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rev ronin

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rev ronin last won the day on August 11

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About rev ronin

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    Physician Assistant

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  1. I've been disappointed with the quality of the questions. In this last batch, I missed four, two of which I disagreed with after review. This is, in fact, a GOOD thing, because on a more controlled test, there's no way to tell WHAT they marked you off for, or even go back in and, say, compare their rationale to the UpToDate answer on the same topic, and email them about it.
  2. This. Plausible sounding stories are either true, or from good liars. So... 1) Let them talk, tell you their story "Is that all?" 2) "I'm going to go run a PMP query. Is there anything you haven't already told me that I will find on there?" Then run the query, if you haven't already. If they've 'forgotten' anything more than a few Vicodin from a dentist, we're done. 3) "We're going to have you pee in a cup, for an instant-read drug screen. Is there anything that might show up in there you want to tell me about?" Then run the drug screen, and have the send-out confirmation done for any discrepancies before any prescribing, no matter what their protestations. If they can't pay for the drug screen, they can't get drugs from you, simple as that. If they can't pee right now, they can have as much time and water as they need until the clinic closes, but they must give a sample before leaving the premises, or again, we're done. TL;DR: trust everyone, but cut the cards.
  3. I've practiced in related specialties--family and occupational medicine aren't that far apart, and sleep medicine and eating disorders treatment are both internal medicine sub-specialties. I feel like surgery and EM diverge more, and it would be difficult to do either part-time without having done it full-time for a while first, but I expect you can find someone here who has done it.
  4. Yeah, that's theoretically accurate, but a family nurse practitioner pretty much can do anything a PA can do. I haven't heard a gripe about an NP being pigeonholed into one thing ever. I do know a DNP/FNP who's working on getting cross-certified into behavioral health, though.
  5. If you have a perfect record? Don't respond. If you had a family member die the one semester you got a bunch of mediocre grades? Got divorced and had the same outcome? Assuming you chose not to address those in your personal statement, which *I* would advocate instead so every program sees your underlying history and not just those with a catchall question like this, you should address them here.
  6. I've been hourly in family med, occ med, sleep med, and eating disorders treatment. Just gotta ask! Also, part time work is pretty much never salaried.... how would you even do that?
  7. I attended an established program which already had an excellent culture, good rotations, supportive alumni, and didn't regret it in the least. I've heard from others that if you're looking at a first year program, you're going to have to be prepared for a lot of things to change along the way--mostly for the better, but not always. How well do you handle change?
  8. So, I've not watched the whole video, but I'm hesitant to join the calls for his professional expulsion, because I think there should be an intentionally very narrow set of criteria for expulsion: First off, did he hurt one or more patients? If not, then by all means take the publicly available depositions and get him fired and ridiculed, but save permanent expulsion from the practice of medicine for people who hurt patients, rather than who are absolute boors and hold unpopular opinions. This is by no means an endosement or condonation (Is that a word? Is now) of any of the reprehensible things he's said, but a defense of free thought and the ability to hold and express unpopular opinions. Do I want him treating my family? Not in the least. Do I think he could be OK providing medicine somewhere where there's no other alternative? Eh... that remains to be seen. I admit to being influenced in my thinking by stories of real people who've been the victims of Internet Outrage. While this is certainly on a whole different scale that one of these brief stupidities, I consider empathy for the unlikable patient one of my key professional assets. Can I not extend the same to this numbskull? https://www.nytimes.com/2015/02/15/magazine/how-one-stupid-tweet-ruined-justine-saccos-life.html
  9. Has anyone actually gotten an article successfully submitted to JAAPA or any similar publication recently, who might be willing to help coach me through the process? Feel free to PM me...
  10. I'd agree, plus there's a difference between "knowing something you're not supposed to know and causing trouble" and "knowing something you're not supposed to know and trying to help." I'd be prepared to work a reduced schedule in both departments--meaning you're going to get run ragged--if your offer of help is accepted, with the idea that it's easier to fill a job for an FM PA than an ortho PA. It could be an awesome opportunity, or it could fall flat, but I don't really see much of a downside to you asking. I would encourage you to tell your existing FM SP first, because if s/he is going to lose you, in whole or in part, to a better paying department, then as much notice as possible is a good thing. I'd also jump on this right away, because they may be trying to get a locums already--time is not on your side.
  11. So, with an extensive IT career behind me, I had enough 401k to burn down so I DIDN'T need to have any school debt. That's a pretty unique situation, because traditional mid-career nurses or medics won't have that, and no way on earth the new kids starting PA school at 23 will. But what I also did was undergraduate at state schools, national merit scholarship, pay-as-you-go, grants, and tuition reimbursement from multiple employers. The first student loan I ever took out was in PA school, and that was just in case I wound up somewhere with loan repayment: I ended up not using that, being fine, but I wouldn't recommend anyone else in my situation (again, that's about no one) do that. As far as non-compete's go, there are really two ethical reasons for a non-compete: 1) Major investment in training. It might be reasonable to restrict your people from going immediately to a bigger paycheck at the direct competitor across the street if you train them and the competitor does not. 2) Clientele. If you develop a clientele, or have one given to you by your employer, it's not reasonable to take them with. Hairdressers do that all the time, but there's enough money in healthcare that it's actively discouraged, legally, by big shops. Neither one of those applies AT ALL to urgent care. So while completely outlawing non-compete clauses may be an imperfect solution, it's a lot closer to reasonable than what you're telling me the environment is in DFW urgent care.
  12. Bah--I created it as the wrong type, changed it to the correct type, but it never updated the permissions. Try now.
  13. Meh, most of the younger crowd doesn't have a backbone. It's not particularly their fault: they have minimal to no job experience (and almost never any *professional* job experience) and grew up in an era where real competition and argument weren't actually allowed in school. Me? I'm curmudgeonly enough that I WILL walk away, and WILL starve if necessary rather than work as a slave. My "plan B" if no one will hire me as a provider is to work as a HIPAA consultant and make double my current income. More providers should be like me--willing to work for less money and more freedom, never allowing themselves to get to a financial point where they are 'forced' to take a job that isn't a good idea, good practice environment, or good fit.
  14. No, they are not, but if people believe that they are, they may seem that way. Don't sign one. Negotiate over it: "Ok, what is your offer without the non-compete clause?" If they say there isn't one, and you get that negotiation in writing, then there's clearly no exchange of consideration for that part of the contract--which may or may not help. Line it out and return a signed agreement; see if they accept it. Contact the various agencies responsible for fairness in hiring and complain. Negotiating a contract is not a click-wrap license like you get from Microsoft or Apple. If you sign a non-compete, you're throwing under the bus all the PAs who refused to. Don't do it.
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