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Poetsiren

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Poetsiren last won the day on August 3 2016

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  1. If I were you I would run to an employment lawyer with that contract copy and ask his/her opinion ASAP if you're serious about it.
  2. I'm just curious.... I am taking an NRCME online course right now for DOT. I start my new position in Occ Med and UC soon. How long did you study the NRCME materials after taking the course before you took the exam? I did a NRCME practice test before even knowing any of the material and got a 61%, so I'm not too worried about the test at the moment..... Just kind of want the test phase out of the way.
  3. Hello to my neighbor, mgriffiths! Unfortunately, my husband's layoff before I graduated PA school combined with my extended time to look for a job in an NP-saturated city meant that we ate through all of our savings (that we planned to use to buy a home). He has a job, but it still comes just shy of paying all the bills despite how Spartan we are living and the zero going out to eat. My husband and I are going to live in this craptastic rental house a bit longer and repair our credit fast with my upcoming PA salary and move sometime in the first part of the new year. Still, save what you can and let us know what you come up with! I will be out looking for those loans in the near future. Leave me some breadcrumbs, would ya?! ;)
  4. I am barely older than you, ammelton, and I am a second career PA. I had the unfortunate situation, however, where my first career was a route I took to be closer to practicing medicine. I was a medical translator for over 10 years. And you are NEVER too old to start. While I was something like the 3rd-5th oldest in my class in a class of 90, I can tell you that there are 50-somethings in each class, and one class I know of had a woman who was almost 70 years old. Some started with kids, others entered PA school right out of undergrad - fresh-faced and new to the working world. Message me if you want to talk. I don't have kids, but husband and I were financially supporting my parents and siblings before I entered PA school. Additionally, I was taking online and night classes to catch up on some old pre-reqs. So I know what it feels like.
  5. I just heard from my new employer - a large hospital corporation - that HR thinks that it will take up to 90 days for me to be added to insurance payors after my credentialing paperwork is sent to them. I figured that as a new PA there would be fewer issues as far as the insurance was concerned because there are no disputes or claims, etc, against me. Also, the workplace does not accept Medicaid patients. How long does it take? Or how long did it take for you? I am concerned about being without a job over the holidays. I expected to start in November, but the doctor went on vacation before signing my SP forms. Ugh. Times are already financially tough in my household for my family.
  6. I have been looking in my area for a position for almost a year. Had quite a few interviews and only 2 places offered salary close to my worth. This place was one of them (the other place only had claims malpractice). I don't need all of the benefits - my husband works for an insurance company now and I get great benefits through him/them. I accepted the position but put in a counter for the pay that they quoted me. The place is closer than any of the other locations I've been looking, AND the staff were great and appreciate my skills already and have a deep appreciation for PAs in a VERY NP saturated (and NP-preferred) area. Plus the debt while looking for a job isn't fun, LOL! I couldn't not accept. That would just be stupid. Now I'm just waiting for them to accept/deny my wage counter, and then to get my contract to have it read by a legal rep. FINGERS crossed! Prayers going!
  7. I think it's all about WHERE you are and how long you've been working, not to mention the type of position. I can tell you from what offers I've seen that about $1500-2000 for CME seems to be the norm. And as far as vacation, PTO, holidays, and sick time - most employers are lumping alot of those together. For instance the urgent care clinic I recently looked at there were no holidays and you had 3 wks vacation that was rolled in with sick time because you worked longer hours and fewer days. I have the AAPA report, but sections of it feel incomplete as far as data and overlap of salary with experience, and then I also have the US bureau of labor statistics printout. If you click on the graphs they have on the website, they are interactive - hovering over your area displays the data for that area, which is helpful. They can't argue that the AAPA survey is wrong if you show them the US bureau of labor statistics matches the AAPA report. If your area data is available, hover your mouse over it in the "annual mean wage" chart that looks like a blue paper mache' project. (LOL) I took a screenshot with me! http://www.bls.gov/oes/current/oes291071.htm
  8. OK, so I got a wage quote from a big hospital HR after an interview. The OM presented it and even he didn't sound like he liked it and was worried I would walk. He gave me the quote, was unsure of OT and wage differential since I would be working evenings. He asked if I would even be willing to come back in and talk. I said I would welcome another visit with them. I figure, it's not an official offer because we haven't discussed any benefits or literally ANYTHING yet. So this wage quote pre-offer is throwing me off. At what point can I turn this into a negotiation? Also, how much have you seen for shift differentials for evenings (not overnights)? It would be nice to hear from others about those. I thought it's anywhere from $5 to 30% pay....
  9. Everyone I know first out of school as a PA has positions of AT LEAST 75K annual with benefits (average for primary care is 80-85K rural in TN). ALL of your offers seem low to me, and I'm in KY where the PA job market is just BAD.
  10. I just read a post on a PA facebook page where someone asks about taking the EM CAQ...... When asked about why he was deciding to take it, he stated that his medical director offered him a hefty bonus if he could pass it.... I feel like this is the first step in it becoming mandatory for employment within a specialty.....
  11. Ksmith10, I feel like I am hearing alot of things from you that I have heard from the NCCPA. It would be in your best interest to realize that the "take home" testing and remediation that the NCCPA is proposing is being added, and that there will STILL be proctored exams that you will be expected to take. It will NOT be just one or two take-home exams throughout the 10 year period, but several (currently "unspecified" amount), WITH proctored exams at set periods, and ADD that to more CME requirements AND try to take care of your patients..... Sure! If all you see is "we're going to have PAs do take-home exams to recertify" it sounds like a GREAT thing..... Not to mention the fact that the addition of specialized exams, regardless of the claim NCCPA has made that there will still be a generalist focus and a generalist provider exam, is cause for concern. If you were an employer who saw someone coming into a specialty from another area of medicine, would you want that person to have passed that specialist exam that you KNOW exists?! What if that PA wanted to work in several specialties? So you see, despite the NCCPA claiming it would "increase flexibility" of PAs, it would create a "trapping" effect and make the PA profession more like NPs in that it would require certification in each specialty, regardless of the generalist exam, and this is completely antagonistic to the PA profession and its original mission in the medical arena. Even though NCCPA says "No employer will know what exam the PA takes" when it comes to specialty exams..... it will become a jumping point for employers, and even other medical professionals who may think less of their PA peers, to question the PA qualifications. We will have lost the ability to be as flexible as we are. Don't get me wrong, I can understand taking an exam when the content isn't what you practice day to day (speaking of specialist medicine). That bites.....I don't have an alternative option, sorry. But PAs start out as certified generalists. AND you have to pay for all the services that the NCCPA will be supplying to ALL PAs, and you KNOW how much PANCE costs.....So no, the NCCPA is being VERY vague on purpose. And so far the AAPA is having none of it. I mean, I agree with "db_pavnp" with what was said on the bottom of the first page of this thread: "It strikes me as a **beyond monumental task** to attempt to manage 12 specialty exams in one organization. Some of these exams will be pure garbage." I ask the same thing: how can NCCPA even regulate that number of exams on such a scale?! It's my honest and personal opinion that the NCCPA got greedy in that it has a monopoly on an expanding obviously successful profession and it knows it. And no, I haven't had to recertify yet, either. But I friggin' HATE tests and am a PA-C, too, and I even dislike the NCCPA proposal.
  12. My major concern is they both have training salaries!! "Starting salaries" aren't really "starting salaries" if they start you off on 50% pay! Why are there training salaries like that? I think you can find something NOT a training salary..... It's insulting to our profession, I think.... but that's just me! - more seasoned PAs, please weigh in on this one for me! PTO and CME bennies on the first one are significantly better. But for reference, I made that "training salary" before PA school.....as I said, to me it's horribly insulting.... The second one - yeah NO! you get 2 days for a year? HA! (I would run from that one. sounds like they will work you like a dog. AND PAs just up and left? Danger, Will Robinson!) Not to mention that for a "high cost of living" area, they are willing to pay you crap for a training salary..... no. Just, no. also, what KIND of malpractice insurance? important to know.
  13. Oh, here's another one from the same Gap Medics group.... I had difficulty reading it.... the comparison is frustrating me.... Title: "SHOULD I BECOME A PHYSICIAN ASSISTANT OR A NURSE?" It's not really TOO bad of an article, but....I didn't know that I had a "little bit more" responsibilities than a nurse..... Thanks for that, Gap Medics. Thanks for "teaching" pre-PA students about my profession. (Note: I am NOT bashing the nursing profession; RESPECT your nurses. They are AWSOME!) http://www.gapmedics.com/blog/2015/07/23/weighing-becoming-physician-assistant-nurse/
  14. I don't like how our education was portrayed in this article, specifically how it is compared to the NPs and their clinical abilities..... The article is titled "NURSE PRACTITIONER VS PHYSICIAN ASSISTANT: WHAT’S THE BEST CAREER CHOICE?" NPs "are registered nurses who have an advanced degree, and clinical training beyond their registered nursing education. They may manage a patient’s overall care including diagnosing and treating all types of medical conditions. Nurse practitioners can also prescribe medications, order and interpret diagnostics tests and educate patients on the condition. NP’s can specialize in various areas of medicine, such as cardiology, women’s health and oncology." ......but........ "In order to become a PA, you’ll need to have completed at least a few years of undergrad studies. Most physician assistant schools require an associate or bachelor’s degree for admission. Physician assistant school is usually two years and a master’s degree is earned." and then only "completing a PA residency in your area of interest may be an option." http://www.gapmedics.com/blog/2016/07/20/nurse-practitionst-career-choice/ I agree that there are varying degrees of PAs in existence practicing, but this is current advice to those not yet even in the profession.... there are new standards. Sadly this article comes from a group that states it works with both pre-PA and pre-NP students ....smh.... so, yes, that's exactly why I have a problem with it..... It is a CURRENT article, published in the last few weeks, supposedly telling pre-professional students the differences between PAs and NPs. It may not be critical at the start and end, but its meat-and-potatoes center doesn't do the current PA educational OR clinical standards justice. It tells me all the things an NP is capable of, and then merely states how PAs like me "may" have a few years of education, an associates degree, and that we may want to specialize...... It left a bitter taste in my mouth. It's because of articles like these that our profession suffers and our public professional momentum, unlike that of NPs, is stifled.
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