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About Spike5002

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    Physician Assistant
  1. Hey all, I'm in dire need of help. I have been practicing as a Neurology PA in the Denver metro area for over three years now. Same practice - private practice that is currently growing. I see about 10 - 12 clinic patients a day along with hospital call. I take one weekend of call a month. (stroke call, etc..) When I moved to CO, I had very few peers to counsel me on the region and what to expect compensation-wise. I was initially hired at 65k a year with the hope of a drastic increase as we figured out my role (I was the first mid-level in this small private practice). I now make 80k a year. My patients and other health care providers love me, and my providers constantly tell me how invaluable I am to them. My providers rely on me to do the majority of the hospital work. I feel very undercompensated and taken-advantage of. I have spoken at length with my providers (guys that treat me VERY well, otherwise, and are like my older brothers) who ensure me this is competitive for the area. I, however, still feel this is very untrue. I need some reassurance that going to them with the idea of looking for other work unless I am better compensated is the next step. Please help, as I am not wanting to let go of an otherwise great job. But when I am the only PA in the practice, it is not too unusual to get taken advantage of. Please let me know your thoughts. Thanks J
  2. Hello, I am a relatively new PA in the area of neurology, having graduated from Midwestern Chicago in 2012. My knowledge of legal boundaries of a PA in colorado (and in general) have been somewhat limited based on my being the first PA in my private practice. I have a specific question and was hoping you can steer me in the right direction. There is a Primary care office in our area who recruits specialists (e.g. endocrinologists, neurologists) to provide a "curbside" type consult for cases remotely. They will have specialists review charts and give recommendations for these patients on a fee for service basis. My question is simple. Can Physician Assistants provide this kind of service from a legal standpoint, if I have a supervising physician sign off on my work? I have a very specific niche in headache (though I do see general neurology patients), and this specific field could be a useful tool to provide additional stream of income. This practice would use a secure server to allow me to review the charts of the patients, read over their history medications, etc... and provide recommendations for treatment of their headache syndromes (or, in theory, other neurologic disorders). This is without seeing the patient at all. I would charge a flat fee for providing this service, and my supervising physician in my office would sign off on my work. Is this possible, and who could I talk to more about this from a logistical standpoint? Thank you for your time. Jordan
  3. I work as a Neurology PA in Denver, and we have our own "TIA Clinic". This provides a full neurology workup without admitting the patient to the hospital. What typically happens is that we (a majority of the time) get a call from the ED regarding a potential TIA case. Over the telephone, depending on the situation, we recommend certain tests (for instance a plain brain MRI) and if WNL will d/c home and schedule a TIA clnic appointment. This "clinic" is essentially an area of the hospital the patient comes in first thing in the morning (prefer to have them here within 48 hours of symptoms), and get the full stroke workup. This includes (if not done already) an MRI of the brain, vascular imaging (typically MRA or CTA Head/Neck) or a carotid ultrasound depending on the case, Echocardiogram with bubble study, and fasting lipid panel. We then see them as a formal neurological consult that same day and go over the results. I think every potential TIA patient should get a neurological evaluation and workup within this time window. We then may add some additional testing such as a hypercoag panel, heart monitoring (48 hour holter, 30 day express afib monitor, etc...), or other recommendations. We will then sometimes see them in clinic in follow up. Many times PCP offices can refer to our TIA clinic if symptoms have occurred more than 24 hours ago. For instance, patient comes in on Monday with what sounds like a TIA on Saturday night. Patient is clinically stable without any issues, he will recommend TIA clinic workup the next day. No need to utilize the emergency department or warrant admission to an otherwise stable patient. Saves $$$ and the patient gets a full workup quickly.
  4. Hello there. I am starting this thread to begin a discussion regarding PAs that work, not only in the pharmaceutical industry, but in other areas of business. I currently work as a Neurology PA in a small private practice in Denver and have been doing so for about 3 years. I love what I do, but I can't help but feel limited in my ability to work TOWARDS something bigger and better. I am not saying that I am not happy where I am, but am curious at what others have done, potentially on the side, to help with ancillary income or to help grow themselves as professionals in a variety of different way. This topic came to light recently when I was talking to a Medical Science Liaison for a large and well-respected pharmaceutical company. She had recently been promoted within her company, and asked me if I would ever be interested in such a career. She had a background in medicine but seemed VERY happy with her choice. Further research did show me that there was a much higher pay rate (though this is not my ONLY motivation) as well as offering a chance to work your way up in a large company. I feel like I have untapped resources at my disposal (my ability to work as a team towards a goal; organization; leadership, etc...) that I am not fully utilizing. I'm curious as to what others think about branching out in this way. If you work part time as a PA (or have stopped clinical practice all together) what are you doing with your degree and experience in medicine. I am someone that likes to work towards something at any given time. I know I still have a lot to learn in medicine, but I also want to expand my horizons from a business standpoint as well. Please let me know your thoughts. Thank you for your input. Jordan
  5. Hello all, I'm a Neuro PA at a smaller practice in the heart of Denver, CO. I am about 1.5 years out of school and consider myself to be a fast learner and very adept at what has been put in front of me. I work with 2 MDs and am the solo PA in our practice. I work about 40-45 hours a week, take one weekend of call a month and generally have good hours. I am working on renegotiating my contract. I feel like I get underpaid for my location, but it's hard to know, as Neuro PAs are sparce in general. If anyone can give me some feedback it would be much appreciated. I don't want to put my salary on here, but would appreciate some general info on the area if anyone has it (or if they want to talk specifics via PM I would be happy to do so) Thanks, all.
  6. Hello all, I'll be starting as a new grad in Neurology in CO (however long licensing takes...ugh). I'll be working at a small private practice that is connected with a hospital in the area. I wanted to know what your opinions were on the base/productivity % Base: 65k Productivity: $$$ I bill out x 70% (30% for overhead), subtract my base salary, the rest is mine in bonus. E.g. Let's say I bill 130k, .70 of that would be 91k (so my bonus would be 26k to get me to a annual salary of 91k). Benefits: Health, dental, 500 CME, not sure on vacation yet, a usual 8:30-4/5 workweek (still working on the details) with some hospital work in there. No weekends. I'm mainly curious about your opinion of the productivity bonus? This is all brand new for me and the practice, as they've never had a PA before. It's two neurologists in a busy CO clinic.
  7. ditto...PA-C baby!! Congrats everyone...glad we don't have to wait until next Thursday...
  8. Weird. Nothing yet...looks like maybe have to wait anther week?!
  9. I took mine Monday and still waiting. Heard somewhere that Monday is early enough to hear back that same week - but no idea. Other classmates that took there PANCE last week still haven't heard back today, so am thinking they're going to send them out this afternoon...I CAN'T SIT STILL!!! AGHHHHH
  10. Thanks all. Man I can't tell you how much I love these forums. I already felt really shady about this "job oppurtunity", and you all have made me feel great about my hesitation. I already have a job lined up here in Denver (pending a dinner meeting with the two Neurologists I will be joining this coming Thursday) - but I didn't want to pass up a real oppurtunity. Anyway - I took your advice and am not going to pursue this Vitality Clinic... Again thanks everybody for your thoughts. I have to say I'm thrilled and honored to be joining the world of the PA-C... Jordan
  11. I need your opinions on a possible job opportunity. I am a soon-to-be graduate of Midwestern University in Downers Grove, IL. I have applied/been contacted by a men's health clinic in the Chicagoland area. The company is called Chicago Vitality Center... They are looking for a young male PA who will be trained in running a men's health clinic that specializes in testosterone injections. As a new-hire I would be trained by a current mid-level (NP) who would train me to run the clinic, and I would eventually be the medical director of that office. They made it sound like I could have some liberties in how the office is run, and even deal with general health maintenance (BP, cholesterol, etc...) if I so desired. The income is very enticing and possibility of growing in the company seems like a good possibility. The offer almost seems too good to be true. What I want is some honest opinions of this type of position for a new grad (fringe medicine, I guess you could call it). Thoughts?
  12. Hello all, I recently recieved a message from a recent MWU applicant (and subsequently an email notification of the message) which reminded me of the amazing benefit that PA Forums had for me in my application and schooling process. I'm currently a MWU student about to graduate this coming August 30th and am dumbfounded by how quickly the last 27 months have passed. The only reason I'm writing is to let anyone that might care know that I'm happy to answer any questions anyone might have in regards to the profession, PA education, or MWU as a university. I really enjoyed utilizing PA forums for it's outstanding benefit, but rotations have limited any time I might be able to have on here. I hope you all are doing well and studying hard!! Jordan
  13. Hi! I'm so sorry to bother you, but I noticed that you were very active on here. I have a couple questions regarding Midwestern, I am really sort of torn between schools and would like some of your insight if possible. I was recently notified of acceptance, which is SOOO EXCITING, but I'm worried about the expense of the program. I was also acceptance to Philadelphia University, which is also a great program and fairly similar in expense. I loved both educational environments, but I would much rather stay closer to home and live in the Chicago-land area. I guess my question is.. do you think that you are getting a great education and is the expense worth it? How are you and your peers managing to pay for it (tuition and rent)? The thought of so much debt is very intimidating, but I want to be a Physician Assistant by all means and I value a great education. I would really appreciate your advice. Thank you so much!

  14. Hey all, I know a good number in my class that found out in April, so please don't lose heart. And Merk - GREAT moto to have. For those of you who have been accepted at other schools too, remember to be thankful about being able to get into any schools at all. I know of some classmates that tried 3 years in a row. Talk about waiting :-\ Don't stress!! You'll do plenty of that in school!! I wish you all the best of luck! jordan
  15. Don't worry, guys. I know some of my classmates that didn't hear back until April/May. As "mednut" was saying (it's weird calling you that, Teresa...haha) - just be patient...it's worth the wait (even if you have to wait another year..) Good luck all... jordan
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