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About mmiller3

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    Physician Assistant

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  1. mmiller3

    Who told patients...

    I'll fess up--it was me. Me for all of it (except the fractured not broken thing...?). Sorry all...some of us used to work on RVUs. I need them coming back.
  2. mmiller3

    Alternative PANRE

    Thanks to you (and everyone else) who has commented. I am in the middle of selling one house and building another, and the stress of this has been weighing on me. Good to know it seems to be straight-forward. What is a passing score? Obviously I have not even watched the video they recommend yet...
  3. I just went through this whole ordeal. The guidelines for the LOR were stringent; I had to resubmit one letter several times for various reasons. Hopefully you get lucky with your DORA worker. I did not, and she was awful. She would take weeks to respond to me, only to tell me the same information she had told me previously, or that she had not received faxed information (faxed several times with confirmation of receipt per our machine). She was very inflexible and a total PITA. F*** DORA.
  4. mmiller3

    RVU salary and PTO...

    We had an RVU system similar to this at my last job. Thankfully they had guaranteed salary floors for new hires and for the other providers any time they hired a new provider. Instead of demanding a check at the end of the year if your did not meet goal they simply lowered your salary the next year, but it was stupid. Unless you have a slammed clinic, it can be stressful.
  5. And away we go with the "we have better training and knowledge" argument. The general public sees it like this--MD/DO, and everyone else. They don't care that we are better trained than most NPs. It is obvious that most physicians and health care organizations don't either. The sooner we are free from the shackles holding us back, the better off we will be. If not, we are most likely going to fade away as NPs take over health care.
  6. mmiller3


    I love it for depression. I have not had good success with Wellbutrin alone for anxiety. Typically have to add in Buspar or another medication for anxiety.
  7. Diabetes and Hypothyroidism, if the PAs I know in Endo are to be believed. Pretty much just these two things, with a sprinkle of hyperthyroid before subsequently treating them for the resulting hypothyroidism.
  8. I haven't seen a pharma rep in years. We don't allow them, and only prescribe generics for the most part anyway. At my last job we had a rep lunch every day, which I miss. I typically just let them give me their spiel and eat the free food, so it never bothered me. And the ED drug reps were always attractive, so that didn't hurt...
  9. mmiller3

    North Dakota Closer to OTP

    Some people here seem bound and determined to watch our profession fade away due to an unwillingness to welcome change. You don't want your grandchildren being treated by an unsupervised PA? Do your homework before they see that provider. Some of the reasons against this are unreal.
  10. Tell whomever you are in talks with what you salary requirement is, up front. If they cannot guarantee it, you should walk away. You will waste a lot of time with credentialing, etc, if they low ball you after all is said and done. I know they can do this because they did it for me, albeit in a different AO.
  11. ^^ Much of what Reality said it what I experienced in my negotiations with the VA. The clinic was nice but the providers looked stressed, the system they were using was archaic, and the patients were waiting forever in the lobby. The system is flawed, and ultimately I decided to go private sector instead.
  12. You can definitely negotiate. I was offered $125k/year (10 years experience in Primary Care) at the Iowa/Quad Cities VA. This was the same rate as the NPs are offered. Just tell them you don't understand the disparity and don't see how you can work there at a reduced salary for the same work. If they don't work with you, hard pass (and let them know why you are passing). There is no reason for us as PAs to be paid on a different scale simply because some bureaucrat somewhere doesn't know his or her a** from a hole in the wall.
  13. I don't think I would be a PA if I had a re-do opportunity. I would probably be an engineer or do something with computers. Maybe healthcare admin. If I did the PA route over, I would not change my school. I graduated with no student loans thanks to it being a public school and my GI Bill/Illinois military scholarship.
  14. If you are moving to Colorado, get started ASAP. It took me almost 5 months to get my license; DORA either has no concept of time or simply could not care less about getting you licensed. They would respond with an email (after repeated calls/emails) to let me know I was missing something (that I had faxed several times). Once I would fax it (again), I would then play the repeated emails/calls game to get them to acknowledge they received it, only to have them turn around and tell me I needed something else. Compared to licensing in Illinois, it was a nightmare. Maybe I was an isolated case, but it does not sound like it after talking to some colleagues.
  15. mmiller3

    I can't be a PA anymore

    Wow. Just taking the PANCE and getting your license would be a smart decision (I assume you still can?). There are non-clinical positions out there for PAs if you are that afraid of your clinical judgement.

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