7. Great offer, although.... never heard of a CT surgery job with 40 hour work weeks and no weekends, nights, call, etc. Are working until 5pm and then in the middle of the case you scrub out and say “goodnight guys, good luck”.... ?
  8. Yes, have been on academic faculty and helped with medical student education... but.. I guess I’m pretty tired of the whole “trying to prove we are as smart as the MDs” rhetoric. Why would PAs seek out opportunities to lecture medical students in particular? We hardly have enough PAs to help teach other PA students that are trying to complete clinicals and become competent at their chosen specialty. Competent PAs prove their abilities and worth on a daily basis in the clinics, wards , and OR. Physicians respect the above— not that I can teach off a PowerPoint. It’s the few bad apple
  9. Yes, I see Neurosurgery positions at $80-110/hr frequently. You must have the skill set and experience. These aren’t “new grad” type positions as they don’t have the time to train. You hit the ground running.
  10. Honestly I like pimping. I work in surgery and obviously it is very common in our field but I also see it in other specialties. I think I have learned the most from physicians (and other PAs) who would ask me a lot of questions about anatomy, post op cares and complications, even basic physiology. I have never been in a situation where pimping was used to humiliate. I think feeling embarrassed after not knowing an answer to a question is normal and it should drive us to keep improving on the things we don’t know. It keeps me humble for sure. I also think that being able to adequately ans
  11. I’m two years out of school (but technically one because I did a residency) I work in peds surgical specialty, in TX. ~160k. I work 40 hrs a week, hardly ever over and when I do I get paid time and a half my hourly rate. I’m mostly in OR but occasional clinic and rounding. Great benefits. Almost 8 weeks paid time off a year. How do you find a job like this? Do a residency. When the position opened they had ~50 applicants within 48 hours. I was the only one with the experience they wanted. (I was also a paramedic before school which probably helped). It’s a cut-throat job market out ther
  12. ~$120,000 for the program? No thank you. I feel bad for the future of this profession if we continue to open schools that contribute to the student debt of the country.
  13. You can DM me. I am in neurosurgery in south-central region
  14. I agree, peds and especially peds surgery and neonatology are seeing the value of PAs. Example: Texas Children's Hospital in Houston, TX (largest children's hospital in nation) they have >100 APPs in surgical departments alone and probably 80-90% are PAs. (Source: did PA Surgery fellowship there) do a job search on Indeed of Pediatric PA surgical positions-- between clinic, inpatient, and OR positions there are several hundred across the nation. After finishing my fellowship I had my pick of positions across the nation at top peds hospitals: Boston, Texas Children's, CHOP, Seattl
  15. Most hospitals have recruiters that are basically "screeners." Their interviews are to weed out the crazies. Ultimately the decision to do a real interview with you lies with the department you are applying for. I would continue to be patient though because application process, interview process, hiring process, credentialing process, etc. takes forever at most large institutions. It's about a 2 to 3 month process from application to start date at large hospitals and can even go longer if you don't have all of your stuff together (license, DEA, etc.)
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