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About cg02186

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  1. I was in a very similar situation to you as a new grad a year ago. Didn’t have any help at all and had to room my own patients, clean rooms, draw up all my own medications, take vitals and update meds, prior authorizations, check patients out, schedule patients, answer phone calls, etc. all this in top of taking first call with no extra compensation around 10 days a month. I went to Physician I worked with (who has two full time MAs) and was told something similar. Went to management and said PAs are like super MAs because they do all the work the MA does and can bill on top of it and see patients. It was terrible. I left and got a new job that is 1,000,000 times better. Dedicated nurse that works with me and is a life saver. I’m now seeing ~25-30ish patients a day and doing fine where as my last job 14 has me there hours late. Every provider is treated the same and PAs are really respected. Long story short, try to find a new gig. Trust me it’s worth it. I did the same thing with trying to justify it (I’m new, paying dues, etc.) but it was the best decision I’ve made to leave. I encourage you to do the same. It’s not going to change.
  2. “The main complaint I had with the visit was that he only gave me the cortisone injection I requested” The guy literally came in to see if he could get an injection for arthritis pain as it has worked in the past and didn’t want to discuss other options at this point. literally doing exactly what the patient wanted still got a negative complaint
  3. I would. I think it all depends on your personality though and having a good job where you’re respected. If you have to be the top dog then no, PA is not for you. It also depends what you want out of life. I love medicine and my job but it is not my life. If you feel like that then you probably should go MD. I wouldn’t change it if I could go back. Being in my 20s, making $125K+, married, kids, new house, with half the debt of an MD, and having the backup of a collaborating physician if I need to sounds pretty good to me. Grass always looks greener.
  4. The ER I rotated at paid the PAs $100 an hour for a 10 hour shift. People would work 14-16 shifts and make over $15K a month. Pretty sweet gig. I’m friends with a lot of them on Facebook and they are constantly out of the country traveling and having a grand time.
  5. I’m almost positive I know what company your talking about. If this is in or around Atlanta then it’s the same one. They made me the same offer and as well as several classmates when we graduated. I know people that have worked there as well. They all ended up hating it and leaving. They all said the bonus is almost unattainable if you practice legally and ethically. It encourages you to charge the patient more, order every test imaginable, and try your hardest to made every visit a level 4 or 5. It may not be bad for a year or so but it’s not a good long term fit. They are ALWAYS hiring due to the employee turnover. Good luck with whatever you decide!
  6. Also, a little off topic but I think recruiters often exaggerate. I had a recruiter call me several times like in the OP and tell me how it's going to be so hard to find a job and the one he's telling me about will probably be the only one I find. He said I'd most likely have to move and he gets calls daily from PAs and NPs begging for positions, etc. very similar. He told me there was a family practice job so I interviewed and they made an offer of $72K. The recruiter got straight up hostile when I told him I was going to turn it down. He said I need to set realistic goals because $72K was the highest I'd ever see as a new grad. Two days later I had an offer for $115k in the "super saturated field". Again, I'm not disagreeing that saturation isn't happening. I do think we need to stop making a school on every other block because it lowers the quality of rotations. Just saying that sometimes recruiters stretch the truth I feel.
  7. I think like most cases this is very likely due to location. I'm sure that as more schools pop up it will spread but I live in a pretty major city in the Southeast and had five offers prior to graduation and since I've started my current job I've had four different groups call me out of the blue trying to get me to work for them. Not recruiters. Actual physicians and practice managers. I just accepted a new position with one of them. I'm less than a year out and the offer already puts me in the $120s with a written raise every year. The good jobs are out there if you look for them. I agree that saturation is occurring but it's not all doom and gloom and this is still a very rewarding and well paying profession.
  8. UPDATE This post got a lot of traction when I first posted it so now that I'm 6 months in I figured I'd post an update. Once I started it was a little different than I thought but I still function as both an MA and PA. The doctor I work with is awesome and his MAs help me some but it just wasn't going to work out long term. We switched EMRs and when we had the reps come in they were flabbergasted that me as the provider had to room the patient, check them out, schedule follow ups, etc. I let the doc know a couple of times how this wasn't going to work and I could never be productive because it takes me at least 30-40 minutes per patient by the time I room them, triage, order everything, examine them, write scripts and scan/fax/send them, do any type of procedure, put in all the charges, check them out, schedule the follow up, and then clean the room. I also had to do all of the injections/casts for the physicians patients as well. It was also difficult because I don't have designated rooms so i literally just travel the office from pod to pod asking other providers if I could borrow a room. It's obvious that the group is a for profit, physician owned private practice as it's all about the $$$ and having the PA function as a super MA that can bill is the smart business move on their part and they will just continue to plug in the openings. We are seen more as clinical staff and are lumped in with everyone else. We recently celebrated Clinical Apprecation day or whatever and that included PAs, MAs, x-ray techs, and DMEs who all provided medical services to help the docs. Not one word or post during PA week. I recently got a call call from the Ortho place I rotated at and they loved me as a student but had no spots. They knew about my situation already and knew I wanted out. They had an opening and wanted to interview. That made me an offer that was $40K higher than my current salary (not including any bonuses) 5 weeks PTO, $2500 CME, cheaper insurance for my family, better 401(k), my OWN MA that is an Ortho Tech that will put on casts as well, be in surgery every week, as well as it being a non profit that qualifies for th PSLF program. I accepted and had had a long talk with my doc. He is sincerely a great guy and when I told him of the reasons I was leaving he was honestly a little thrown off. The practice is new to PAs and I guess they just don't know how to use them. I told them that most PAs won't stay long in a position like this and if I had known this is what the job entailed I wouldn't have accepted it from the beginning. My original offer letter has a 90 day notice so I'm trying to stay professional and not burn any bridges and working pretty close to the 90 days. He understands now and I think he will try to change things up a bit for the next PA. Thanks everyone for the advice originally. I know a lot of people wanted me to quit immediately but my wife was pregnant and I'm now the father of a 2.5 year old girl and a 2.5 month old boy and had to provide for them. I'm really excited about starting this next chapter and I hope this post shows other new grads to try to not get taken advantage of like I was originally.
  9. It's hard to come in to Atlanta from outside. It's not "saturated" as there are still tons of jobs but it's not easy without connections. I just graduated from PA school in Atlanta and most of our class found jobs pretty easy. However, a lot of the jobs are filled by students that have rotated through there as there are three big PA programs that dominate most of the ATL area. You're best bet would just be applying everywhere. It's hard though because most of the interviews/offers I had before graduating were for jobs that were never even posted anywhere. Good luck though and if I hear of anything I'll try to keep this post in mind.
  10. I'm in Ortho and have 4 weeks PTO but I had two ER offers coming out and spoke with preceptors at my ER rotation. None of those three ED positions had PTO. Maybe it's regional but I've never seen an ER position with PTO. I mean your required to work twelve 12 hour shifts at a lot of places and that leaves you 18 days a month off. If you work the minimum 12 shifts a month that's 144 a year, meaning your off 221 days a year...you literally are off more than you are on so I don't think no PTO for ER is necessarily a deal breaker if everything else is good.
  11. For those asking about the latitude of rotations our program had it set up as 11 rotations. 9 are core and 2 are elective. Our program was unique in that ours is I think the only program in the nation that requires every student to have an Ortho rotation. So along with the tradition "core" rotations we have Ortho and our Internal Medicine is split into an outpatient rotation and an inpatient rotation since there is a big difference. Because I had pediatrics, IM outpatient, IM inpatient, and Ob/Gyn I felt like it was fine for my "family practice" to be at an urgent care as I had my fair share of Diabetes and HTN in other rotations. Because Ortho was already required I was able to do a second Ortho as an elective and a second ER as an elective. It really helped with jobs because if I was applying to an ER position I had: 2 ER, Urgent Care, 2 Ortho, and Critical care (Inpatient). They were all impressed and helped in getting ER offers as a new grad. Same applies to Ortho. Also, as a side note, almost all of the students did their FP at a family practice clinic. I had 0 interest in working primary care and they knew that and figured for what my career goals were, Ortho and maybe ER, urgent care made way more sense. It didn't impact me in anyway as I still did great on the PANCE and our program as a whole had 100% first time pass rate for back to back years
  12. I did an Urgent Care rotation for my Family Medicine rotation but we did have two IM rotations, one inpatient and one outpatient. I actually much preferred it that way but can see how some people would disagree. I knew I wasn't going to do Family Medicine or IM and was going to go into orthopedics or emergency so it actually helped me out a lot. I graduated with a job already lined up in ortho and had 5 offers and all but one of them commented how they really liked that I had an urgent care rotation as well as two ED and two Ortho rotations.
  13. I think the bonus is legit, it's a super busy practice and I've had more than one reliable source tell me about it. They do have 401(k) match also. They also have Profit Sharing for all providers and give us our collections and charges/billing info every month so we can see where we are at. I talked with the doctor today while we were gong to surgery and he said that the MAs will still help me but it's just good to know how to do everything and he said they were told to help me once I get up and going. So who knows. It's such a large practice that I've gotten different answers from everyone. The doctor himself is awesome.
  14. Thanks. That's what I've been doing. It doesn't help that the PA here already functions that way so if I say anything it'll just look like the new guy is demanding and the other more experienced PA has no issue with it. It'll be a lot easier to look for a new gig too once all my licensing is done in the next month. It just sucks and is very frustrating as I did everything right and specifically asked about support staff and stuff in my interview and even shadowed prior to accepting the job and the PA has an MA.
  15. No it definitely is wierd and it's something I'm going to bring up because out of the ~20 offices the office I work at is the only one that is trying to implement this no MA thing. I'll always make sure I'm doing good job as that's the most important and agree that I would be way more productive without doing any administrative extra tasks. And as far as patient outcomes and stuff, this practice is known as the go to one. It's actually ranked as one of the top 5 places to work in the state because of the benefits and salary. As far as the bonus situation, I have gotten several answers from several different PAs. One PA that worked there told me in her five years there her average bonus was about ~$65,000 with her highest bonus being over $100,000. This same PA told me here colleague that worked there as well was clearing $125K bonus almost yearly. Another student in the PA program I graduated from worked as an MA for a PA there (because almost every other office utilizes MAs) and she said the PA told her that they cleared $200k each of the last seveal years with bonus. The starting salary they offered me was already above average for new grad in Ortho and that was without bonus. It's just super frustrating because everything else is really good. With Holidays and CME time included I have about 6 weeks PTO, above average starting salary for new grad, cell phone paid for, awesome doc, $3,000 for CME. We are switching to new EMR in the near future and evidently it will be paperless so no scanning or anything. Thanks for all the advice along the way. I'm still looking at every new job posting but literally just signed a lease two weeks ago so it can't be somewhere too far which unfortunately limits me some.
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