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Everything posted by greenmood

  1. Do you have any connections at any of these hospitals? If so, lean on them. It’s gonna be hard to float to the top of the stack without some kind of “in.” I’d also make sure your cover letters are really hyping your local roots.
  2. Second Pfizer. Arm pain the morning after, nothing crazy. Then yesterday afternoon (24 hours post vaccine) my ipsilateral armpit starting hurting like a bruise, and sure as shit I have a huge tender lymph node in there! I’m actually really excited. It’s super interesting.
  3. That’s not what this means. Christ. Equity within the current employee group. We have this with all of our hires and it’s part of the salary description. You are not gonna be paid 150K if the most experienced person in the labor pool is currently making 105K, no matter what you think your experience and qualifications are worth or what they might be worth someplace else. They’re going to fit you into their group salary structure. So it’s equitable.
  4. Yeah our hospital now has a “standby” list so no doses are wasted at the end of the day. But it’s only open to employees. There’s no mechanism to take those doses into the community.
  5. I find this troubling. I had this sense close to the beginning in mid-December, as I watched people without direct patient care posting selfies of their vaccine cards, that something might not be quite right. My hospital seemed to be doing the right thing, but then today I heard about vaccinations going to staff who are 100% telework and without other qualifying demographics. Just working for a healthcare institution does not justify a healthy young person without increased risk receiving this vaccine ahead of the elderly and high risk. I know for a fact that the nursing homes in my area haven
  6. I would read it as... Of the people who receive a bonus, $XX is what folks get at each percentile. That can be separate from salary. So someone might make a salary that’s at the 10th percentile, but receive a large bonus at the 90th percentile.
  7. OP, no one cares about your GPA. No one cares about your PANCE score either. That doesn't mean YOU shouldn't care, because accurate grading is a way to show students what they are missing or not understanding. Every PA should care about knowledge and learning how to sense when they don't know enough. Emphasis mine. Anecdotally, the people who stress about GPA, who talk about GPA, who compare their grades with others, who brag about perfect scores on the PANCE... are often the weirdos at interviews.
  8. You double-posted this to the hospitalist forum. Take a look at my answer there for the math. Spoiler alert: it's shitty.
  9. That sounds incredibly sketchy.
  10. See about going through your preceptors from your surgical rotation. Or SICU. You need a letter of reference from someone in those fields or this isn't going to work. 200 applications is absolutely crazy. Surgeons are well used to being asked for letters of reference. Someone at that hospital was in charge of you during your rotation (even if you worked with multiple surgeons); track them down. My surgical offers straight from school were all from my rotations. I didn't do a surgical elective. The PA in charge of me during my surgery rotation never worked with me in the OR, but he gathere
  11. You identified three hurdles to interview offers already. I would work on those things, as much as you can. I think your GPA is fine, just make sure it's in line with the class averages of accepted students at each school. Some places say they have a 3.0 cut-off or whatever number, but if you look at the accepted students no one is below a 3.5. Gotta look for that.
  12. Do you work with any physician assistants right now? If not, that would be a reason to move on, assuming the new place has a PA in the office. The goal of PCE isn't for you to identify the specialty you prefer by bouncing around and trying everything, it's to help you determine if caring for other human beings in this capacity is what you want. You should be working directly with patients (to make sure you know what caring for a sick person is like) and you should be working directly with PAs (to make sure you know what the job is like). After that, if you want to explore specialties I would r
  13. Hope everyone passed! If you haven't checked, it looks like everything is updated now.
  14. Got mine Tuesday. Pfizer. Aside from the third eye and extra leg I'm growing, there were no side effects. I've written to the government to make sure the tracker is active and working. Seriously, I didn't even feel it. No arm pain at all, no other side effects noted.
  15. Talk to HR. PTO is supposed to reduce your work requirement. Sometimes it's nice to have time off without having to use it, but no one should be telling you it can't be used. When we make our schedule, our administrator will ask if we have a minimum or maximum number of PTO hours we would like to use. The PTO is slotted into the schedule to help us reach our hours requirement, even if we don't have a specific day we need to be gone.
  16. I would never take a hospitalist job without PTO, but especially not a 7/7. They are trying to milk you, and it's very common with the groups that work 7/7. You need a week off but it doesn't coincide with your pre-scheduled week, so you have to work 14 days straight? Bogus and dangerous. Here is the math on hospitalist schedules. PA #1 works 7/7, 12 hour shifts, with no PTO. That is 26 weeks of work = 2184 hours per year. PA #2 works a flex schedule with the goal being an average of 40 hours per week (13 weeks per quarter = 520 hours per quarter = 2080 hours per year). Even wit
  17. If you're getting a lot of repeaters who don't tick the box "looks sick" consider discussing this kind of thing with someone in infectious disease at your facility. They will be familiar with the local antibiogram. Over-treating patients with indwelling Foley catheters can cause tremendously bad outcomes over the trajectory of their lives. We get a ton of SNF patients with catheters and a syndrome that looks infectious. Many of them are admitted and the only dose of antibiotics they get is the one the ED provider gave them. -Hospitalist
  18. I agree, which is why I’m getting it. Even if everyone who contracts it has a short, mild course... we’re still all out of work for that time which only strains the system more.
  19. It’s not mandatory. We have to actively opt IN. Some of my coworkers are skipping it, but it’s almost all because they feel low risk and not because of concern over side effects. They reason that if they skip it, more people further back in the line who may be higher risk can get it.
  20. We’re getting the Pfizer vaccine starting 12/21. I’m part of the first wave, and I will be getting it. We’ve been asked not to get it on a work day, or right before a string of workdays, because apparently there are a lot of people feeling like shit for a day afterwards and we can’t afford a mass sick call. -Hospitalist
  21. I’m not afraid of lack of subspecialty knowledge, or ashamed of learning with my patients. My job as a Hospitalist isn’t to know the fourth line treatment for XXX which is already so rare we’ve only had three cases in the last year. There’s no way for me to be more of an expert in a weird disease than the person who’s living with it. I don’t recommend hemming and hawing over UTD in front of the patient, but saying “let’s double check the MRI guidelines on this one and I’ll send you with some reading before your outpatient follow up” is an acceptable way of dealing with the OP’s scenario.
  22. Look it up in front of the patient. If you’re scared about it, you can do it under the guise of teaching them, and print them the patient-centered materials from UTD.
  23. That’s super odd. They sent a survey every single quarter. Responses to the first couple surveys were why they got rid of the 2 minute questions halfway through.
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