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Everything posted by Sed

  1. A previous preceptor, PA school teacher, program director, counselor, SP you respect, classmates... My program had us pair up with an "upper classman" for a mentoring program. I still talk to mine five years later.
  2. I encourage you to read the sticky in the contracts category called, "don't do this new grads!" Start to network like crazy, ask around, look through state association and field-specific ad boards, etc. If all else fails, consider taking a FM or rural medicine position where you can develop as a practitioner while keeping up your general knowledge base, and then try to get a per diem gig on off days to get your foot into the UC and eventually ER realm. Just my orthopod two cents.
  3. Did you actually work though? Sounds like you just shadowed. I wouldn't bother listing it since you didn't do any medicine or surgery. I hear of a lot of new grads go where the money is rather than a good, supportive work environment and then situations like this happen. My post was harsh and I apologize for that. I'm sure you didn't need me pointing it out. Take your time finding a first job that's a good fit, pays decently, and helps you grow as a PA. If the money is there too, then that's icing on the cake.
  4. Unfortunately, you got yourself into this position knowing you had no interest in it and only using it as a stepping stone, so own up to it. It's messed up to back out now but only you can decide if the bridge is worth burning. After all, you technically haven't even started yet, at least according to your contract. Talk to your employer. A contract is a contract. Does it list training pay or training period? You've unfortunately set up the precedent that you'll work before your contracted start date and for low pay and backpedaling now will be difficult. Gen ortho/sports med is very narrow and limits your scope as a new grad, especially if you want to into ER. You can try to own up to your mistake, suck it up, learn from it, learn all you can ortho-wise, make your money, and then find a position elsewhere. But once again, that's for you to decide. I don't have any advice on what looks better on applications. It's a crappy situation that you've gotten yourself into, so I don't think there's really going to be a clean or easy way out, but good luck.
  5. I'm in orthopedic trauma surgery and my experience is similar to TheDude's. I agree that it's more of a lifestyle rather than career. Some weeks I have a life and some I don't. It usually balances out and the work is fulfilling which makes it worth it to me. My "schedule" is essentially work whenever there's work to be done. Some days are long, some are short -- it really just depends on what comes into the hospital, the OR schedule, how many inpatients/outpatients there are to see, etc. I work with one surgeon, I do all of the rounding, and I have my own clinic schedule. I don't technically take call but I usually get calls anyway. You'll find that in surgery, you're never really "off." That is unless you have a shift schedule or literally carry the call pager.
  6. The trauma population has been very trying lately. This sounds like a dream...
  7. That all sounds like a dream compared to my trauma population lately.
  8. I agree with UGoLong. I too accepted a job a couple months before graduation. After some back and forth with in-person and email correspondences, I then received an email with final offer details (including a sign-on bonus that I was able to cash immediately which was nice pre-graduation), which I accepted. I picked up a paper contract to review and sign. Contract included a statement regarding requiring an intact license, so no need to have a "pending graduation/licensure" clause, as well as my employment start date and length, both of which was very reassuring to me as a student. I wouldn't have felt comfortable committing myself to a position without an actual contract in place outlining job duties, insurance, CME, PTO, licensing fees covered, etc. This holds the both of you accountable, both now and foreseeable future. You can verbally agree, but at some point you're going to need to fill out employee paperwork and pay for licensing. Having a contract in place spells out all that, including yearly reviews to evaluate salary. You don't want to be committing yourself to this company, not doing any more interviews, no longer networking, etc only to have them say they've forgotten about you and offered the position to someone else, or some other BS. Good luck and congratulations!
  9. What about first assisting? Teaching? Admin? I have heard of a PA leaving to do medical sales.
  10. Wow. What an unfortunate way to start your PA career. I'm sorry to hear that.
  11. Agreed, but my point was that the salary discrepancy between the OP's position at 84k and the 130k one is that it wasn't vastly different once broken down into relevant terms and hourly rate.
  12. Yeah, that breaks down to only about $55/h, which really isn't a whole lot better than $51/h... The $130k pricetag seems nice at face value, but when you break it down to more relevant terms, it really isn't a $46k difference but only maybe $8k.
  13. Whoa, that is terrible! On another note, I have family in Marquette. It's too cold for my blood, though.
  14. The post said 60 between two MDs and PA. OP, will you be splitting it equally to 20 each or disproportionately? Ortho/spine really narrows your experience and honing of skills as a new grad. Be careful with this, unless this is for sure something you want to stay in.
  15. Let's say the 130k offer is at a minimum 15 days PTO. You're looking at closer to 55/h. That really isn't that much better. Be careful when you look at the price tag...
  16. How many PTO, benefits, match, CME, etc? 130 for new grad in NYC sounds fishy and too good to be true... Idk how many hours the OP position is for, but let's say 40/wk. 23 PTO + 15 sick (who gets that sick every year?) + 5 CME + 10 holidays = 53 days "off," which is unreal for a new grad. Let's use 1656 [(2080 hours - (53x8)] for OP's position per year: 51/h (equates to roughly 102k) plus full benefits and match and overtime at 65 (although should be 1.5x at 75), which actually is decent for a new grad. Also factor in COL, training environment, etc. OP is it hourly? Most salary positions don't offer OT. Do you have the opportunity to moonlight or work another job if wanted? Some contracts limit outside employment.
  17. While you guys were off being studs on your first day, I just followed my orthopod around like a little puppy dog.
  18. How about gain independence and change our title to Independently Licensed Practitioner, ILP? :-P
  19. Yes. But with OTP and independent practice rights, that won't be the case.
  20. How about Licensed Independent Practitioner? LIP is used in the compliance documents at a hospital system I am credentialed at.
  21. I'm sorry to hear this happened to you. That really sucks.
  22. This is great advice, especially for newbies. And also a good laugh. Thanks for that. "When in doubt... Whip it out." Haha
  23. I don't think it's unreasonable. You've taken on and cleaned up another's panel, you'll be flying solo at another clinic, and you're offering to take on a niche panel that others would prefer to avoid which makes you valuable. However as Mark said, seeing that many narc refills might get you flagged. Also, some PAs are limited in their chronic pain management scripts. Do you know if that might be a problem?
  24. Wow, that's impressive. Where is this at? Do you know how many patients he sees and procedures he performs?
  25. Came out with over 6 figures in debt from a private PA school, even with a grant and taking out only 12k/year for expenses. Put some profits from selling a house toward debt and refinanced loans. I've paid off about 65% so far in just over 3 years, and that's with maxing out 401k, taking vacations, helping out family, a life event, house move with some renovations, newer vehicles, etc. Plan to have the rest paid off in 1-2 years. Then it's on to paying off the cars and house.