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UpperLeftPAC

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  1. Thanks to all who replied to my original post. I have been absent from the forum for a bit, mostly due to things like wedding planning (!) and vacations, but did want to follow up. Ultimately I negotiated with the group and pointed out that it was technically an hourly paycut despite the increase in salary due to more hours, and additionally my benefits would cost me an additional $6K a year out of pocket, making for an overall very poor package. Part of the push behind negotiating was for the group to understand how poor their salary was not just for me but for their current APPs. There was some back and forth, which resulted in considerably larger signing and retention bonuses for me (yay!). I had a lengthy conversation with their CEO and received reassurances that they are committed to their APP program and know that to retain talent, they will have to increase pay, with plans to do so in June/July of this year after renegotiating their contract. No written guarantee of pay raise but.. well I'm gambling I guess. I took the job. Here's to hoping they were serious! I'm very excited to get into the critical care world.
  2. I've recently been offered a new role in the ICU setting in the same city where I work as a hospitalist. The ICU is staffed by a private physician group. The offer was underwhelming and I'm getting ready to start the negotiating process- that's not what I'm looking for thoughts on, though I may post later in Contracts/Negotiations about it. The position is awesome- lots of procedures, admissions, and general back up of the physicians. No pager/cross cover calls, just being available to nursing and sharing the load with the docs. They currently have three APPs and they are awesome, they all seem to be practicing at the top of their ability, and have amazing knowledge and skills that I'm dying to develop. I would likely be working primarily swing shifts, which means no daily rounding/progress notes for the most part. But, like I said, the offer is underwhelming. Technically more salary, but quite a few more hours required each month so decreased hourly. I work currently as a hospitalist doing nights (employed by the hospital) in the same city at a smaller hospital and as is, I currently make about $8 more per hour, and that's before my guaranteed wage increase in October of this year. After the first year there would be a small raise but it would still be considerably less than I'm making now. Granted, my current wage does include a night differential, but even if I were working days I'd still be making more as a hospitalist after October of this year. I've drafted an email expressing my concerns to them and am having some APP friends who are better versed in negotiations look at it for me. I guess I don't really have specific questions. Just looking for thoughts. Seems like crit care should be compensated more than general hospitalist medicine, doesn't it? There are no shift differentials for swing, and I thought that was usually an industry standard. Don't most of you get differentials for later shifts, and extra shifts? And I'm worried about accepting lower pay... as I think we are all aware, you make more money by switching jobs, and taking a pay cut to go somewhere else without guaranteed wage increases over time is not going to do much for my earning ability.
  3. I've been looking for supplemental work as well. Also hospitalist, practicing hospital med exclusively since I started 2-1/2 years ago. Tried for UC and was told by multiple places they don't want to take the time to train supplemental staff. I've had better luck trying to find per diem positions in outpatient IM. I would suggest you try there. Sent from my Pixel 2 using Tapatalk
  4. Ugh. Seriously? The parents should be facing charges as well. Sent from my Pixel 2 using Tapatalk
  5. This is really awesome advice. I have never worked primary care but when I first started practicing I worked hospitalist days and encountered a lot of the same chronic diseases. You don't really understand what's going on in a disease process until you can explain it in basic enough terms for the vast majority of patients, in my opinion. So many patients don't really understand what it means to have heart failure, for example... taking the time to create a sort of quick, concise script for patients is A) best for your patients and B) promotes continued learning and understanding on your part.
  6. Tons of helpful information from folks. Thank you to everyone who threw in their two cents. Signed up for FCCS class today. I think it will be very helpful in my current position as well, so two birds, one stone. Excited for April now!
  7. I also introduce myself with first and last name in the beginning but typically patients call me by my first name if they are with it enough to remember it. Both my names are a little unusual and most people can't quite sort out what my first name is, let alone my last... PA lastname is probably what sounds most professional but it's definitely not convenient. I don't know what the solution is. I also consider that many of the patients I know who "love their PA" and "won't see anyone but a PA" are people who like that they feel more heard, more related to, and like we are more accessible than doctors. I think some part of that may be that we are frequently less formal in our address.
  8. Master lastname does have a nice ring to it....
  9. Well, I've decided for certain that I am going to do an EM residency. My fiance and I have discussed this at length and he's fully in support, but with a caveat that he needs to be making more money to make up for my temporarily lost income first. Also, we are getting married in September of this year so we need to get that done first! He's an airline pilot and will be experiencing very sizable raises as he gains seniority in the upcoming months/years so I'm not worried that he won't be able to make up for my income, and I suspect that I would be able to start sometime around summer/fall of 2020 or maybe early 2021. That said, I'd like to make my application as competitive as possible. I have the impression that there is less competition for most residences than there is for PA school, but I am sure that will continue to change with time. I would hate to be building up to this plan and find myself behind the curve. I'm looking for input from anyone who has done any residency, and specifically EM of course. I work as a hospitalist currently, trying to pick up some UC or family medicine per diem work. What can I do to bolster an application? I am hoping to hit up the SEMPA EM bootcamp this summer and also plan to attend their conference next year. I don't know the likelihood that I'll be able to find EM work as someone who works full time in another specialty and has no EM experience outside of rotations in school, but if I have an opportunity I'll take it. Otherwise, just looking for ideas...
  10. Wow. 4.04%?? Where was that? May be time to refinance too.
  11. It's definitely an employer mandated thing. My previous job had no co-signs. Now I have to have my attending co-sign every note I write and if I don't, I get nasty-grams from the billing people. Annoying.
  12. I can't tell you how often my grandma recommended I read "Who moved my cheese?" Of course, at the time I was in my teens and early twenties and couldn't be bothered. I think I may need to really read it now! Also... CONGRATS!!!
  13. I'm a WA PA living in Idaho. I sent emails to the legislators for the district I work in anyway...I figured it can't hurt.
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