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Maverick87

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Maverick87 last won the day on August 25 2016

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  1. Get out of family medicine. My situation was similar to yours. That feeling at the pit of your stomach before you go to work? Yes, I know that feeling....very well. Now, I'm in a specialty where I'm happy and not even remotely stressed out.
  2. This didn't happen to me, but a close friend and colleague. When I was in the military, my colleague noticed that a patient had gotten multiple off-base prescriptions for high dose narcotics. She called her in to talk about it. The patient flipped out and made a false claim of physical assault. This was the wife of a high ranking officer. Our command tried to cover it up and they tried to court martial my colleague and ruin her career as a provider. We all fought for her, were deposed, and wrote sworn statements on her behalf. Ultimately, it was thrown out and no court martial occurred. I put in my paperwork for separation shortly after.
  3. Typical wanna be doctor response. Know your role or go to medical school.
  4. Exactly. I've interviewed at multiple specialty practices and a good portion are run this way. Ultimately, this setup is a great business move for the physician owners: they get to see more patients and get to bill higher. And it's good for us: no liability at all, little to no stress, work is finished at work (and I have legit 40 hour week). Plus, I get paid well and have great benefits. And, as I said, I'm intimately involved in research to the point that I actually feel like I'm making a difference in medicine as a whole, instead of just churning out patients. Way way better than my previous military primary care job where I had complete autonomy, but was getting crapped on constantly and regularly working 60+ hours per week with that feeling of impending doom before going to work. I'm never leaving this job!
  5. Look down on it all you want. I love the setup. If you'd like a shit job where you work your ass off and incur a doctor's liability without the pay to go with it, have at it, hoss. I'll take the fun, interesting, less stressful job with cool bosses and research component. PS: Calm down with obvious bitterness. It's not a good look, friend.
  6. My situation is awesome. I work in a specialty. We have a situation where the physicians see each patient. The PAs start the patient off, come up with a plan, and execute the plan. The physicians pop in midway through and talk to the patients, confirm our plans, etc. This way, we see the patients, do most of the work, and also learn a ton with limited liability. I, personally, see anywhere from about 10 to about 20 patients per day. If we (the PAs) get too far beyond with patients, the physicians jump in and see them. We work as a team. I also get to do research (I'm currently participating in Phase II clinical trials). And, get this, my opinion matters here. I've noticed things that were less-than-efficient and brought it up to the practice owners. They decided on the spot that it was a good idea and implemented it immediately. This is the benefit of working for a group that is owned by entrepreneurial physicians. They know how to run a business and they treat their staff well. I love this job!
  7. This. I also find many primary care offices to kill their providers and to be poorly run, for the most part. After 4 years in primary care, I'm now happily working in a specialty where I see crazy things that I didn't know exist. I'm not stressed out at all here, I'm treated with respect, and we have qualified staff in the important positions (an RN office manager and a MBA business manager). I also completely lucked out with the doctors I work for. They're awesome, flexible, and are considered to be some of the best in their field. We also do cutting edge research here and I'm a sub-investigator. I'm very fortunate to have found this position and would absolutely leave the profession before I ended up back in primary care.
  8. Being on site is not necessarily a good way to smell out deceit either. And I disagree with you. Some people are VERY good liars.
  9. Unfortunately, an internet search will usually not tell you what you need to know. You really can't know a place until you work there. During interviews, many dysfunctional employers will inadvertently admit high turnover or do something blatantly sketchy. The smarter ones will conceal this information on all fronts and not allow you to be in a situation where you can discover it until you begin working there. The best thing to do when one starts a job is to not become emotionally invested in the job too soon. Shut up and observe. If you notice something off at the beginning, trust that this is just the tip of the iceberg.
  10. I'm not suggesting that you put his name here. I was just wondering how you discovered that information. I have more than a few classmates that finished PA school and simply dropped off the map. Some of them, I was close with and they just disappeared (deleted social media accounts, etc). I've often wondered what became of them. But, in the end, it's hard to know what's going on with people behind closed doors and it can be hard to predict what people will do if you don't them very well. I had similar opportunities to your classmate when I was in the military: I was lonely, isolated, and single. I had a few attractive female patients make fairly blatant advances on me. Many people encouraged me to go for it. I decided not to because the risk didn't justify the benefits. People were surprised since I was frequently in trouble in the military (I was a bit of a rebel). In contrast, there was a doctor that I worked with in the military that was completely straight edge. Never got in trouble and had a sterling reputation. He not only slept with one of his patients, but it was a weird situation where the husband watched. Feelings eventually got hurt and then all hell broke loose. He got into a lot of trouble. So, yeah, it can be hard to predict a person's actions if you don't know them and their thought processes well.
  11. How were you able to tell that last part just by searching Linkedin and Google? Was it in the news or something?
  12. Primary care is terrible. There's a reason why I'm being bombarded daily by recruiters for primary care, despite pulling my resume from job sites months ago. Primary care and pain management. If I didn't know better, I'd think that PAs only worked in these fields.
  13. Unfortunately, from what I've seen, most jobs are like this. There are some that are not, but you may have to give up some pay. I currently work in a specialty and make $90k. Somewhat low for a PA, but I'm not going to work with that sinking feeling in the pit of my stomach, I can actually sleep at night, I'm not stressed out at all really, and I'm able to have a life outside of work.
  14. Yeah, I'd say that he got off pretty easy. People do serious jail time for over-prescribing narcs.
  15. TIPS is good in protecting against inflation. My issues with the stock market is that you pretty much have a 50% chance of being right on a stock and it's largely out of your control. Look at the crash of 2008. Many people were wiped out with that. Sure, it's unlikely to happen again for some time, but that doesn't mean it won't happen. As far as the steep learning curve, I was talking about stock options. If you're going to invest in the stock market, this is the way to go. But it's very complex and takes a while to learn. It also requires being an active market participant. This method is one of the ways the rich get richer. The yearly return possibility is enormous. This has been my first full year of trading options and I'm at around an 18% return....and this is nothing compared to friends of mine who have been doing it for years. But, again, it's not something that you could just sit back and let happen. It requires complete conceptual understanding and a significant time commitment. The thing is that what used to work in the past may not work anymore. Times are changing. I find that many baby boomers and older Gen Xers are really into things like the stock market and real estate, buy and hold forever. This worked in the past. It does not work in the present. Millennials need new strategies in order to accumulate and maintain wealth. One of the benefits of being young in today's world is that, with globalization and the internet, it's never been easier to make a lot of money. For some reason, most people don't seem to realize this.
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