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About Bohuntr

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  1. Depends on the state. I couldn't see from your profile where you are from, but some are reasonable if you are honest, others like mine will have a knee jerk reaction and most likely give you several years of monitoring by the board. I think it really comes down to your boards leadership ability and ability to think critically, not their desire to protect the holy grail of the PA license...
  2. I picked up quite a few of my out dated prerequisites at a community college and don't think it matters, but you need to make sure what you take is accepted by the schools you want to attend. Here in Texas, some community college classes will transfer and are equal to those taught at four year schools, but at other community colleges they are not. Texas has a sheet that we use to ensure a certain class, say microbiology, will transfer, so you can verify before you take it. The PA schools you are applying too should also have a list of the prerequisites and from which schools they will accept it, and if its an in-state school, you should again be able to verify easily. You don't want to take a genetics class and then find out that it's not transferable when you are applying. Lastly, if you are taking classes from a community college, make good grades! Schools want you to have the prerequisites because it shows you can do the work, but they may see community colleges as easier class work. I made sure that I got a 4.0 on all my community college classes and was offered interviews at four of the five schools I applied too. Hope this helps.
  3. This is all great news, however, and I hate to dampen the mood of this progress, how long will it be before David Fleeger has a tantrum and tries to reverse progress?
  4. Darwin, I have attached a link below that was an article he wrote for NPs. He has written basically the same article for PAs. One of his "end of year accomplishments" for 2019 published to the TMA was that he was able to stop something like 20+ bills in the Texas house that would have increased the scope of practice for non-physician providers, meaning PA's and NP's. I have tried, but can't seem to search the TMA website and come up with it and it's no longer in my emails from their alerts. At the moment, Texas PA's are facing hostility on all fronts, the Texas Medical Association and Texas Physician Assistant Board. Fortunately, leadership always changes eventually. The next TMA President may be more friendly to PA's and NP's, but the PA board has always been hostile towards PA's, as I mentioned above, when PA schools have instructors telling students to practice in other states, as well as preceptors, something is wrong. Texas used to be a leading state to be a PA in, but a constant lack of leadership from the PA board (which, rumor has it may be heading in a better direction with a new leader this past year) and a TMB President openly hostile to PA's doesn't make me believe that this will happen anytime soon. There seems to be some delusional thinking at both agencies that they can command you to respect them rather than earn it, a thought process so destined to fail that anyone who has ever spent one day in basic training as a recruit would identify this in a second. https://www.texmed.org/TexasMedicineDetail.aspx?id=52583 Stay safe and wear your PPE,
  5. I agree that the Nursing Board does not appear to be in the right here, but the knee jerk reactions of the Physician Assistant Board in Texas are worse. It seems like there was a failure to investigate by the nursing board here. I went to BCM and we had multiple instructors telling our class that the best way to have a healthy career was to practice outside of Texas and that if their spouses weren't tied to industry in Texas, they would have left long ago. When I graduated I found out that this was also taught at other schools in Texas such as UTMB and UNT. I myself was able to talk two Oklahoma PA students that I was precepting for turn down jobs in Texas and return back to Oklahoma to work. With the current leader of the Texas Medical Association being so anti-PA, if you haven't read his rants on the highlight of his year being his fight to limit the advances of mid-level providers, it's worth reading. He pretty much holds PAs and NPs both in absolute contempt and doesn't use any of them in his practice. I practice outside of Texas at the moment and don't relish having to move back, but will have to sooner or later due to family obligations. I know it seems like the grass is always greener on the other side and all, but why does it have to be all or nothing? What appears to be a failed board investigation or knee-jerk reaction devoid of a thought process?
  6. I was more than happy with the thanks from my neighbor I treated with the kit I had and couldn't have done more; I'm grateful I had the experience to treat and that my kit was in the garage next to my range bag. I doubt my neighbor will raise any issues with the good samaratin law after talking with him, he's glad to be alive and was on his way to bleeding out when I got to him. Truth be told, I have no faith, trust or respect in our state PA board could even recognize that it was ethically right to treat, so they are still a concern, but it's been a month so it's doubtful that anything will happen there either and I'm keeping my fingers crossed. Thank you again for all your input. It really sucks that doing the right thing causes so much second guessing and hesitancy...
  7. Well like I said, I never second guessed it until I talked with my co-workers, and they had very valid points. I am by no means holding their points against them, and hope tht if something similar ever happens again I won't think of the issues they brought up. I just took TCCC for the third time this past September for a pending job this spring, which was going to be in Afghanistand and now looks like it might be in Syria, so the training was pretty fresh in my mind. Thanks for all the input!
  8. Last night I was driving home and saw a person exiting my driveway with a walker, turn and start shuffling up the sidewalk... lets go back four weeks to December 27th. I was working in the den in front of the house and heard a loud bang somewhere outside and then some screaming. I have heard enough gunshots to know that this was not a firework, which is so common here in my neighborhood between Christmas and New Years Eve, so I went outside to see what was going on. About three houses down I could see a neighbor on the sidewalk screaming, and another neighbor yelling into the phone about a person being shot. I ran into the garage and got a tiny trauma kit that kept since my last tour in Afghanistan and went down to help. The patient was lying beside his vehicle on the sidewalk, had vomited on himself (yes this is somewhat common), there was arterial spray coming from the medial aspect of the L upper leg, with a large amount of tissue and bone visible though a hole in his denim pants. This person was already going into shock and was having difficulty communicating with me. I had already put on gloves while running down the street, and immediately opened two large rolls of kerlix and shoved them directly into the exit wound, and then placed one on top of the entrance wound (I have no combat gauze in my kit). I had only one Israeli dressing, so I applied this sideways on top of the two rolls of Kerlix, and then wrapped it around the leg using the straps to hold the Kerlix in place on the entrance wound. This was not enough to stop the bleeding, so I applied a CAT tourneqit as close to the groin as I could which stopped almost all the bleeding. I was very grateful for this as I did not wish to go search for or tie off a blood vessel on the sidewalk. I was able to talk to the person who had called EMS, (they arrived approx 12+ minutes after calling) and found out that they were loading rifles into a vehicle to go hunting and that the patients deer rifle, a 7mm magnum that he thought was empty, discharged, striking the victim in the inner thigh. The delay of EMS is due to neighborhood being relatively new, many of the streets are going up faster than they are mapped, and the county EMS station is > 10 miles away. I gave EMS and update on my treatment and they stayed on scene only long enough to place two IVs, three sheriffs vehicles arrived as I had finished gathering my belongings and returned back home. I walked off before I could give a statement, and they never came looking for me. There are only 6 people who know about this incident, including myself, with the exception of the patient and neighbor of course. I told the 5 PA's I work with about this a few weeks after it happened at a work function when we had time away from everyone else at the meeting. Much to my surprise, 4 of them said that they would have let EMS handle this and would only offer comfort and reassurance to the patient, only one of them sided with me regarding treating on scene and he is also an ex-military medic. The reason 4 of the PAs gave for not wanting to do anything was fear of running afoul of the state PA board or running afoul of our states good samaratin law if something went wrong. Providers do not have immunity under our states good samaratin law, which states "someone who normally provides emergency care, such as a nurse or emergency room worker" does not have protection from liability, and our states Physician Assistant board is the original home of knee jerk reactions and I could easily see them trying to charge a provider with performing medical care at a place other than his listed address or working without first telling his supervising physician about the patient. Since I had left the scene before the Sheriff's office arrived and went to pick up by foster girls from school, and never gave my name to EMS my name is on any documentation and I never had to give a statement. With so many of my fellow PAs stating that they would not have treated, but would have only offered supportive care and assisted with the 911 call, I began to second guess myself. Not the treatment, I have treated multiple traumatic injuries and gunshot wounds in the past, but I became very concerned about an overreaction by my states medical board and my liability under the good samaratin law. I was very worried about this over the past few weeks to the point that it was keeping me up at night. Until last night... Last night, that person using the walker and shuffling out of my driveway was my neighbor, who was discharged from the hosptial yesterday after 29 days and had come over to thank me for saving his life. Now I know I did the right thing.
  9. I just read this and it's kind of sad. The Texas PA board is neither competent nor ethical enough to handle this persons problems. I have zero trust or faith that he will get the treatment and monitoring he needs if this board is in any way involved...
  10. You have every right to sue your previous employer if their recommendation cost you a new job... They should have known better and are now on the hook big time for the money you would have been made if you were employed through the time you get a new job. Get a lawyer, this is an easy win. Attorneys should be jumping all over this one
  11. Unfortunately, joining up is not an option. We have 4 brand new grads and this is their first job. Even they signed contracts a month ago and are being asked to sign new ones now, they are signing them just to keep their jobs. I cannot blame them for that. It's all the experienced people that are leaving. One of them interviewed at a new Urgent Care this weekend and was told by the doctor that he is sure getting a lot of applications from our company! All the experienced providers are signing and looking to leave, and most agree with me, the 90 day notice is garbage and most of us will just ignore it. Our previous work histories and the way the change happened will easily be overlooked by any new employer. Most of us have decided to give two weeks notice which we believe is more than fair considering the way the contract was shoved down our throats. I see it as similar to a do not compete clause; as a PA, we don't really bring patients from an urgent care, and there is a clause called "restraint of trade" which will override do not competes in Texas. If we were leaving and bringing 1,000 patients with us, yes it would be enforceable, it would also be enforceable if we were TV or radio talk show hosts moving in the same market, but going to another urgent care in a city of 1 million? Not going to happen. If I'm right, the last time someone tried to stop a PA from working under a do not compete in Texas, it went to the medical board, not a civil court. The Texas Medical Board is a joke, they hand out huge fines for any minor issue (so they can justify their existance) and only meet 3-4 times a year to approve licenses. I'm not too worried about them, I think a decision on do not compete is over their pay grade. Thank you for all your input. It was nice to see that this came from senior members on the site and Moderators. I know that new hires are often scared of losing their jobs and let employers bully them around; I've been around long enough to bully back or make a decision to leave. There are always locums available until I can find a new perm. Much appreciate the input Amigos!
  12. Our company suddenly presented the mid-levels with new contracts that "must be signed immediately." We are an urgent care and were having mid-levels work the same hours as MD's, 9-9, 13 days a month with 3 on call. Now that we are going to extended hours, if you want to keep you job, they are shoving a 8 hour a day contract down your throat, 7am-3pm, 3pm-11pm or 1pm-9pm at the clinics that are not extended hours. They are also requiring two days of on call duty, unpaid, on two of your days off a month, making you work or be ready to work 22 out of 30 days a month. Obviously the CEO was devoid of a thought process when he thought this one up... This screws mid livels over big time. Those of us with second jobs will have to quit, we have no overtime available since we are now going to have to work 40 hours a week, and they aren't raising our pay with the increased days, though not necessarily hours. They also want a 90 day notice if you are going to quit. I know one of my colleagues has already sought out an attorney, and I have told several others to ask for a letter completely dissolving their pre-existing employment contract before they will sign a new one. This gives them have the option of telling the company that they have changed their mind and decided not to sign the new contract, and with the letter dissolving their previous contract in hand, the do not compete clause and advance notice are no longer required. Has anyone else been sodomized like this? This was one of the better employers in Austin, now it's going to go down the tubes because nobody will want to stay with these hours, MDs included. As one MD stated before he recently left, "we feel like we are being held hostage here in a tight labor market!" Bohuntr
  13. Everyone asks about my experience (Military Medic, Private Contractor w/6 tours), some are frightened by the experience and some have offered me more than what they were advertising. I do a lot of locums and some places like procedure heavy PAs, the corrections gigs don't worry about you being afraid and quitting after an hour. I think it depends on what your background is; my best friend is a Family Practice Doc in a medium sized town in Texas for a small hospital and every single PA she has wanted to hire has been turned down by the administrators because they have prior experience. They have given her 3 new grads in the past year and all have quit. She's not hard to work for, but the clinic administrator wants people that he can push around and he feels that experienced PAs will push back. This is a could be an interesting string of experiences
  14. Yes, next time lawyer. Good advice. My biggest regret is that I stayed the full two weeks, even after the first few days I realized that she wouldn't give me any patients, or only those too early or late for her to bother with; she was just keeping me there to keep me from making money elsewhere. I should have just walked out after 2-3 days and never looked back
  15. Thanks for all the info! I guess it's just a lessoned learned...
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