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FancyPAntsy

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  1. I loved VisualDx when I had access. It's excellent and has a great differential tool which allows you to select patients symptoms along with rash type, then gives a rundown of ddx along with a Fitzpatrick style overview of the condition & treatment.
  2. Did you make any progress? I'm interested in the same and not far away :) Haven't seen many derm job postings in the area... In the past I've looked on Craigslist, PracticeLink, DocCafe, and Indeed.
  3. 12-14 shifts is typical. 150 hours/month is about ideal, some people (who are crazy people) do 180 hours in a month. I like 120-140 hours.
  4. This. "Hi, I'm PA Smith, I'll be taking care of you today". If they say "What?", I say "I'm one of the PAs here and I'll be taking care of you.". Things usually end there. I tried the "I'm Ms. Smith, I'm a PA" routine but that often derailed the conversation toward me explaining the profession for a few minutes, the patient being confused about if I was actually capable of taking care of them, and me having one more burst blood vessel to add to my neurosis induced eye twitches.
  5. Have you considered becoming a nurse anesthetist? They make about $120-150 I think.
  6. I love you lol! You're not imagining it! At a recent conference they told us that we spend approximately 25% of our time face to face with patients and about 45% of our time navigating the computer. A recent study showed on average EMRs require 4000 mouse clicks to see 2.5 patients an hour for 10 hours. I have literally developed a chronic spasm in my right upper back that is activated by clicking a mouse! I'm actually in physical therapy because it's gotten so bad I sometimes can't sleep!!! The more experience I have with EMRs, the more I realized they are designed to benefit the hospital and lawyers, not the providers or patients. Oh for the days of paper charts... Can you imagine just circling a few items, jotting down a sentence, writing an order and being done with the chart? Maybe I should dedicated myself to building a time machine to go back into the past instead... I've been looing for a new job. Thank you for the voices reminding me that perhaps it's more my environment. I do work in a high acuity rural hospital already, which is awesome because my attendings will let me do just about anything, but that doesn't make up for all of the other factors.
  7. Wondering if it gets better? I'm starting to wonder if I will find job statisfaction as a PA. I've spent 2 years in primary care, and 2 years in emergency med. I'm wondering if I'm in the wrong specialty or if I should look into another profession. My biggest problems the abusive patients, dealing with aloof and condescending attendings and consultants, and frustration with the inacessability of healthcare for patients. Seems like half the time I can't help someone with the reason they came to see me, and then they are mad or I feel bad because of the bill I know they'll get. It seems like patients expect us to completely change their lives, but if you're in the ER for the 200th time for your abdominal pain, or because you want STD testing at 1am, or because you have had 10/10 ear pain for 2 hours, chances are I am not going to cure you no matter what I do. Now here's a $500-$5000 bill for the 30 minutes we spent together... School didn't prepare me for the dark side of medicine. It's been painful in ways I did not expect. I did not realize going into medicine: the level of sexism I'd be the target of, the daily strain of patients being manipulative for narcotics, or that most of my coworkers would be burned out themselves. A lot of my frustration is that we all work our rear ends off daily and it feels as if there's no reward. In fact we keep getting pressured to increase production. In most fields, if you show up with a kickass ethic and a good attitude you get somewhere! American medicine is set up to gradually beat your spirit to death. I went into this thinking I'd make a positive difference in people's lives and they'd be happier for it which would give me job satisfaction, instead it seems I can either meet expectations or be a disappointment. (Ironically I have the top PG score at my ER right now). As a student I loved general surgery but wasn't able to find a job in surgery. Now that I'm settling down and looking at starting a family in the next year I don't think surgery would be good for my family. I've considered dermatology because it includes procedures, regular hours, and possibly more satisfied patients. Outside of this, I've done well with investments and daydream about opening a business outside of medicine. I am starting to think my personality is not a fit for this profession and I'm really struggling to find a passion. Holy cow this turned into a rant. I know we all feel this way at some point, it seems some deal better than others. Those who get a lot of satisfaction: what do you do? How do you get past the stress and burnout?
  8. You're a human being, not a robot and you are entitled to have a personal life which at times means you'll need time off for maternity leave! It's a sad state we're in here in the US, where employers will complain about you taking time off for the most important event in your life. Most developed countries have a minimum of 6 months paid maternity leave. It's another discussion, but I'd be more than happy to contribute my tax dollars toward this to take the burden off my employer because I know it would have massive societal benefits. Best of luck!
  9. Thank you for all your opinions and information, it's helpful to see what others would do. I did finally make it in to Planned Parenthood to get the medication. Legal & licensing issues aside, it is my opinion that self prescribing is morally okay in a case like this. I clearly see the reasons against prescribing for self/family in most other scenarios. Unfortunately, I didn't feel comfortable writing for myself and instead chose to take a few hours to go to the free clinic, endure a rather painful exam, get unnecessary testing for STDs I didn't have, and also explain to the NP who treated me why I had no insurance. It was a big waste of money because I took her time away from other patients and used government money for unnecessary STD & pregnancy testing, only to get the prescription I already knew I needed. Oh and there were some lovely protestors outside the clinic with signs telling me not to have an abortion... BTW- I don't have health insurance because I am not employed full time yet and I can't afford to buy my own coverage.
  10. I know... Don't do it! But I have to ask since I can't find the legal wording to be absolutely sure. I live in California. I'm embarrassed to discuss this, but I have a feminine issue (BV) and need a metronidazole rx. There is no chance it's caused by anything else, I know exactly what it is. I work in aesthetics, my DSA includes things like Valtrex, medrol dosepaks, and antibiotics for complications. I don't have insurance and really don't want to go to the doc, go through a female exam, just to be told I need metro. I've been unsuccessfully trying for a couple weeks to get an appointment at Planned Parenthood and really just wish I could call the dang thing in myself. Also, I'm too embarrassed to ask any friends to prescribe it for me. What would you do in my shoes? :O_O: Yeah I'll probably just end up waiting a few weeks till I can be seen, but this sucks!
  11. This was my experience too! Did best on some of my worst subjects and poorly on some of my best. Also my score was a lot lower than expected based on paeasy and nccpa practice test. My friends had the same experience too. I'm a little suspicious given that huge mix up they had last year...
  12. I really appreciate all the job search tips, but I was really trying to ask more about things to do on a day to day basis, not for job search advice! I just signed up for an emergency responders symposium and a free clinic weekend, looking forward to those. Also hoping that medical mission thing pans out, I would really love to do that.
  13. Thank you for the advice, but I was really just asking for things to do while unemployed. I've got the job search thing going full force. I am in a big city, but not a very PA friendly one. There are only about 2 jobs posted a week here, and they usually are either nursing homes, pain managment, or laser hair removal and even those ask for 5 years of experience minimum lol. Seriously, laser hair removal & 5 years experience... Anyway. Yes, I've networked a lot with my school, I'm going to PA meetings, I'm going to CME dinners, corresponded with president of state's PA society, etc. I'm sure I'll find something eventually, maybe I'll end up being your next bikini waxer :heheh:
  14. About 3,000 miles. It would be a pretty tough commute... :;;D:
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