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Sed

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  1. Sed

    Family life as a PA?

    Are you hiring?
  2. If your original negotiation was for $105k, don't ask for it again. Come in at $108k+. If they decline, ask for COL raise and more CME ($2000). If they decline, ask for another day or two of PTO.
  3. Here are some interesting articles I found during a quick search on chronic pain statistics, disability, and possible malingering: https://www.sciencedirect.com/science/article/pii/0304395993900762 "...16.4% of the subjects with chronic pain were depressed compared with 5.7% among those with no chronic pain." http://www.painmed.org/patientcenter/facts_on_pain.aspx#hhs Among the major adjustments that chronic pain sufferers have made are such serious steps as taking disability leave from work (20%), changing jobs altogether (17%), getting help with activities of daily living (13%) and moving to a home that is easier to manage (13%). Women were more likely to experience pain (in the form of migraines, neck pain, lower back pain, or face or jaw pain) than men. Women were twice as likely to experience migraines or severe headaches, or pain in the face or jaw, than men. The percentage of person experiencing migraines or severe headaches was inversely related to age. Twenty percent adults aged 18-44 years experienced a migraine or severe headache in the 3 months prior to the interview compared with 15% of adults aged 45-64, 7% of adults aged 65-74, and 6% of adults aged 75 and over. Adults aged 18-44 years were less likely to have experienced pain in the lower back during the 3 months prior to the interview compared with older adults. When results are considered by singe race without regard to ethnicity, Asian adults were less likely to have pain in the lower back compared to white adults, black adults, and American Indian or Alaska Native (AIAN) adults. Adults with a bachelor’s degree or higher were less likely to have migraine headaches, neck pain, lower back pain, or pain in the face or jaw, compared to adults who did not graduate from high school. Adults in poor and near poor families were more likely to experience migraine headaches, neck pain, lower back pain, or pain in the face or jaw in the 3 months prior to the interview than were adults in families that were not poor. Among adults under age 65, those covered by Medicaid were more likely to have migraine headaches, neck pain, lower back pain, or pain the face or jaw than those with private insurance or those who were uninsured. Among adults aged 65 and over, those covered by Medicaid and Medicare were more likely to have migraine headaches, neck pain, lower back pain, or pain in the face or jaw than those with private insurance or only Medicare health care coverage. https://www.ncbi.nlm.nih.gov/m/pubmed/12650234/ Base rates of malingering and symptom exaggeration Twenty-nine percent of personal injury, 30% of disability, 19% of criminal, and 8% of medical cases involved probable malingering and symptom exaggeration. Thirty-nine percent of mild head injury, 35% of fibromyalgia/chronic fatigue, 31% of chronic pain, 27% of neurotoxic, and 22% of electrical injury claims resulted in diagnostic impressions of probable malingering. Diagnosis was supported by multiple sources of evidence, including severity (65% of cases) or pattern (64% of cases) of cognitive impairment that was inconsistent with the condition, scores below empirical cutoffs on forced choice tests (57% of cases), discrepancies among records, self-report, and observed behavior (56%), implausible self-reported symptoms in interview (46%), implausible changes in test scores across repeated examinations (45%), and validity scales on objective personality tests (38% of cases).
  4. https://nccih.nih.gov/news/press/08112015 "...An estimated 25.3 million adults (11.2 percent) experience chronic pain—that is, they had pain every day for the preceding 3 months. "Pain is one of the leading reasons Americans turn to complementary health approaches such as yoga, massage, and meditation—which may help manage pain and other symptoms that are not consistently addressed by prescription drugs and other conventional treatments." Consider referral to PM&R, spine, counseling/psych, and/or pain management. As above, there are alternatives out there for pain, such as dry needling, aqua therapy, marijuana, massage, etc. Good luck. Disability is a frustrating concept for both the provider and patient. Try to be objective and not let your past experiences cut your treatment short.
  5. Good to know. Thanks for sharing.
  6. Can I ask why you ended up leaving locums work to go back to private?
  7. Get the paid tail coverage policy in writing. I'm sorry to hear you're having to go through this. Chin up and good luck.
  8. Some more things to include: is there anything about if you choose to leave the practice? 60 days notice? Do they cover tail?
  9. Consult a lawyer. Are you listed in the suit? Contact the old workplace for a copy of your contract, which should list your malpractice insurance company or coverage type. Contact the insurance company for details of your coverage, e.g., coverage dates, claims made, occurrence, and tail.
  10. Device or implant rep (ortho, spine, CMF, hand, plastics). These are usually sales positions and competitive.
  11. Sed

    Job Outlook

    To kind of piggyback on MT2PA's post, I think the PA field will continue to be around. In my experience, there's a bias toward surgery and ER but who knows what the future will hold. The dependent status will make admin/employers shy away from PAs, especially as NPs gain independence, but I think there will always be a need for PAs, especially in surgery. Hospitals still require physician supervision of midlevels, even with independence, so you may still see a PA presence in the hospital. Regarding how easy or hard to find a job, that depends on the specialty, location and pay. The big three.
  12. I always make sure to sign out each time I leave the computer. It's a legal document. Offer to copy and paste the note appropriately under his account to correct the issue. Although you shouldn't have to since it was he who used your account, at least this insures you that it has been corrected. Then, mark your note in error and why.
  13. Sed

    GI Offer (2nd Job)

    Agree with Han's post. Also, verify 401k. Two weekends a month of call plus working 6-day weeks on some weeks (assuming based on the rotating schedule) will get old, so ask for some more. Ask your friend what the typical schedule is like to see if it will be something you want to do month after month.
  14. Naahh, too stiff and too much paperwork...
  15. Good points. Thank you for your in-depth response. I think I am now much better prepared to handle any future issues with media and patients. It's silly that we have to worry about things like this instead of just doing our job as medical providers...
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