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About DermatologyPA

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    Physician Assistant

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  1. I felt the same exact way. You need to get some professional help, use your school resources. I don’t think I would have been able to make it throughout PA school without my therapist and medication. If you have any questions or concerns about seeking therapy, please PM me. It does get better. You’ll be surprised, most of your classmates are probably feeling the same way, but they are not disclosing their feelings because they feel similar to you. I wish mental health was more acceptable to discuss during PA school. It seems to me that we have similar experiences. Everyone was “hush hush” about anxiety and they were ashamed to seek help. You get help people without helping yourself first.
  2. Hey everyone, I wanted to updated you all about my situation. I put in my 2 weeks notice last week. There was an incident of verbal abuse towards me and my medical assistant that was the final straw. No one should EVER be spoken to in a screaming, cursing and hysterical manner. I know that 30-90 days is professional standard in our industry. But with no contract and constant fear of being verbally abused, I’m surprised I will be able to last 2 weeks. They already posted my position on indeed.com. They are willing to train new grads, but it’s NOT worth going to that practice if you want your sanity and respect as a physician assistant. PM me if you come across and indeed advertisement for a Dermatology PA position and I will confirm or deny the listing because it should be avoided at all costs. I am so happy to be out of there in 2 weeks. Even if I will be unemployed for a time being. I’m continuously searching for jobs and sending out my resumes so fingers crossed. Thank you all for the advice throughout the thread and I hope that this thread provides lots of insights to those who are going through the same situation. Feel free to PM me for any advice or to vent if needed.
  3. The amount of patients that use essential oils to treat the skin conditions is astounding. It really baffles them when I tell them that the reason why they have irritant contact dermatitis is the tea tree oil they are rubbing all over themselves.
  4. I just replied to another thread about this, but my best advice is to sign up for LinkedIn and connect with recruiters. They know who's hiring in various areas.
  5. Yes it is possible. I am a new grad in dermatology. I was fortunate enough to find a supervising physician who needed help in his high volume clinic. Unfortunately, the practice is not managed well and there is abuse of my position as a PA. Be sure to know your worth when it comes to compensation, even as a new grad and don't let practices take advantage of you. My best advice is to sign up for LinkedIn if you haven't already and connect with recruiters. Make contact with them. They obviously know who is hiring and you may be surprised how many new grads that some SP's want because they want to "mold" you so that you fit into their practice.
  6. Hi everyone, Thanks again to all the great replies. When I asked for help, I get laughed at. I thought because I am a provider, I was able to assign one of my medical assistants with helping me scribe on of my charts, but apparently, I do not have that authority to assign such tasks and was told that I was betraying management (AKA - his wife). I am currently on a 90 day probation period due to me being so behind on my charting, being "slow" (even though I see 30+ patients a day) and he believes I'm immature and overstepping management boundaries. Believe it or not, I don't have a contract with this place of employment. I'm still applying for jobs, working with a recruiter with no word yet, but I'm working on finding another job. Things are obviously getting worse in this practice. I'm thinking I may just bounce out of there before the 90 days are up. My mental health and physical health are suffering at this point. I don't know if that will be a good decision or not, but it seems like that it is my only choice whether or not I have a job lined up because my future at this practice is not looking so bright. My fears of leaving on a sour note are unfortunately becoming real and I just hope it won't hurt my future chances of employment.
  7. Thanks for posting this article. It resonates a lot with me. I’m still on the hunt for job opportunities, as my position with my current practice has not changed. There is amount of guilt involved, because my supervising physician taught me so much, but his wife who is the office manager has caused so much distress in my life. It’s a poorly managed office and there have been times where I wanted to have a completely different career path because I felt so incompetent on the job (which is not the case at all).
  8. Drug reps have provided a lot of value for my practice and my patients. Some can DEFINITELY be more annoying than others, but for the most part, they have been some of my greatest allies and have become great friends to me. Not to mention, they are in the "know" about which offices are hiring and I'm currently in the process of getting out of my horrible job situation (see my previous post in my history). In dermatology, there are a lot expensive medications that not many of my patients can't afford and I appreciate them stocking the sample closet for things that even the generic is too costly for my patients (clobetasol and doxycycline can be so expensive for my Medicare patients!!!). When I was brand spanking new in practice (and still am a newbie), they introduced me to other dermatology PA's in the area and meeting them was a huge blessing because now I know other derm PA's I can talk to. Their lunches and dinners have also introduced me to various providers in other specialties and who now refer patients to me and vice versa. In my office, my front desk staff know when my schedule is super busy and will tell the drug rep up front that I can't stay and chat, but I will respectfully sign for samples at the window. It's a system that works out well.
  9. Hi everyone, Thank you all for your great replies. It is clear that I am in a position where I am disrespected and treated poorly. Everyday feels like I am drowning more and more and it’s difficult for me to catch up on all of my tasks. I have started to reach out to contacts in the region (drug reps, for the most part) to keep their ears peeled for offices that are hiring. Has anyone worked with recruiters before? I am on LinkedIn and I am starting to get a lot of connection requests for dermatology recruiters. I’m having a lot of anxiety about potential leaving the practice on a “sour note.” Especially when the main issue is that my SP’s office manager is his wife and it’s the main person causing all of these issues. I do have 1 year of experience down. But I’m just worried that this will not allow me to find another position due to putting down my place of employment. I’m worried that should my potential future employer will call her. My anxiety is just really high about this.
  10. Haha, I wish I could retire in 5 years! I live and work in a mostly rural area and lots of Medicare patients. No cosmetic dermatology, so not a lot of cash paying business here. Salary is below average or at least at the lower end of normal for dermatology and the amount of experience that I have. I’m definitely considering my next step and have reached out to multiple drug reps that know other offices that may be hiring in the region. I’m not planning on staying in the same city.
  11. I’m a dermatology PA mostly focusing on medical dermatology. I’ve been working in this office for a little over a year now When I first started seeing patients my patient load was very light and I was able to handle the amount of prior authorizations, prescription refills, ordering my own lab work, patient phone calls etc. Throughout the year, my patient load has dramatically increased and with that, the amount of paperwork that comes with it. I of course, do my own charting. My supervising physician has his own nurse that does all the charting for him and all of his paperwork. I asked my office manager (who is my SP’s wife; a red flag- I know) for some help with doing my paperwork since I see my patients 5 days a week and do my charting (my SP only sees patients 3 days a week). She just laughed at my face and said that I need to “pay my dues” and “work for my paycheck” since I am a new provider and a PA and not a MD/DO. Undoubtedly, I am in a bad office that is poorly managed. But is it usual for any new PA grads to do a majority of their grunt/paperwork? I certainly wouldn’t think so, but now I feel guilty for asking for help when the management and my SP makes it seem like I need to do everything because I am such a new provider.
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