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About PolakPA

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    Physician Assistant Student

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  1. I typically due an abbreviated head to toe but I'm wondering if you guys have any short cuts for the PE. Such as for DTRs do you just examine patella? do you do peripheral vascular exam on every pt? What do you do for neuro? Also how does this differ for sports physicals, do all adolescents get a GU exam even if they're asymptomatic? Just making sure I'm thorough as a new grad in family.
  2. Compensation: 85,000 to start after 6 months will go up to 90,000. Eligible for productivity bonus at 9 months which can add 5,000-15,000 on to salary. 401k match, malpractice, 2000 for CME and Licensure, 3-weeks vacation. NO HEALTH BENEFITS. The position has a 4 day for week with an average patient volume of 20 pts per a day. Offices sees everything from peds to geriatric pts. As far as procedures most common procedures are hemorrhoidectomies and ingrown toe nails. Environment seems very welcoming and they have around 4 mid-levels right now. The no benefits part isn't that terrible because i'm getting married in a month and can go on my wife's benefit plan. What do ya'll think?
  3. Also a new grad here in MI. I'm having trouble landing interviews as well. I believe SE MI is extremely saturated. I would love to practice in this state as OTP laws are by far one of the best in the country. My question is at what point do I start applying for NP jobs? I believe that these jobs are also easier to search as NP is a very career specific title. Searching PA I get a lot of physician/medical assistant results.
  4. I’m starting my elective rotation in occupational med soon and I was wondering if y’all could recommend any resources or tips that would benefit me in my learning experience. My experience will be in the automotive industry. I was also wondering about DOT exams and how the certification process works. Thank you!
  5. Currently picking my one and only elective rotation. I had a few options but went with a more exclusive option of occupational medicine at General Motors. I will be their first PA student at the location, and I hope it can transition into a possible job offer. However, I wonder if picking something more broad like ER or internal would have been a better educational option.
  6. Scary stuff. I'm graduating PA school in June and moving back to MI. Trying schedule my elective right now to allow me more job opportunities in SE Michigan (psych or ER). You would think that better PA laws would allow for greater salaries, but I guess when you have 5 PA programs in state and a million NP programs saturation is inevitable.
  7. I really hope this just stays a Missouri thang, buried deep in the Ozark mountains (or wherever else Missouri people hangout). If only we actually had some lobby power, the nccpa or aapa could have actually done something to try and stop this........
  8. Has anyone ever used rozerem? Wondering if it's more effective than just regular melatonin.
  9. LMU is trying to pass the "Doctor of Medical Science Act" (DMS) program, For PAs that have 3 years of experience to be licensed as "new type of physician." It's a two year program. They're supposed to vote on it soon. It is not a bridge program, but a step in the right direction, I think. Bill Link: http://www.capitol.tn.gov/Bills/110/Bill/SB0850.pdf Tennessee legislative website: http://wapp.capitol.tn.gov/apps/billinfo/default.aspx?BillNumber=SB0850
  10. I see a lot of discouraging posts about PA ownership on this site. I hope to dabble in business someday and I'm looking for some encouragement. How much experience did you accumulate before you decided to branch out on your own? What are some of the things that allowed you to succeed and stand out as a PA in private practice? Also how have you gotten past the poor reimbursement rates that the profession faces?
  11. I Would like to get this ASAM certification when I'm done with PA school. Can I just have a collaborative agreement with a FM physician to obtain the certification? (will be practicing in MI) https://www.asam.org/resources/practice-resources/nurse-practitioners-and-physician-assistants-prescribing-buprenorphine
  12. Great question I want to open a clinic when I get out of PA school. Michigan law allows a PA to own up to 99% of the practice, the other 1% needs to be owned by a MD or DO. This is required for PC or PLLC licensure types. I hope we can get rid of this rule in the future as MAPA is picking up some momentum. However, I'm not sure about being an independent contractor. Please share if you find out anything about this.
  13. I know that private practice reimbursements are not the best from third-party payers for PAs. I was wondering if the following piece of legislation can aid with this in Michigan for private family practice: THE NONPROFIT HEALTH CARE CORPORATION REFORM ACT (EXCERPT) Act 350 of 1980 550.1401d Services performed by physician's assistant; reimbursement; conditions; applicability of section; supervision by physician; definitions. Sec. 401d. (1) Subject to subsections (2) and (3), if a health care corporation group or nongroup certificate provides for health care benefits for services performed by a physician's assistant, those benefits or reimbursement for those benefits at the prevailing rate shall not be denied if the services were performed by a physician's assistant acting within the scope of his or her license and provided that the following are met: (a) If the services were performed by a physician's assistant working for a physician or facility specializing in a particular area of medicine, a physician that specializes in that area of medicine was physically present on the premises when the physician's assistant performed the services. (b) If the services were performed by a physician's assistant working for a physician or facility engaging in general family practice, a physician need not have been physically present on the premises when the physician's assistant performed the services so long as a consulting physician is within 150 miles or 3 hours' commute to where the services are performed. (2) This section applies to a physician's assistant who performs services in any of the following: (a) A county with a population of 25,000 or less. (b) A certified rural health clinic. © A health professional shortage area. (3) For purposes of subsection (1), a physician supervising a physician's assistant shall do so from within Michigan or from a state bordering Michigan.
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