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BruceBanner

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BruceBanner last won the day on July 6 2017

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  1. I tip my hat to people bold enough to work with a bandana or no mask at all. But that's where I'd draw the line. Yes I value my own life but I also value my family's safety perhaps even more, and what good are you doing anybody by exposing yourself, becoming ill, or becoming a disease vector?
  2. I'm a bit late to this party but another update from the front lines: At a Big 10 University health service, we have had multiple presumptive positives in the past week. Things hit the fan after students returned from spring break, as we predicted. We have a lot of resources at our disposal, but we are still woefully under-prepared. As of Friday, we were still seeing routine and walk-in visits! Many well students are still coming in "just to be checked". Tests are very limited. Nothing is in-house yet. It is nearly impossible for front end staff to appropriately risk-stratify patients. We have non-segregated waiting rooms, people with mild cold/flu sx being put into normal rooms and the obvious high-risk pts being put into "isolation", which are just normal rooms set aside for COVID suspects. We have no functional PAPRs. I had to see a flu pt with an international travel hx in the walk-in clinic. I had full PPE including N95 but technically should have been wearing a PAPR being a male with stubble. He turned out to be positive. Luckily I had scheduled vacation this week so I am off (obviously we didnt go), now awaiting word on whether or not I need to self-quarantine. Having serious doubts about returning to work with the situation there---I'm willing to do my job but not without proper PPE. Plus the absolute asinine policy of still accepting walk-ins off the steet. As usual, admins are nowhere to be seen in the clinics; they're safe in their ivory tower sending emails. Staff are going to start dropping like flies if they dont tighten things up. Stay safe out there everyone.
  3. Family medicine can be like that, for sure. The patients per day can be deceiving. 16 ppd doesnt sound too bad but it's all about the complexity and back-end work involved. Not to say there arent good FM gigs out there, but you will probably only find them in small private practices. The most stressful job I ever had was in FM. And every doc/PA in that practice worked part-time to stay somewhat sane. Now that you have 2 years under your belt I'd suggest finding a new job. Some suggestions: College health (PM me if in Michigan), urgent care (be VERY careful, most are meat-grinders), Occupational health for a corporation or local government (not commercial occ health), maybe a non-surgical specialty.
  4. Sorry, not accepting any more new shadows at this time.
  5. Oh I told them exactly what I thought about their titles.
  6. 2 of the names are absolutely ridiculous. Like they sat around with a joint and just started making up words.
  7. Honestly I havent been there since 2012, so many things may have changed. We had SPs, an H&P lab, and a robotic mannequin for intubations, etc. Went I went through it was a very difficult program and staff was punitive in some ways, with punishments that did not fit the crime. I hated them to be honest, but I was well-prepared for boards. That was 7-8 years ago so take that with a grain of salt.
  8. U of M PA here. It is a highly saturated/competitive area. We could use another PA but sadly we dont hire new grads. Pace is too fast. I empathize with you. If I had the time I would love to train a new grad. But I barely can accommodate a half day shadow.
  9. About 45,000. 30 has only happened a few times, typical school year day is now about 20.
  10. I work at a big-10 university health service. Overall I like it. It can suck during the school year I wont lie. But I'll most likely stay until my loans are paid or I leave the state. Pros: Amazing summer flexibility and low volume. Summer here is May though September. We still see patients, but only 8-12 a day (easy), and we can take as much time off as we want. Some providers leave for 6 weeks. Benefits. 6 weeks paid vacation (includes a week of CME), 2 weeks paid sick, paid paternity/maternity, 6 months ext sick and 6 months ext sick @ 50%. Excellent health insurance, dental/vision/legal, etc. Good patient population. College students are for the most part healthy and easy to work with compared to the adult public. Good autonomy and variety. It's primary care + urgent care with a college focus. So lots of sexual health, minor injuries, mental health (if that's your thing), URIs, derm, and some infectious disease. Cons: Endless colds from September to May. Lots of hypochondriasis (whiny, cant deal with simple sx, every little tingle needs a diagnosis, etc. ) High volumes (20-30 ppd) in the school year Overt political initiatives ( LGBTQ everything) Parents sometimes get involved
  11. We had to go through a forced (do it or you dont graduate) diversity course, AND a group diversity "immersion experience" that involved living a mock lifestyle of someone else for a day, AND had to sit through a mandatory "gay day", where people of various LGBTQ persuasions came in and talked to us about their lives and how we can treat them better. Listen , I seriously could not care any less about my patient's sexual/gender orientation unless it is somehow pertinent to the clinical scenario, nor do I need to be force-fed all this propaganda to know that you should treat all of your patients as equal human beings. 99.99% of all providers do not need to be taught this, at least in their formative years.
  12. The guys sounds like a narcissistic a$$hat that should at the very least lose his job. But lose his license? Certification? Is there any evidence he caused someone harm or gave substandard care? Were these words said behind closed doors among staff or to patients directly? I think we need to be very careful and highly specific when we talk about yanking someone's credentials or license to practice. In the age of outrage and big brothering everyone's opinions it could be a very slippery slope. Loss of certification or licensure should be for demonstrated, dangerous incompetence that has failed attempts at remediation, or endangering patients through any medium. If it could be proven he delivered dangerous or substandard care, then yes let the boards have at him. But if he's just a delusional racist a$$hole who otherwise delivered competent care, then that's an employer or civil case issue. They can fire him, someone can sue him, etc.
  13. Mainly liability, but also managing your plate. There is so much administrative burden now. I constantly see patients who pull "oh by the ways" and "what about this". Our clinic even restricts each visit to one complaint, generally. But patients (humans) are rarely cognizant or sympathetic to the fact that maybe they are your 16th patient of the day or maybe you have 3 people in rooms waiting to see you, and you really dont have the time to dig into their other issues. You dont want to stay late and chart past dinner. They just want to get answers or get well. It's frustrating as a patient feeling like every symptom needs it's own doctor! I dont think that is fair or efficient. But sadly the days of the country doc GP are gone. I worked for a guy like that once and he was awesome. Patients would follow him to the grave, literally. Also, I hope you are getting better and I think about you from time to time. Health can be a tenuous thing.
  14. I can accept limited shadows in Ann Arbor, MI. The specialty is college health. It is more or less family practice for ages 18-30. During the school year I only accept shadows for 1/2 days because we are too busy. PM me for info. -BB.
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