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MedicMovingOn

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Everything posted by MedicMovingOn

  1. Thank you for your reply! I appreciate the info very much.
  2. This is posted for "a friend" A new EMR has been implemented recently, and when she is done seeing a patient, the chart is repopulated with the name of her SP as being the provider. The PAs name is still on the chart, and has her electronic signature, but the "provider" in the billing section is her SP. She was told this is necessary because all of her visits are charged under the SPs name, but on many occasions, she sees patients without her SP being "in house". Sometimes they are completely new "walk in" patients or established patients with an acute issue. She works in an UC atta
  3. It does not seem to be a valid comparison at all. You are not an MA, you are a PROVIDER. You are the revenue generator in the office. No one eats unless you see patients. If you were hired on with the understanding that that extra day would be "overtime" pay, then you should either renegotiate a higher hourly rate, or let them know that you aren't willing to work the extra days straight time. It is not a question of not being able to handle it -- you are showing them you aren't a golden goose who works for nothing. I would be surprised if they find someone who wants to work that s
  4. The bane of my existence. I'm starting to dread seeing a patient because I know I'm going to have to chart it and no matter how long I'm in with the patient, it's a guaranteed 10-15 minutes of charting.
  5. The bane of my existence. I'm starting to dread seeing a patient because I know I'm going to have to chart it and no matter how long I'm in with the patient, it's a guaranteed 10-15 minutes of charting.
  6. This is what I recently wrote to our state HOD members: Hello delegates, I am writing to express my support for a title change to "Physician Associate". *This, to some, is an emotional issue, and I would like to cut through some of that and say this: If we want a seat at the table when it comes to health care policy, we must remove psychological barriers to institutional acceptance of our role as a health care provider. By and large, PAs provide clinically excellent care across the board, but every one of us has had to explain (patiently) that there is no doctor to see -- we are th
  7. There is a TON of info on this. Use the search function. Short answer: If you have less than a 3.0 it is possible. HOWEVER, you need to have years (decade+) of high-yield HCE (Medic, Critical care RN, etc...) and a solid track record of post-bacc academic excellence while completing pre-reqs or repeating coursework. If you are fresh out of undergrad with so-so grades and wish to be in medicine, better to absolutely house the MCAT and apply to med school (including off-shore options). You have a better shot of getting in going that route. Good stuff in here: http://www.physi
  8. There is a TON of info on this. Use the search function. Short answer: If you have less than a 3.0 it is possible. HOWEVER, you need to have years (decade+) of high-yield HCE (Medic, Critical care RN, etc...) and a solid track record of post-bacc academic excellence while completing pre-reqs or repeating coursework. If you are fresh out of undergrad with so-so grades and wish to be in medicine, better to absolutely house the MCAT and apply to med school (including off-shore options). You have a better shot of getting in going that route. Good stuff in here: http://www.physi
  9. Disagree. Providers working for 65k are being taken advantage of. Period. Please (New Grads) do yourself a favor and research salaries so you can make informed decisions as to what is and is not a reasonable offer. EDIT -- Beat me to it, C.
  10. You know, I think the biggest thing with clinicals was just keeping a positive attitude. When things were really wearing on me or I was counting the days left on a particular rotation, I thought about previous days as a probationary medic -- it really couldn't be worse than that (and I never got free coffee in the Drs Lounge as a probie). People would ask me how I was doing: a well-placed "Just happy to be here, Sir" worked wonders. Be assertive. It's your dime, and preceptors generally appreciate folks who appear to want to be there. Throwing a (figurative) elbow to get a skill doesn
  11. @xxbowiexx: still making decisions. Thanks for the kind words, everyone!
  12. Long journey. Big sacrifices. Much psychic energy expended. Found out I passed the PANCE and got a job offer on the same day. This resource has been incredibly helpful over the past few years. I'd like to publicly thank LESH and EMEDPA, and nameless others, for their perspective and assistance. As an "old-school" (High HCE, Low GPA) candidate, I would like to report: It can (still) be done in this day and age. Thanks All, MedicMovingOn, MS PA-C, NREMT-P
  13. rsqdvr -- can your DMAT team be your sponsoring agency in WA? Anyone on your DMAT team a member of a local agency who could bring you on in an "instructor" capacity and recert through them? Just some thoughts. I'm assuming your are not Natl reg -- I just re-certed but went on "inactive" status.
  14. Agreed. This is a proposal from the BOLIM which is seeking to revise the regulatory chapter on PA practice in Maine. In its current form, it has not been enacted (yet) although, interestingly, the Osteopathic Board (separate licensing entity) has had a regulation barring greater than 49% PA ownership for many years. It would have wide ranging impacts on the ability for PAs to provide care to the more rural parts of the state. I posted info about this in the Maine state-specific forum. Feel free to look. Sorry to hijack the thread, C.
  15. From DEAPA News: Physician Assistant Practice Ownership Submitted by Erika Pierce, PA-C, DEAPA President-Elect Mar 09, 2011- The DownEast Association of Physician Assistants is aware of excellent, well run, PA owned practices in the state. Over the years, Physician Assistant owned practices have served thousands of patients. Recently PA owned practices have become the center of the proposed changes to Chapter 2. Background: Under the Board of Licensure in Medicine (BOLIM), Chapter 2 contains the rules that govern current PA practice with a Medical Doctor
  16. Here in Maine, the Licensing board (BOLIM) recently issued guidelines which stated that PAs could not employ their SP which would probably preclude this type of arrangement. I feel like every year the noose tightens a little more for PAs while the other non-physician providers enjoy ever broadening horizons?
  17. Today I received a notification that I have been re-registered as a NREMT-P, with inactive status, as I requested. I submitted the 48 hrs of CE with my transcript and it was allowed. I'm glad I didn't let it lapse. Thanks for the advice, all.
  18. Alright, I guess I'm not ready to let go... Called NREMT, not a high-yield conversation. From what I can discern from multiple conflicting sources is this: 1. For the 24 hours of EMS related CE: A MAX of 12 hours may be from college coursework. This is a stipulation for I-85/99 and Paramedic. 2. For the 48 hours of CE (in lieu of an actual refresher, or taking the recert test) you can use hour for hour coursework, no max as long as each topic is specifically addressed. With that understanding, I sent the application in with a transcript and we will see what happens.
  19. I appreciate the responses. EMED: I hear you , brother. COTA: No going back into the field for me. I would be maintaining it for the sake of having the credential. Just Steve: I looked at the testing deal, pretty spendy, but an option if my hours thing doesnt work out. For those who care about this sort of thing here is the deal: I'm looking at the refresher info and if you do the continuing ed option for recert you need 24 hours of mandatory core content and 24 of flexible core. Then you need an additional 24 hours of Continuing Medical Education of any kind. So.
  20. I have had my NREMT-P recert paperwork since November and made the decision to "let 'er go" I just haven't made the time to attend a refresher (and all the other excuses that go along with recert) Anyway, March 31st looms large and I'm having second thoughts. Currently I'm unaffiliated with a service so I suppose I could go on "inactive status" but I still need all the other CME I've got CPR and ACLS, and I thought maybe I could just comb through my didactic year and pull the topics from my syllabus and match them hour for hour with the mandatory/flexible core sheet. Has anyone done
  21. The above is a remarkable example of how someone can so completely insert him/herself into the machinery of PA legislation and oversight and then sit back and tell others in the profession that their hopes and desires for the future are wrong-headed and ego-driven. The above poster does not even attempt to see the potential validity in what a segment of our profession is advocating. He may be speaking out of frustration, but engaging in these ad hominem attacks is hardly the behavior I would expect from someone with such a long list of memberships, affiliations and appointments. Please refr
  22. I was in the same boat: sub 3.0 undergrad, sub 3.0 science. 10 years later: post-bac GPA 4.0, 1250 GRE, and 18,000+ hrs of HCE. Now finishing year 1 of PA school in May. I was admitted into all the schools I applied to. These things are possible, but it may be a long term goal instead of a short term one. It is a hard truth to face, but if you are a few years out of undergrad with poor stats, you are unlikely to get in no matter how much heart you have. Given time (and another career path -- paramedic, firefighter, armed forces, allied health, research, etc, etc...) you can "move on
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