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beattie228 last won the day on March 8 2019

beattie228 had the most liked content!


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    Physician Assistant

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  1. Solo Urgent care as a new graduate should be an absolute hard stop for you in my opinion. There are too many variables to begin your career in a solo Urgent Care shop. You need to see enough patients to gain better insight into the sick vs not sick crowds. I've worked Urgent Care for most of my career, solo now, and I can say with absolute certainty that my current position is NOT for a new grad. In terms of your original question, the 18 month contract and non-complete clause are areas of concern.
  2. Offer is pretty mediocre. Base: 47/hr 3 13hr shifts a week. No OT differential. I plan on working 4 shifts a week. 6 mo of training with another provider. Always have an on call provider as well. [Base pay is on the lower side for the area depending on where in MD. No OT differential is ridiculous. There should be incentive pay built in for hours you pick up outside of your clinical requirement] 401k 4% match vested after one year [Pretty standard] 80 hours PTO, 40 of which can roll over into the next year [Low, even for shift work. I'd counter for at minimum another 40 hours for a total of 120] $1k/yr CME/licensing [On the lower side but there's often not much wiggle room. Paid days off for CME? What good is the funds if you can't go to conference? Standard is 2-3 days paid] Malpractice with tail insurance provided Health insurance is decent Two year noncompete with any other urgent care or emergency medicine facility within 10 miles of any of their locations. [Biggest no-no of your offer. What happens if the shop is a dumpster fire? Or you decide you want to see higher acuity patients in an ER. I'd fight this tooth and nail. If no budging, consider finding another shop. UC gigs are abundant in the DMV area]
  3. I'd hold off on dropping money on those courses as long as you have the required certifications for the positions you're applying for. If you're not getting bites on your applications, then maybe consider beefing up your credentials otherwise I'd recommend waiting for your CME funds for your upcoming job to help cushion the blow. Most hospitals conduct that training throughout the year at either no cost to FT providers or at a significant discount that you can tap into your CME money for. If you're bored/antsy to do one of the ones you mentioned, I'd recommend doing ATLS. Outstanding course.
  4. It's a skill you can learn just like many other skills. Often, learning the 'why' helps in terms of staying on task. Check-lists and prep work ahead of time goes a long way. Working for a detail oriented doctor can be helpful for you to observe what skill-sets they bring to the table and adopting them. Anticipating what comes next is a big area for being detail oriented, both in life as well as in medicine. I wouldn't throw in the towel on your desire career path from the statement of one background actor in the movie that is your life.
  5. Was there a sign-on bonus? If so, you'll likely need to have that on hand to pay back. If it were me, I'd first try by meeting with the SP to discuss the issue with the commute and see if you can leave amicably. If there's push back, consult legal guidance as to how enforceable the contract is given the change in offer with your grueling commute.
  6. My advice to you is to be absolutely stellar on the rotation without crossing the line of annoying. Be well-read on the cases and be Johnny/Jennie on the spot in terms of making the Doc see how adding a PA could be beneficial. If it doesn't come up organically during the rotation, I'd hold off until one of your last days to broach the subject. If that group isn't necessarily looking but you come across as someone they'd want to work with, they may have a colleague in mind to reach out to when you're finishing up with PA school. Hardest part of trying to get a gig while in training is you don't really know your timeline. There's very much an out of sight/out of mind aspect once you're no longer on rotation although not as applicable to you since you've worked for them previously as a MA.
  7. You don't want to keep typing the full words Physician Assistant. Character count is valuable and you don't want to waste it on unnecessary words. Just introduce it as Physician Assistant (PA) the first time and then use PA from then on out. Some would argue you don't even need to introduce what the term PA stands for as your audience will all be PA faculty but writing it as I outlined above is what most do. Best of luck.
  8. I think you answered your own question in my opinion. Let the program that recently accepted you know you want to gain clinical experience for the next year but look forward to applying again in the next admissions cycle. Of course a bird in hand is worth two in the bush and an acceptance this year doesn't guarantee acceptance next year but your stats look great pending your patient contact hours, LORs and personal statement. That said, internet strangers won't be able to weigh in much in terms of what is your best choice.
  9. Agree with Ral. Have a good explanation about why you're leaving for your interview and plan for a goal of being at the next gig for 2X the first so that you don't raise red flags of someone who jumps ship. If you find a great gig at the 9-10 month mark, don't pass it up simply because you haven't hit the full year mark for your first job. Beauty of job searching for the second gig is you can land interviews that aren't open to new grads. On top of that, you know the questions to ask and have a steady paycheck to be able to pass on poor offers.
  10. I'd set up an appt with your school's registrar. They'll be transfer credits, for CASPA you'd follow the same directions for CLEP courses on CASPA but you need your current school to accept the credits and have them on your college's transcript. Then through CASPA, you'd list them under your current school (University of XX instead of JST). No grade gets assigned.
  11. Long story short, the hospital I work for in Virginia has decided to move towards only interviewing/hiring NPs. The rationale: NPs don't require supervision or co-signature. State law says PAs need 5% of their charts co-signed, hospital policy is 100% and have in turn used that policy to change the status quo. Cautionary tale comes in two forms, the first being the obvious that the time for a name change is upon us. As long as the name assistant is associated with our profession, this will continue to happen across the country. The second cautionary tale is the need for a pile of 'F-U money' on hand. When I precept soon-to-be PA graduates, I tell them to tuck away $10,000 in a high yield savings account and never touch it. Start this with your very first paycheck. This is your "hell no, I'm not doing that" fund for piece of mind that you can leave any toxic position without worry because you'll likely be able to find another gig while you live off of that money. Fortunately I practice what I preach and had the flexibility to walk away without being forced to stay with a team heading in a direction I don’t agree with.
  12. It's been a few years since I applied so this might be dated info. I ended up transferring those military transcripts to my 4 year college. I went back and forth with CASPA and there was no way to upload it directly. Once my 4 yr college accepted the credits, it was on my official college transcript.
  13. The volunteering position likely won't have much teaching or support if it's as busy as other free clinics I've worked with earlier in my career. Paid urgent care or Primary Care work supplementing the vein job would be ideal for you. A lot of SPs will claim to teach, but when push comes to shove, they're about the bottom line of making money so you end up pigeon-holing yourself into doing what you initially are good at. This often means the pre/post-procedure patients as I mentioned above. Only you can answer if it'll be a good opportunity for you. Biggest pieces of advice I have: don't sign for any time obligation have a clear understanding of the pay structure once you're up and running have a clear understanding of procedure training. Becoming comfortable with the ultrasound and sterile technique takes time and you want to make sure that's known up front identify a calendar of learning objectives and set up monthly sit downs with the SP to ensure you're actually getting some teaching and not just doing the scut work keep looking for the next gig because this likely won't be your be-all/end-all Hope that helps.
  14. You're taking residency pay without getting the perks of a residency (formal teaching environment, networking opportunities, certificate of completion). You're going to end up doing underpaid scut work in a very niche sub-field. My PRN job is exactly what you're describing, vein procedures in an IR practice. Unless you demonstrate confidence and a level of comfort in the procedure suite (confidence that stems from prior work experience), you're not going to be given the green light to do the procedures. You'll end up doing pre-procedure/post-procedure follow up and possible Botox injections. As a new graduate who is already feeling shaky, having your skills atrophy will be a big disservice to you. As was mentioned in your previous posting, post-PA residency is your best bet. I'm not sure what you're home life situation is in terms of not being able to move, but a year residency is a drop in the bucket in terms of length of time for your overall PA career.
  15. Neurology - 10 months. Reasons for leaving: Combination of I didn't feel like I was making much of a difference with my patient's and a terrible supervising physician made for a rough combination. Left for UC and have been doing that for the last few years. Will likely split my time working UC and teaching in the upcoming few years.
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