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Found 12 results

  1. I am looking for some insight from any PA practicing in outpatient psychiatry, especially is TN or VA I heard from a colleague that there has been some issue with reimbursement in the outpatient psychiatry realm that is specific to PA services I wondered if anyone currently practicing in this specialty or anyone with knowledge about the situation could weigh in. Are PAs reimbursed at the normal rate or at a decreased rate? Are there discrepancies between reimbursement for medicare/Medicaid and commercial insurers? Thank you all in advance!
  2. IMHO there is a great deal of potential in this specialty. This article is a few months old but the numbers are solid... https://www.managedcaremag.com/archives/2018/1/shrinking-psychiatrist-shortage According to this article ' Nationally about 1,800 PAs, or roughly 2% of the total number practicing, specialize in psychiatry'. Looking at Psychiatrist shortage ' From 2003 to 2013, the number of practicing psychiatrists declined by 0.2%, to 37,889 nationally by 2013. During the same decade, the number of adult primary care doctors increased by 9.5%, to 211,121 total, and by 14.2% to 862,444 among physicians overall'. ' By 2015, 60% were 55 years or older'. I know.... You are thinking that new grads need experience for this type of work. This is not true. The right personality and an opportunity are all you need.... That and a desire to work in mental health, I should say... Of course you can apply for a clerkship. I found 7 programs here: https://medicine.yale.edu/psychiatry/education/medstudents/pa.aspx https://medicine.uiowa.edu/psychiatry/education/fellowship-programs/physician-assistant-pa-psychiatry-fellowship https://www.houston.va.gov/Education/Physician_Assistant_Residency_Mental_Health/Physician_Assistant_Residency_Mental_Health.asp https://www.novanthealth.org/careers/psychiatric-fellowship.aspx https://www.carolinashealthcare.org/education/Center-for-Advanced-Practice/Fellowships/Behavioral-Health https://medicine.missouri.edu/departments/psychiatry/fellowship-program/physician-assistant-fellowship http://www.brookdalehospital.org/psychiatry-residency.html
  3. Hello! I am looking for a preceptor in PA (prefer), MD or NY for my mental health rotation. It's the last one I need before I can graduate! Dates are 2/22/2020 to 3/24/20. My program offers $500 and tons of CME hours. Please let me know if you can help or know anyone who can. I can precept with anyone who works in mental health and writes scripts for psych needs. Feel free to DM me or email me at mjones73@bethelu.edu. Thank you!
  4. I am a 26 yr old career (paid) Firefighter/EMT-B with just about 2 years of HCE hours due to my EMT portion of the job. I have a bachelor of science (non science) from back in to 2007-2011 with an overall gpa of just over a 3.0)... I did however minor in Psychology so I have all of the Psych classes and the Statistic classes taken care of. While in college I took human biology and environmental biology *Both with labs* and did not do so great (freshman year was a mess) received a 'C' in both of those classes. It looks like I would have to take 5 or so pre-req classes in order to apply to most schools. (chemistry/a&p/etc) The department i work for now has offered to send me through ALS school in order to obtain my EMT-I and P starting summer 2016. All in all this should roughly take about 2 years to complete all the coursework and training required thru my department. HERES MY QUESTION: Should I hold off on taking pre-reqs and accept the offer to Medic school? spend 2 more years getting HCE and boosting my rep from a EMT-B to a Paramedic and THEN take the pre-reqs and apply? (By this time ill be 29 or so years old - so by the time i finish the 5 prereqs ill be looking at 31-32 yrs old at time of application)... OR Should I hold off on Medic school and start taking the prereqs immediately and bank on using my EMT-B HCE hours to meet school requirements? Does EMT-B vs Medic hours really make a difference? (If i did it this way i would be able to finish pre-reqs by 28-29 years of age and apply) Is my overall GPA of a 3.0 too low anyways? > Will my pre-req classes add into my overall GPA (raising it hopefully - even if i Aced all pre-req classes it still would only bring my GPA to around a 3.4 or so)? Will schools count my two biology classes (that i got "C"s in) as "science GPA classes" and disqualify me because it isnt above a 3.0? or will they only focus on my recent pre-req science classes? Lots of questions, I appreciate all and any reasonable responses. M
  5. Hello, I received a psychiatry PA position offer for $100,000 per year, with a $10,000 2 yr commitment sign on bonus paid out after 90 days of employment. Also includes ability to earn an incentive of $20 for every RVU’s in excess of the target set for the calendar year. RVU Target - 3,000 - $20 / RVU. is that a good offer? i have never worked with RVU's before. Base salary seems low for a psych PA. Benefits are great/standard, etc. any ideas on how to negotiate for higher base salary or loan repayment?
  6. Fellow Psychiatry PAs; I am rapidly approaching my 1 year mark with an outpatient psychiatry practice. I am looking for any input anyone has to offer WRT salary, bonus, contract terms etc. I graduated approximately 1 year ago and I have only had this one job since. I recently changed my schedule from 5 days a week at 8 Hours per to 4 days at 10 hours per. On average I see XX patients per week. Currently my salary is competitive and we do get some benefits. We get 15 vacation days for year 1 then 20 per year, 5 sick days, 6 federal holidays, 5 CME days and $3,000. There is a bonus structure, it is a % for collections over 200K. I am not certain what this will amount to as I have not seen what my collections are. I plan on asking for access to the billing data. The practice has 4 MDs 3 total PAs and around 15 LCSWs, Psychologists and LPCs. Any input would be greatly appreciated.
  7. Wondering if anyone who has taken the PANCE thought the NCCPA practice exams were written like the PANCE questions or if those exams reflected your PANCE experience at all. I'm referencing the two exams you can purchase from the NCCPA. I am a little frustrated because I have been scoring 60's and 70's in my Kaplan QBank, which I am told is pretty good. I feel like I have been learning a lot and the review has been great with the Kaplan questions. I have also been going through the AAPA/PAEA review book and making notes on things I don't remember right away. However, I took the NCCPA practice exams and on the first one I scored in the low/mid "green" high proficiency block. The second exam I took was mostly in the green/high but also had a portion in the yellow borderline proficiency block. So needless to say that scares me. What should I think when comparing Kaplan Qbank questions to the NCCPA practice exams? I have also been listening to the review lectures a lot from UMDNJ review course and most of that is recognizable and makes sense to me. This pre-PANCE anxiety is really starting to get to me. I take the test in two days. **bangs head against wall** P.S. The Packrat I took in May this year scored a 152. This was 3 months before graduation and before I started all of this studying. Taking another Packrat tonight. Wish me luck....I used to have confidence. But after the NCCPA practice exam, I feel like this is me:
  8. Looking for some HCE feedback. Been working @ VA for 3+ years, all PTSD research - first two years were as EMG startle tech (running emg testing 1on1, 12 patients a day) working on base with AD marines. Now last 8 months is PTSD screening (CAPS) appointments with veterans I screen for eligibilty and schedule myself. Appointments include 2x 1on1 sessions; I assess for validity and we discuss trauma, symptoms and other life stressors in depth, before they are randomized (if I deem eligible) to a treatment program. Usually 5+ hours 1on1 per patient. Also includes lab work, I don't draw blood (no phlebotomy training) but take patients to clinic and process samples after. Occasionally consult with supervising MD but mostly working solo. MD has no interactions with patients other than if I deem SI to be extreme. Patients vary, but majority have comorbid diagnoses - bipolar, major depression, BPD, schizophrenia, substance abuse etc. Planning to take EMT cert in Spring and hopefully work in the field part-time alongside school & VA position (study ends when I start my BS) for next 3 years. (Already have British college time which accounted for VA position but credits not accepted by CA schools due to how long ago it was/some not transferable) Question is, will any of my psych work count at all towards HCE? I'm aware research is one of those touchy areas. Thanks in advance for any info.
  9. I just finished my first draft. Are the ideas in my personal statement too general? Any feedback would be appreciated, thanks! Feel free to message me feedback or post it on this thread, anything you can offer would be great. Here it is: I work in a psychiatric hospital. When I mention this to those outside the always locked double doors, it often conjures up the widely adopted vision of sterile, concrete hallways and shackled beds. They think of needles, caretakers reminiscent of Nurse Ratched and some kind of indefinite, twisted eternal fate reserved only for the “insane.” We hear about the aggression, the suicide, the psychosis; we discuss the dangers of working with the mentally ill, and as a public body, chastise the treatment options that are available. As a technician on a psychiatric medical floor, I find this reputation repulsive; not only does it foster a misunderstanding of what we seek to accomplish, it instigates a negative attitude that promotes the public to treat those afflicted with mental illnesses differently. Often, the stigma associated with mental illness blinds people from understanding what being afflicted with mental illness means. We often don’t hear about are the difficulties that these people face in living with their illness; beyond medical histories, these are real people with their own joys and families and stories. Consider the man with Huntington’s, wheelchair bound for his own safety, whose father and brother were similarly afflicted with the disease, or the self-harming 30-year-old, arms covered in long, thin scars, whose psychological stressors eventually led him to a life on the streets. There’s the deeply religious mother of four amidst the throes postpartum depression, unable to even feed herself. When we step back, we do not see the whole picture, but instead the violence and injustice and sickness that exists. What people often miss is that psychiatric hospitals do not seek to confine these people, but instead aim to allow them to thrive. Amidst the darkness of mental illness, it can be difficult to find hope, to remember that people support you, and to recognize your own strength. It can be difficult to see, and sometimes impossible to believe, that there is hope, even in the most disparate of situations. The most rewarding aspect of working in this field is restoring that hope that has been lost within the throes of mental illness. It can be difficult to imagine the chronic despair of depression or constant torment from auditory hallucinations without experiencing them personally. I hope to never know what it is like to experience their pain, but what I do understand is that feeling listened to and cared about is perhaps the most effective medicine of all. There’s nothing better than seeing the eyes of a depressed woman light up as she reunites with her children upon her discharge, or finally meeting the man who was locked into a catatonic state for weeks, or helping a once bedbound patient walk again for the first time. This is why I love working in healthcare, and why I am pursing the physician assistant profession. As a physician assistant, I hope to become more effective and more highly involved in the treatment of my patients, and continue to develop my clinical skills. I consider myself a continuous learner and have many interests inside and outside the medical field: I am a former collegiate athlete and a future marathoner, an advocate for environmentally responsible farming, a front-porch enthusiast, and an aspiring Francophone. Professionally, I am interested in several medical specialties, including pediatrics, psychiatry, and child psychiatry, international medicine, emergency medicine, and medicine for the underserved. These specialties in particular present social challenges in addition to medical ones, and through my mental health background I have gained a passion for lessening these barriers. My goal is to provide my patients with care that benefits them not only from a medical standpoint, but also form a relationship that allows patients to feel valuable and involved in their care. Working in mental health, my understanding of wellness has changed significantly. It seems that the distinction between physical and mental health is an abstract one, and that the complexity of medical treatment goes beyond the medicine itself. Ultimately, it is this understanding that drives me to become a physician assistant—there would be no greater reward than to be able to do meaningful work healing the wounded, emotionally and physically.
  10. Hi All, I just received an email asking me about what i would like to see in regards to compensation for an outpt psych position in the los angeles area. the position currently utilizes 2 MLPs and has 1 physician. I am a new graduate and would be willing to take this position for at least 100k (may even settle for 95), but im not sure the best answer to send him. Any advice?
  11. I would enjoy hearing from practicing psych PAs about any road bumps they have encountered with being paid as a PA vs Psych Advanced Nurse Practioner. I've recently looked for another position and find that 80-90 % of psych jobs want the psych ANP because "it's easier to bill for their services in mental health". Also, in Illinois, last year I was restricted from seeing Medicaid patients. I was told PAs are not eligable to bill in mental health...this was from the investigative arm of Illinois Medicaid, whereas the billing/payment arm had no problem with PA reimbursements. (this info was from my SP) Fortunately I have found another psych position in another state. I did call AAPA about this, and they seem to be 'somewhat' aware of this problem, but have no direct information about cause nor correction. There are a fair number of psych jobs listed with the various recruiters that read " psych PA/NP", but upon closer examination the employer only accepts psych NPs. hope someone out there has some information. to me, it feels like PAs are effectively being shut out of mental health care.
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