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Croooz

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  1. Our son is adopted from the state and therefore qualifies for Medicaid which we used until we could add him to our health insurance at work. The difference between a Medicaid office and one that does not accept Medicaid are vastly different. Not only are the patients different but so are the staff. Not sure which comes first, the irate patient or the short-tempered employee, I imagine the former. I've met plenty a medical provider go into these practices bright eyed and bushy tailed and not make it a year. It's tough working with the Medicaid population. I don't view them as victims nor any other such nonsense. They may not have college degrees however they have smart phones and access to the internet. It doesn't take much to read up on issues and the like. Heck just show up to your appointment! When I worked for Social Security people applying for SSI were notorious for not showing up or showing up an hour late and with an attitude. It was always fascinating to me that those people who worked for decades and were filing to retire were always on time but those who had never worked but were now claiming to be disabled could never show up on time if at all. Don't even get me started on the foreigners who would drive from the airport to our office to apply for benefits... While Medicaid is paid by tax dollars the standard of care our son received was no doubt subpar, it just was. Medicaid providers begin to...resemble their patients and look and act as "Medicaid doctors." It's unfortunate but very true. Our son needed surgery and his surgeon takes one Medicaid pediatric patient every month. When we visited his office it was the type of service my wife and I receive. Pleasant staff, nice office, and a pleasant exam with the physician. YET after the surgery at the follow-up visit it was literally, "well this has been fun but I doubt I'll ever see you guys again in this part of town. Have a great life!" as he escorted us out of the office, it was surreal. It's like all this talk about a physician shortage in psychiatry, there isn't one. There is a shortage of community health psychiatrists. It's the difference in seeing healthcare as a right or a service, I opine the latter as does the free market. We're all people and people go where the money is and that goes for the Medicaid population. When I volunteered at the free clinic so many couldn't wait to get Medicaid because then they "could tell the doctors what to do." There is a stigma working with the Medicaid population as well as being part of the Medicaid population but it's not a case of a few are ruining it for the many. It's more like our society has created a sense of entitlement about everything. Heck people are now entitled to their opinion and entitled not to hear yours and even call it hate speech because they are offended that you disagree with them....
  2. What to expect before you go in to speak with a recruiter will be the truth, lies, misinformation, or a combination of all three. An honest recruiter will tell you what the others here said which is you will NEVER get a contract stating that you will not deploy. You WILL easily find recruiters who will tell you that you will not deploy but that will NEVER be in writing. Depending on where you live you can get a duty station close to home. I drilled with people who lived and worked out of state but would fly into MD to work at the then NNMC Bethesda but that was their choice. If you are not in a geographical area where there is a duty station then you will have to travel to get there. I don't know what you're asking about "physical requirements." You can find the general physical requirements here: www.navy-prt.com My assumption is contra to yours in that I opine whatever kept you out as a teenager will probably also keep you out as an adult. As the article Ventana posted on LCDR Krissoff, M.D., age is waiverable but a medical condition that kept you out before will more than likely keep you out now. The "demand is high" is true for physicians but I do not believe it is high for PAs. I have seen the Navy bring in physicians like Krissoff without much of an issue besides a bit of red tape but PAs... I may be wrong and things may have changed but the military "grows" their own rather simply and they have scholarships for civilians to come in. I just don't see them waiving too much. Now if you were a SF qualified and wanted to come back in as a PA that might help but that isn't the case here. Finally you have to understand that many of us served with PAs or physicians who believed as you are now. Since "they" lied to them to get them in, these providers would do their utmost to not get deployed. I knew a MD who took a baseball bat to his tibia to avoid Desert Shield/Storm back in '91. Almost all the ladies got pregnant and the hospital looked like one big maternity ward. I know things haven't gotten better with those who try to scam out of deployments. I'm not saying that's you but your post is one that pushes that button kinda hard. So just realize that since deployments are definitely out of the question that is synonymous with saying military service for you is out of the question. Have you looked into transferring to another site that does qualify as NHSC? Have you looked into the US Public Health Service Commissioned Corps? What about your State's loan repayment program? Have you contacted NHSC and they give you the full details on all your options?
  3. The recruiter you contacted may not be a medical recruiter...then again they might be. Best to call around. You may be able to get a direct commission however perhaps not in your timeline.
  4. I know a clinician-scientist who taught at Emory. If he was still there I would cough up the extra $25k and recommend others do the same. Which is ironic because it was he who told me to find the cheaper school and just go there for both PA and MD. I would definitely contact a NOVA-Jax student and get the low down. One thing that irked me back when I did my research on Nova-Ft Lauderdale was the mandatory attendance. Not sure that's still in place but it was mandatory attendance as well as a mandatory dress code. That was a bit too much right there. Even though I would probably abide by it anyway, the fact that it's mandatory and they make one sign they will abide by it just starts to irk by Libertarian side. As much as one pays for school but then you make attendance and attire mandatory. Heck when a student shows up inappropriately dressed for rotations send them home to change. Don't enforce a shirt & tie outfit for didactic! hehehehe.... So I'm all about the less expensive school between two good choices but then again having a connection at the school would help make up my mind...just as a policy to help the juveniles in the group learn what it means to dress professionally would deter me from another and pay the extra money. Of course this is assuming the two are comparable and I highly doubt they are both that's just an assumption.
  5. Not sure if this frame of reference helps or not. Physician friend makes $3000/day working as locum tenems for one week every month. Same patient load you're describing, so he's at $21k/week or $252k for 12 weeks of work... Based on that they are getting you for a steal... New grad this would be a good deal for but with 17 years experience they are undervaluing you. Heck they know it because they offered the same to the other PAs with less experience.
  6. Not a PA. As someone who's hired professionals I would prefer to see a year versus seven months. It's the difference in them asking "Why'd they leave after six months?" versus "Why'd they leave after a year?...well at least they gave it a chance" Office politics are office politics and they don't go away no matter what profession you're in. If it's an office and there are people working there then office politics will be played. Watch The Office and start to recognize your office staff in the show's characters...makes the time go by AND sometimes gives you an edge on how to deal with them.
  7. Out of curiousity how low is low? I was surprised there are so many PA schools in South Florida so I figured the area is saturated with new grads every year so it would bring the pay down. I was introduced to a new grad last year overjoyed at $50k...that's it...$50k and medical/dental... Didn't have the heart to tell her how bad that was and neither did anyone at the party. Now I'm curious if that's the norm for South Florida.
  8. The VA pays for PA school (tuition, books...) and provides a stipend and you agree to work for them for two years. Their pound of flesh is they guarantee you two year employment not WHERE you will work nor ANY specialty. This isn't medical school so there isn't a need for specialty. One can request a deferment to do a fellowship but that change much of where you're placed. So let's say I ask for a deferment to do an EM fellowship, then I come in and they put me in the VA in BFE doing IM...that's the way it goes. It's not a bad deal especially if you're going to an expensive school. Two years out of school you walk away without any significant school debt.
  9. I don't see what the issues are with the OP's post. He posted that the study habits he used in undergrad didn't change when he went to PA school. The assumption seems to be that he's saying PA school is no more difficult than undergrad and others posted that may be the case for 10% of the students and such. Yet could it also be that as a nontraditional PA student he developed study habits and time-management during undergrad that were actually at the grad school level. He's a father of two and during undergrad he took a science heavy courseload and had a job. It doesn't read to me that he's part of the 10% that just "gets it." I read it as someone who had superior study habits prior to school, habits at the graduate school level so his transition to PA school was easier than expected. I equate it to how we trained in the military "The one who sweats more in peace, bleeds less at war." It's why some argued that making physician residencies easier, less work, was a disservice because once they hit the streets as attendings their workloads/hours were actually going to increase.... less sweat = more blood... I post this because as an even older fart I was accused of "just getting it while the rest of us have to study." As I sit here studying A&P as a pre-PA I was like "WTH do they think I do...just listen in class??" Class is three hours and I leave after the first hour. All the prof does is read the powerpoint slides (ie, Death by PowerPoint!) The only reason I even go is because attendance is mandatory but sticking around isn't. It's a waste of my time to have slides read to me. So I study with what I know to work for me. I'm "accused" of having a photographic memory and I'm like..."Um yeah...I stare at the material, then I draw it from memory a hundred times...rinse & repeat...going back to look at what I missed and filling it in more and more every time..." So the majority of the class are guys and gals in their twenties who haven't earned their first degree and are cramming for the quizzes/exams. These will be my classmates and they will have to step it up just as I will have to. But we're not stepping up from the same level. Not looking for a fight just offering another perspective as to what he might mean with what he wrote.
  10. I have an automatic search for any PA jobs on USAJobs and this one came up. I apply this year but I'm always looking at PA jobs and trying to evaluate market saturation or lack thereof.
  11. Regarding Federal jobs, YES do not expect anything resembling a timely response. One does not apply for a Federal job and not have something else on the side. Few years ago I was unemployed and had been looking (not a PA) and the Federal process is looooong and very cumbersome. If you think civilian HR is bad then don't even bother with the Fed! I started in one agency and October of last year transferred to another. That wasn't any smoother and I'm already in the Federal government. Some agencies have their acts together but those are the exception. The civilian jobs I applied to I never heard back from. I called, emailed, even sent a letter snail-mail... Hiring agencies or whatever they're called suck as well! They love to get you in take a battery of tests (typing, grammar, math...) and get your resume/CV but all of that is merely to have a certain number of "ready applicants" to show companies...not that they ever use them. They then come in as their HR firm... Sorry I cannot offer any advice. I do know that the Navy Reserve does not respond to emails. I just went down to the recruiters office after I got tired of waiting. Even then only if you have all your ducks in a row do they even bother giving you the time of day. I guess I would advise to look into the U.S. Public Health Service. The process takes a year but if you're able to get in I hear it's a good deal.
  12. ***THIS IS A SCHOLARSHIP ANNOUNCEMENT*** ***THIS IS NOT AN ANNOUNCEMENT TO OBTAIN A JOB WITH THE DEPARTMENT OF VETERANS AFFAIRS.*** Health Professionals Scholarship Program (HPSP) - PHYSICIAN ASSISTANT Announcement NumberAIG-17-SMH-1919450
  13. Lems Nine2Five or Primals. Not a PA but I'm on my feet all day. I stand at my desk and everywhere out of choice so I don't ever sit down. First week was horrible but after that my feet felt great along with all the muscles used. I'd love to wear my FiveFingers but not professional for anywhere except the gym. lol!
  14. I'm not a PA...yet Commute. You suffer for a year but if the guarantee is as you say then it'll pay for itself much more in the long run. Who knows you may also grow to love the "middle of nowhere" experience. The reason I believe as I do is that it appears you are talking about getting EM residency experience with a regular paycheck. In medicine experience is key and to get paid well for the privilege is gravy. Suck it up for a year and this experience will open up many more doors. I know plenty of people who have done similar and they are better off for it...then there are others like myself who didn't and are playing catchup. Much success to you!
  15. Experiences vary both for physicians with PAs as well as for students who become PAs. The learning curve for the younger PAs now is huge because many do not have the patient care experience. Some of those then fall into the algorithm model of care, which is more NP than PA, and its a recipe for disaster. So while there are great PAs there are PAs that are no better than MAs, just like there are MD/DO who are complete idiots and lazy. If a particular place is used to hiring PAs from a particular school and they continue to get the same quality of PA then whose fault is it for doing the same thing and expecting a different outcome. Why not take condescend from the medical heavens and take these alleged deficient PAs under their all knowledgeable wing and share with them the nectar of the MD/DO deities? A few lab techs from my program went and became PAs years ago. They all lacked real patient care experience. They each were terrified what would happen after graduation. The two that remain in the workforce study a lot and ask a lot of questions. So they didn't hit the ground running but got up to speed. Then there's the few Navy friends I know who became PAs... One is a complete dirtbag as a PA just like he was as a corspman. In the end it's not the profession but the individual. A smart person would not condemn an entire profession based on some bad experiences. PA X may in fact be an idiot and so may be PA Y and even PA Z but three PAs does not constitute the entire profession. Besides it might be more a matter of they are "idiots" to that particular physician because he's earned their distrust and disrespect...
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