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Everything posted by Sed

  1. 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.
  2. Device or implant rep (ortho, spine, CMF, hand, plastics). These are usually sales positions and competitive.
  3. 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.
  4. 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.
  5. 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.
  6. On rounds today, a patient's family member took a video recording. They pointed the camera at my badge and then my face. I haven't had any issues whatsoever with this patient or family member and to my knowledge, they don't have any issues with me or our service, but the patient has fired several nurses and has issues with some of their other providers. Could they collecting recordings for possible use in the future? In the past, I've had patients ask if they can record me (typically on how to do a certain dressing change) or the visit to share with family later when they're available, and I almost always allow it. But on this particular instance, they didn't ask for my permission to record the visit let alone my face. I don't have anything to hide, especially in regard to my patient care, but I honestly felt violated. I'm a very private person, so I'm probably just being paranoid, but are there any personal or professional protections in place for us as providers in this kind of situation? Do I have the right to ask them to stop recording me? I left a message for the hospital's risk management to get their input. Thoughts?
  7. Naahh, too stiff and too much paperwork...
  8. 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...
  9. Update: saw the patient for a follow-up visit and asked the family member why. Their reasoning was that they wanted to keep track of everyone to keep them straight throughout the two-week admission. She showed me several dozen videos and pictures of staff. I relayed my concern about not asking my permission before videoing me and they offered to delete. Still sounded fishy... No call back from risk management yet, so I'm taking Sas' approach for right now. On the note about Hawaii, I just came back myself. Great place to vacation.
  10. I wish that I could escort certain patients out of the hospital...
  11. In my experience, once we get to know each other, they usually back off the attitude. Maybe it's a respect thing. Until we get to that mutual level of respect, I will oftentimes assist with dressing changes, patient turns, etc, and I think that helps a lot. The nurses are often running around, taking care of a ton of things, so I've found that setting some time aside to help goes a long way. Sometimes I even go so far as to ask, "Hey Jane, would you mind X task please? I know you're super busy, so if you can't, no worries, I can do it. Just let me know and I'll come by and do it later." More bees with honey vs vinegar thing. I always be sure to thank them for doing said tasks. Yes, it's their job, but a recurrent theme with job dissatisfaction is not being appreciated, so I try to tell them thank you and that I appreciate them taking the time to do it. Also, for the ones who question your decisions, I've found that if you briefly explain why you want something done a certain, they really appreciate it and respect you as a provider because they usually just don't know. I usually get a better response to that than just telling them what to do and to just do it and not ask me questions.
  12. Thank you both for sharing your experiences. I appreciate it.
  13. Wiretapping is legal in my state if at least one party is aware. But to my understanding, that's just audio and not video. The link I posted above suggests that there may be some protections in place for providers in the healthcare setting. I will follow up with risk management.
  14. Thank you for your input, everyone. I will be sure to decline next time since I agree that nothing good can come from that. In that moment, I felt like declining would be inflammatory to an already inflammatory patient/family (although fine to me). After discussing with a physician colleague who was also unsure on the hospital policy, what if they say no? Do I stop the encounter or just keep going? I found this resource regarding recording policies in healthcare, which are protective of physicians, staff, and other patients: https://www.healthdatamanagement.com/opinion/why-video-recording-in-healthcare-facilities-could-pose-a-hipaa-risk I'll follow up with risk management.
  15. Sed

    Paying preceptors

    It may be rotation-specific or where schools find it hard to retain quality sites. For the school I precept for, they don't pay for elective rotations, but they do pay for core rotations. I make sure that students know that I don't get paid. It's interesting to see the shift in attitude when they find out I'm doing this free and not the few thousand dollars they're paying the school.
  16. Sed

    Goodbye student loans

    Congrats! I am set to pay off mine (also a high amount like yours) at 4 years. I might've had it paid off by now had I not gotten married, bought two houses (bought a modest home after settling into my job and then recently sold it at a good time), redid the backyard of the first home in order to sell, bought two cars (low-end and used but newer), and took some decent vacations. However, the sale from the first house yielded profit and a good portion was put toward loans instead of the down payment on the next house. Like you, NO KIDS, which I think is a high factor in loan payoff. Refi'ed my loans after a year or two: left half in govt loans (the lowest, youngest loans, however rate and amount were still high but I was at least still able to defer if needed) and refi'ed the highest govt loans to private at a lower rate. Hit the govt loans hard by making double payments when possible or even more during bonus time. Now doing the same with private loans. I made sure to spread out purchases so that they weren't on the same credit card statement, which allowed me to pay off each bill and therefore carry no balance. I still have a car payment but modest and I'm also paying extra on that. I plan to focus on that next after loans are done. It helps that I also have a spouse who makes the money I do and so everything is split, mainly the mortgage and house down payments.
  17. Sed

    Medical Model vs. Nursing Model

    Treating a person with a disease requires some level of compassion (regardless of which camp you came from) in addition to an astute understanding of the actual disease you are diagnosing and treating and how it may affect the person afflicted by it. Some providers have a better bedside manner than others, which can be construed as compassion, but treatment and prevention is a goal of all. The "nursing model" is a mode of training that stems off a nurse's previous training and experience in nursing, executing doctor's orders, and patient care at the patient's bedside. This is where the "whole person" treatment mentality comes from. The traditional "medical model" teaches you to understand the disease process and it's manifestation (i.e., how the disease develops and the effect on the patient), thereby allowing you to diagnose and treat a patient's ailment and address any social issues (work, ADLs, family, emotions, etc) that may arise from that diagnosis and treatment. Understanding the intricacies of the disease process also allows those providers to pick up on nuances and variations of the disease that may not follow typical presentations. Six is one and half of a dozen of another. It's not necessarily a matter of which is better or worse because we all have our role in healthcare and level of experience and training. I think your question is more of a loaded question that the interview board would use to gauge you. So answer wisely. For me personally, I wanted to learn, train, and think like a doctor, so I went PA where I would train alongside medical students and then work closely with a physician. NPs arrive via a different route and now in some states without the need to work alongside a physician which has its own benefits and risks.
  18. You've received good feedback thus far. A few other things to consider: -Peds ortho is a lot of casting, office visits, and a lot of worried parents that sometimes won't accept that fractures will somewhat correct themselves in peds. Some will freak out on you that you would even dare to think about not making it look perfect. Also using your lunch as travel to another office? No set schedule? This is recipe for burnout. It's tiring to drive multiple facilities in one day and to do that everyday can get really old really quickly. Why is he hiring another PA? Is trauma call floor call, peds ortho call, all ortho trauma call, or ER call? Expected to round also? Pay seems low, especially with an up-in-the-air schedule, which will be hard on you and your family. -Ob tends to pay lower to my understanding, so beware that the bonus structure may not be attainable. Never having a PA is a red flag, but having had students will hopefully give him realistic expectations. Why is he hiring a PA? Getting busier, working on retirement, or on his way out? No 401k is crappy; negotiate an extra 3+% for this. Four 10's is awesome!!! Option to moonlight, so can do UC to keep skill set. No call is awesome!
  19. Interesting topic. In our private ortho trauma practice, we have a large portion of Medicare and Medicaid, about 60% of the practice. And compared to the experiences above, the vast majority are compliant and show up. We'll get a few bad apples periodically, but most are actually very respectful. And oftentimes the no-showers are actually the elderly SNF patients with dementia, not the Medicaid patients. Although we work harder for our money since we collect so little, it's very rewarding to have patients who are grateful for our service. But I suppose it does help that we have a nice office space that we rent and not a typical "Medicaid-like" office filled with "Medicaid-like" staff. There's a saying that "trauma is a disease" and the saying is true for the most part. It happens to a particular kind of person who happens to also typically be un- or underinsured. But someone's gotta do it. Maybe it's because patients can't imagine not using their limb and fixing broken bones is viewed as healthcare as a previous poster suggested. But I always try to impress personal responsibility, general health care, healthy eating, alcohol moderation, risk reduction, and smoking cessation on all in hopes they'll take that to heart. In our field, there's no way we could ever get rid of our patients who have government-supported insurance because we'd have almost no patients and with call contracts and EMTALA, we can't refuse service. So it's a necessary "evil" we've learned to work with and take care of.
  20. Sed

    Patient education

    I don't have any for GP stuff, sorry, but for physical therapy and other various ortho handouts I use https://orthoinfo.aaos.org/en/recovery/
  21. Sed

    New grad 1st offer

    Great offer. Check into 401k match as others have stated. Non-compete? Tail coverage? Other things to think about: Working with one or multiple surgeons? Are they open to training and/or have worked with new grads before? Is ortho an actual interest? If not and "just a first job," beware that it can pigeonhole your skills...
  22. Sed

    Surgery anxiety

    I second the above. Your anxiety could be stemming from something completely unrelated to surgery but somehow being projected onto or manifesting during surgery. On another note, idk what "a good while" translates to, but are you working a lot? Maybe it's burnout quietly starting to creep in. Take some PTO, burn off some steam, work out, etc.
  23. Sed


    Three 12's would be my choice (36 hours per week, 4 days off). Four 10's would at least give you some time after work (40 hours per week, 3 days off).
  24. Good thread; very informative.
  25. Sed

    Too Early to Apply?

    Agree with the above. Also think about your overall PA student training. Yes, a month in the field would be nice to get a feel for the field and company you may want to work for. However, clinicals are also your chance to experience other fields without the recourse of employment. Do a rotation in something you want to do before graduating. If it's trauma, then go for it! Just remember that there's always that chance they will hire someone else.

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