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LT_Oneal_PAC

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LT_Oneal_PAC last won the day on December 3

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About LT_Oneal_PAC

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    Physician Associate

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  1. Going to a large, academic FM practice can help expand your skills. I learned a lot reading other peoples notes and the patient pool is often more complicated. Academic FM tends not to drown you as much in patient load as private practice, in my limited experience. I really liked my time in FM with the clinic associated to the FM residency. Was also military, so could be different from civilian academics, but I found a lot of similarities at the university where I did my residency. Could also try another specialty all together.
  2. It’s never been a number. A certain percentage will fail, but they just manipulated the numbers to change the scores of all the people who passed to a 350 minimum. So maybe it is 400 now, but that would me they increase the number of people who should fail, or maybe they just changed the calculation. The number means nothing.
  3. Because it changes with each group. It’s always been around 350, but some people have passed with 320 some have failed at 370. Just depends on how well the group your with does.
  4. Would need a lot more information. This is similar to my gigs where I manage the whole hospital, ED and inpatient, on shift. Lots of these is rural Midwest.Though I don’t do any clinic, so I would need to know there exact inpatient and ED census. Also need to know is it call from home, do I get paid extra if I’m called in since it’s “rare”, how many shifts per week, what imaging and labs are available, what happens to clinic if I have to deal with a trauma or a septic patient that I can’t leave for hours, and lots more. The clinic really complicated things and I would hesitate to do it unless they paid me at least 180k.
  5. I’m not sure the point of your post? Lots of people both do this and many more want this. Is it about pay, since you bring that up? Is it that no APP does equal work to a physician? Are you saying we are big talkers? All bark and no bite? None of that hives with reality. First many places don’t have the volume to pay by “efficiency,” but there are plenty of places where the APP is expected to see the same volume and acuity. In fact, when I work in a FM residency clinic, the expectations was higher for the APPs because the physicians had to ha w “admin” time for education of at least 50%. Meaning the APPs had a panel of about 1250 minimum and the docs would have 400 patient panels max. We all had the same 20 min appointment. urgent care is a prime example where physicians and APPs have the same scope and expectations. Many APPs own their own urgent care or FM clinic as well. JMJ here owned his owned headache specialty clinic. our license is always on the line. One could make the false assumption the physician will be involved in a lawsuit as well for your mistake, but there isn’t a case to back this up. Even if it were true, it doesn’t absolve the PA. So yes, our license is always out there. plenty of APPs are paid by revenue generation. almost all APPs inpatient have there charts reviewed, unless you are suggesting that physicians aren’t actually reading the notes, just signing them off, and actually have no concern for patient safety. I’ve done the nearly the entire job of a FM physician (they wouldn’t let me break into OB), I’ve done the exact job as a EM physician resident, and I’m doing the job of a EM physician in a CAH solo coverage.
  6. When I was in anesthesia there was a faculty member at a different, but same city, program who was put on probation for over a year for abusing propofol. License suspended as well. Went through rehab, got her license back, got her faculty job back. One week on the job she was found dead in the bathroom with a bottle of propofol. Addiction is a powerful thing.
  7. One can do family medicine without a residency, but not well. I’ve done family medicine without a residency and it took me 3 years of dedication and using my own vacation to learn all the procedures that the residents learn in intern year. This isn’t to say all MDs retain this knowledge, or perhaps they went to a terrible residency because I’ve seen them know jack-all about anything as well. family medicine is the easiest specialty to do poorly and still get maintain a practice, but it’s the hardest to do really well give it’s broad nature. I think 100% of the job is a completely false statement. Few graduate from school knowing how to do vasectomies and endometrial biopsies. Same goes for admitting patients to the hospital and managing them on the floor. Now is a full 3, or God forbid 4, year residency necessary for all this, I don’t believe so. But I think a one year internship in all specialties, including family medicine, would benefit any provider. I think those that care about being the best, rather than thinking about money, would choose it. I chose 50k over the 140k I make now to do a residency in EM.
  8. High utilizers that this might keep away are most often the people who don’t pay at all or at Medicaid rates.
  9. The more I see this, the more I think it’s a plot to give public sympathy on the side of docs.
  10. Well, we don’t know what the salary is. Personally I think there is only one good primary care residency that gives proper time in off service rotations, inpatient service, and procedural rotation so that one can be a fully functioning FM provider, and it pays 70k for some odd reason.
  11. Agreed, though I don’t think we should allow former PA-Cs who are now physicians. Too much conflict of interest for those people to be serving in our organization.
  12. Let’s not have passions degrade the discussion. Keep it civil. Unless it’s a really funny comeback...
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