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Spike5002

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Everything posted by Spike5002

  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. 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
  14. 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
  15. Haha...I say the group session has its advantages and disadvantages. I've experienced both the one on one interview and a group interview setting, and I can say from experience that I do prefer the group setting. You will get both individual questions that everyone will answer separately, but you will be asked questions as a group as well. It's very interestingly done, and I quite enjoyed it. It's funny you mention the awkward situation. Our interview was set up with 4 students and 2 faculty. Of the four was me and a current classmate of mine. I was only a year out of college, working as an ER Tech getting great experience, but still relatively "fresh". He had been a medic in Afghanistan for over 5 years, so I was slightly intimidated. We got the a question about a stressful situation that we've experienced, and how we overcame it, and my classmate was the lucky first to answer. He spoke about the first time he had been shot at in Afghanistan, and how he had overcome the fear. To this day I joke with him about it - how impossible it was to follow an answer like that...haha. But we both made it here, so it ended up alright...lol So you can definitely have some "awkward situations", but it's just the nature of the interview process. I preferred it mainly because my one-on-one interview I had was me and a panel of about 8 staff members. There's a lot more pressure on you in that situation than in a group setting. The interviewers know that you'll be nervous, anxious, scared, excited, etc... They're a great group of people - just be yourself and answer honestly. Don't try to impress them with things that you think they want to hear, just speak from experience and be genuine. You'll do great!! good luck! jordan
  16. Hey there Merks, I'm so glad that the email mishap didn't end up making you miss the last interview...I hope MWU was understanding with everything... About your questions of advantages/disadvantages - I'd say it depends on what you're talking about. When it comes to likeliness of getting accepted, I don't want you to think that they have already accepted x number of people into the program - and it's because of the limited space you are less-likely a candidate for acceptance. They have the alternate list for this very reason. So when it comes to being interviewed on the last day, you aren't at a disadvantage in that aspect at all. They look at every individual separately, and assess them based on their CASPA and interview...no matter when the interviewed. However, the only disadvantage I can really think of is simply knowing later than others. There were some in my class that got accepted into the program just a month or two before classes started. I was lucky enough to find out before Thanksgiving that I had been accepted. It's SLIGHTLY nicer just because you can start preparing for living arrangements/moving/making decisions on other schools, etc... So I think that's all you'll really need to think about. Our class does the tour/Q&A session with you guys when you get here, and we're just as excited to meet you all as we were the first interviewers in September. If you have an interview, you are qualified to be a student here. The interview is just to determine how you fit in with our program. Good luck! You'll be sitting in our Clinical Medicine III class...should be fun! take care... jordan
  17. The last interview date for the class of 2013 is either January 21st or the 28th (I'm leaning more towards the 21st, I'm pretty sure). I obviously know nothing about you as a candidate or what the school's admissions board is doing, but know it's always possible. Don't lose faith, but also don't lose heart if it doesn't work out this cycle! I have quite a few classmates right now with me who tried 2-3 times to get into our program, and are doing great! Good luck!!
  18. Not a jerk at all. I'm not planning on doing any of this right away. I just like having something to think about as I continue to work and grow. I love working with patients too much to try and work towards attaining administrative/leadership duties too quickly. I would just like to know what is out there, so I can better prepare myself for "the next thing" sometime in the future. Thank you all so much for your input! jordan
  19. Wow, Thank you all so much for your answers. It gives me a lot of hope to see there are so many possibilities. I am the kind of person that likes to have something more to work towards. From the sound of your posts, there is definitely that possibility in many different areas. I have another question that I would be interested to hear your thoughts on. Physasst mentioned that it would be beneficial to have an additional degree to make yourself, essentially, more marketable for additional leadership positions, etc... I have long been interested in getting a PhD in some field of study. Prior to my decision to become a PA, I was strongly considering getting my PhD in Physiology (in some aspect of physiology at least). My only hesitancy was my strong desire to work with people, and doing research as a career was a slight turn-off (I really only wanted a PhD so I could teach basic science classes in upper level undergraduate/graduate schools). I was wondering if anybody had any recommendations for additional degrees (PhD specifically, or any others you want to mention) that would be feasible to attain while working as a PA (full-time or part-time). If not feasible while working as a PA, any ideas you have on HOW to attain them reasonably. Not sure if that made sense, but I think you catch my drift...thanks! jordan
  20. Yes - another Salary question. I made sure this wasn't a double post - I searched high and low for a similar question. (at least, I hope it's not a double-post) For those of you who work as PA educators, I was wondering if you could give me a range of salaries that you could expect to see. I know it depends on what you're doing (guest lecturer, regular faculty member, program director, etc...) but I honestly have no idea what they make. I am interested in the possibility of teaching sometime in my life, but am wondering if there is any financial incentive to do so, or if you should expect a drastic pay-cut. Thanks!! jordan
  21. As is obvious from the title, I'm currently attending a PA program. I have a question for those of you in the field now about something I've been thinking a lot about lately. To start off, I want you all to know how excited I am to be a PA. It's something I have wanted for quite some time, and I am anxious to join you all in the professional world. My question is this: is there ever a possibility of progression working as a PA. I use the word "progression" for lack of a better term. My thought is, after working as a PA for a number of years (say 10-15+), is there anything to work TOWARDS. I would like to know if there are leadership opportunities for practicing PAs (i.e. hospital administration/leadership over other healthcare workers). I know this may sound slightly strange, but I come from a family of very business-minded people - and I'm wondering if the possibility of promotion or increased responsibilities is something you can see as a PA. Again, please don't take this question as me being unhappy with my choice of being a PA. It's merely a curiosity. Thank you!
  22. Hello all, again. Hope you are all enjoying this holiday season. I know there are a few interview dates still. The end of January is probably the end of the interview days (though, they are saving one date for February, just in case), so I believe the total amount of interview days is about 3-5. Our class started at 87 (down to 81 now), so I'd assume they'd take about the same amount. For those of you who are unsure about MWU yet, let me know if you have any questions about our program. It's been GREAT so far, and I feel like we're very competitive and challenging compared to other programs. Our PANCE first-time pass rate has been 100% the last few years - and our staff has been great. Good luck to all those of you still awaiting word! As I said, let me know if you have any specific questions! Take care... jordan
  23. To all still waiting. DON'T LOSE HOPE. I'm not trying to give you FALSE hope, but remember - they're going to be doing interviews all the way into January (and MAYBE - just MAYBE one in February...) I can't tell you how many of my classmates didn't know they were accepted until March/April. Even those of you who haven't gotten interviews yet - don't write it off. I'll admit it is incredibly competitive, but have some faith in yourself! Also - to those who may not get in (or get an interview) this round. There are a couple of my classmates that tried multiple times to get in. (I know of quite a few...) So don't assume that if you can't get in this time, that you're not going to be likely to ever get in. Persistence and passion show a lot of character - it shows that you really have a heart for being a PA. Don't lose that passion - keep at it! Good luck all, jordan
  24. Hello all, again. CJ - glad to hear your time went well. I was one of the "tour guides" (if you can really call us that...), and we were all leaving to let you guys have your amazingly fun presentation on Financial Aid, we all were talking about how much fun it was. It really was nice to meet you all, and know who our future peers/colleagues may someday be. Most, if not all, of you will be joining the PA world as students SOMEWHERE - and it really is like joining a tight-knit community of providers. I can't wait to be a part of it as a PA. I'm glad to hear that our class was warm and welcoming to you folks, and I wish the best of luck to you. I agree with you that traffic can get on your nerves after a while - but it just depends on what you're used to - or what you're willing to put up with. It doesn't bother me as much as it can others, so its ENTIRELY personal preference. Lyndsi - to answer your question I would say your best bet, if you are wanting to live on campus, is to go for the apartments. I guess it really depends on what you are willing to live with. The dorms are quite small, about the size of my undergraduate freshman-level dorm room was. The apartments are bigger - I want to say about 400 sq. feet, which includes a kitchenette (no dishwasher), living room, and bedroom, and of course bathroom. I've heard mixed feelings about living on campus - some of the girls really like living in the dorms, where they can be close to eachother and have more of a community type feel. But one of my buddies lives in the apartments and wants out of there pronto. What it seems like a lot of people did (not myself), is live in the dorms over the summer quarter while looking for an apartment. The summer quarter is quieter (most of the other schools have summers off), obviously warmer, and a bit more hectic with anatomy. It seems that many people enjoyed living on campus during this period, and gauge whether or not they want to stay. I would recommend this if you are wanting to live on campus. I know another group interviewed today - you all got to enjoy our Pharm class (with Dr. P this time, who I think is a bit more entertaining than Dr. Mayer on the 29th of Oct). I hope everything went smoothly for you all! Take care and good luck!! Jordan
  25. Oh I know thats one of the reasons why our president and VP decided to have halloween fest that day - any excuse to wear their costumes with you guys there...haha. They're cool people - I'm sure you'll like them. Oh the waiting part is actually a BLESSING. Remember to enjoy your last bit of freedom (relatively speaking) as much as you can. I found out I had been accepted mid-November, and I remember thinking "i can do whatever I want now until that time comes" - which I obviously couldn't...lol. But enjoy yourself as much as possible. Not to say you won't in PA school, but it's definitely going to be limited!! And thanks, bella. We'll see if I follow through with the costume. later guys. jordan
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