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About Sed

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  1. I'll just leave this right here...
  2. That is silly. So who is actually mandating these new changes? You mentioned "they," "the nurses," and "the OR." Are these OR staff members/nurses or directors? Are you a hospital employee? You could be implicated if you do not follow hospital policy, unfortunately. However, if you're a private practice employee, you could always use your surgeon as backup. Either way, it doesn't make a whole lot of sense if your surgeon continues wearing a cap while you're forced to cover every stand of hair. You could always argue that wearing the other garb negatively affects your work (e.g., headache, hot, etc) and you will not compromise patient care to adhere to rules that have been disproved by other studies.
  3. Interesting times indeed. Thank you for your insight!
  4. Agreed. As for the discussion about revocation, I suppose I was just wondering about the NP independence. And yes, it's too early to think about for PAs, but like you said NPs have had it for years. However, it is understanding that most hospital systems still require physician collaboration and cosignatures despite independence. Do you think this will change as lobbyists gain more ground? Do you think we'll see change as more green PAs/NPs are graduated, which seems to be the recent trend?
  5. I too had difficulty finding practices that would allow shadowing. I cold-called random offices and no one would allow it, siting HIPAA. I ended up calling my own health care provider who was/is a PA and they welcomed it. I also joined a club in school that invited an orthopedic surgeon to speak about their career. They also allowed me to shadow, and after graduating, I ended up going into ortho myself. The PA career can be a great career for the right person. Like the others said, do your homework and see what the career is like for yourself. Consider volunteering at a hospital to gain more valuable experience and start developing relationships with nurses and providers. Consider using your bilingual skills as an interpreter or scribe to also get your foot in the door. Good luck!
  6. I read something on Reddit recently that got me thinking: The more I hear about independent practice rights being obtained and the associated opinions of other colleagues, specifically physicians, the more disdain I hear. Does anyone think there will be a turning point in which the independence will be revoked and the traditional "supervised" role will be reinstated? Or has the fate been sealed?
  7. Definitely find out about the call schedule and what kind of call. Is call included in the 40-hour work week or in addition? Is it M-F or will you have to work weekends? Do they compensate call/weekends by giving you time off post-call, for example, if you work a weekend, will they give you that following Monday off? Is there a potential to work more hours if you want in order to make more or bonus structure?
  8. Oh man, that blows. We rock scrubs in our ortho practice. Although I will throw on my white coat every now and then for sh*ts and giggles.
  9. Loving your work is one thing and a great thing. But if you're working so much that your off days are spent recovering and/or you're still not doing all the things you want to, you might be on your way to burnout. Like the above posters said, burnout can creep up on you. Be sure to utilize all your PTO. Consider cutting back on your extra shifts periodically to give yourself a break, hang with family and enjoy your hobbies (see your twice a year comment). Handling your professional, personal, familial, and social responsibilities can all contribute to burnout, so make sure you take a step back like this every now and then to evaluate how everything is playing out. Like some of the others said, you can't get these years back. So make sure you're doing what you want with your time.
  10. That's the way I read the regulations, too. Thank you for the information.
  11. That's the impression getting, that it's surgeon-dependent. I just can't seem to find any information suggesting that there is or isn't an issue with us doing more in the OR...
  12. And I'm assuming that he hasn't had any legal issue with him doing that in his 22 years, right? I know a few PAs who have a similar scope as your friend, minus the residency. But just because someone does something, it doesn't necessarily make it legal. Ya know? I wanted to reach out to see if anyone knew of any possible legal recourse to PAs doing that much work in the OR.
  13. EVH is a different beast, and some hospitals require some sort of EVH course or proficiency proving your ability to harvest. There aren't any specific restrictions for ortho that I'm aware of. Regarding orthopedic surgery, I had a surgeon suggest that a PA performing part of the surgery could implicate the team down the road. Not to say that the PA isn't competent enough to perform part of it, but let's say there's a complication and it comes to light that the PA performed part of the surgery. Would that mean anything? After all, PAs are "assistants" and not surgeons, so in the law's eyes, how are PAs allowed to perform surgery rather than just assisting? Do you catch my drift? My main concern is where is the line drawn between the assistant role and second surgeon role. I'm all for doing more in the OR and advancing my skill set, but I also do not want to implicate our team nor do I want to practice unlawfully. Is it enough for the surgeon to say that my doing part of the surgery IS assisting and therefore within legal parameters?
  14. I've heard figures on the order of $500-1000+ per weekend. Some pay hourly to just be on call and then add compensation when actually called in/assist.