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Found 5 results

  1. Hi gang, I'm hoping you all can help me. I have been working with a solo practice physician for 3 years now. We make an excellent team and he is very easy to work for. Regardless, I feel like I am being shorted financially and I am trying to work with him to improve my compensation/benefits package. Here is what I get now: $109,000 base salary, includes stipend to buy own health insurance policy bonuses - basically quarterly, generally always $1,000 pre-tax, amorphously tied to my production/performance 2 Fridays off per month + 4 weeks of PTO (vacation, sick, and CME leave) CME allowance of $2,000 /yr reimbursement for cell phone DEA, CDS, licensure all paid membership in ~2 professional societies paid I routinely work 50+ hrs/wk and routinely take work home on the weekends (3 ish hrs of patients papers to review that I just don't have time for during the week or discharge summaries, etc) I suggested the idea of additional pay based on services I referred for (for example we do in house EMG/NCS and I assume benefit financially from every referral for an in house one that I make) and for surgeries I assist in. I have also requested an improved benefits package to include more money for health insurance, paid disability coverage, life insurance, etc. In the interest of full disclosure, I am also considering just leaving this position to do something else like hospitalist. I am feeling burned out on this job and not completely certain that I want to keep fighting to improve this compensation/benefits package. Thanks for your insight & help!
  2. Hello! I found this forum and I think it is a wonderful help. I have been working on my narrative and have had several people review it but I could use the suggestions of someone who does not know me. Thank you! I am 34 years old, I have a good job and a wonderful family. Many people might wonder why I would decide to go back to school at this time in my life. The answer is simple. There is a need for health care providers in my area and I can help fill it. I work with patients on a daily basis as a certified ophthalmic technician (COT) who share with me the frustrations that they have when it comes to their health care. I have heard the story time and again about patients receiving letters that his or her provider has moved on to something bigger or better. Sally, a diabetic patient who comes to our office on an annual basis comes to mind. Last year, when I looked at Sally’s chart I saw that we had written diabetic report letters to a variety of providers over the last several years. I asked her who she wanted us to send this year’s report to and she started crying. I knew Sally fairly well so I took her hand and asked what was wrong. She then told me that she didn’t know who was going to read the report because her provider had changed three times since she last saw us; one of them she hadn’t even met. This was particularly disturbing to Sally because she had a complicated medical history and difficulty with blood sugar control. She confided in me that she was starting to think providers didn’t even care about their patients anymore and she was afraid she was going to die before she found someone who would know her and her medical problems well enough to treat her. Sally’s dilemma is not unique. Primary care physicians come to this area and then seem to move on after a couple of years. Physician Assistants (PAs) have started to fill the gap in health care but there are not enough of them either. Many of them stay around just long enough to gain experience and then move on as well. I live in Branson, Missouri and have worked with patients in the Ozarks for a long time. I understand that many of them are slow to trust people in the medical field but once their trust is gained, they are fiercely loyal. Nearly 20% of the population is of senior age. This age group of people have health issues and concerns but they want to go into a facility and see faces they know and trust. They want to discuss their concerns with providers who know them, not providers who just read their entire medical history in a chart five minutes prior. I am not saying I can change health care, or even the health care practices in my area. What I am saying is that I know there is a need and I believe I can help. After Sally had wiped her tears, apologized for being so weepy and had her smile back in place, she kiddingly told me I should just go back to school and she would come see me for care when I was done. I smiled back and told her I wished I could do that for her. I thought about that conversation many times over the next year. It forced me to consider my current position. I have worked in the same office for nearly a decade. I know the patients and they know me. I started out as a technician knowing nothing about ophthalmology but I set myself on a course to learn all I could about the profession and excelled. During my employment I have had the opportunity to achieve two level of certifications as well as join the surgical team as a scrub tech. I have been privileged to work under a physician who encouraged me to keep moving forward and challenged me to not just gather information from tests but to consider what the results might mean to the overall health of the patient. This process made me very aware of several things. I have a great deal of respect for physicians and the training and knowledge they possess. I also crave patient interaction, like being part of a team and need to be challenged. After considering my current role, it became clear to me that I am ready to move forward. My experiences and training as a COT have prepared me to better understand the role of a PA. PAs, in general, are able to spend more time with patients than a physician. They are part of a heath care team and are involved in the challenges of assessing and treating patients. Ironically, after deciding to follow the PA path I got a close look at the PA career when another physician and his PA opened a satellite practice out of our office. The PA and his supervising physician both offered valuable advice about the day to day functions of their roles and invited me to observe their activities at length even before I was able to officially shadow them. Seeing the relationship they had and watching the team approach that was taken towards patient care validated my assessment that I would fit comfortably in the role of a PA. So here I am, back in school. Staying up late and getting up early. During the last year I have been a full time employee, a full time student, a wife and a mother. Change isn’t easy, but I meant it when I told Sally I wished I could help. Maybe one day she will be able to come see me.
  3. My first clinical rotation is in the ED and I'm looking for decent books for both reference during clinicals and to brush-up on my knowledge prior to starting. Suggestions?
  4. Hello, I am currently an ortho PA and I'm considering switching specialties. I did run across a job in rehabilitation medicine. Does anyone know what is PAs role in rehab medicine? thanks
  5. Hi, so I'm new to the forum and I am really interested in becoming a PA. I know that Trauma PAs and ER PAs are different but I am interested in the "duties" of the ER PA. Is it true that the ER PA will see the more minor cases while the Physician will run the code or stabilize the trauma pt? I have many doctors and nurses in my family and they all give me different answers. I understand that the duties vary but in general what are the primary duties? Personal examples are good too! Basically, I don't want to become an ER PA if it means I will be treating the lacerations and stuff, I would rather be assisting in the code or helping stabilize the trauma pt. before handing them off to the trauma team or the OR. Would it be more worth it to go to med school if ER is what i really want to do? (I have done lot's of shadowing etc. and ER feels like the place for me :)) How does an ER PA contrast with a Trauma PA? Thank you in advance!! Daniel
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