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pa-wannabe last won the day on August 16 2019

pa-wannabe had the most liked content!

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About pa-wannabe

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    Physician Assistant

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  1. I reached out to my state society today. "Thank you for sharing." Really hoping that means more than I think it does.
  2. Signed and forwarded to others. There are over 100,000 PAs in the nation. If this petition can't gather the minimum amount of signatures from healthcare workers, friends, family, etc. I will lose hope.
  3. Absolutely nothing wrong with seeing a mental health professional of any sort to address job-related issues. Unless you tell them you fantasize about harming patients, coworkers, or yourself, no therapist is going to report you. I applaud you for having the insight to recognize there is an anxiety issue. I work in psych and still see both a psychiatrist and a therapist because I have moderate anxiety as well. I feel complete support from both individuals and am a better person and provider for addressing my own mental health. I've found it's best to have a third party with whom to discuss job-related issues, so you are not always venting to your family or coworkers (both of which can have unintentionally bad effects). We're all human and have limits. If you are worried about someone from work finding out about the topic of your therapy sessions, I would recommend finding a therapist outside of your medical group's network to quell your fears and so there is not a way for anyone to read your chart should someone go snooping.
  4. Following. I've been looking for a similar gig as well but am seeing very little.
  5. One reason I've avoided VA for sure. I had a gig that lasted only three months and had a very odd relationship with my SP. Can't imagine reaching out to that person after years and asking for a reference.
  6. Oof I feel for you on this. I'm in a similar bind, and I haven't found a straightforward solution yet. I would agree with others who have said either 1) wait until you find a new position and have the new SP sign the form or 2) tell your current SP you have a PRN gig in VA one weekend a month or something. It sucks not being honest, but this is a difficult situation where you obviously don't want to jeopardize your standing in your current position.
  7. Thank you for your thorough response. I was expecting a decent amount of government oversight to be a con, so that does not come as a surprise. If you don't mind me asking, how did you go about finding the treatment program where you trained for six months? Was it meant to be a training program? I'd love to find something similar.
  8. Thank you very much for your reply! I'm glad to hear you've found the transition refreshing and rewarding. I never expect patients to be grateful, but boy would it help.
  9. Yes, I've often wanted to move to Germany. I studied abroad there and it felt more like home than anywhere I've ever lived. While the PA profession is present there, it is not prominent yet, so I feel I am stuck in the US for now. The UK has physician associates, but the pay is much lower than in the US. With loans in repayment, taking one-half to two-thirds of a salary cut is not optional. Sigh. Hopefully we will one day have more of an international presence.
  10. Hi all! I've seen a few posts on the forum hinting at the benefits of working in addiction medicine, but I wanted to formally ask if any of you have worked or currently work in addiction med, what has your experience been? I have worked in psychiatry for the last two years since graduating, and while I find it interesting in theory, practice has been unfulfilling. I had a rotation in a dual diagnosis facility, and it was easily the best clinical experience I've had to date. I'd love to transition into addiction med but would first like to hear some pros and cons from fellow PAs who have significant experience in this specialty. What is your facility like? How is the patient population? What is your typical patient load each day? What training did you receive and did you have prior experience? Do you feel more or less stress/burnout than other specialties you've practiced in? Is the pay competitive? If some of you could help answer any of these questions, I'd be quite grateful. Thank you!
  11. The medical board isn't going to ask if you have a mental illness. They're going to ask if you have a mental illness that prevents you from safely and responsibly practicing medicine. This is really an honor system question. You know you. Are you being adequately treated and practicing self care? Or are you unable to complete the requirements of your job as expected? If the first, the medical board will not ask and need not know your mental health status. If the second, I would suggest seeking proper treatment before entering clinical practice. I work in psychiatry and see a psychiatrist myself. It's never been an issue, because I've never made it an issue. I don't see any mental health providers within my organization's medical group. That is to say, don't sh*t where you eat in terms of receiving mental health care if you can help it.
  12. It says include full time, part time, per diem, and bonuses. That makes for a wide range of results if you consider some work a limited part time schedule while others do full time +. If OP is looking for this range with all possible jobs considered, then it would be worth adding lower salary ranges for next year. If OP is looking for only full time, salaried (i.e. 40-50 hrs/wk) responses then that should be specified.
  13. I'd stress the importance of students in clinical year treating each rotation as if it were a working interview and also building those networking relationships early. As a new grad, if you had one or two rotations that really stood out to you as being great learning experiences with a good environment, it wouldn't hurt to contact your preceptor or the office manager and hand them your résumé. If you do this, make sure to follow up in a week or two. That's how I landed my current job. I feel specialising right away is a great option if you have a burning passion for one area of medicine over all others. Otherwise, if you're on the fence, I'd recommend starting in primary care. Agree with Rev, everyone pushes the idea of residency, but the reality is that most PA training is still done on the job, and given the right working environment, you'll also be golden. Residency positions are limited, though expanding in the future I'd imagine.
  14. Fellow psych PA here. I hear you. Just a few ideas, not sure what you may have already done in the past... 1) Make the move to addiction medicine. My understanding is the schedule tends to be more manageable, meaning fewer patients to herd in and out like cattle. 2) Insurance. Claims and utilization review. I think that's where I'll be headed next. Some jobs you can do from a home office, so major bonus points there. Don't listen to anyone telling you you're playing for the other team or working for the devil. You will have just as much of a chance to make a difference, albeit from a different perspective. 3) Health coaching, possibly even behavioral health coaching. Sounds like you're experienced, so this is something you could even do on your own. You couldn't advertise yourself as a PA, but rather as a personal health coach. Another job that could be done from home or a location of your choosing. I feel for you. I'm not sure what your specific situation is, but I know psych has been a letdown for me. It's the only specialty I found interesting, so I can't just get up and move to family med or something. That would be even worse. The endless admin BS puts a drain on your joy. Seeing patients suffer and not being able to tell them why their meds aren't working is difficult. But that's psych. A lot of art, a little science. Not having enough time to truly listen. Parading patients in and out. I get it. I've been there. Get creative and do some research. It will get better again.
  15. Went to my PCP for my annual physical a week ago. I was wearing a very thick sweater. The MA threw on the electronic BP cuff over my sweater, despite me offering to take my arm out. Then she grew frustrated when the machine took three attempts to get a (likely inaccurate) reading. I was never asked to change into a gown or remove any clothing. NP came in and listened over the thick sweater to heart and lungs, moving the stethoscope only twice. No HEENT exam, no basic neuro tests. Light abdominal palpation. I was taught that the history and physical exam are the bread and butter of the PA profession. Imaging and other technology, when ordered, are great tools. But I, surely like many of you, was also taught it should be an addition to physical diagnosis, not a replacement.
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