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BruceBanner last won the day on July 6 2017

BruceBanner had the most liked content!

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About BruceBanner

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    Physician Assistant

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  1. 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.
  2. Sorry, not accepting any more new shadows at this time.
  3. Oh I told them exactly what I thought about their titles.
  4. 2 of the names are absolutely ridiculous. Like they sat around with a joint and just started making up words.
  5. 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.
  6. 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.
  7. About 45,000. 30 has only happened a few times, typical school year day is now about 20.
  8. 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
  9. 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.
  10. 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.
  11. 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.
  12. 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.
  13. Get out of UC and EM. It is very hard for PAs without fantastic mentorship or a residency. Urgent Cares are meat-grinders and we see more PAs get used, abused and discarded by these than any other type of job. It's not you. You aren't incompetent. The problem nationwide is the system, not providers. It sets unreasonable standards for production, expects us to not make any significant mistakes, and on top of all that expects us to make every patient happy under penalty of our job. In no way is that fair or humane. The best advice I have is to A) find a more reasonable office-based job, or B) reduce your work hours, or both. Those are the only things that have kept me sane in this profession. I work in college health where the volumes are HIGH in the school year, but mostly super-acute sore throats, URIs, minor skin issues, minor injury, and STI checks. So it's super easy to keep my production high above the slow-poke IM docs and still be able to down-regulate enough to not get (too) burnt out. Dropping to 4 days a week was also a game-changer.
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