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sas5814

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sas5814 last won the day on August 15

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About sas5814

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  1. wow.....that is a lot. I'd suggest you get a mentor who has been around for a while to help you. These are all good questions but answering all of them will take a long time. There is a ton of variability in many of the answers based on specialty and location. I'll tell you the one thing I tell every job seeker.... if you limit your option, you limit your options. That is if you want to work in pediatric neurosurgery in Dallas Texas you will die never finding a job. If you are interested in many possible specialties and are willing to go where you are needed you will find a job. There are jobs out there. You just have to be willing to open your mind and consider all possibilities. As for various part time positions.... if you can find one that will give you the support you need to function safely as a new grad take it. You will get a chance to develop your skills, you will see what a real world position looks like and you will learn first hand a lot of the answers to your questions. People toss out urgent care like it is some easy thing to do while you kill time. It isn't. The difficulty in UC is not missing something bad among the seemingly endless parade of trivial complaints and nonsense. I have had strokes, MIs, gunshot wounds, dog maulings, and a pneumothorax all walk in either because they didn't know what was wrong with them or because they didn't want to wait in line at the ER (though gunshots generally get you close to the front of the line every time). So don't fall into that trap. It can be a great place to get experience IF you have the right support.
  2. I am in Texas and we used Epic. Our Epic team baked a "Check PDMP" button into the EHR and, if you wrote a scheduled drug and tried to close the chart a popup opened that asked if you wanted to check the PDMP or had you checked it using an outside source (like my personal PDMP account). That check was saved as part of the record.
  3. Simple...get a good accountant. I have had a mish-mosh of 1099 and W2 jobs for years, started my own clinic, and started 2 other businesses and my accountant has saved me lots of money and kept me out of trouble. Get a real CPA and not someone who does taxes. The money you spend will be well worth it.
  4. I think Boats was making a point about the media coverage. I too think the tone of the conversation will change after the elections. I cannot begin to predict how this flu season will go but I don't think there is much doubt flu season on top of the current pandemic is going to be a rough ride. My sincere hope is employers are better prepared to pivot instead of just doing wholesale layoffs in a panic. PS: is there a spell check built into this thing? It seems to tag my spelling errors but not button for corrections.
  5. I don't remember what my first computer was but it had 2 big floppy drives (8,5inch? can't remember) and you had to put the 2 "boot disks" in and turn it on to make it boot up. Then you had to use other floppies to store anything. The floppy disks help so little information. I remember adding a 32k "hard card" and learning DOS commands to make it work. My keyboard was hard wired into the case/cpu so liquids near the computer was a huge no-no. Afew weeks ago i gound a 32 pin printer cable in the bottom of my crock-o-cables where I have been throwing computer pieces for many years. Its a 5 gallon pickle crock next to my desk. My first "monster computer" was a Pentium 90 and costs $5000 On other matters I have applied to be on the NCCPA board next year. I think they can serve the profession better with modernization and innovation. Bitching about it for years hasn't done anything. Maybe change from within is possible.
  6. Its Texas. A bunch of old dinosaurs deep in the pocket of the state medical society also a bunch of old dinosaurs. Nothing they say or do surprises me anymore.
  7. My furlough officially ended today with a severance package. About half the people that were furloughed with me 6 months ago have not been called back and the ones that were are working minimum hours to qualify as full time which is 32 a week. There has been zero communication since the furlough started so I have no idea if they are allowing PTO, paying retirement fund matches etc.
  8. Interesting question. The financial aspect would be really tough. As someone stated above there are other things I might like to do but none with anywhere near the income. I learned a few things during my long furlough. The first is my identity isn't really all that wrapped up in being a PA which surprised me. Some years ago I had a conversation about this very thing. If you meet someone new and you hear "tell me about yourself" almost anyone will mention their occupation as one of the first few things in describing themselves. With the general high suck factor of practicing these days and the increased suck of working UC in a major med center, other than being stressed about the finances, I found I didn't miss medicine at all. My work colleagues, all of whom I really like a lot, were just gone and I didn't particularly grieve their absence. I only spoke to a couple over the months and that was mostly to catch up on the work gossip about what was going to be re-opened and who might get called back to work when. I may be a little different than most about what constitutes a friend. I have a few and they have been my friends for many years. I don't pick up new ones casually. I have a new position that lacks everything I disliked about corporate medicine. I may grow to enjoy working again. For years it has been something I suffered through as a matter of necessity.
  9. If the position or specialty isn't a good fit for you and you take the position its possible it could just generally be a bad scene and spoil other opportunities within the same org. After all if there is some kind of friction/dissatisfaction/general badness with you in position x why try you in position Y when there are a thousand hungry candidates waiting to step on your dead body? I think complete, well articulated honesty is best. "I love everything about the organization and all the people I met during the interview process but I feel as if this particular position isn't a good fit for me. I always want to do my best and would appreciate being considered for other positions in the organization where I can bring my very best to work every day." Pick your own words but if I was a hiring authority something like that would make you satnd way above every other candidate who will say and do anything just to get a job. One man's opinion. Your mileage may vary.
  10. I seem to love tmelling stories that won't make OP feel any better so here goes.. I am an Army trained PA who graduated in 1990. The Army, being the Army, sends new graduates overseas(mostly) right out of school to assignments where you are generally a distance from any other medical support. This was also before cell phones. So I was sent to be the medical officer for a unit in Germany. Basically I showed up fresh from school and was given 350 soldiers and their families to take care of. There were a couple of other PAs in the area and a physician I saw from time to time but the nearest hospital was 60 miles away and the consultants weren't particularly friendly or helpful if I called. Unfortuntely I was also pumped full of "you're the greatests" BS and I was confident to the point of being foolish. 30 years later I am more conservative and enjoy the balance of a high degree of autonomy with all the support I need if I pick up the phone. I LIKE having backup and support. That is a long way of saying you have exactly the right attitude. You understand you capabilities and your limitations. You just need the position that fits. Any of us at any point in our career who NEVER have a moment of doubt probably need to take a hard look in the mirror.
  11. No its full time. Someone on this forum suggested I look into it. I often advise folks looking for work to broaden their horizons and consider new and different possibilities so I took my own advice and here I am. Its a bit of a challenge/stressor because my occ med experience is pretty light and train up for the number of processes it involves was less than I would have preferred but....its going OK and its a bit of n adventure.
  12. The very first time I took ACLS in the early 80's every protocol started with 2 amp of bicarb. It was kind of nice because it gave you some time to collect your thoughts and think about what came next.
  13. Collaboration is less about the specialty than it is about the team. I worked in FP for many years and had a great collegial relationship with my SP the whole time. He taught me a lot and did it in a respectfull, professional, collegial manner. Your problem is your job. Your SP sounds like a bully and an ass and it is having deleterious effects on everyone. You don't necessarily need to change fileds, though that might be part of it, as much as you need to change jobs. Physicians like that are broken somehow and are unlikely to change.
  14. That is it. I'd like t have whole series that is presented during the class/training. I have them save at home on my computer but I'm up country for another month before Iget home. Thanks
  15. 2 more bumper sticker pieces of advice: The word "quit" should never be said until the day you do. You can only throw yourself on your sword once.
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