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About rpackelly

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    Physician Assistant

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  1. Not totally. Under Cali law PAs can own part of a medical practice, and then the practice can employ you as a PA. PAs usually working only 1 day a week as a per diem are the ones usually hired as 1099 independent contractors (or were). They then had to pay all of their social security, Medicare; had no vacation, benefits, sick leave, FMLA, etc. BUT.......they get to deduct all expenses from compensation. If they owned part of the practice and were an employee it would be the best of two worlds, except for the loss of all business expense deduction. CRNAs will really fight this because they are often 1099 contractors collecting their own fees. Believe me, corporations know how to warp themselves into new legal structures to take advantage of most everything.
  2. That is correct, Hans. You can be a non-exempt employe, paid hourly, or an exempt employee, paid salary. But no mor 1099 for PAs/NPs.
  3. "Among the other health professionals not exempt under AB 5: occupational therapist, speech therapist, optometrist, nurse practitioner, physician assistant, radiation therapist, licensed professional clinical counselor, marriage and family therapist, licensed clinical social workers, respiratory therapists, audiology.” CalMatters.org Remember, this doesn’t relate to an exempt or non-exempt employee.......just who can or cannot be an independent contractor.
  4. Neither PAs nor NPs can be independent contractors under AB 5. They must be viewed as employees. That means that the overtime or break disparities that existed before will be gone by January 1. Physicians, Podiatrists, Vets, and psychologists can be exempt
  5. Depends on the questions the Board asks. I think about 50% ask about academic or professional probation, dismissals from school, etc. Almost everyone without a felony or drug/alcohol conviction eventually gets licensed but it generally adds a couple of months to the process. In California some are awarded an initial probationary license. If the questions have to be answered “yes” it is helpful to get an attorney to help draft your reply, advise what paperwork regarding the problem must or should be included, etc. Keep this on file because it will be needed subsequently for privileging, etc. Some states are more lenient. The last time I saw a Michigan license application it did not mention professional school probation, etc. Since this would not show up on a criminal background check, that would not be a problem. States like Florida and California have pretty extensive questionnaires. Just go to the Board site in your state and download the application. The lawyer will say, be rigorously truthful in answering the questions, but do not volunteer information that is not asked.
  6. He has to be honest with the specific questions asked on the license applications. Some ask if you were ever put on probation or dismissed from the school. If they ask about probation at the school he has to answer affirmatively If they ask about criminal convictions it does not appear that he does have to admit the incident. If he was ever charged criminally or arrested and they ask that, he will have to answer specifically. If he cannot figure out what they are asking he should retain an attorney to ask and receive documentation in a document called an opinion letter from the attorney.
  7. Telepsych is going to be very big in the future. You might take a hit if you miss something and you have not seen/talked to the actual patient. A brief telepsych link up with the patient after you get the case presentation by the nurses would protect you from this, let you keep up your clinical interviewing skills, and provide an interesting segue to the future in terms of experience with tele-psych. Jails and prisons are big utilizers as well as rural hospitals. Eventually, as the laws progress, you could set up your own business with a collaborating shrink.
  8. Last post. Google civilian physician assistant Okinawa. You will see the site of Civpers at the US Naval Hospital main facility and hiring authority in Okinawa. They have a list of folks they hire including PAs. Good luck. This is one company hiring civilian PAs for the AFB. Keep checking Glassdoor and Indeed for same. https://www.glassdoor.com/Job/jobs.htm?suggestCount=0&suggestChosen=false&clickSource=searchBtn&typedKeyword=Physician+assistant&sc.keyword=Physician+assistant&locT=C&locId=2867531&jobType=
  9. Also, check all of the contracting agencies that supply medical personnel overseas. There are dozens. Also, if you get some experience, you can apply for government contract locums back in the US for briefer (1-2) stints. Network the hell out of any military or civilian US PAs or docs you meet working there, don’t be embarrassed.
  10. I was going to send the USA jobs url as well. As soon as you graduate, take the PANCE, and then get licensed in a state that is inexpensive and does not require you to have a job in order to get licensed. I am going to suggest Michigan but I am sure there are others. Then apply to USA jobs. When you get there, explore the medical treatment facilities to find service PAs. When you find them, ask if there are any areas of need or open slots or even per-diem locums at any clinics. Get to know the medical chain of command via the internet before you go. Hopefully your husband is an officer and he can make contacts as well. Consider one of the new DMSc programs (A.T. Still/Lynchburg). (Full disclosure, I work for ATSU) so it appears that you have been doing something if all else fails.
  11. They have applied to the Arc-PA to run their entire PA program to the DMSc level, in 36 months.
  12. Residency. There are one or two primary care residencies around (VA and another one in Virginia, I believe). I don’t think you would be happy in an Emergency Medicine residency nor does it sound like you have the personality for it, but you might try something in an Internal Medicine primary care or IM subspecialty where you can narrow down your field a bit and have longer appointments. College or University health is another possibility. It just sounds like you need more training at a slower pace then you have received previously.
  13. Some one said bat shit crazy and I agree.
  14. For example, Henry Ford Health System posted 10 new PA jobs in the last five days.
  15. where in michigan? You might be doing something very wrong because there are plenty of jobs downstate. All of the major hospitals and systems are hiring. In the rural areas it is spottier. You can usually pick two out of three.......location, specialty, or salary, but usually not three out of three straight out. Don’t be afraid to take a lesser salary to get started after this length of time because the longer you wait, the longer you will be in competition with newer grads. Be sure to get your license, DEA, certification, and ACLS etc done prior. Have an experienced PA review your application materials. Hard to be more specific without knowing more info.
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