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Everything posted by ShakaHoo

  1. Scheduling the morning lightly, and loading the schedule at the end of the day. It seems every patient wants “the latest appointment possible.” Scheduling people who need X-rays at the end of the day - knowing it takes 2 hours to get an official read from radiology. Scheduling a patient who has seen several other clinicians in our office over many years... and suddenly today... they are going to see me??? Putting patients through to my direct voicemail. texting or calling me on my scheduled days off - with patient questions. (There are other people working who can
  2. They are suggesting that I bring an APRN in at the duration of my visits (who I trained each and every one of them that work here) in order to make sure we get paid for all visits. If a patient shows up on a day that I am in the office without an MD/APRN and it is a "3rd visit" office staff is now instructed to turn them away at the front desk, and schedule them with an MD/APRN another day. Lovely
  3. Physician Assistants (PA) have the ability to perform workers’ compensation examinations under the direction of a physician at seventy percent (70%) of the fee schedule rate. Physician Assistants may not see patients on more than two consecutive visits and may not assign the permanency rating at the final visit. The supervising physician is required to review all paperwork prepared by a PA. Advanced Practice Registered Nurses (APRN) have the ability to perform workers’ compensation examinations and other procedures without the supervision, direction and co-signature of a physic
  4. 8 years in, feel similarly. Pay is good - Job is stressful - Hospitals/Admins care about 1 thing and 1 thing only - profits
  5. Ventana... Typically I think your advice would be great about joining our state and National organizations, and allowing our lobbyists to make a difference. The reality is (and without giving away too many specific details) I reached out to our state lobbyists well over a month ago regarding blatant discrimination and restriction of PACs practice. I haven’t gotten any acknowledgement back. Not an auto generate response, not an email, not a phone call, nothing... It is very discouraging to me, and makes me wonder just what is being done with our membership
  6. Obviously taking the maximum employer match is step 1 (agree with all of the above). The question is... after that do you continue to contribute to the 403b (Small tax break each year on the contributions) but you pay a management fee. Or take the extra money, and invest it on your own (Obviously you can fund the same ETFs or Mutual Funds that employers have available in the 403/401, but you can also invest in individual stocks. I missed the GME/AMC boat
  7. A finance question to throw out there to all... I was always told that maxing out your 401K/403B is the ultimate goal for a stable and comfortable financial future. Asides from taking advantage of whatever your employer match is, is there any benefit to contributing additional money into a 401K or 403B as opposed to doing it yourself? Sure, you get a small tax deduction for the year, but end up paying taxes on those gains down the road All of these plans charge fees (usually quite nominal) however I could invest my own money for free... I am struggling with cont
  8. It is extremely interesting to see projected number of jobs: PA-C 39,300 APRN 110,700
  9. I have a family member who works as a school psychologist. The mental toll that this pandemic has taken on the youth of our nation will be very long lasting. Mental illness surging, depression, anxiety, fear, etc. I don't think healthcare workers have given up, just some taking a well deserved mental wellness break. I have zero issue with someone going skiing (or any outdoor activity that you can maintain social distance for that matter), having a "inner circle" family member or friend over for a get together, or *GASP* even supporting a local business and dining at a restaurant!
  10. People have lives to live. I don't think it was a poor decision at all. If her daughter-in-law is in their "inner circle" I have no issues when them spending time together. Because someone works with vulnerable patients, they are unable to see immediate family? How long do you expect them to isolate and seclude themselves for? 3 months? 6 months? 1 year? 2 years? Are medical clinicians and staff not allowed to go to grocery store? Not everyone there wears full PPE. Not everyone maintains 6 feet of distance in the aisles... Plenty of people who are completely anal abo
  11. Very interesting reading this thread/forum: Our hospital's Occupational Medicine department has a "Very High Risk Exposure" list. If you meet the criteria "a high risk exposure" and are asymptomatic, they expect you to continue to work under the condition you are tested for COVID at day 2, 6, 10, and wear an N95 mask during your entire shift. After reviewing the latest CDC guidance, this is against the guidance... Very interesting...
  12. I actually stumbled across this job and thought "What a great way to make some extra money." Then I saw $25/hour, laughed, and closed the job description out. They are looking for someone who is bilingual, and PA-C, for $25/hr. That is laughable.
  13. My supervising physician just got done with his internal medicine board exam - took it from home, open book open note. NCCPA should push this through ASAP.
  14. Just banned all students from our hospital. Just banned all visitors from our hospital. Covid cases amongst hospital employees up substantially over the past month.
  15. I agree as well. I never order any tests either. I literally got a note from a cardiologist early this week. CAD stable, patient doing well with no reported chest pain or SOB. echo shows....... "As for the patient's ability to safely operate a commercial motor vehicle, I leave that in your perfectly capable hands."
  16. And then in the real world the cardiologist says... 1. "I cannot not clear them to drive that is your job." Or... 2. "They are stable from a cardiovascular standpoint, but I cannot comment on their ability to operate a commercial motor vehicle."
  17. It is 1,000,000x easier than the Pance/Panre. Most if it is common sense. As someone previously mentioned know the "standards" Otherwise questions similar to this: You hear a heart murmur, what test would you order? A) Chest X-Ray B) MRI C) Echocardiogram D) EMG
  18. When I started my position, I was told by supervising physician "You must wear a shirt and tie. If you don't wear a tie, you must wear your white coat." That lasted for about 2 weeks. I wear khaki pants, a dress shirt, no tie, no dress-shoes.
  19. I have tried numerous times to have my vet write a prescription to fill online (through Chewy for instance)... they refuse to do it. Tell me there are a lot of fake medications on the internet, there is no quality control... The pet owner was forced to purchase through them through their office for many years. Within the last year they have “partnered” with a “reputable online pharmacy” that will mail the prescriptions to your home. As for being rendered services you can not afford... When a patient walks into the emergency room whether they are Bill Gates, or homeless, they get trea
  20. And by the way MediMike... If you think there aren't clinicians in both human and veterinary medicine ordering unnecessary testing, and taking advantage of the unknowing consumer to increase revenue, and pad the bottom line, you need to open your eyes.
  21. I am saying that in order to buy heart-worm and flea/tick medication, I am forced to pay for a "wellness visit." If I want my dog vaccinated for rabies, I have to get "a wellness visit." I can walk into CVS/Walgreens and get vaccines without having a "wellness visit." In fact, I got my flu shot at CVS this week without having someone look in my ears and mouth to determine it was safe. They also force bloodwork upon you. Your dog needs a heartworm test, your dog needs a parasite test, otherwise we cannot prescribe you the preventative medications. If my dog has been on the preventati
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