scott079

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About scott079

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  1. Hello, I paid off 100k in loans already and I can say that there are numerous ways to approach it. Employer loan repayment, military reserve, 10 years of nonprofit work, higher salaried positions, 2nd job, lowering lifestyle choices, etc. Basically it all boils down to the same question, what are you most comfortable with? You want the fastest solution- work 60-70 hours per week and reduce spending to the basics for two years. Even its not 100% paid off you, you'll address the feeling of burden. Also, you might learn something about your self along he way.
  2. Hello, I have been a part time Emt for about a year, currently doing my pre-reqs and could use some guidance in terms of PA specialty. I'm 34. So far I have done about 80 hours of shadowing. Outpatient Oncology (clinic), In patient Oncology Gyn, Robotic surgery, Reconstructive plastics surgery, ER Fast track, Cardiothoracic surgery, plus conversations with at least 3 other types of PA. What I like about being an EMT is the variety, the autonomy, the patient interaction and the ability to help at least one person a shift who really needs it. Dislike the crack heads, non-compliant/combative people, and psych patients- I view all three as hard to treat, its just draining to be honest. I can honestly see why police are emotionally shot, dealing with this all day or night. But when I treat a trauma victim or acutely ill person stuck at home or an incredibly kind senior I feel happy. Full disclosure I have never been happy at work, hence the career change. Of the fields I shadowed, I liked the variety of the ER fast track. The PA ran that room and helped some nice people who were just having a bad day- Kinda like an EMT. Also saw some not so pleasant pysch patients. The reconstructive plastics PA's did quite a bit in the OR (breast reconstruction), they also said they did clinic. I feel like they see alot of different cases in oncology. The Gyn PA at the hospital had nearly complete autonomy managing his patients and took good care of them, but I think I might get bored just managing patients after surgery but before discharge. The cardiothoracic PA did a double Bypass, holy cow was that impressive what she could do. I really enjoyed the autonomy she had in the OR and in the CVICU. I really disliked the outpatient clinic, basically the PA just did H/P, then the doc came in and made all the choices, then the PA would finish the note on the visit and call patients. Sorry but it felt like she was an admin aide and I am done with that work. So the question is- what specialty would you suggest to a talkative extrovert who enjoys procedures and dislikes micromanagement? I just know I would detest doing the paperwork only to have an MD come in and do the procedure and make all the patient care decisions. Open to suggestions, questions, and appreciative of advice.
  3. Hi, I am a pre-PA student with a big interest in CT surg, so please don't consider me as an expert or my opinion as knowledge. I spoke with a recruiter after shadowing a CT surg PA, this recruiter specializes in CT PA jobs. He attended the last conference for apacvs. He claimed that at the conference he was told there are only 800 "proficient" EVH PA's in the country. His words, not mine. If this is true, your learning a valuable skill set, so maybe this is a starter job. Either way, best of luck with your first job, I am sure its an exciting time for you.
  4. Hello, First and foremost I think at your age (young) and with a family what your trying to do is very admirable. I am taking my pre-reqs now and am also interested in the reserves (Not AD, too much). But I recall reading on the guard's website that 41 is the cutoff but you might be eligible for a waiver on that. They pay 75k for three years. And they talk about combining a national guard service with VA careers. Just saying if tuition is the threat maybe this is an option? Either way I wish you all the best.
  5. I feel like I have some things in common with you so I will take a stab at this. From a money perspective, it appears that right now you could secure a safe and predictable future. Assuming the tutoring and gradual increases to 92k, you could be looking at 112kish topping out for the 2nd half of your career (working 52 hours a week, 40+12). As a PA, income could vary alot as could hours, very dependent on your choices. I will allow you to speculate on those debt/income ratios, retirement calculations, and amounts of time off. I will ask two quick questions and then finish with a short and similar story. 1- Have you shadowed a variety of PA's, if yes how did you FEEL about the work and the patients being served? 2- How do you FEEL when you are at work now and when you come home? The top two ranked items in job satisfaction are the quality of the relationships with your co-workers and the respect/gratitude of the people you serve. Money and prestige rank around 7 and 8. (how to find fulfilling work by roman krznaric) During my journey I spoke with a former chemistry teacher who became an Ortho PA. Like you neither loved nor hated work, it was blah. Like you was only a few years in when he made the switch. When we spoke he was 1 year out of PA school, recently married to an NP and has a baby boy. He is leaving Ortho because the hand specialist surgeon was micromanaging him, plus his wife got a good offer in Florida. Does he have debt, yes alot, does he work more hours than he would like currently, yes. BUT, he said he loves his job on the days when the doc is gone (he never loved teaching), he is excited to try out peds or another specialty, and as a PA he can just "go to Florida" whereas as a teacher that would be a massive issue. Overall he is happy and when asked said he does not regret his choice at all.
  6. I am curious if the decrease in CABG surgeries over the years will have an impact of PA's either in or going into this field? I put a link to an article discussing the decline below. Anyone have an opinion on the direction of this field and the PA's working in it? Just curios as its the specialty I have alot of interest going into. https://www.hcup-us.ahrq.gov/reports/statbriefs/sb171-Operating-Room-Procedure-Trends.pdf
  7. Hello Everyone, Thank you for the insights on the salary. South- I am extremely grateful, your description covered a hell of alot and I liked nearly all of it. More of what I was hoping to hear, I think I am heading in the right direction.
  8. Hello, I have been looking into CT surg and spoken with a two PA's who work in that field, briefly shadowed one in the CICU. Currently trying to do more shadowing/ research opportunity in structural heart disease program. I am leaning in the direction that this is the specialty I think I want to pursue. 55-60 hours per week is totally fine, find cardiology interesting, the EVH seems like a really incredible procedure, and overall interested. I am old enough to know that I might change my mind, and that I need to pursue the area I connect with the most, so take the next part with a grain of salt. I looked online, on Indeed.com, I am seeing CT surg full time jobs starting at 140k going to 200k. Various parts of the country. I also heard that the CT surg chief PA at the hospital I shadowed made over 200k, closer to 250 (heard, not confirmed). Is this for real? I feel like there is a catch or I am missing something? Can anyone share their thoughts or experiences. thank you and I apologize in advance if I come across as money blinded. Also not sure if this topic belongs here, I hope it can help others in their job search.