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pa-wannabe

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pa-wannabe last won the day on August 16

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About pa-wannabe

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  1. Don't want to speak for anyone necessarily, but I think this forum has needed a light-hearted comment like this lately. But to give my response to the OP, I think it just depends on the specialty/environment and what connotation a word has developed. I work in psych but call myself neither a psychiatrist nor behaviorist, as those terms have strong associations linked to training which I do not have. But since I do work nights...
  2. Not-so-patiently waiting for the day when Germany utilizes PAs widely and across all specialties. I'll be jumping ship. I've yet to find more info on the subject than what thinkertdm supplied above.
  3. Without one in place, though I'd begun to look. It took about three months until I was hired, five months total with the start date.
  4. I agree wholeheartedly. I, too, have been in a position that sent me into a nervous breakdown due to overbooking and endless admin tasks, and I do not regret resigning. You are a seasoned provider; it sounds like you've given more than many in your position would. You've tried. It isn't you, it's the large medical group using you up and spitting you out. I'd love to think that if all providers in these overworked positions quit, higher ups would get it through their money-green skulls that quantity over quality is never a good business model, especially in a field where the consumer (because they're not seen as patients) literally lives or dies, thrives or flounders, based on the quality of care they receive. But someone desperate or clueless enough will come along to scoop up your job if you decide to leave. They'll stay for maybe a year or two, before the system chews them up and spits them out and the cycle begins anew. Again, run. You're worth more. And you are the only person who can truly preserve your mental health. The panic attacks aren't worth it. Leave and take that time to hit the reset button. You'll know the red flags to look for with the next employer and the right questions to ask in an interviee to make sure you don't end up in another healthcare mill.
  5. I've looked into telepsych extensively, as I think it would be the best of both worlds. At the moment, only psychiatrists and NPs are being considered for the organizations I've researched. Hoping that changes in the near future.
  6. This. This is exactly what I'm talking about. I did extensive shadowing and worked in healthcare prior to PA school, but none of that prepared me for the red tape and paperwork we face from administrators. The time I had in outpatient was miserable not only because of the time constraints, but because of someone always breathing down my neck with billing, documentation, scheduling, etc. And that's the norm now, so changing practices would hardly have been a solution. I got into this field to do something that matters, and I can't help but feeling that I bought the lie I was sold. My fault entirely, but gosh it would be nice to feel like I'm doing something that matters again. I'm so glad to hear education has been a good and solid shift for you. Gives me hope!
  7. The funny thing is, the psychiatrist who worked down the hall from me at my old position refused to move from 40 minute visits to 20 minutes, and they just accommodated her because she's been there so long. So here's a person making more than twice my salary with half the workload. If providers could come together in our individual practices and advocate for more manageable schedules, it does stand a chance. Unfortunately, burnout seems to make most people focus only on their own scheduling needs.
  8. I like seeing patients, just not 25/day five days a week lol. Maybe one or two days, sure, but the pattern now is unsustainable for even the most energetic and efficient among us.
  9. Hi all! I know the topic of non-clinical jobs has been discussed as nauseam on this site, so I do not want this post to reignite the discussion of what non-clinical jobs exist, where to find them, etc. I am a little more than one year out of PA school. Started working in psychiatry, and frankly, it is the only specialty in which I have any interest. For the last several months I've been working in a sort of hybrid position that has me working from home doing overnight psych admissions for several area hospitals. I neither see not interact with patients. The intake and nursing teams call me when a new admission is ready, and we discuss the case before I place my admission orders. It's mostly just "getting patients through the night" before the attending can evaluate in the morning in person. It pays the same as clinical work with much less stress and administrative red tape. I miss seeing patients, but not at the volume of 25 a day, and the freedom I have now to be engaged in other areas of my life is priceless. I don't want to hear about how my clinical skills will waste away and I'm only a year out of school, blah, blah, blah. I want to know from those of you working outside the direct patient care realm, do you have any regrets about leaving clinical practice? And on the flip side, are you happy you did? I am truly happy to have time for my outside interests, family, and friends, but part of me feels guilty for not seeing patients, like I'm breaking the code of PAs or something. To be honest, after leaving the office, I have no desire to ever go back. If/when I tire of my current position, I'd love to move into remote insurance auth work as I've seen several PAs/NPs do.
  10. Current psych PA here. I was only the second PA my organization ever hired in behavioural health, and the only reason they considered me was because I did a rotation with them and had preceptors who vouched for me. Therapy training? No. It's pill pushing, as much as I hate to say that. I listen, nod, and offer advice, and that's all the more you need to be able to do for most of these healthcare organizations. Therapists should be the ones doing the psychotherapy heavy lifting. I started in outpatient, where I worked with NPs. They were all seasoned providers, so I can't compare my "new" clinical skills to their many years. But if you have good mentorship, enough time to learn at a reasonable pace, and provisions for psych CME, you can be just as competitive as an NP. Get that CAQ. Keep explaining to places looking to hire an NP that YOU are able to provide the same level and quality of care. I've fought with recruiters as well. Explained myself and my profession more times than I can count. Sometimes it lands me an interview. Sometimes my words fall on deaf ears. Advocate and educate at every opportunity! I love psych, and if I couldn't practice in this specialty, I wouldn't be a PA. Psych or bust. It's so worth it if you're passionate about mental health.
  11. My pizza box tonight says Domino's is hiring at 15/hr. About as good as a 1099 in some cases.
  12. I think this topic has been milked for all it's worth elsewhere on this forum: https://www.physicianassistantforum.com/topic/47576-non-clinical-pa-jobs/ https://www.physicianassistantforum.com/topic/43138-non-clinical-jobs-for-pas/ https://www.physicianassistantforum.com/topic/13473-non-clinical-pa-jobs/ The list goes on...
  13. I truly hate seeing these kind of posts, because it's a reminder of how broken the healthcare system is. 1) If you were a diligent, hardworking student, which I'm going to assume you were, shame on your program for leaving you feeling unprepared. We'd do far better to have PA programs focus on turning out a few top-notch, well-prepared clinicians than throngs of programs looking to fill more seats and make more money. 2) You sound like me in many ways. I'm a sensitive person with a relatively low threshold for stress. I saw medicine as an investment with job security. Was it the right choice? Who knows. But being a thoughtful and often worrisome provider wears away at you. Find a place that can use your gifts -- you have them, whether you know it or not. 3) There is no universal provider experience. What you see, deal with, and stress over is different based on specialty, location, office setting, manager, supervising physician, and YOU! Just because ER and UC were great for someone else, doesn't make you less of a provider for not finding happiness and fulfillment there. It just means your talents have not yet found their niche. I'm only a year out of school. Knew from the jump I wanted to do psych. First job was a lot of herding patients in and out like cattle. Pill pushing. Hated it. Not what I got into medicine to do. Left after three months, don't regret it one bit. I'm now doing overnight psych admissions from home and couldn't be happier. But that happiness required me to re-evaluate what it meant to be a good PA FOR ME. You'll find your place. If you made it through school and these past few jobs, you're smart enough for it. Find your niche.
  14. Psychotic disorders? Sure, they can ask. Nobody wants a manic, paranoid, or delusional provider. But this question essentially amounts to "hey, we're going to judge your medical history and do some thought policing to determine whether or not you're planning on stopping your treatment anytime soon." Major depression, generalized anxiety, ADHD, etc? Good luck licensing enough providers to meet that healthcare shortage when half the population of providers has one of those diagnoses in his/her history. I was taught growing up to never, ever, ever, answer that question honestly when it's anything job-related. I stand by that point.
  15. Took genetics, biochem, and human development online through my local community college. I think around $500 per course back in 2015.
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