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rev ronin

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rev ronin last won the day on September 30

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About rev ronin

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    Physician Assistant

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  1. I'm about 2/3rds done with mine, but I'd say they are doing better if they want to get "walking around" knowledge that PAs should all have. Before, rarely would I answer WITHOUT a cursory double-check. In general, I've been able to do so about 1/3 to 1/2 of these questions. I've had to quit for now, however, because one of the questions is so egregiously wrong that it literally makes me too mad to perform well and I started missing questions because of just how mad I am that they would ever approve such a question. I'm going to go email them and politely yell at the stupidity of their chosen answer now.
  2. Or back pain for which you start cyclobenzaprine. Or UTI that you start Bactrim. Or strep for which you start Pen VK. Also note that you can use 1995 or 1997 guidelines... https://emuniversity.com/Page5.html
  3. Teach EMT class. Pull shifts as a volunteer fire officer.
  4. What? Why? Evaluate and send them on, it's a 99204/99214 for about a 5 minute workup, unless the ED belongs to the same organization. Money-grubbing management should be happy with the effort to revenue ratio.
  5. As a former Group Health (predecessor in interest to Kaiser Permenente of Washington) PA during the 2012-15 time frame, I can corroborate part of that (Press-Ganey scores and complaints used to make employment decisions) and refute none of it. It sounds like she has a strong case.
  6. Bad employers exist everywhere. Glad that the dissed NP benefitted financially from this one,
  7. I seem to recall it used to be higher... seven years, perhaps? But this was a decade or more ago.
  8. Astute forum readers may have noticed this thread vanished for a while. That was actually not the moderators' doing, but done by the OP, who felt it was getting unproductive. I don't disagree. However, the fact that a thread starter can hide the thread was a bit of news to us. After consultation with the OP, I've un-hidden the thread, but locked it.
  9. If you dislike it so much, why are you here? If we're so unfair, why are you not banned and this post deleted? Fact is, the only people I ban are spammers and trolls, although calling other posters a "quasi-hate group circle jerk" is pretty doggone impolite no matter how you slice it. I think there may be more room for a Wikipedia-style "Assume Good Faith" mandate here, but that hasn't seemed to be a problem for most of us. You do know the mods completely disagree with each other on many things about the politics of medicine, right?
  10. You'd have to obscure just about everything on the form if you wanted to hide compensation data, since everything else depends on that, and compensation could be reverse-engineered from e.g., Medicare tax data.
  11. With 20 years of experience, it sounds like you're vicariously concerned for patient satisfaction. With 7 years in, I'm surprised how FEW patients have ever opted to see a physician rather than me. If I were going from "doc on site" to "no doc on site" I'd ask for and expect a raise. Maybe nothing huge, but $2-5 an hour would be reasonable to request.
  12. Other coast, so I don't know how the rules differ. In Oregon, only physicians are allowed to be attending providers on long term claims. In Washington, I can be the AP for forever. I don't advertise--everyone I get, I get from word of mouth. I've had psychologists, translators, vocational counselors, lawyers, and even claim managers (indirectly) send clients my way. Like I said, I wouldn't have really known how to start in the area--I just ended up in a "sink or swim" situation, and tread water until I got the hang of it. All of the patients have multiple chronic conditions, so each month's visit is invariably a 99214, and when you have 20-30 visits per month like that, it provides good relationships, stable revenue, and time to really comprehend these huge long cases over time. I keep myself to about that level of chronic patient, so I can keep a good mix of long-term occ med, short term occ med, family med, and walk in.
  13. Never heard of it. It's not their business; W-2 gives them compensation info.
  14. I know! I didn't WANT to do it, didn't pick it, it was kind of a "you gotta do occ med if you want to work our walk-in clinic" kind of thing for me, and then the PA who had been doing most of it left suddenly and wasn't re-credentialed by L&I, so I ended up with all of his long-term patients whether I liked it or not. In Washington, they pay for our paperwork and phone calls, so I actually generate more revenue by doing a diligent job, which means I get to dig into things, politely argue with everyone I disagree with, and get paid for it. Oh, and management is fine with it, because my per-visit revenue outstrips any other payer, so I do get to know these patients. I am glad I got into it with 3 years of family med under my belt. I agree it probably would have wrecked me, too, as a new grad. Also understand that I did most of my undergrad, both when I was still in high school, and then later with my Bio/Chem leveling before PA school, in a community college environment, so I wasn't unfamiliar with blue collar adults who didn't excel in school trying to better themselves as adult learners. I got over being a self-centered jerk about it after being called out on my attitude when I was 18, but that's another story.. I joke that each facet of medicine I gravitate towards appears to have been shaped by one of my high school experiences. For diabetic foot care, it was wood shop. for Occ Med... it was clearly debate. The transformation I've seen, tag teaming with good behavioral health providers, makes the hassle worthwhile. I've seen gentle, consistent engagement and patient advocacy break the shell of a bitter older gentleman who arrived to my care pissed off and spoiling for a fight, leave a year later on pension to go reconnect with an alienated adult son and his grandkids... a truly changed man. Those of you familiar with the New Testament may remember the parable of the shepherd leaving the 99 sheep to go after the single lost one. I want to be that for my patients, because the rest of society has, for the most part, written them off. This is what I got into medicine for, even if I didn't know it at the time.
  15. Have you worked in a specialty where you get to see the same patients over and over again? I really like Occupational Medicine for that.
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