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About PACShrink

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    Physician Assistant

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  1. PACShrink


    Was there a question you had in mind??
  2. Just to add: Florida limits PAs prescribing to schedule III and up. Still, getting your DEA will make you more marketable and will help in your practice. DEA cost may be reimbursable by your employer... I second joining FAPA. I also suggest attending a conference when you are settled. Congratulations on your graduation !
  3. PACShrink

    New grad

    I hate to disagree with my colleagues but, there are jobs in SWFL. I think it is dependent on your specialty and setting. I can tell you with 100% confidence that there are (and probably will always be) plenty of jobs for Psychiatry PAs. It offers a great deal of autonomy and it can be very rewarding. The practice I work part time for is always hiring. They have multiple locations and contracts and they are opening new offices as the practice grows.
  4. Just remember, it is a marathon, not a sprint. Stay grounded by talking with your classmates. Likely they are stressed and feeling the same as you. The time and effort you are investing now will pay dividends for the rest of your life as a PA. Try to find ways to eat healthy and get some physical activity. You must maintain physical health to get through it.
  5. I took it 3 years ago. I studied one a text that one of the staff MDs had from residency. I don't recall the name of the text. Hindsight, I recall there being more on first line treatments and criteria for diagnosis. I had not had much experience with Lithium and Depakote at the time. I was also not as up to speed on the first gen anti-psychotics as I should have been. Somehow I managed to learn enough to pass though. Other states may be a better option for psych PAs. Some states give PAs full prescribing privileges, including schedule II. Good luck to you.
  6. That is great to hear. In some respects I am surprised at how few PAs work in Psych. From the most recent salary report I believe it was about 1%. Outpatient psych care is quite different from your work. Plenty of autonomy and opportunity to grow and learn. I can not see myself doing any other specialty.
  7. Good luck with your applications. It is a hard road to get there, but it is worth it.
  8. 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....
  9. 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
  10. 60 minutes Initial 20 or 25 follow-up
  11. 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??

  12. 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...
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