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About PACShrink

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    Physician Assistant

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  1. PACShrink

    Have you considered Psychiatry???

    Good luck with your applications. It is a hard road to get there, but it is worth it.
  2. PACShrink

    Have you considered Psychiatry???

    It depends on the area and the size of the practice. From my exp. starting around $85k. They usually pay your malpractice, you get 5 or so CME days, around $3k for CME, 15-20 vacation days.. IMHO the biggest benefit is the autonomy in treating your patients. Once you have built up a case load, you can pretty much decide the plan on your own. It is very dependent on your MD. I have worked with some that are wide open on suggestions and some that will not go off label at all....
  3. PACShrink

    Have you considered Psychiatry???

    IMHO there is a great deal of potential in this specialty. This article is a few months old but the numbers are solid... https://www.managedcaremag.com/archives/2018/1/shrinking-psychiatrist-shortage According to this article ' Nationally about 1,800 PAs, or roughly 2% of the total number practicing, specialize in psychiatry'. Looking at Psychiatrist shortage ' From 2003 to 2013, the number of practicing psychiatrists declined by 0.2%, to 37,889 nationally by 2013. During the same decade, the number of adult primary care doctors increased by 9.5%, to 211,121 total, and by 14.2% to 862,444 among physicians overall'. ' By 2015, 60% were 55 years or older'. I know.... You are thinking that new grads need experience for this type of work. This is not true. The right personality and an opportunity are all you need.... That and a desire to work in mental health, I should say... Of course you can apply for a clerkship. I found 7 programs here: https://medicine.yale.edu/psychiatry/education/medstudents/pa.aspx https://medicine.uiowa.edu/psychiatry/education/fellowship-programs/physician-assistant-pa-psychiatry-fellowship https://www.houston.va.gov/Education/Physician_Assistant_Residency_Mental_Health/Physician_Assistant_Residency_Mental_Health.asp https://www.novanthealth.org/careers/psychiatric-fellowship.aspx https://www.carolinashealthcare.org/education/Center-for-Advanced-Practice/Fellowships/Behavioral-Health https://medicine.missouri.edu/departments/psychiatry/fellowship-program/physician-assistant-fellowship http://www.brookdalehospital.org/psychiatry-residency.html
  4. PACShrink

    Psychiatry CAQ Exam

    Did you take the exam??
  5. PACShrink

    Initial visits and f/u

    60 minutes Initial 20 or 25 follow-up
  6. I read your post from a year ago. How is it going in Florida for you currently? I'm in psych up here in Orlando area. 

    1. PACShrink


      Pretty good..

       Sorry, I never login here.....


      I am with a group that is 4 or so years old.

      6 locations now and growing...

         What is your practice like in Orlando??

  7. PACShrink

    Psych PA Billing Questions

    I work Psych in FL. Follow-ups are generally 99214 + 90833. Med management + therapy. New patients are 99205 + 90836 Initial visit + therapy Although, when I was in Virginia working in outpatient psych I only did med management. I worked 4 days, 10 hours. They would schedule 40 appointments, all 99214s. Interestingly, as a side note.. My no show rate was only about 7%. If you want to ask about $ send me a PM. I was able to bill on my own NPI in Virginia. In FL, the practice has the staff MD see each patient after my eval. They just pop in for 5 minutes but, that allows the practice to bill indecent to...
  8. PACShrink

    Inpatient Psychiatry

    I work outpatient but, one of my co workers left and does inpatient. She sees 5-7 patients per day then has clinic in the afternoon. She loves it.
  9. PACShrink

    DHsc vs PhD

    This is a really stimulating discussion. I stumbled onto this while researching the DHSc at NOVA, Telehealth curriculum. I am taking the newly introduced Telehealth Concentration. http://healthsciences.nova.edu/healthsciences/dhs/telehealth_curriculum.html It is being offered starting January 2018. The first course is being taught by an Adjunct faculty member: Matthew Caines DHEd. So far the course has been opening my eyes to the future of telehealth and possibly the path to a DHSc. I have not compared the degree to any others. At 61 credit hours, currently $642 per credit hours + fees would total in at around $43,000. Some will argue that you can't put a price on education but, maybe they have never seen a tuition bill for a doctoral level degree program. If anyone has any questions about the telehealth curriculum, feel free to ask.TelehealthFlyer2017.pdfTelehealthFlyer2017.pdfTelehealthFlyer2017.pdf
  10. Read my previous posts (history). I posted on this topic a ways back. Currently I am working on a per patient basis. It is much better. At the end of the 2 week cycle they count the # of patients I saw. Pay arrives 1 week later. $90 for an eval and $45 for a follow up. They are still counting me as a W-2 employee, cover my malpractice (Occurrence policy).
  11. PACShrink

    Failing Didactic Year Advice Needed!

    Nothing personal against 'corpsman89' but, I suggest the exact opposite. I found a small study group of like minded classmates. We would challenge each other, share study guides, help each other when needed. I 'was' a loner but, quickly realized that I could not get through PA School alone. IMHO the biggest advantage of a study group is: when you are having difficulty with a concept, you could waste endless hours trying to find the answer in a book or online... A trusted classmate/study buddy can help explain it in just a few short minute. We were all on board with staying focused and keeping the group on track... Once I 'got over myself' and admitted that there were things I did not know, I got comfortable trusting my group. True.. Everybody is different. Keep working hard..
  12. PACShrink

    psychiatry help

    What state? Some states, the non-compete is not enforceable. 10 miles is not very far. You could open your private practice location one town over. If you do grow your practice, after some time, you may be able to open a second location, closer to home... Have you been inside the jail? I did a rotation in the city jail during school. It is an unusual environment. I am not sure I would 'like' working there, personally. I have been in outpatient psychiatry for almost 4 years. I love psych. I am so curious as to where you are looking for your practice.... Not too many of us in Psych :)
  13. You billed $900K? That sounds a little high... That may have been the charged amount. I think what you need to know is how much was the allowable amount. If you know how much collections were specifically on your patients, that might give you a better idea on expected income.
  14. As far as I have seen through my limited research, they can practice in Missouri, http://pr.mo.gov/assistantphysicians.asp and Utah https://le.utah.gov/~2017/bills/hbillint/HB0396.pdf This is the only page I could find for their 'organization'. Salary??? Tell me this job listing is not confusing.... https://www.indeed.com/cmp/Moonlight-Exams/jobs/Assistant-Physician-0778665a867174c8?q=Assistant+Physician+Assistant I can't find any other info on salary...
  15. PACShrink

    PS review/feedback

    Retired USN HM. I would be happy to take a peek and make some comments.. Send me a PM.

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