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About tristatepac

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    Physician Assistant

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  1. If anyone here has had experience working in the Prison system I would really like your input. This is an area I am considering moving into. I have yet to learn the details but the little I know is that there are Full time, Part time, and Independent contractor positions available. I would really like to know what a "day in the life of a PA" working in the prison system is like. I have about 15 years of experience between ER, UC, and Primary care. What are the advantages of an Indep Contractor vs Employee with a state prison system? How do you determine pay rates or are they designated
  2. Hi Ed, You can PM me and I would be happy to share my experiences thus far. Best.
  3. So I have decided to start a Telemedicine business from home as a Physician Assistant. The physician supervision requirements in NY/NJ are currently waived due to COVID-19. I left my job, and do not currently have a Supervising Physician. I do not want my patients to have my home address and I have my business address at the UPS store. So, two of the usual standard questions asked by pharmacies when calling in a Rx are who is you supervising physician and what is your office phone # (sometimes address). So, the first is easy enough I can tell them I currently do not have one and w
  4. True anomaly and Rev Ronin both make excellent points. There was definitely a time when you needed to translate the handwriting of some providers. If you couldn't translate, or reach them via phone, your third step might have been to go to a nurse that worked with that provider that wrote the note and they'd be able to translate. The issue with this is obvious sometimes it could easily have been misinterpreted. I think I like Rev Ronin's idea the most because it is clear in MS word, yet you can do without all the extra EMR nonsense. Rev, just curious. How do you backup your no
  5. Hey Darwin, Just something to keep in mind and yes the disclaimer: this is not legal advice. Before EMR's providers would still get sued and the paper formats had slight variation just like today's EMR systems. I don't see EMR as necessarily a way to protect yourself against litigation. You can do that with proper paper documentation. A well written note is a well written note it doesn't matter if its hand written or in a digital font, or what we used to call the American Standard Code for Information Interchange (ASCII), or simply just call text today. Someone once told me whe
  6. I appreciate all your feedback. I definitely found that EMR's really did not help my patient-provider relationship. In fact, my job became much harder as soon as I started using them. Mind you, I am very computer literate so it wasn't the EMR part. Initally EMR was promised as a paperless system and everyone's chart would be on one system. With all the rules and constraints imposed by insurance companies, we are using more paper now than ever. Meaningful use. LOL.. For who? Patient's were originally in charge of their health, now insurance companies could mandate that provide
  7. I am looking into just having my own small practice cash only. It will just be me, no additional employees, and no hassle with insurance companies. My question is if I have a cash only practice do I still need an EMR system? Of course I will have malpractice to cover the business and some form of incorporation (likely LLC). It is really the EMR that is throwing me. I get it that I would be charged a % of income annually by Medicare for not using an EMR system, but I don't plan on taking Medicare. What are your thoughts? Thank you in advance..
  8. If you were looking to hire a Supervising Physician for chart sign off how would you go about it? In other words, would you post on indeed, talk with doctors you've worked with, etc? Looking for suggestions. Thank you!
  9. I started working for a large Urgent Care company about 2 months ago. I signed an "agreement" naively thinking it was the contract (hindsight is 20/20), started working for them and three weeks later received a contract. Turns out, HR thought I already signed it but I never did. I had emailed them about it asking them to change something but they said they couldn't. At any rate, for whatever reason I never signed the contract and I am more than two months working for them. If something were to happen, am I covered by their malpractice insurance even though I didn't sign the contract?
  10. The purpose of the post is to just gain insight from some experienced PA's out there. I've been working as a PA for close to 15 years now. I started in Emergency Medicine, then progressed to Urgent Care and Family practice. I am very good at what I do but I feel very bored. I've really started to not like working weekends because it's the best time to see my kids because they're in school during the week. I'm feeling trapped these days by a job that I don't feel like I get much satisfaction from but I get payed well. I've thought about working in the hospital again (started in
  11. I appreciate all of your feedback. I have had times in my career where I've worked 3-4 day workweeks and I have to say I have been happier with that. However, currently in Urgent Care some weeks are 5 days and some are 6 days as well. It's those 6 hr split shifts that I find aren't really worth it because with the commute and finding parking it's like an 8 hour day. With my seniority and experience I think I will make a push for longer shifts, and fewer of them. i.e. 3 - 12's. They are long days but I'd rather have more days off to recover, and do something fun - like a hobby What a
  12. Tristatepac thank you for sharing. It’s funny because I’m in a similar situation however you only have one life to live so I recommend 3-4 shifts per week and enjoy the rest. Monday through Friday will get old quick and a lot times work more hours with less pay. 

    Secondly, may I ask in what region of the US you work. I have worked urgent care for 10 years and sometimes working as much as 215 hours a month and not made $150k a year? No where near that.  I barely made that in the ER full time and working part time as well in urgent care. I am not questioning you I am just happy to see such high wages and it gives me hope. Plus it lets me know I probably need to move out of state. 

  13. I've been a PA for close to 15 years. I've worked in Emergency Medicine and have been doing Urgent Care (with Worker's Comp) and Family practice for the last 10 years or so. I got divorced a couple of years ago, have two wonderful children, and find that I am having a really difficult time being able to find activities outside of work that fit with my schedule. It's really important to me to make new friendships at this time in my life. Due to the nature of Urgent Care there isn't one consistent night I have off every week for an activity. As most of us know it is shared interests and
  14. I'm looking to simplify my Urgent Care charting my incorporating Speech Recognition specifically Voice to Text translation. My current place of employment uses Docutap EMR. What experiences have you guys had with this? I'm specifically looking for hardware/software recommendations. I appreciate your help in advance.
  15. So I’ve been a PA for about 15 years and have made numerous contacts over time. I’ve worked in Urgent Care, Emergency medicine, & Family Practice. I’ve become very good at what I do but I am feeling rather bored these days. I need a challenge. On a personal note, I’m in my fourties so there is also a bit of a midlife situation which I’m addressing through a therapist. With that being said I had some sales experience in my early 20’s and sometimes I miss the daily uncertainty and the adrenaline rush when you do finally close a sale. Something I’ve been considering is s
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