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About Russell

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    Physician Assistant

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  1. I'm starting LMU's DMS program in the Fall and blogging about it here: thepadoctor.com We're also using the site for general PA and OTP promotion.
  2. Great advice from everyone here. I started to notice this in my surgical training and from that point on I decided that I would never work in a hospital setting! Too much of a pecking order. Now after several years practicing, I'm sure I could handle it better, but why would I? Outpatient is the way to go! ;)
  3. This is really interesting! I'll look forward to seeing this published somewhere. My opinion, as of now, is that the MD/DO is the ultimate clinical doctorate but that there needs to be some sort of a bridge to allow more experienced PAs the ability to grow their practice, autonomy, reimbursement, etc. without destroying the 'mid-level' option. Wow, I think I have to go wash my mouth out now...
  4. I've been following this topic as well... I'm interested in the DMS and I'm glad to see that we're starting to form a consensus for what the PA doctorate would be, e.g. Doctor of Medical Science. Could it be the next DO? Who knows... At this point, it's still an academic degree regardless of how they choose to market it for until state law recognizes the DMS, nothing about PA practice will change, and if nothing about our practice changes, how can we expect to see reimbursement change? And as long as we're on that topic, NPs don't need a doctorate to function independently in some states (I be
  5. I'm busy enough, with enough patients that prefer to see me, that when a scheduling mix-up occurs I simply apologize for the miscommunication and send them back out to reschedule with the doc. I don't feel like I need to explain or defend my ability to practice medicine. I adopt a similar policy with parents not wanting to vaccinate their kids. I also teach a class in communicable disease and understand the talking points quite well. If the parents are open to discussion, we'll talk it out. Sometimes they just need reassurance. Most of the time, they have their minds made up and it's more
  6. I agree with the above. I was allowed to work with a "new grad license" and bill incident-to under the physician. It took in whole several months before I could bill under my own professional license.
  7. This is interesting. I see it's for Lynchburg graduates only... I wonder if that will ever open up? 9 months of residency than a doctorate? Deal. I wonder if this "residency" is paid?
  8. Has anyone heard of a change in the recommended dosing regimen of amoxicillin for strep pharyngitis? I'm used to the 875-1000 mg BID for adults and the 50 mg/kg divided BID for kids, both for 10 days. I recently noticed in Epocrates, under the amoxicillin monograph there is a new bolded recommendation: 1000 mg q24 hrs for adults and 50 mg/kg q24 hrs for kids, both for 10 days. The article for strep pharyngitis on the other hand still reflects the BID dosing for adults and the divided dosing for kids (with a 1000 mg daily max rather than what I swear used to be a 1000 mg/dose max). An
  9. Agreed except you should request some sort of productivity bonus. This could be based on RVUs, # of people seen, a percent of billings/collections. Maybe ask for a set yearly cost of living increase?
  10. When it's all said and done, how much of the cash I'm bringing in should I expect to get back in wages, productivity, etc.? I'm seeing ~10 patients a day on average in family practice and my current wages/productivity represent about 1/3 of everything I bring in. The problem is that I still don't feel like I'm compensated very well. I really need to be seeing 15-20 peeps a day, I know, but how much more can I ask for in the mean time? 40% of what I bring in? 50%?
  11. Why can't we "thumb's up" individual posts anymore? Well, this one certainly deserves it.
  12. That's B.S. (No offense). Being young has nothing to do with it! If being a doctor isn't want you want to do, you shouldn't automatically go that route just because you have time to spare. People told me the same thing... "You're so young, why didn't you go to medical school?" Me: "Because I didn't want to...Duh!" Being a PA does have advantages over being a doc. It's one of the hottest professions in the country for a reason. It attracts the best and brightest for a reason. Sure, there are also big drawbacks and I respect the opinion of more seasoned PAs who have a better perspective on this
  13. Negotiating a family practice job in the Mountain West as a new grad, trying to get a feel for a) How much liability insurance I need if I'm not covered under my employer and b) How much reimbursement per RVU I should expect. MedEdge offers a 100k/300k claims-made for pretty cheap but I've been told by some to purchase no less than 1M/3M... Any thoughts? I've also been offered a productivity bonus at $30/RVU. No info on thresholds or other specifics yet. Is $30 fair for family practice? I've heard pediatricans making $40 and orthopedic surgeons making $60/RVU to put it into perspectiv
  14. This may be too obvious, but can someone go into more detail about non-providers giving reviews?
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