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sas5814

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sas5814 last won the day on January 7

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About sas5814

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    President, PAs For Tomorrow

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    Physician Assistant

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  1. I think the argument would be they fired you for cause....why would they care if you work for a competing employer? The better argument is if they let you go for their convenience (layoffs due to COVID for instance) then it is unreasonable to refuse to elect to deny you your promised employment and then say you can't work for someone elese. Again that is a lay opinion and a few bucks for a lawyer can save you a lot of grief. I have left a position after 2 years of a 3 years contract and opened my own clinic just a hair too close than the non-compete allowed but I never heard a word a
  2. First congrats on some great planning and decision making that is surely going to benefit you a great deal. In fact it already has because you have options...which many (most) people really don't. I am a fan of list making. Start with a list of all the aspects of employement you can think of that matter to you. Pay, PTO, benefits, work-life balance, work environment, specialty etc etc. Make a column for each of your options and plug them in based on where they fit. For instance a job with fewer hours would have work-life balance near the top of the list. You get the idea. Slide them
  3. I think if you are a new grad and go to a med-spa your core skills are going to erode quickly and, when you decide to go into another specialty or even primary care, it would not be looked upon favorably. If you wanted to get into a crowded market or a specialty that is hard to get into you likely would get a second glance.
  4. This varies by state. Texas mandates written notification and the time frame (90 days I think but I'm not sure). I recently got such a letter in the mail from a physician I saw one time for a simple med refill when my PCP was on vacation. I couldn't have told you her name if you asked. Its an expensive process in a large practice when there may be hundreds or thousands of people you have seen who require notification.
  5. How do you fit test a ding-dong? Pictures and/or diagrams would be appreciated.
  6. The thing is if you want a close supervisory relationship (or however you would describe it) you are still free to seek that out even if we had full independence. However, under the current rules there is no option for someone who is well trained and experienced to seek a position with independence. I understand the arguments. I haven't had a position where someone was really watching over me closely in many years but the rules are still their to be used against me if someone chooses to do that. At its most basic level all our efforts need to be based on achieving continued market pa
  7. I sent their PAC some money. I hope they can get er done this time.
  8. I am at a remote site and we are going to offer the Moderna vaccine soon. I did a quick show of hands at the morning safety meeting asking who wanted it and got 3 out of 29 people. There are a lot of people here who think it has "dead baby cells" or the whole COVID thing is a government conspiracy or it will cause Bell's Palsy (really...can't make this up.) We may end up not offering it because we can't assemble 10 people at the same time who want to get it.
  9. I think one big driving force is the number of nurses in admin vs PAs. They look after their own. At my last position the CNO was at the top of the food chain for all the NPs and PAs. She was an RN. When I asked the (physician) VP why he just shrugged.
  10. Did a quick scroll through those jobs and there is some real crap in there. Some with hourly rates as low as $45. Having used Indeed before I can attest many of their "active" postings aren't. Yes there are 129 jobs listed but you'd have to dig through them a bit to see how many are actually active and how many are even worth serious consideration. A UC in the metroplex looking for a contract PA for 55-65/hr? Garbage.
  11. I don't know but it happens. There is a new UC being built in my small town and the ad for a provider was for NPs only. Why? Well as it turns out the company is based in a NP independent state and has lots of clinics in NP independent states so that is what they know best and prefer. It is sort of "bleed over" into a state where we both have the same practice act. I dropped a resume just to shake things up even though I'm not looking for UC work. I thought if I break the ice it might open them up to PAs.
  12. Unless the laws have changed in Texas a PA isn't permitted to have a higher malpractice term than his/her SP. It is just another reason we need to get out from under the thumb of organized medicine
  13. Personally I think new grads should work in some primary care field for 2-3 years to cement your core skills. I think you are correct in your concerns about being pigeon-holed. It is always possible to jump fields but its harder to jump into unrelated specialties than from primary care. Just one man's observation.
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