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Everything posted by PACJD

  1. Haha I had an instance just the other day where i was driving 100 mph down the interstate highway and was pulled over by the state police. Took my license, saw my white coat and stethoscope, and addressed me as "doctor (last name)" assuming i was a physician. I corrected him saying that i was a PA, but he said he was still going to call me doctor, thanked me for my work, and let me be on my way. Didn't even tell me to slow down a bit...
  2. Mine is in NY and yes there were a couple times I could remember where a few 15+ years bachelor PAs were passed for more like a 4-5 year masters PA. And listen I definitely agree with you that there would be a gap in production but in the eyes of large hospital corporations they would be willing to take a risk and hire a newer PA who had 4 years of undergraduate education for their general bachelors PLUS 2-3 years of graduate level education holding a masters rather than an experienced PA with 4-5 years of education and 10 years experience. How that makes sense is beyond me but these days the degrees do matter, not only in our profession but pretty much in all professions in general. Pretty similar to Physical Therapy where places want 3-4 years of education and someone with their doctorate. Also similar to accounting where companies want someone with a Masters in accounting and a CPA rather than just a bachelors in accounting. Whether the extra education is truly beneficial to actually perform the job is debatable.
  3. Hmm... I beg to differ on a few points that you suggested. Where I am from at least, a PA with 10-20 years experience with a Bachelor's in PA would not win a seat on the hospital administration over a PA with 5 years with a MSPA. Some places near me would not even consider hiring a seasoned PA with only a Bachelors and would rather have a PA with 3-5 years experience with a Masters. I know you mentioned that an MSPA is a "sunken cost" and gives no extra rights or value, but it actually does. This has happened multiple times actually where I work, and several PAs with bachelors were scrambling to get their Masters otherwise they would get laid off. The new grad MSPA made >30-40k more than the seasoned PAs. I know a lot of people would disagree, and I am not saying that I totally agree with this, but it is true. I personally would rather take real working experience over the education, but large hospital systems do care about the degree. In the eyes of these larger organizations, sporting the fact that all your PAs have their Masters makes it more appealing. I also feel like that is why most of the PAs taking leadership roles are the younger crowd with their Master's, and the older folks are less likely to be holding administrative roles, due to the degree discrepancy.
  4. I started applying to jobs a month before graduation and had multiple offers to compare. 100K in bay area is very low... especially in vascular surgery. I know a few folks working in family medicine making 120k to start there. COL is crazy there.
  5. I heard that certain places in Texas are pretty good. Good salaries, autonomy, and no state income tax.
  6. Definitely agree. However, from my experience, I do feel that the new wave of younger PAs are becoming more involved in leadership and pushing for administrative roles. When I first started out none of the PAs I worked with had any desire to become involved with hospital politics, and many us (myself included), were content with our salaries/roles. The younger PAs in my hospital are now taking on larger administrative roles, which is why were are treated so well where I work.
  7. Our hospital PA leadership is planning on writing something to our state organization and hopefully it will get to the AAPA. We are just waiting to see how our work expectations/regulations will be affected over the next few weeks. Will definitely keep everyone posted on how everything pans out.
  8. Yea I didn’t mention that he has a jd and mba as well and that he only practiced as a PA for 2 years. Still a PA nonetheless lol.
  9. I work in a relatively large hospital system in a major city in the northeast, where there are several hundred PAs currently working. We are highly utilized across all specialities and generally treated well with competitive salaries, good benefits, significant respect, etc. This morning we received notice by our CEO (who is a former PA) that the salary of all PAs will be going up, effective next pay period. Our hospital uses a pay grade scale, so PAs are now going to be in the same pay grade as the pharmacists and CRNAs. The reasoning for this, as stated in the email, was to compensate for the "progression of the PA profession, OTP influences, and continued expansion of the modern medical approach." Has anyone else had any changes in their hospitals or increases in salary due to OTP? The fact that our CEO is a PA might have had something to do with the push, but it is good to see that hospitals are starting to recognize the progression in our profession. Regardless, I'll enjoy my 17k increase either way...
  10. With 2 years experience under your belt there is no doubt that you are going to need physician involvement. ER residency is 4 years and even after they finish residency new ER physicians still need support from seasoned vets. There is no way that they expect you, a PA with 2 years experience, to go to work each day and not have questions to ask them. It will take you several more years to become comfortable with reading x-rays/CTs, interpreting EKGs, deciding patient disposition on difficult/unusual cases, and even then you will still have days where you are clueless on what to do. That is the beauty of medicine. Now when it comes to lower acuity, fast-track stuff, you should be comfortable with a majority of the things you see. At this point I wouldn't run every ear ache or sore throat by the physicians, but you should be able to differentiate when you need a second opinion.
  11. Was the attempted language change to OTP intended to take on a more conservative approach or benefit the movement for change?
  12. Hmm, I would have to disagree... I also graduated from the east coast and graduating from the school I did, with the reputation it had, opened the door to many job opportunities all over the east coast. Many of the chief PAs and hiring managers went to my school, a lot have heard about my school, or have hired many PAs that have gone to my program and have given me an advantage over other candidates from lesser known schools. Not to say that going to a newer, smaller school will prevent you from getting a job, but going to the school i did definitely helped me if anything. In terms of job saturation, the truth is yes, many new schools are opening up, the PA profession is a sought after desirable profession that many people are trying to get into. It is starting to become like pharmacy did 15-20 years ago where many of the younger generation flooded the market. Nonetheless, despite the saturation, there will still be jobs out there no matter what. Pharmacy is still a great career to get into and the PA profession will be the same.
  13. I did per diem EVH for a small hospital in upstate NY where I made $200/hr for a 2 hour job. I would harvest the conduit and then leave immediately after. They only did this as they’d were in the process of hiring full time. Many opportunities for per diem urgent care. I also lectured at various PA programs, paid me $100 per lecture. It was usually a 2-3 hour lecture and it took time to drive up and set up, so money wasn’t that great but I enjoyed doing it anyway. Currently as a part time gig 2x per week I work in a pharm company logistics analysis division, where I would help analyze drug prescribing trends and motives. Company is trying to persuade me to get my MBA and become director, might do it in the future but as of right now not my priority.
  14. Totally agree. I believe that once the name change happens, there will be many more strides in the right direction. I feel that some PAs need something to excite them again, and this will be the eventual trigger will that takes place. I think that this is the year that things will actually get moving too. I have a good feeling that our governing body is committed to making active changes. I have been a PA for 10 years and this seems to be the most talk that has happened from what I have noticed.
  15. Definitely agree. Hopefully some action will finally take place. I read the proposal, seems like a lot of thought was put into it. Now I am not at all involved in the legislative side of the profession, but what will it take from active PAs to help push this along. I know it will take time and more of our leadership and legal teams working to make this happen but what can the general working PAs do to help assure that it does happen soon? I work in a fairly large hospital in NY with hundreds of PAs and we had a quarterly meeting discussing various topics and this issue came up. What is required for such a big improvement towards our profession by the other 90% of PAs that are not involved with the politics of the profession? Money? I can say that almost all PAs in my hospital support this move, many willing to offer financial resources, but only a percentage knew about the proposal.
  16. Seems like a great offer but just curious, how much experience do you have in derm? Would you be comfortable running the clinic by yourself?
  17. So with your 7 on 7 off schedule, each shift being 9 hours, you will be working a total of 1638 hours/yr x 61/hr= ~100k. Like I said my friend was a new grad making that and with your 10 years experience I feel like you should be making a little more, even if it is Dallas. Any mention of overtime? No PTO? No mention of CME days? Hmm... If you decline health insurance will they increase compensation? Also I am curious what the criteria of the 9k bonus entails.
  18. Solid new grad offer. Honestly most of the students I have been a preceptor for have been receiving pretty solid offers like this these days. Would have been unheard of back in my day to receive 100k + sign on bonus + relocation bonus, as a new grad, but seems to be a commonality around my neck of the woods these days. Congrats!
  19. Agree with above. Get a medical terminology book if you don't already have one and do some light reading. Other than that, I would just sleep, hang out with friends/family, and enjoy your leisure time. Not trying to scare you or anything but once you get the ball rolling it rolls faster and faster and you are going to be crunched for time. Enjoy your time off, get plenty PLENTY of sleep, and mentally prepare yourself.
  20. Ehh the concept is the same more or less. I know several pharmacists who say the work is monotonous, but they love it cause it suits their personality and get paid well. Not trash talking the profession but certainly different from patient-based medicine.
  21. Honestly, from a practical standpoint either career path is a good choice and has a bright future. I may be a little biased since I am a PA and my sister is a pharmacist, but nonetheless they are good careers and you probably already know that. Both are pretty difficult to get into, and job saturation is creeping up in both professions as well. Pay may be a little higher in pharm but that is also depending on where you work. I can tell you from experience that there is more overtime opportunities in PA. In terms of which one to choose, you really need to focus on which one you are more interested in and which one you can see yourself working in. Do you like the intimate interaction with patients more? Or do you like to keep to yourself more and deal with patient care "behind the scenes" so to speak? When you were in med school did you excel and have interest in your anatomy and physiology classes or your pharm and biochem classes? It seems like you are very hardworking, have a good educational resume thus far, and would get into either with minimal problem. Ultimately it comes down to your interests. Something to keep in mind: in PA there is a little more room for lateral movement and potential to move around within the field. One area of medicine does not interest you? Go into a field that doesn't require extensive knowledge on that topic. In pharm, there is still some lateral movement but not as much. However you can work in different clinical settings, go into education, research, pharmaceutical companies, etc. if you wanted.
  22. Dallas from what Ive heard does seem to be in the lower range of salary. Idk with your experience, but my colleague started at 100k as new grad for hospital position in Dallas. For comparison, my former coworker is in Austin with 7 years experience making 141k with 7 on 7 off schedule.
  23. I could have lived with 3 friends and paid 1200/month for rent/utilities, but i decided to live at home and give my parents 600/month. Yes it helped, but I needed to save elsewhere as well.
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