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Everything posted by camoman1234

  1. That is fine and I understand that. It doesn't bother me for people to piss their money away on insurance. It is a system that is broken, un-affordable and does not work nor benefits the person that has the insurance. Why do you think all these insurance companies are so rich? There are a lot of people out there that will pay $400 a month for health insurance with a $5,000 deductible when they could open a HSA or just save the money to the side and pay cash for doctor visits and medications if needed. Lifestyle and exercise is the big prevention in NOT needing health care insurance.
  2. I have no idea, I did not research every insurance company out there to see if you qualify or not. Just offering friendly advice.
  3. And why are you paying this? What are you getting from this? Check out Samaritan, Christian Care Ministries or Medi-share.
  4. You do not need a reason! Just shoot for the stars!
  5. Offer 115K per year and 15% for night diff. See what you get....
  6. Yes, but dropping assistant will advance our career and how the public view PAs. I agree, but you also have to look at the glass have full as well. They are trying to move our profession in the right direction (for now).
  7. I agree 100%! Only about 10% of PAs are in my state chapter and it makes me sick. It is less than $150 to join. Give me a freaking break. I spend more on starbucks in 2 months. I do not understand, but I am trying to get other PAs to join. Hopefully they will follow suit.
  8. Oh we are all fine. We can sit back and just relax as we have for 50 years and get ran over by NPs. Remember we are looking into changing our name and are slowly talking about OTP. We are just fine....:) I agree we are going to get screwed over again and again. We are losing jobs to NPs in most states and look at the AAPA about this. I was just at a talk that was put on by the AAPA that stated we are losing jobs to NPs. It is time to stand up and move mountains are WE (PAs) will not be around in 15+ years (and if we are we will be glorified MAs). This makes me sick as well and I hope we can have more PAs join their STATE chapters to support change!
  9. Of course! I did this at a FQHC and got $5K more a year and $5K more on my bonus. The initial offer was $15K more per year than my previous salary so I was shooting for the stars! They came back and offered me a little more money cause they really wanted me. Win Win for both parties.
  10. I just got my site approval change last week. It only took 9 days from start to finish to get the approval. Very easy process and not what @Cideous has stated. the application process for the NHSC was not that bad. The worst part was putting all my loans in manually as the federal sites were not working last year when I tried to upload my loans via the federal.gov website. Everything else was painless. I am glad to hear people like @Cideous think it is hard as that makes my chances higher and I will hopefully be getting my 3rd year loan repayment next July! The $50,000 tax-free was the biggest blessing and has changed my life.
  11. I am currently leaving my practice and my last day is 1st week of August. I work for a slave mill of seeing patients and he wants at least 26 ppd. I have been here 4 years and I refuse to see that many. The only way that worked here prior is because the clinic had several hundred people on schedule II medications and you would walk in hand them a script and walk out the door. They just lined out the door for their script. Now that I have < 40 people on schedule II compared to > 300 I have a great mix of peds to adults. I see on average 18-19 PPD which is crazy busy. We also PAPER chart which is very easy (yes we are a certified rural health clinic) and we get paid 60 cents on the dollar for visits and I still gross just over $400K per year (I bill out >$600K per year), but I do a decent amount of procedures. I wish you luck on not missing something in the peds population when you have 5 minutes to see that patient. How do you get all your paperwork, charting, reviewing, labs, referrals, phone calls, refills, imaging, etc when you are seeing that many patients per day?
  12. Wow!!! You are insane for seeing that many a day. How can you give good quality of care every 7 minutes or less? Plus if you are truly seeing that many people you should be rolling in the money.
  13. You are making it harder on other providers to say no to people like this. Then they give us a bad "score" or complain about it. Not fair to all of use that work full time/PRN at urgent cares. Please stop doing stuff like this, urgent care is for "urgent care" as you know long standing radicular pain does not count.
  14. I would not take this due to the fact that your commute is very long, you have a young family and your parents are living with you. There are a lot of things in you life. I would get a job a lot closer to your house and I would NEVER sign a 3 year contract. You never know what will happen next year.
  15. Just Dx a guy with CLL (I work family medicine) and his WBC was 112K and my jaw dropped when I got his labs back. Did not expect that on routine blood work. I have had a lot of cancer lately, CML/CLL/MM/Renal cell carcinoma x 2 (same week for the renal cell). I will say this, I have started buying bottle water....unsure of the water around here
  16. I agree about concealing it, but this person could have shadow someone different and 50 hrs is fine, but got sit through some surgeries then have him hook you up to shadow someone else. There is not excuse for him not being able to shadow someone else and having them write him a letter.
  17. No it is NOT. It states that no family, ever. I would NEVER get a LOR from anyone close to my family.
  18. They did it so why can't we is exactly why I want to be equal with them with our laws. Our laws in my state, southern mid west, with NPs and PAs are exactly the same except the word collaboration (for NPs) and supervision (for PAs). All the minute clinics around the entire state will NOT hire PAs (and yes I do not want to work at a minute clinic, but that is NOT the point) because of that one difference in word. There are PAs on the board of directors for several hospitals that I know personally and they have brought this issue up but the pencil pushers do not seem to care. They interpret how the interpret and we (PAs) are getting screwed out of jobs. Also, I hear all the time when I worked in corporate medicine that we have a new NP that has her DNP, wow!!! I have heard several office managers say "I do not see why that NP did not just go to medical school, she has the same education as Dr. Smith in the clinic." We are getting RAN OVER by NPs and I do not see how you people are NOT seeing this.
  19. Looks terrible, not sure what EMEDPA is saying, a patient every 15 minutes if VERY exhausting. I have done rural FP (rural health clinic, solo provider) x 5 years and I am leaving due to patient volume. $360,000 is hard to get to. I average about $400,000 per year of collections NOT billed. So, your bonus will be ~ $13,000 if you collect $400,000 per year which is not terrible. But that is a lot of work, not much time off and very stressful. I would settle for less money and see 2-3 patients per hour.
  20. There has to be money for the PSLF to give you and if you cross all your "T" and dot all your "I" on all the paperwork. One mistake and you could have nothing....I would live poor for 3-4 years and pay off all debt and not rely on someone else to pay it off. My wife and I had ~ $215,000 of student loans and we are down to ~$100,000 is less than 2 years. I graduated 5 years ago from PA school and wasn't smart about money until about 2 years ago and the first 3 years we hardly made any dent in the loans. We will have these loans paid off in 2 years and our house will be paid off in 3 years after that. It is not very hard to pay off student loans when PAs make good money. We make at least $160,000 combined (she works part time) and I also do side PRN jobs which I have already made ~$30,000 this year so netting at least $200,000 this year (only half way done with year so I should make at least another $30K) we can easily pay off these loans in 2 years (or less). We follow the Dave Ramsey method and do not have car payments, etc but we did just have to replace our roof, air conditioner, and my wife wanted new floors (against Dave, but we still did it!) cause our carpet was ruined by dogs and kids. But even at 2 years to pay off $100,000 is not bad. Better than dragging it out for 10 years....get to finical freedom and invest sooner which will make you more money in the long run!
  21. Yes but also remember you have to chart, review labs/imaging/referrals/refill request/paper work, etc so you need admin time as well.
  22. Solo doesn't sound good with 10 months experience. Try at least 3 years prior to being solo.
  23. What do you mean 20 patients per day is not terrible? Not sure what you see on a daily basis, but 20 is a lot when dealing with a 45 y.o. with HTN, DMII, Hyperlipidemia, current smoker, PVD, and obese that comes in with a stage 2 ankle ulcer and an A1C > 9%. Not sure how you can address the ulcer and A1C in a 7-10 min slot? Let alone all the other issues this patient has going on....This was just 1 patient this morning.
  24. Just accepted a new position, FQHC, good CEO/managers, 5 years of rural family medicine experience, HSPA score 24, they offer loan repayment, but I already have it via NHSC (will transfer it), very very low COL, base $100,000 (which on the higher end in my area) + production bonus, insurance paid for 100% for myself, 4 weeks vacation, 1 week CME, 1 personal day, 8 holidays, paid occurrence malpractice, retirement of $3,000/year (even if I do not put anything in), $2,500 for CME/licenses, and 10K bonus.
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