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Everything posted by PACJD

  1. When I started 10 years ago AAPA literally did nothing for us. There was no support, we were restricted as providers like crazy, and no leadership. Fast forward to now, we have come a long way with the beginning of OTP, consideration of name change, diminished barriers with laws etc. It's a slow process, yes, but things are taking shape. If you look at the NP profession, they too have had a long battle.. Its only now that they have taken bigger strides.
  2. LMAO... yea EMfuturePA would definitely do well in an OTP environment with that attitude
  3. PACJD

    Job Outlook

    Very important to understand...
  4. Agree with everything above.. Definitely feel that having an elective rotation in a speciality will eventually help you get a job in that speciality. Having it listed on your resume will first and foremost appeal to the recruiter/hiring manager, and it gives you something to talk about during the interview. They obviously know that a rotation in the speciality is merely 20 days experience and you having a significant learning curve still, but it shows that you are interested and know the basics. That is not to say that not doing an elective rotation in a certain specialty will prevent you from getting a job in a specialty. I have had students that have had all of their elective rotations with me (CT surgery) and ended up doing psych or derm or something else. Although some jobs do list "willing to train new grad with (ortho) rotation experience."
  5. PACJD

    Advice on moving to California

    I heard the pay in the LA area is really good for PAs, but crazy expensive to live. You can probably find an affordable place in a city about 45 min to 1 hour outside of LA, and then work at a hospital in LA, as long as you're willing to commute.
  6. I mentioned this in a previous post months ago. I work part-time in a medium-sized pharmaceutical company as a "product logistics analyst." I started this job around 5 years ago, wasn't too popular for PAs back then and the only reason I got the job was because my sister was a pharmacist there, my uncle was senior director of advertising, and my cousin was a sales rep. However, now the number of PAs have expanded greatly. It is basically a team of PAs/NPs/DOs/MDs, some working full time, most working part-time. Most have a business/administrative degree such as an MBA or MHA. Its primarily a desk job analyzing patient encounters with suggested medication prescriptions, and multiple meetings with the pharmacists and reps. We're basically trying to find ways to increase product sales, but from a clinical standpoint. They want me to get my MBA and work full time there, but the pay for full time is only roughly 100k, and I'm not ready for a pay cut yet. Once I'm tired of working clinically I may transition full time. Not a bad gig though.
  7. PACJD

    Job Outlook

    I mean if you went to PA school, then went through another 4 years of med school and at least 3 years of residency, then there was obviously something that you were not happy with in the PA career that made you invest all that time and money. So for that individual to judge and say X is better than Y would most certainly be biased toward the MD route. They could say that route was better for them, but they cannot say that route is better in general. Again, bringing it back to my initial point, that preferences are subjective.
  8. PACJD

    Job Outlook

    Well said. I think the negativity comes from the more seasoned folks who have experienced a lot and certain remarks from younger docs start to take a toll. And it is understandable why some of these PA vets start to look at the profession in a negative fashion. But, as I was trying to make my point, the PA profession has its downfalls, just likely every other profession out there. The decreased salary and lack of respect are two of its downfalls, but you also have to look at the numerous positives as well. ERCat named the negatives of going MD, but obviously there are a ton of positives (salary, respect, autonomy) seen in MDs. No one individual can judge which is better or not, and no one should tell others that they should go PA vs MD. Bottom line.
  9. PACJD

    Job Outlook

    I got ya.. Wasn't tryna attack you personally, just trying to point out that no profession is all bells and whistles. Some are more suited to be MDs, others PAs. Both are rewarding, but both have their downfalls. People shouldn't try to persuade prospective PAs and say "why don't you just become a doctor" as I'm friends with old docs and some of them regret becoming an MD. It's all about the individual.
  10. PACJD

    Job Outlook

    Now this is something i can agree with. The whole healthcare system is messed up and run by money hungry officials.
  11. PACJD

    Job Outlook

    How do you know there aren't similar realities in MD. Like you said, people do not know up front what the reality of the profession is until they enter it. You entered a PA profession, you do not know what the MD profession holds. I come from a long line of doctors in my family, my father being one of them. He was actually the one who told me to stay away from becoming an MD if what I loved to do was help others and have real patient contact. He spent a majority of his days doing paperwork and said MDs are becoming primarily a desk job with very little patient interaction. So, there are downfalls of the MD profession as well. I agree with you that some people are better suited to be MD and some PA. There are downfalls of every profession, no need to bitch about it and express your regrets. Yes I agree that we both practice medicine and should practice at the same standard. We should all care for whatever is best for our patients. But it is not ok for a PA/NP to say "I don't get as much respect as a doctor" or "I don't get paid as much as a doctor" just because we all practice medicine at the same standard. Truth and reality is that we have different training, different education, different governing boards, hence we are all different professions acting toward a similar purpose. That is how the profession was advertised to me prior to me entering school, and that is how my mindset and attitude is toward the profession now. That is why I am not jealous, envious, or regretful. I knew what I was getting myself into and you should have done the research prior to entering school. If you still were unhappy with your career even after entering it, you still had the ability to go back to medical school after that. No one said you couldn't practice 5 years as a PA and then go back to medical school. Obviously circumstances (family, finances, age) would affect that, but if you were really unhappy about it then you should have made a change. Again, not trying to start anything...
  12. PACJD

    Job Outlook

    Don't mean to stir up any controversy or anything but a lot of what you are saying in this topic and what others are saying isn't really helping the profession in any manner. In fact, you guys are swaying the younger generation from pursuing this career, which in the end will hurt this profession in the long run. Truth is there are both pros and cons of every profession, PA/MD, education, law, business, engineering, so on and so forth. If you wanted to do MD, you should have done MD. It does no good by listing the downfalls of the profession and expressing your regrets in life. If someone chooses to become a PA, then they accept the responsibilities and possible consequences of their decision. This isn't the first post where i have seen just the negatives of PA vs MD. These are two totally different professions. Its like saying to all these young folks don't do PA go to school and become a teacher instead. Makes no sense.
  13. PACJD

    Job Outlook

    Same I live in a major city and jobs are everywhere near me. I make more than 150k but I do have 10 years experience. I precept students and have several new grads accept offers in the 100k-110k area. This one new grad had 5 job offers each at least 100k, turned everyone of them down because he didn't like something about each of them. i though he was stupid and he was gonna end up unemployed, but he ended up getting a nice gig in a major PA dominated hospital, starting rate at 125k. Honestly, I am one of those who aren't a strong supporter of PA residency. They would definitely allow you as a provider to feel more comfortable, but you are taking a pay cut in the process. Many of my colleagues went the PA route so they wouldn't have to do a residency. Pay cut, long hours, significant responsibilities, poor treatment for what? In the area that I am, residency doesn't really benefit much in terms of pay or hiring. Really just a way for a new grad to feel more comfortable starting to work. I would suggest it if you didn't really have significant hands on exposure in your clinical rotations, but if you are pretty comfortable seeing patients, I don't really think a residency is needed. Just my two cents.
  14. PACJD

    GI Offer (2nd Job)

    not a bad offer overall.. still would try to get compensated extra for the night call, for me personally at least. Whether you go in or not, you're still limited as to what you can do that night cause you have to be ready to answer the call. That dinner with family or night out with friends may be disturbed by multiple calls on a busy night.
  15. PACJD

    GI Offer (2nd Job)

    How much PA experience do you have in general? 106k not bad, would see if I could negotiate up to 110k or maybe try and add a bonus structure if a lot of procedures are expected. So you are doing 2 night weekends per month? (for a total of 4 weekend night shifts)? Seems pretty steep without extra compensation. Just for comparison sake, I know a new grad who recently signed a GI contract for 117k, 13 12-hour shifts per month, 4 weekend shifts and 2 night shifts.
  16. I went to PA school in NY while my girlfriend moved out to CA by herself for PA school. From a long distance relationship standpoint, it worked out. We saw each other on breaks and we would call each other daily for support. Since we were both in PA school, we knew that we would have a ton of work and pretty much knew what to expect from each other. From what she told me, having little family/support nearby was definitely hard on her at first. But she made friends quickly with her classmates and now they are some of her best friends. Honestly you will find people who will help you get through the tough times. Many students in your program are probably going through the same things. Your husband and family are always a phone call away. Just know that after you're done, you can be reunited with family and have endless opportunities awaiting. My girlfriend and I are now both living in NYC near all our family/friends, and both have wonderful lucrative careers.
  17. PACJD

    Need some good vibes

    did you pass?
  18. Posting for a student I was a preceptor for, looking for thoughts and criticism: -Offer is in a large teaching hospital in a moderate COL city in Mass. -Well known hospital, will have good support system -Internal medicine position, 4 months training days, will transition to nights after provider feels comfortable. There will always be a resident and NP scheduled at night along with the PA. -13 12-hour night shifts per month, rotating shifts with other PAs, max 3 weekend shifts -Extra paid call will be discussed at later date -salary at 125k, open to some negotiation -3 weeks vacation, 4 sick days, 9 holidays, 5 days CME -3k CME allowance -DEA, license fees, certification fees all covered -relocation bonus 2,500 -loan repayment up to 8k per year -health insurance covered (not sure of specifics, but hospital standard) -403b retirement (not sure of specifics, but hospital standard) Not really familiar with wages in Massachusetts, nor do I have any experience in IM contracts to really comment. All I can say was my new grad contract was about 40k less with less benefits, lol.
  19. Totally agree.. More numbers will make us stronger as a profession. The main reason, in my opinion, why the NP profession is gaining strength is because it is gaining numbers. There are thousands of RNs that are willing to take online classes to become an NP, and that is why they are pumping out new NPs by the thousands each year. Exactly. Every profession will point out the negatives within their profession, and will overreact and state that their profession is "doomed." No... Total BS.. I too browse NP forums and all I read about is how the PA profession is gaining strength. Similarly I read about a post that said if and when the PA profession decides on a name-change, this will be a major hit for the NP profession, as the PA will no longer have the "assistant" in its name, but the NP will still have the "nurse" in its name. I have also been on forums for lawyers, accountants, PTs, and pharmacy... All bitch and moan about how their profession is oversaturated, the salaries are leveling out, and how their national organizations are doing nothing to advance the profession in a positive light. To the OP. Yes you are overreacting. I have been practicing for over 10 years and this year I have seen massive strides of our profession that people were hesitant to even just talk about when I started, and this has all to do with the younger generation of PAs who are motivated and ambitious. The younger PAs look to get their "Master's" and do not settle for merely a "Bachelor's" in PA studies. The younger PAs look to for leadership opportunities within their hospitals, speciality organizations, state organizations, and national organizations. The younger PAs look to further their education with MBAs, JDs, MHAs, to become more attractive in hospital board elections and fight for their profession. Don't mean to call out the older generation of PAs, but from my experience, the older generation PAs seem to be more satisfied with what they are currently doing, practicing medicine with a decent salary, and have no interest in furthering the profession as a whole. Yet they find ways to continue to bitch and moan about things. I am a preceptor for students in a large city in the northeast, and one of my students has received 5 job offers so far, graduating last month. All offers were >105k and various specialities of a moderate cost of living city. The salaries i have been seeing elsewhere are numbers you couldn't have imagined 10 years ago, and they seem to be getting higher and higher by the year. The push for OTP and title change is icing on the cake. Not if, but when, these changes will be made, this profession will finally flourish...
  20. PACJD

    Goodbye student loans

    Congrats! If you don't mind me asking, how much per month were you throwing towards your loans? Besides maxing out retirement and paying rent, what other expenses did you have. What sacrifices did you need to make in order to make this happen? Just trying to gauge how other people tackle this challenge.
  21. PACJD

    Trauma Surg.- Critical Care PA Salary

    What area of the country are you in? I'm friends with a critical care/trauma (No Surgery) PA with 10 years experience and he's pulling in around 150k per year in NY. He started at around 120k with plenty of incentives. From what I heard those positions are hard to come by.
  22. Just wanted to see how you guys felt about scheduling. Do you guys prefer working 5 8-hour shifts, 4 10-hour shifts, or 3 12-hour shifts? I could see why people would prefer 3 12-hour shifts, being able to have 4 days off at your leisure, but do you feel the shift is drawn out and mentally draining by the end of it? I could also see why some would prefer 5 8-hour shifts, as the shift would feel quicker and you still have time to do things with your day before/after the shift, in contrast to the 3 12's where work is the only thing you do when you are scheduled. My commute to work would be around 45 min to 1 hour and 15 min, so going back and forth from work and home would be a process as it is, so I guess 3 shifts/week would be more logical? How do you guys feel? For those that work 5 8's, do you still have time to do things before/after the shift? For those that do 3 12's, are you grateful that you have 4 days off per week?
  23. PACJD

    how many shifts in a row is too much?

    Well in terms of patient safety, you are a student so there isn't much in the way of that. However in the matter of student expectations, that is way too much and you should bring it up to your clinical directors. Does each doc know that you are working that amount of time? Cause I bet they think you are on the same schedule as them, 7 on 7 off. Now thinking back to when I was in rotations, my general surgery rotation was from 4am to 7pm 6 days a week, with an hour commute each day. And we had rotating call among the students, so i ended up working the day we were supposed to be off. Ended up working 21 straight 15 hour shifts. Those were the days... If they don't do anything about it, i guess just try and suck it up. Just know that once you get out into practice, your schedule is nothing like that. I work in surgery now and i work 3 12s a week and they do not allow you to work 5 straight shifts between weeks.
  24. PACJD

    Five Star Urgent Care

    Did you accept?
  25. PACJD

    2nd Interview, ED, what attire?

    I would still keep it clean. Maybe not a brooks brothers suit but at least a Calvin suit.

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