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    Physician Assistant

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  1. Job offer on the table for an oupt vein clinic. Great benefits, salary, hours, eventual leadership potential. Company has been around >14 yrs, growing. Eventual goal would be to be fairly independent (doing office-based procedures on my own). Procedure heavy type position. Anyone have experience with varicose vein radio frequency ablations, sclerotherapy for spider veins, or the phlebology specialty in general (not vascular surgery)? My biggest concern is that some of the docs in the practice are Board Certified in things such as ED or IM that are also "board certified" in phlebology (American Board of Venous and Lymphatic Medicine) and some also by American Board of Cosmetic Surgery; neither of which seem to be officially endorsed by the AMA or American Board of Medical Specialties. But my research tells me that's the case for a lot of these outpt vein centers. Is that a red flag for anyone here? Seems like a sweet gig but want to be sure I'm not getting into anything sketchy...
  2. BOSSMANiv

    doing VA disability exams?

    Thanks for the info! The full story is it's an employer I was applying for a job with that I ended up not going through with for some other reasons. The bonus per exam was way less than the minimum that you guys are recommending and they also made it sound like there was way less involved for an exam so maybe we weren't talking about the same thing; or talking about just the exam portion or something. Who knows... As always, I'm super thankful for the collective experience on these forums. HmTwoPA: I have no idea about going about getting those contracts, sorry. Maybe some of the others here know.
  3. Employer is setting up bonus/incentive program for doing VA disability exams. Urgent Care setting. I have experience with DOT physicals but know next to nothing about disability exams. Any of y'all have experience with those? What all do they entail ?
  4. BOSSMANiv

    Advice on UC job offer?

    Thanks for the info everyone. Got a couple of other options on the table. We'll see what happens.
  5. BOSSMANiv

    Advice on UC job offer?

    Thanks, that's what I'm thinking too. Their unwillingness to budge even a little also doesn't excite me. It's just that it legitimately sounds like a job I would really enjoy potentially for years to come, good hours, good atmosphere, challenge, perfect location, etc. Was all excited about it until they gave the actual offer details it took the wind out of the sails a bit. Thought about accepting and doing 3-6 months to prove my worth and then approach to re-negotiate with data and potentially other job offers and if they continue to not want offer anything better then peace out (have to give 12 wks notice, unsure about non-compete clause). About 4 other PAs already in the practice, not sure what they get paid, but I know all else is the same. Wondering if it's even worth trying for better deal in a few months or it sounds like y'all would just pass from the get go. I don't want to be "that guy" that keeps PA salaries from increasing because they accepted an underpaying position, even if only temporarily...
  6. Looking for a thumbs up/down opinion on a recent offer I received. I'll try and keep it short. My wife and I are moving back to the Southeast soon, hence the job search. I'm 4 years out of PA school. Spent 2 years in urgent care, and last 2 in neurosurgery. And I'm very much the "work to live" type. Don't mind working hard, but cherish home/family time too, thus not staying in NSGY at a level 1 trauma center. Location: Urgent Care on steroids: basics + onsite XR, CT, MRI, U/S, full lab. Manage some occasional high acuity stuff (they've done chest tubes, mild sedation, intubate, etc.). (sort of a satellite ER feel). They direct admit to local hospitals if not safe to send pt home. PAs run most of the show, expected to be able to do solo coverage after a while. -Hours: 8am-7pm M-F, 10-6 Sat, 11-6 Sun. Not open on holidays (1-2 wknds a month depending on season) -$50/hr x40hrs a week x 52 wks = 104k -Anywhere from 3-5 pts/hr roughly depending on season. -Full medical/dental etc after 3 months. (no payout if forgo insurance) -Malpractice coverage (occurrence based) -1k CME -401k + match -No PTO or vacation stipend. -No productivity bonus but 1.5 pay after 40 hrs -Medical Scribes on site Honestly seems like a great place to work and I feel like I will be valued as a PA and much will be expected of me. Plus decent hours. My biggest hesitation is the no PTO/CME/Vacation time. Basically I'm penalized for taking vacation. I either take a pay cut or I have to work extra and give up home time the rest of the month to make up for lost pay. Is that standard/common? My previous UC job gave a vacation stipend that helped when taking longer vacations. Also would love more like $55/hr but they wouldn't budge, not even to $52. Any red flags to y'all? Is no PTO or vacation stipend acceptable in an UC setting? I also feel like salary is a bit on the low end, especially considering eventually doing solo coverage? But that's in a mid-sized city in the southeast so COL is relatively medium to low, but not rural small town low. Thanks
  7. Hey, this is my first post! I've been in Urgent Care x2 years (poorly run and need to get out), moving on to surgical specialty. I loved my OR rotations and I enjoy doing procedures. I have two offers on the table for neurosurgery and having difficulty deciding which would be more enjoyable. They are very similar (including salary and travel) with a few big differences. Any advice would be greatly appreciated. 1. Teaching Hospital. 0630-1500, M-F, no weekend or call. 17 days PTO, 10 holidays, 5 CME days PA's at teaching hospital mostly round and consult. Have to fight residents for any procedures and you get extremely little (if any) time in the OR, but you are a part of a team that is present 24/7 and I feel I can gain much knowledge concerning the field and the staff is great and respect the PAs. 2. Community Hospital. 0700-1500, M-F, No weekend or call. (Generally) 18 days PTO, 6 holidays, 3 CME days I will be sole neurosurgery provider at community hospital daily (more autonomy). Rounding and consulting, but 2 days a week in OR as first assist with elective neurosurgery cases. Neurosurgeons rotate in from nearby Level 1 trauma center (same hospital company) with a large Neurosurg ICU run by PAs 15 minutes away that gets the high acuity cases. I will have to rotate there one week every 2-3 months which may include a weekend shift (12 hr). Staff here also seem nice (but not as much of a family feel as the other) and one of the neurosurgeons teach for a nearby university so there's a sort of teaching mentality from them that seems like I can learn a lot from them as well. Basically, anyone have input on working in an academic setting vs community? Would the perks at an academic setting be enough to give up scrub time and some procedures? I do enjoy "hands on" things a lot, but also want to gain experience and knowledge for the future. Thanks a ton for any advice.

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