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trazodone

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  1. Some providers speak in sense and some speak in dollars. I think you know which one you are.
  2. Good morning! Experienced PA (5 years in family practice) offering private tutoring sessions, high yield PANCE prep. Have worked with numerous students with great success prior. Rates very reasonable! DM for more information!
  3. It sounds like you should talk to a lawyer, but in the future, don't set yourself up for failure! Why did you just give up on a 401k in the first place ? You consider a "petty battle" to be having appropriate benefit and retirement? There are things that we suck up and deal with, and there are things we go to HR for/etc. That should have been your move prior. What did you expect? Seriously though, not trying to be harsh but if they weren't willing to a) provide a productive working environment or b) honor the benefits you were promised, it's hard not to see this outcome from a mile away. Your options at this point are taking your employer to legal means or learning a quite valuable lesson for future employment.
  4. Sound advice from an attorney would be your best option.
  5. As someone who has endured toxic and abusive work place for years before finally standing up for myself, you are doing the right thing. I would look at your contract and see if there are any ramifications (i.e. paying loans back, etc). The best thing that you can do for yourself is to step in and say "It's okay for me to put myself first". I did not realize this for years and then knew it in the back of my mind for years and did nothing about it until finally we had a significant safety issue that went ignored and I decided it was time. I would recommend documentation thoroughly of all e-mails you have regarding the above incidents in case you need them in the future so that you can document the WHY behind your decision if it were to become an issue with the contract, although I do not think that it will.
  6. I resigned two months ago, only been in practice for 5 years. Will be going into education full time and may consider per diem urgent care, etc. Family medicine was nice at the start but with increasing patient needs and continued lack of respect around masks/vaccines (been threatened multiple times over the COVID vax), it's time to care of me. I feel like my life has started to pass me by due to medicine. I just recently saw my niece for the first time since 2019. Granted the pandemic and physical distance played a role, but I couldn't help but wonder, is this what normal is? Both my fiance and I work in medicine as PAs, pulling 50-60+ hours a week, barely time to clean the house, exercise, live our lives. We keep asking ourselves, is this normal? No. It's not. My life (And yours too) is too valuable and so is my health.
  7. Time to go! Do something remote. No job is worth stressing yourself out for money. If you've made it this far, you are innovative and can figure something out. I have stayed in a role that has provided me unending stress for the past 2-3 years. I would always just "Buck up" and see another patient or stay late, never got a thank you, if anything the opposite. After awhile, I realized the pay check was not worth it. I would be happier doing landscaping or something entirely out of medicine with that level of stress! Trust me, it isn't worth it!
  8. I'm sold. It seems like a very solid offer to me. Paid for call, plenty of PTO. You are good. I would verify the bonus structure.
  9. I would not take this offer. They do not seem to understand the value you will bring to the table, the salary is too low in my opinion, especially for a specialty. The PTO is terrible, especially when you are taking call one time per month, you are going to need PTO. I would keep looking. "potential productivity bonus" = in 6 months, "oh I'm sorry we don't have that". If it isn't in writing it doesn't exist.
  10. A salary "Range" for a job being that large is a red flag and shows the employer has no idea what to pay you. You could use that to your advantage or you could be drastically underpaid if things do not go your way. a 5 year contract is insane and I would never sign on. Things change and if they change quickly you are in for a rough time. Ask me how I know that?
  11. This is a common challenge in our family practice as well. At least I am aware of the schedule and can run up to the front when they put on "loss of vision in eye" for a 4 pm appt at 10 am. It is a big concern. I see it constantly, shortness of breath is scheduled for next week or trouble swallowing. I saw a patient with an acute MI in our COVID hallway earlier this year. Have brought it up again and again. No responses. No changes.
  12. Do not sign!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!1
  13. Good morning! I am finally "biting the bullet" and leaving a job of which I have been tremendously unhappy for quite some time. Long story short, our health system has been bought out by a larger one about 18 months ago and patient care has suffered significantly since then, it is much more difficult to give good care to patients due to more and more work being thrown to us (I am in family practice). Patients are unhappy and it is impossible to get patients in for appointments. My patient panel has ballooned to 1900 patients for a less than 40 hour per week position and despite being overwhelmed and mentioning this numerous times, more and more is thrown at me. We have even been told that our monthly provider meetings where we try to work through all of the many significant safety challenges that face our office are discussed, now have to be made up ON OUR OWN TIME. I am not allowed to double book at the end of the day or work a patient in during my clinical day, I have to either a) stay late and add the time in or b) see a patient on my day off. That, among many other things was the last straw for me. This was my first job out of school and I have never been through the process of resigning (put in a formal letter earlier this week). So, my question is: if you have resigned from a job before, what are the biggest things you felt you would pass on to someone, whether personal advice, clinical, financial, legal, or in general? Of note, I have another non-clinical employment that will sustain me for some time and I am not worried about finding another job. I am more interested in learning about how to work through the process with telling patients, sending in scripts, things not to say, etc. Thanks for your time!
  14. I graduated PA school in 2016 with $225,000 in debt. As a mid 20s single male, I funnelled everything into loans. Getting that first loan statement with interest paid during the year was absolutely sickening. I had paid something like $20k that had accrued during the time I was in school. It's a hard pill to swallow, having so much debt going into a field for the right reasons, to help others. I was able to claim the student loan interest on taxes one time when I had only worked for 6 months of the year, other than that I believe after an $80,000 salary, you can not get any credit for paying the interest in terms of reduction of income tax. It was clear to me very quickly that I was doing this on my own. I did get $50.000 from my employer over 5 year contract for loan repayment which was given up front (Big difference in terms of interest accrual) but the rest of it was on my own. I worked 3 jobs at one time and every extra penny went to the loans. I cashed out PTO, ate cheaply, used coupons and did it. It was hard as hell, but that interest accruing gave me the most motivation. I paid them off in just about 4 years.
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