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About snowdrifter

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  1. I have been unemployed for the past 7 months and I have my first interview this week after months of no success. My first job I was employed as a hospitalist PA, however, the title of "Scribe" would be more accurate. I left 6 months in for another rural hospitalist PA job which was the complete opposite. No training. Had 13 patients my first day with no help from the other hospitalist doc on that day. The PAs at this hopsital managed the patients on their own with no conversing with the doc about admission plan or tx plan for any of the patients. I left and started an ER job 5 months later which was completely toxic. In the 4 short months I was there, I doc, 3 PAs and countless nurses left. Two months later I was hired for a privately owned family practice. I stayed there almost 2 yrs, but they let me go because of not enough pt panel. This practice lost 30k in revenue because they didn't credential me with the insurances correctly. They also committed medicare and private insurance fraud. Since i wasn't credential, they would still have me see patients then would sign my chart and bill it under the doctors. The MAs were doing the billing and they also had paper charts. They obviously have no freaking clue how to run the practice. So, my question is how to I explain these gaps?? I feel like my explanation above, although true is alot of different reasons and a red flag and also, I would be talking negative about my employer for the last gap. I do have generalized anxiety, mild social anxiety and depression. I honestly was just going to blame it on this and tell them I am finally getting treatment and it wont happen again. Thoughts?
  2. I have decided to pay off my loans asap due to debt anxiety and wanting financial freedom. I bought Dave Ramseys book and mostly following his method except that I am putting 20 percent into my ira. I started with 96k 10 months ago and now have 44k. I created a budget. Spending 200 dollars a month on groceries (for 3), cut the cable, drive a 9 year old car. Have a 200 dollar clothing budget for the year. We live off of my fiance's salary of about 50k per year with a 1400/month mortgage. Its caused a lot of stress in our relationship but I am halfway there and trying to push through. Anyone else doing this?
  3. I work in FP -office only and take call for the practice 1 week/month. My SP also sees assisted living patients and is now wanting me to take calls from there also. He told me that I do not need privileges since it "isn't like a hospital" and that the private practice providers can take calls from the nursing home. I am pretty sure this isn't correct however, I can't find anything online to support that I need privileges to give verbal orders for patients at an assisted living when I am on call. I did not sign anything- in terms of paperwork/privileges when I was hired as I was told would not be seeing assisted living patient.
  4. hospitalist/internal medicine position with a physician group contracted to nearby hospitals Offer is 85k with M-F from 8:30 am to 5pm with one weekend per month 75% of the time would be in the hospital- rounding on 15 pts a day (8 hrs) and includes admissions / other 25% would be in the nursing home. Benefits include health insurance, vision, dental, but would be around a little over 100 dollars per month just for myself. Vacation is 2 weeks with a week of CME and 1,000 towards CMEs. Three days are paid sick days. 401k is 6% match. They will NOT pay acls/bls, license renewal or DEA. I have about a year experience between hospitalist and emergency medicine. I worked for this company before. I left because as a new grad I was given $72,000 and expected to work one weekend a month ( In this case would do 10 consecutive days) and round on 15-20 people a day and do admissions in 8 hr days. There is no solicitation within so many miles for a year after the contract is terminated. Also, the physician can dictate call with no extra compensation. I enjoyed working with this physician in this group before and he asked me to come onboard again and work for him instead. He stated that I could do 50% nursing home, would get a sign on bonus and an incentive pay of 5-10k and I could do four tens in the hospital instead. However, NONE of this was in the contract. I was sent a contract above with details listed above and told to sign and send back. I emailed the girl back (who happened to be an admin) and said that this is not what I agreed to and tried to negotiate a higher salary because there was no sign on and bonus which I was told prior. The physician txted me and said I went "nuclear" and that the email was forwarded to the CEO and senior partners and that I went "above him and everything is negotiated." Well, how am I suppose to negotiate when I was told to sign a contract and return? He told me that he was too busy to look at the contract and that I should have went to him first. He told the sign on bonus and incentive pay would be in a different agreement. Is this very shady behavior? I am wondering if they were trying to lock me in a legal binding agreement hoping I wouldn't read it? Not sure what to do now. He makes it sound like my offer will be rescinded. However, I was not nasty in anyway and was just trying to point out that the contract was different from what I was told. I am new to negotiating so advice would be appreciated. Thanks
  5. I did have a provider there working along with me, however, he did not want to answer my questions because he was too busy.
  6. I left my last job after I worked one shift. I have 6 MO experience as a hospitalist and then obtained a new job. When I got there, there was only computer training and my first shift I had 11 pts and then 3 admissions. I was completely overwhelmed as I never had pts completely to myself ( the doc wouldn't be seeing them or looking at my notes) I had two really sick ppl and the doc wouldn't even answer my questions about them. So I quit after one day. How do I explain this to a potential employer?
  7. I gave the first number since they asked what I wanted and then they said 75K is the best they can do and told me to let them know if I will accept. I then asked the average bonus amount a PA/NP receives and I am still waiting a response.
  8. Rural area in Pennsylvania. Near several PA programs, however, I found out that this office has been looking for a PA for awhile now.
  9. I have 6 months of experience as a hospitalist. Family practice offer: Hours - 40-50 per week. 9-5 for four days and 1 day 12- 8. Also, within those hours would be nursing homes if needed. Call with call phone 1:4 for weekends. 2 year contracted position and a 2 year non compete clauses within 30 miles after contract ends. base salary of 75,000K plus bonus incentive clause- during each 12 month period of employment, will receive bonus equal to 20 percent of collections in that period from services rendered by me in excess of 2 times the sum of base salary and business expenses and benefits. 3 wks vacation ( 15 days paid vacation, 2 sick days, 1 holiday) 500 for CMF Practice pays 300 /month toward health/dental/and vision insurance 401 after1 year of employment I can't decide if this is a fair offer. On average, how much do family practice PAs bring to the practice if they see about 20-25 pts per day?
  10. I have a job interview next week and would appreciate some advice. I have a job now as a hospitalist with 5 months experience (including ICU), however the pay is only 70,000. I am terrible at interviews and it took me 8 or 9 interviews before I got a job as a new grad. This job would be a hospitalist position. The workload is half- 10-13 pts. with 12 hour shifts 7 days on, 7 off compared to my job now is m-f 8-5 with one weekend seeing 15-20 pts a day. Also the pay is not based on experience and will be almost double my salary. The position is also only 10 minutes from my house. Need help because I can't blow this interview. thanks.
  11. Hello, I don't know where to start. First off, I was offered a job as a hospitalist for only 70,000 a year. I did not start the day i was suppose to d/t an error made by hr even though the day is stated in my employment aggreement. This cost me 3 wks pay. I started in sept. I was expected to round independently and come up with plans/orders for the icu, floors and rehab pts. I am a new grad! Right now (2.5 months of experience) I see about 20 ppl per day for 5 days a week. I round for 8 hrs straight! I am expected to work one weekend a month so I sometimes work 10 days in a row til my next day off!!! My attending sees both hospitals and when the census is low I also see both! NO break at all on low census days. One time I saw 27 ppl. Is this normal to be burnt out already or feel this way as a new grad? I am ready to quit.
  12. Sam I am, you are definitely correct. I live in a supersaturated area and it took me 7 months to obtain a job offer. What is worse is that I have no guidance at all! I was hired as a hospitalist PA, however I take care of really sick people in the ICU also because the hospital does not have intensivists. My first day of the job, I was told to go to the hospital and start seeing pts in the ICU by myself! The only training I got was computer training and I shadowed an NP for 5 days. Most of my classmates accepted the first job they could get because they were also having trouble. I would try to network as much as you can. If you keep getting rejected (lets say after the first 3-4 interviews) then I would take the first job offer you receive. Six months experience is better than nothing even if you don't like the position or feel it won't be a good fit. Once you get experience, it will be much easier.
  13. I have an interview this Friday. I currently do not have my employer listed on my resume, however I have a large gap (1 yr) due to taking time off from school and travelling Europe and then waiting 3.5 months to get credentialed. Should I mention this employer as part of the reason for the gap but do not identify them? Or should I not mention them at all.
  14. I accepted my first job as a PA hospitalist in May. I signed a "written agreement" which states my start date for August 3rd. I went in for training for the first week as the hospital's credentialing meeting was not until the following week. So, the private group I work for had me come in for a week for training. Two days ago, I was told that the actual board meeting wasn't until the end of the month and now I can't start until September, however even though I am a salaried employee they will only compensate me for the 48 hours ( 6 days) that I worked so far. They said that they won't change my "contract" so that I can get the raise next August. I quit my previous job as an emt and now have no income until probably the middle of September. Not only am I losing thousands of dollars, my supervising physician stated that now he would like me to do more weekends (it is in my written agreement that I work every third weekend of the month) and stay longer if it is busy- (I am M-F 8 hr days) I already had to negotiate prior to accepting the job for two days off the following week after I work the third weekend every month, otherwise I would be working 12 consecutive days and only having 4 days off a month; all for a salary of only 72,000. It states in my agreement that my schedule including hours may change according to the physicians schedule. Please help. I am not sure what to do.
  15. EMS can NOT pronounce death. They can "confirm" a class five, but can not pronounce death..they must request the coroner.
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