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paporzelt

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  1. question - is there a guideline, or even an ethical % of time a first assist must be scrubbed? I've caught wind of some PA's at some places scrubbing for just the timeout, and then coming back to close, and billing for a first assist. while this is isn't on my list of things to aspire to - is it ethical to scrub out during a longer case, to prep the next patient in holding, and then come back to finish up, yet still bill for first asssit? Was doing some digging, and didn't see anything.
  2. So in the coming year or two I plan on starting a family...and I really think having a stay at home parent is important, and I'd like it to be me. Does anyone know of any specialties that allow for occasional working from home? Like do insruance companies ever employ PA's to do precerts over the phone or anything like that?
  3. I don't understand why everyone makes such a huge deal about CME's. They are ridiculously easy to obtain and even for free. Mycme.com has a ton of free CME. Go to one confrence every other yeah and your category 1's should be all but covered. ACLS/PALS/BLS all have to be decertified every 2 years. That's 8 hours per PALS or ACLS- that's 16 hours right there. Category 2 are simple. Listen to a podcast, read an article, have a convo about new updates in medicine. Log stuff. It's not nearly as hard as say....PA school. Get over it people. It keeps you sharp and informed.
  4. Hi all, recently made the switch to Ortho from Urgent care and loving it so far. Hospital employed, but paired up with a single doc, who I work with in clinic, and I see all patients pre-and post op. Here are the specs on what I get right now: 97K annually plus health ins/dental/vision for minimal monthly costs, 403B, after 12months i begin my 4% annual pension (goes up 1% every 5 years of employment), and every year I get a mandatory 3% salary increase plus 1k increase for experience. 5 weeks vacay 1week CME 12 sick 7 paid holidays, plus the occasional half day when my boss feels like it. No call. No weekends. No OR unless we have no fellow or resident available. 8:30-5:00 for the most part, occasionally stuck there later 1-2 times a month. Pretty sweet, plus my boss is super fun and nice. Been here 5 months, and I get nothing but respect, encouragement, and thanks for my work. About to begin seeing my own patients on my own schedule – will see all the medicare patients, plus and all non-operative patients, until their conditions warrant surgical consult (i.e. I would do injections, order EMGs, braces, splinting, etc. and then refer them to my MD when the time to discuss surgery is appropriate). Boss mentioned, to my surprise, and pleasure, that he wanted to put together some sort of bonus structure for me for the income I bring into the practice. My last practice gave us a bonus but it was pretty ambigious, and random. One quarter youd made 600$, and another quarter youd make 6000$. We haven’t discussed the bonus since he brought it up initially, but I will begin to see patients in May. What’s a good percentage to ask for?
  5. Seriously though - I was a minimialist with gadgety things. I took notes by hand. then transcripbed them (or rather organized them because i was so often scribbling a note in haste it was scattered all over the page), and saved all those notes. When I had a test on that material whether it was the next week or clinical year, all i had to do was look up my saved documents and printit all and carry it around, and i had all th study material i needed for a given test, and it fit in my purse, or i emailed it to myself so i could study off my iphone. The dry erase board is really only worth it if you plan on hosting study groups. My study group used the dry erase boards in the group study rooms at our library.
  6. Funny - i blamed PA school for putting me over my drinking budget.
  7. i never wanted to be an MD. As much as I adore most f the MDs i worked for, I did not envy their lives. I worked mostly in surgical specialties, and these guys worked all day, half way into the night while they were on call, plus call on weekends - they were finally done with school, but they still werent enjoying their lives. They missed anniversaries, holidays, kids soccer games...and the PAs i worked with had an amazing quality of life. They weren't on call, they got to participate in patient care, the OR, and the patients and MDs loved and respected them. Obviously this is not the case for every SP, but I'm at my first job, I work in an urgent care with about 15 PAs, 3NPs, and about 10 supervising docs, and while we see a lot more than the usual urgent care because our patient population hates the local ER and everything comes to us, even that shouldn't, I love my job. I work 34-36 hours a week (3 days), I can ask my supervising docs anything and they have no problem answering my questions and discussing patients with me, and the same goes for the PA's and NPs, and everyone really appreciates the "team work" part of medicine. I wanted to be a bigger part of patient care, I didnt want to open my own practice, I kind of like having someone who's is still above me (it takes a little bit off my shoulders), and I dont have nearly the amount of debt my friends in medical school do. and i would never work with/for a SP who didn't respect me or my profession.
  8. think i applied to 15, interviewed at 3 and got accepted to all three.
  9. What's there to figure out? if it's your dream, make it happen. I went back to school at the age of 24, knowing i wouldn't graduate until 28, and despite my debt, i love my life and it was worth every single second of sacrifice it took to get here. If you want something find the best way - not the easiest way. Plus getting into an online PA program is incredibly difficult, they demand years and years of intense hand on experience with patients in the medical field, as stated in another thread. Put work in, reap rewards. If you decide you dont want to work for it - then accept not having your dream job. Things worth having are worth working for.
  10. I'm sure each program differs. but my program changes semester to semester. But, for the most part our clinical year we were in class 8-5, and one day a week 8a-9p. We usually had a few breaks though, an hour here, 2 hours there, lunch, etc. Was always nice if we had a test that afternoon, or you needed a nap after an AM test and an evening before of no sleep. our summer semester was better, usually done by noon or 2 in the afternon, and we never had class on a friday. clinical year, each rotation varied. I had some rotations that were less than 30 hours a week...then others like surgery i pulled about 70 hours a week. But remember, it doesnt jsut end with class. We averaged 2-3 tests a week for the first year, plus clinical exams for each body system, and finals week (sleep will be but a dream then). People are serious when they say - life gets put on hold for 2 years. I missed one of my oldest friends wedding, the birth of my only niece, and i didnt even meet her until she was 6 months old, i missed birthdays, and a lot of things i wish i could have made. But in the end it's worth it. And if you can survive PA school, you can survive anything.
  11. 2 years ago you may not have had a hard time, but PA school is becoming way more competitive. i think its highly unlikely you will even interview with that GPA. at the very least you need to retake all those pre-req's that are C+'s and make them all A's. then you maybe stand a chance. and honestly, with those grades i don't see you getting into a medical school state-side either....maybe the carribean, but those guys were a joke to even us when i was student. and less that 75% get matched for residencies. can you imagine doing med school and then being stranded with no residency, all those bills and no shot in hell of ever practicing medicine? and having to resort tooooo...waiting tables. i actually encountered someone in this situation last year. put in the extra work, get that GPA up. we had plenty of people in my class who were in their mid/late 30's (and even 2 in their 40's). it's so worth it.
  12. no way was it weird! they once needed LOR's to get into medical school, so Docs all understand, and if they like you and are encouraging about continuing your education and career, most of them are happy to. Yu just may need to remind them once or twice, as often many docs are so busy they forget everything that doesnt involve patients. lol.
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