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SarcastiKate

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About SarcastiKate

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  1. Hi, I'm a currently practicing PA in a busy Women's Health practice in Rockville, Maryland. We're looking for a Medical Assistant to join our practice. We have one Physician and two PAs and we frequently precept PA students from two local PA programs. This would be an excellent opportunity for any PA school hopefuls that need to acquire patient care hours prior to applying to PA school. If you're in the Rockville/Bethesda area, and interested in getting more information on the position, please private message me. I'll give you a detailed job description and if it seems like a good fit, I give you my email so you can send me your resume and we can set up an interview. Thanks!
  2. Hi, I'm a currently practicing PA in a busy Women's Health practice in Rockville, Maryland. We're looking for a Medical Assistant to join our practice. We have one Physician and two PAs and we frequently precept PA students from two local PA programs. This would be an excellent opportunity for any PA school hopefuls that need to acquire patient care hours prior to applying to PA school. If you're in the Rockville/Bethesda area, and interested in getting more information on the position, please private message me. I'll give you a detailed job description and if it seems like a good fit, I give you my email so you can send me your resume and we can set up an interview. Thanks!
  3. Just wanted to update this post, since I did end up accepting the position and have now been on the job for 7 months. At this point, I'm seeing patients in the office 4 days a week and I spend 1 day a week with my SP at the hospital assisting with GYN surgical cases and deliveries (C-sections and vaginal deliveries). I do get to do Colpos, IUD insertions/removals, and ASC cases in the office as well - although in Maryland, there's a long process to go through before you can do them without direct supervision, so I always have my SP keeping an eye on me for the time being. (Kind of comforting actually, since I'm a relative newb, lol). I also go into the hospital to round on our post-op and postpartum patients. It's been a very, ummmm... let's say "interesting..." transition getting into the hospital setting, since there weren't any other OB/GYNs bringing their own privately-employed PAs into the hospital prior to us, but overall the experience has been a positive one. I do wish there was a stronger PA presence in the L&D department at our hospital, as the few that are there are employed directly by the hospital and mostly limited to C-section assisting. It's kind of tough being the only one coming in as an employee of a private SP - mostly just because it's relatively uncharted territory in this specialty. Overall, I'm happy with my choice- and for any future peeps reading this who are considering OB/GYN - highly recommend asking for hospital/OR exposure when negotiating your employment.
  4. Looks like that link didn't paste in properly- here's the article: http://bulletin.facs.org/2014/05/billing-for-services-performed-by-nonphysician-practitioners/
  5. Hi all, Hoping I can get a little help from some surgical PAs who know how to handle billing MCOs that use incident-to billing for surgical assist services. I'm working for an OB/GYN practice and I'm the first PA they've had who actually wants to go to the hospital to assist in the OR with surgical cases. In the past, my SP has used hospital-provided PAs as 1st assists, so we're trying to figure out the billing aspect of taking me instead. There are a few state MCOs, (Amerigroup and United Health Care) that pay PAs solely under incident-to and don't credential us separately. So if I assist my SP with a C-section, I don't have a separate provider number to bill for my services. I found this article from the American College of Surgeons, (http://bulletin.facs.org/2014/05/billing-for-services-performed-by-nonphysician-practitioners/), that essentially says I should be billed under my SP as "an expense to the practice." Other than that, I haven't found much in my research online, and talking to the actual MCOs is about as helpful as punching myself in the face. So- I thought maybe some of my fellow PAs that work in Ortho, (or any of the other surgical specialties that utilizes PAs employed by the surgeon's practice instead of the hospital), might be able to shed some light on this. If anyone can help, I would be most grateful. Thanks! Kate
  6. I haven't started yet. Just got my license last week and now waiting on the official acknowledgement of the delegation agreement before I start in a couple of weeks. I'll start seeing pts in the office right away, but it will probably take another month or so before the hospital credentialing is done.
  7. Hi all, Just curious- for those of you who've already been through the Maryland licensure process, how long did it take the board of physicians to process your application and delegation agreement? I know they've started offering expedited processing for military and military spouses too - anyone know how much that speeds things up? Thanks!
  8. Hi guys- just took a look back at some of my old posts (remarkably similar to these, lol) from when I was going through the application process. We got our interview invites October 19 and interviewed on December 7. I think the final head count on interview day was 82 and they accepted 41 of us, so yes- odds are pretty good if you make it that far. Good luck to all of you, and keep us posted on how it goes! Kate
  9. Just a quick update- I got my results yesterday, which was indeed a Thursday, around 10 am Eastern time. And gbrothers98, you were right- I did pass it. :) Thanks so much for all the encouragement, and best of luck to all those who are still waiting or will be soon! Kate
  10. Took the PANCE on Monday (8/11). Came out dazed, confused, and pretty sure I failed it, despite having graduated at the top of my class, studying hard before hand, and killing it on both NCCPA practice exams. So now I'm waiting not-so-patiently (read: obsessively checking my email and the NCCPA website every hour or so) for results. I've heard through the rumor mill that results are pretty much always posted on Thursday mornings and nothing went up today, so I'm just wondering if that's actually true. I'm hoping I don't have another full week of anxiety and stress to look forward to, so if anyone knows anything about timing of results release, I'd be most grateful if you'd share your knowledge. For those of you who've already been through this, how long did it take them to post your scores? Thanks!
  11. Admissions are not rolling, but as long as you have everything submitted before the deadline you're fine. They have a very specific rubric for picking their interviewees and to the best of my knowledge, they don't factor in how early or late your app came in as long as it's before the deadline. If memory serves, I think we got our interview invitations in late October or early November and the actual interview date was in early December. Good luck everyone- I know that wait is nerve-wracking!
  12. Hi all, Just wanted to say thank you for all the advice and guidance- I was really struggling with the decision and the outside perspectives were very helpful. An update on the situation in case anyone is still following- I did end up getting a hospitalist offer last week and I decided to officially accept it this morning. It's 3 12's/week, so I'm going to see if I can also set up some PRN shifts with the OB/GYN practice- that way I get the best of both worlds! Thanks again everyone, and wish me luck- I'm sure I'll need it! Kate
  13. Thanks for the input- I agree and the FP offer is what I'm leaning toward at the moment. I turned down the hospital job because of the night shift schedule and patient load- and I'm hesitant to take the OB/GYN job because I don't want to specialize too early. My ideal job would be inpatient hospitalist days- which is what I'm doing my 1st elective clerkship in right now. Maybe I'll get really lucky and get an offer out of this clerkship and then my decision will be easy! But if not, I'll probably take the FP job.
  14. Met with the FP people this morning and now have the details of all 3 offers- would really appreciate some input if anyone cares to weigh in... Hospital PA $40/hr + 5.85 night shift differential and 1.25 weekend differential- works out to about $85,800/year before OT 45 minute commute Patient provider ratio on nights is 24:1 (Yikes!) 3 12-hour night shifts/week (7p - 7a) 2 weeks PTO/year $200 and 3 days for CME Initial license fee and PANCE are my responsibility, they will reimburse for renewals Claims-made malpractice insurance - no tail Opportunities for advanced training: excellent Marketability of experience if I want to change jobs later: excellent SP/Staff support: meh... Family Practice $85,320/year 15 minute commute Initial patient load of 8/day, working up to 16 within 3 mon and 24-28 by 1 year 40 hours/week, one late day (10a - 7p) and 1 Saturday/mon 4 weeks PTO $500 and 5 days CME PANCE, license, delegation agreement, and DEA fees paid Claims-made malpractice with tail Opportunities for advanced training - none Marketability of experience if I want to change jobs later: good SP/Staff support: good *** also offers short/long term disability coverage, and annual bonus of 2-3% base salary based on productivity OB/GYN $83,200/year Would have to move closer to avoid horrible commute Initial patient load vague- ultimate expectation is 24-30/day 40 hours/week, 32 in office and one day/week in hospital (OR, vaginal deliveries), plus shared hospital rounds 2 weeks PTO first year, 3 weeks thereafter $500 CME, no additional paid days License, delegation agreement and DEA fees pain Occurrence malpractice coverage- no tail needed Marketability of experience if I want to change jobs later: meh SP/Staff support: excellent
  15. So I sent my list of questions and the SP got back to me today - if anyone is willing to take a look at the full details of the offer below and give me an idea of whether you see any red flags, or think of any other follow-up questions I should ask before I decide, I'd really appreciate it. $83,500/yr 2 weeks PTO the first year, 3 weeks every year thereafter - this includes CME time $500 annual CME allowance, may increase to $1000/yr depending on productivity They pay licensing/DEA/delegation agreement filing fees Malpractice insurance - corporate occurrence policy covers anything I do in office, and won't require tail if I leave. He's checking with their insurance agent to see if this will also cover me for hospital duties, so I may have to carry my own occurrence policy if it doesn't. Hospital duties will include 1st assisting on all of his GYN surgeries and C-sections, assisting with vaginal deliveries, and we will split rounds He is willing to train me for advanced procedural credentialing in culposcopy, and minor ASC cases, e.g. cervical/endometrial biopsy, endometrial ablations, etc Expected patient load is 24-30 per day - his exact words, "I don't expect that overnight, you'll work up to it over time. As long as you're generating enough revenue to cover your own overhead by the end of the first year, everyone's happy." No health/dental coverage offered through office (not that big of a deal to me since I have these benefits through my husband's employment) No retirement benefits currently, but willing to add 401k after first year. And to answer your question EMEDPA, yes he's a good teacher. I did my OB/GYN clerkship there and had a great experience. Good learning environment and working relationship with SP are really important to me for the first job- which is why I'm leaning toward this offer over the other two (Hospitalist and Family Med).
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