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sas5814 last won the day on October 22

sas5814 had the most liked content!



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  1. I'm not going to say I'm sure about this but the law spells out who can and can't be made exempt and just about any licensed professional can be made exempt. My last employer made us hourly exempt but still paid 1.5 for anything over 40. Here I am exempt. So if my day runs long that's just part of the job. However if they ask me to do something materially different that adds hours, like a Saturday clinic, they pay 1.5 OT. I still recommend against salary in most circumstances because, as pointed out above, it incentivises (if that is actually a word) the employer to take advantage.
  2. in my current job with the VA I violated one of my golden rules.... never work for salary. However, it is a 8 to 1630 Mon-Fri clinic with no call so the potential for abuse is low. In an ER I would never take a salary because the potential for abuse is very high.
  3. yup...so we circle back to the HOD who ignored the results of a 2 year, million dollar study. I guess technically the HOD is AAPA but I think of it more as a body of our elected representatives. So I am sticking with we collectively lack the foresight to see the obvious and the intestinal fortitude to make a bold change.
  4. well I don't really disagree BUT it wasn't exactly AAPA who picked associate. It was the HOD made up of representatives of all our state societies and specialty societies. As a profession we lack the nards to make bold moves. When we cease to exist (in a practical sense) there won't be anyone for me to say "I told you so" too.
  5. Its fairly market specific. I know nothing about Utah but some areas, cities in particular, the market is so crowded that getting a job is tough. The wider you open your horizons the more likely you are to find something. If you limit yourself geographically or if you limit the specialties you want to work in then your choices are limited. Location, specialty, salary. On a good day you get 2 of the 3 but almost never all three. Do you want to work primary care in a remote area? You can start here in Texas as soon as you have a license. Want to work in pediatric neurosurgery in Dallas? You'll grow old and die before that happens. You get the idea.
  6. I think its a big leap to assume AAPA knew this would happen in any specific venue. It sounds like your state medical society is being petty. These type things were fairly predictable and just have to be dealt with as they happen. It is an unnecessary law as what you can call yourself is probably already defined in statute. Your state society should be able to have it die in committee assuming it even gets that far. It is potsuring by the medical society so they can brag about their work stopping us from killing people.
  7. that doesn't sound like locums. It sounds like they are building a PRN pool. It sounds like they are coming at it sideways and calling it locums. That gives them a lot of advantages. They can use you full time until they don't want to and then you are functionally laid off with no unemployment bennies. Are you W-2 or 1099? That makes a big difference. Need more details about exactly what the hours are. Do they expect you to be on call because they have to pay you for that as well. It doesn't sound bad. I'd just want more specifics.
  8. This. I did this for a few years and had more work than I could do. I had a head start because I had been working in the area for years and just reached out to every practice and provider I knew and told them what I was doing. It wasn't long before I was scheduled full. I had one UC that was owned by a loon and they couldn't keep staff so I practically had a full time job there and I didn't suffer any of the craziness because I wasn't an employee. If it got too crazy I just wasn't available to them for a while. It can be a little iffy sometimes. I had one episode when I check my booking for the following month and I had none... I took a job through a locums company for a couple of weeks to fill the gap. It is nice to set your own schedule, charge your own rates, and be the captain of your own ship.
  9. LOL. I don't think I'd advise showing up without having made a reservation and gotten some assurance (and kept a record).
  10. I bet money if you use the code and say you are a PA they will give you the deal. Its an advertising gimmick and they want as many takers as they can get.
  11. I'm going to strongly disagree with this. I have done hundreds of DOT exams and many are very simple but you WILL find yourself in a position of failing someone and getting the full blast of their anger because YOU are taking away their ability to earn. The fact that they are grossly overweight, smoke, drink, think exercise is lifting a fork, and can't eat anything healthy because "I'm a truck driver" will mean nothing to them. They take no responsibility for their own problems and will blame you. I have been screamed at, threatened, even had my life threatened and my family's. My DOT is current for a few more years and, as Reality said, will never do another DOT physical. Oh yea... the alternative to the above is clearing someone who shouldn't be cleared and staying up nights wondering when the lawyer is going to call because they guy you cleared passed out behind the wheel and drove his tanker full of gas into a school bus full of children and nuns. Never again...
  12. Oh my yes.... you will get a lot of advice I suspect but here is the biggie.... locums recruiters will say and do anything to put you in a position. They will lie to you. Be doubtful of anything they tell you. They will poor mouth and tell you the low rate they offered is absolutely the best they can do and, to get more, they will have to go ask the employer for more money. That is hogwash. They have a contract for an hourly rate and the less they pay you the more they get to keep. I had one try to get me to take a 90 day job with a neurosurgeon (including OR time) and I spent my whole career in primary care. The recruiter will paint a rosy picture of the job so ask lots of questions about hours, overtime, support staff, physician backup etc etc. If it is a 1099 position do the math considering you have to do 100% of your own withholding and you have to pay all taxes yourself with no matching contribution from an employer. Generally when I was doing locums work I expected about %35 more per hour than I would expect if I was employed with benefits. There is a lot more and I suspect others will have a lot to share. Just be wary, ask a lot of questions, and don't be shy about insisting on more money if the offer seems to low. Good luck!
  13. Them that signs the checks makes the rules.... Welcome to corporate medicine.
  14. I have occasionally opined that managed care costs more then in the glory days when we just did what we thought was best without interference of bean counters and insurance companies. I don't know if its true but I'd love to see good data on what managed care "saves" vs the cost of having managed care....all the administrators and clerks and bean counters and phone calls and lost patient care hours due to administrative burden etc. A colleague at my new position asked me if I was insane yet and we spoke about the clunky cumbersome methods of getting anything done. She said "lower your standards.....and then lower them some more. If you care too much you'll go insane." Its a sad statement but probably more so because it rings true.
  15. There's a few variables that would shape my answer. If the shift is a hard 10 hours with patient handoff at shift change it is managable. What is a typical patient count? What kind of acuity presents that you'll need to manage? What is your support for advice, specialists, transfers? These, and probably a few other things I forgot, will weigh heavily on how stressed and tired you are after 7 10's in a row. If you have good support in place it makes a big difference. My second job after I retired from the Army was a critical access ER where I did 2 24 hour shifts a week. I thought awesome! I have 5 days a week off! It rarely worked out that way. If I got flogged for 24 hours my off time was generally used up sleeping and trying to feel human again. Once I fired the only other full time PA before I had a replacement and I ended up working 5 strait days because there simply was no relief. So add up all the variables and you'll have a good idea of how it will work out.
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