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Found 21 results

  1. Hey everyone, I am a new graduate and I have been working for an Ortho and Spine group in southern CA for 6 months. I started taking phone call about 3 months after my start date without additional compensation. I currently do phone call every 3rd weekend. My job is now discussing that I take hospital call as well, but they only pay if the PA gets called in for trauma surgery. The PA does not get compensated for being on call and not getting called in. The PA does not get paid for rotating on patient's during the week or on weekends. If a patient is in the hospital during the week, then the PA goes in before office hours, which begins between 7 and 8 am. My contract DOES NOT discuss call at all. I know I should have added something about call in my contract, but I didn't and now here I am. Half the PA's do only phone call and the other half do only hospital call. Now our practice seems to want all the PA's on hospital call and phone call, which is fair. However, I don't believe it is fair that we are not compensated for our time. Half of the PA's seem to be on board to try to get our company to compensate for call. Unfortunately, the PA's that are pushing to get paid for call are the newer PA's that make less salary and money for the practice. Our ortho doctor just started trauma call and he gets paid by the hospital to be on call, even if he does not go in. I don't believe our spine doctor gets paid unless he performs the surgery, however, he is the owner of the practice, so he basically gets paid for everything billed. QUESTIONS FOR YOU: - Do you get compensated for call? - If so, how much? - Do you do hospital call or phone call? Both? - Do you get paid even if you do not go in? - Do you know of any resources or surveys that show PA call compensation? Thank you so much for your assistance!
  2. I have an interview with an orthopedic group coming up and have no idea what to expect in the interview. This is a second round interview at the clinic and unsure of the format, but I will be there all day meeting the providers on site and touring the facility. The first interview was with the CEO who asked general screening questions, however, I feel this interview will be more "technical" based and I want to prepare as much as possible. I have Campbell's Operative Orthopaedics but have no idea to what information and the level I should be familiar with prior to the interview. Please share your experience, insights, and advice to help a fellow PA...Thanks! P.S. I read a previous post about the same subject, but there were only 2 responses posted in 2014.
  3. I am an ortho PA for a large hospital owned ortho group. I was hired 3 1/2 years ago to work with a specific surgeon. As the PA's in the group have increased, the management team is looking at our salaries and seeing that we don't make enough RVU's to cover our salary. The only ones who are doing so, work for total joint surgeons. My surgeon does maybe 1 total a week and mostly outpatient surgeries that some can bill for me and some can't. Since the surgeon gets paid based on RVU's (and I get paid a salary from the hospital), he does not want me to do things that can be billed. Therfore, I am seeing all postop's, injections, and fracture follow-ups. There is no way I can make my salary in RVU's if I am not seeing many billable patients. Does anyone have any advice on how to track our productivity that is not RVU based? Other ortho PA's - are you paid by the hospital or surgeon? Do you have issues with "making your salary?" Thanks in advance.
  4. I'm in a little bit of a pickle, you guys. I currently practice in an orthopedic group doing mostly clinic work with the occasional call weekend and rounding when my SP is out. I get along great with my supervising surgeon, and he treats me and the rest of his staff very well. I don't feel that I have a lot of autonomy in my current position being that it is a sub-specialty (joint replacement) with very little management of things other than arthritis and perioperative patient optimization. I feel comfortable in my job and I know what to expect, but I definitely don't think I'm being used to my full potential. I'm not really allowed to problem solve in order to make processes or clinic flow better because of the corporate structure - there are so many boxes to check and things to track that we don't have much freedom in making our work flow better. Management "wants to hear from us," but when we do speak up, there isn't much of a response from management. Pretty frustrating to say the least. In summary - I really hit the jackpot working with the surgeon I work for now - he has my back and trusts me, and he knows my worth. But the actual practice/management/company? Not as thrilled about my interactions with them. Here's the dilemma... A few months ago one of my colleagues from PA school contacted me about a PA position at his practice - he thought I'd be perfect for the job. I met with them just to see what the opportunity was, and turns out, on paper it's sort of my dream job. Sports medicine/general orthopedics, mostly clinic but OR time available, lots of autonomy once the doctors trust you, some call (but MDs take majority of it), and high school/college athletics coverage as needed. My background is athletic training, so occasional game coverage definitely appeals to me. The practice was adding a few new surgeons to the practice, so a few months went by and I was contacted again to interview. I interviewed with the new surgeons, and a couple of weeks later they contacted me to tell me they wanted me on their team and wanted to make me an offer, so I met with their management again (which included dinner, which was nice) and they offered me the job. This new practice made me an offer that's MUCH better in terms of compensation than my current position. 15k more/year than I'm making now, PLUS bonus structure at the new position (my current job told me when I hired on there would be a bonus structure, but turns out they did away with it 6 months into my employment... I wasn't thrilled about that). It would be a 3yr contract then up for negotiations after that/yearly renewals. I would get more CME time than I currently do, and more time off than I currently do. Holidays are not taken out of PTO. Occasional call (no more than I have right now) and OR time when I want it. The offer to work for this new practice is clearly better on paper, but I wasn't looking for a new job. My dilemma is - do I leave a practice I know and (for the most part) enjoy for a place that's going to pay me more but I have no idea if I'll like the management/staff/physicians? It's a weird place to be. I feel fortunate to have options, but it's a stress to make a decision that I wasn't really expecting to have to make. Any thoughts?
  5. I recently interviewed with and was offered a part-time position with a private practice foot & ankle surgery group in Virginia. The job would be clinic only and no call. The exact schedule is to be determined at this point but I suspect somewhere close to 20 hours a week based on my availability likely to include some Saturdays. I have about 5 years of experience in general orthopedics, urgent care/occ health, and med/surg. This practice has not ever had a PA before but is very open to the idea and big on work/life balance. They essentially told me to take some time to write up my ideal hourly rate and benefits package and what I would want for a schedule. I haven't had much experience with part time compensation and benefits as I have only ever worked full time. What should I ask for? Do I need to adjust the benefits based on part time work? I want to make sure I set the bar high for any future PAs they work with but be reasonable at the same time. Here's what I'm thinking based on the 2015 AAPA regional and national salary reports (staying in the 50th-75th percentiles) and previous experience: $55/hr $2500 CME stipend, 40 hours CME PTO per calendar year Malpractice covered: occurrence or claims made with tail PTO (including vacation and sick time) 160 hours per calendar year (equivalent to 4 weeks) Maternity leave paid 12 weeks (though not sure how to calculate this for part time work. Based on 20 hour week? 40 hour week?) Bereavement paid 3 days NCCPA fees, State licensing , and DEA registration AAPA membership + 1 specialty membership Flexible spending account for healthcare (up to $2550) and daycare (up to $5k) Employer paid long term disability: 60% of income Employer paid life insurance: $50,000 Retirement: 3% of salary contributed to retirement by the employer regardless of employee contribution Crossfit gym membership (one of the partner docs owns a gym near me) (Don't need health insurance, got it through husband) Or should I just ask for a higher hourly rate with malpractice and tail and forgo the rest of the benefits? Did I miss anything important I should ask for? Thanks!
  6. Somerset, PA, home of 7 Springs All Season Mountain Resort. We are looking for an experienced Physician Assistant for a 2 surgeon practice. No call, no weekends. Competitive compensation and productivity bonus. PM me if you would like to hear more details. Jeff Weaver, PA-C
  7. Hello, I am an Athletic Trainer and I am considering PA school. I am curious to hear from those of you who have the PA-C, ATC combination. What "specialty" do you currently practice, and in what setting? Do you still practice as an ATC, and if so, how? I ask because I have heard of PA-C/ATCs still in the athletic training room, and I more or less want to confirm that it can be possible. I also would like to know if that is completely legal with anti-kickback and other such laws? Any help would be great. Thanks, AK
  8. New grad looking to join an Ortho practice in Dallas, TX. Although I am a new grad, I have about 10 yrs of corporate before switching careers. I'm currently in salary talks and wanted to see what was reasonable. There is no call with this position. They are looking to offer something in the 80k which seems low to me. There is a bonus but I'm waiting to hear about that structure, CME is 2K, and PTO is 15 days. Since I will not need benefits (I'm under my husband's) that would save the employer about 7K. What would be reasonable for salary expectations? I'm really looking to get on somewhere and stay. I don't want to be pigeonholed and forced to look for other opportunities due to salary down the road. Any advice would be appreciated.
  9. New grad looking to join an Ortho practice in Dallas, TX. Although I am a new grad, I have about 10 yrs of corporate before switching careers. I'm currently in salary talks and wanted to see what was reasonable. There is no call with this position. They are looking to offer something in the 80k which seems low to me. There is a bonus but I'm waiting to hear about that structure, CME is 2K, and PTO is 15 days. Since I will not need benefits (I'm under my husband's) that would save the employer about 7K. What would be reasonable for salary expectations? I'm really looking to get on somewhere and stay. I don't want to be pigeonholed and forced to look for other opportunities due to salary down the road. Any advice would be appreciated.
  10. Hi all- Wondering if anyone has any experience obtaining fluoroscopy permit in California? I am currently an IR PA in Illinois (can't independently use fluoro) and I'm relocating to California. Mixed information regarding obtaining fluoro permit out there. I was planning to do the AAPA online fluoro course until I was told I have to go through a California school. I was also told that there are currently no schools in California that accept PAs and that I must call around to ask if some place will accept me. This sounds crazy. There has to be a way. Any input?
  11. I've worked in Integrated Physical Medicine for 3.5 yrs now. The offices are co-owned by an MD and a Chiropractor and I make $115K/yr. My questions are...... Has anyone worked with a Chiropractor who tends to over step his/ boundaries regarding medical patient care? Does the Chiro have a difficult time understanding that he/she is not your boss but you are colleagues? Have you ever instructed the staff to do one thing (medically related) and the Chiro goes behind your back and instructs the staff to do the opposite of what you said? I understand I do not sign their checks, but I am the Health Care Provider in the office. Have you ever felt as if the Chiro cares more about what services and which DMEs can be billed and how much money can be made from the patient vs what the patient actually needs. I've had similar experiences in 3 different offices and yes I've had to get the Supervising Physician involved a few times. l really enjoy Physical Medicine but I do not think I can work with a Chiropractor any longer. Has anyone else had these type of experiences.
  12. Just got my acceptance email and couldn't be more excited. Anyone need a roommate?
  13. A full time Ortho Spine PA position now available at Norton Healthcare in Louisville Kentucky. PA will work office only Monday through Friday. Minimal call from home. No ED call. PA will be on his/her own schedule and must be able to see patients independently with the ability to read their own X-rays and MRIs. Two surgeon and two PA staff. You will be the third. If interested see the job posting at www.nortonhealthcare.com
  14. Hey everyone, need some advice. I am a second year PA student with an Athletic Training background set to graduate on Oct 1st of this year and have two orthopedic job offers waiting. I was hoping you guys who take a look and give me any/all advice you have. Job A Exciting position in practice that does not have a PA but Dr. I would be working with has experience training PAs. Base $95,000 Bonus 10% of base 22 days PTO (if holiday falls on week day, counts against PTO) Call 1 weekend a month 5 days CME with 2k allowance Malpractice with tail coverage Health insurance on day 1 and short/long term disability after 90 days Job B Better location for my wife and I. Really nice sports medicine doctor who I get along well with. Replacing previous PA who left to follow passion for ortho trauma Base $87,500 Bonus "30% of all revenues exceeding PA overhead. PA overhead is salary plus 25% benefit load" Not exactly sure what that verbiage means if anyone can help. 15 days vacation. 8.5 days of paid holidays. 7 days of sick leave. NO call. 5 days CME with $2,500 allowance Malpractice (not sure if tail coverage) Health Insurance but no short/long term disability included My questions. What offer looks better overall? What should I expect to bring in as a first year ortho PA (the PAOS salary survey says 280k is the 50th percentile)? I have not began negotiating, what should I try to include in each package? Thank you so much for all of your advice! Kevin
  15. about to graduate and trying to get an ED position. however, I am going on an interview for an ortho urgent care position. I was curious if the experienced folk felt that this would be a good place to start and if it would help me transition into an ED in the near future. I was a bit concerned over the lack of general medicine exposure verse a regular UC position. every ED position wants ED experience... seems like a catch-22 for new grads who can't relocate to residencies. Thanks!
  16. (New username to preserve confidentiality) I am a new grad and received my first job offer in the Southeast for ortho (spine). I will work directly with my physician who is part of a larger group in a private practice. The essentials of the offer: Salary: $84,000 Hours: Two days/ week in the OR. Two days/ week in the office (8-5:30). 1.5 Fridays per month in the office. Bonus: Eligible after 6 months. Based on my revenue, salary, and practice overhead. No specifics included. PTO: 12 days per year, 7 holidays, no mention of sick days CME: $2500 and 5 days paid Fees: PA license fees, DEA, national and state PA professional membership fees covered Insurance: Covered under practice policy ($1M/ occurrence, $3M aggregate) Health insurance: Eligible after 90 days 401K: Eligible after 90 days. Practice to match 4%, 100% vested upon entry. Profit sharing: Eligible after 1 year. 20% vested per year Call: One week per 7. $50 cell phone coverage. Not to start until SP and I are comfortable doing so (mentioned 6 months). ER call: First call 6-9 days per month. $100 per on call day. General ortho call, NO spine call (covered by neuro). Again likely to start after 6 months. The office would like me to shadow with the Doctor and other PAs in the office until I am fully licensed/credentialed. To be paid at my "hourly rate." I do realize the base salary is lower than average. The SP is new (~2 years post-fellowship) and is looking for a PA to grow his practice with him. We discussed this growth and salary reflection based on this (will get in writing). Essentially, this is the exact job I am looking for (did spine surg, UE ortho surg, and neuro rotations). This could be clouding my judgment; therefore, I am asking for help noticing anything out of the ordinary or things I need to inquire about. Any red flags/things I need to ask? Thank you!
  17. Hi guys, I'm a new grad interviewing for a couple of different jobs. Just got my first offer yesterday, and was wondering what you all think. Elective ortho surgery, basically equal time split between office and first assist in surgery. 5 days/wk, no nights, no weekends, no call, no holidays. I live in the southeastern US. Salary 80k + 50% what I make beyond overhead $2000 CME/2yrs Full medical, dental, vision available for $240/mo for me+family. Malpractice is paid for by the practice but I don't think they have tail coverage. 401k matches up to 4% of yearly salary plus additional contribution based on the practice's profits. Vested after 90 days. Looks like about 3 weeks of PTO starting out. I think that's all the details I have right now. I did have another ortho surgery job lined up that ended up falling through that was offering me closer to 90k with quick opportunities for increasing that but required buying own insurance. The PAs at that practice were making at least 150k after several years and it seemed very attractive, but the schedule was much more hectic and focused on getting as many patients in and out as possible, and that made me less comfortable. I'm very happy with the schedule and feel happy and comfortable with the doc and the practice (I shadowed for a day as part of the interview process), but I would like to be making more than 80k...coming out of school that was the low number I set in my mind for what I would accept as a first job. Do any of you have tips about how to ask for more or what the pay increase structure is? I've never negotiated obviously and don't want to screw this up.
  18. Hey guys, I currently attend a 4-year university majoring in Sport Management, but have always had a passion for PA school that was affirmed through my recent extensive shadowing experiences with a large hospital and many PA's. I am posting here because I am concerned on how to make my goals of becoming a PA attainable if I'm so far deep into my current major. I know I need Direct Patient Care Hours and I need to get the prerequisites are done as well. Should I delay graduation and take some courses of prereqs or should I graduate and go to a community college after? If anyone has any advice, it would definitely be welcome. Thanks!
  19. Hello I am a new grad in NY looking for an ortho job. I just passed my boards two weeks ago and I have already blasted my resume to dozens of hospitals/practices. Unfortunately 95% of the places I applied to prefer experience. I would prefer a Hospital setting as my first job so that I can work with a variety of doctors, learn how to manage fxs, dislocations, post op pts, etc. but I am becoming desperate from the wait that I am considering an office job. I am just worried because I will be missing out on an entire learning experience. For all my Ortho PAs, what is your opinion on starting off a career in a Hospital vs Office for Ortho. (one of the main things i want to do is 1st assist in OR) *sorry if this question has been answered somewhere in the blog, i just joined recently. Thanks
  20. Hey guys! I'm looking for some feedback. I recently received an offer at an Orthopedic practice in Florida which I would like to counter but as this is my first time negotiating I want to make sure I am asking a reasonable counter offer. I have 2 years experience working a combination of ortho/neuro/general surgery/internal medicine floor work (no OR) at a hospital and I did an orthopedic elective rotation in school. The job would be Monday through Friday, hours varying depending on the day but generally ending clinic by 5 or 6 pm. No weekends, no holidays, no night call. I would first assist in the OR 2-3 mornings per week (and hence early 6-7 am mornings those days), with the afternoons dedicated to clinic. All the surgeries are outpatient so there is no hospital rounding. The expectation is to eventually get up to seeing somewhere around 20 patients in a half day (which after watching how the office functioned didn't seem as unreasonable as it sounds). The offer: Base salary $90K Incentive of 10-20% of quarterly collections over $60K Malpractice License fees 401K $1500 CME 3 weeks PTO (CME time included in this) Non-compete clause in orthopedics 1 year after termination (not a huge issue for me) I really like the physician and the atmosphere in the clinic. I also think it would be a great learning experience and the physician is very willing to teach. I would be the only PA in the practice. The biggest issue with the offer is that the physician has 3 office locations, one of which is almost a 2.5 hour drive one way. The other two locations are within a reasonable driving distance. I was hoping to not have to go to the farthest location but they said they definitely want me to go there once a week for first assisting and clinic. So that is a round trip 5+ hour commute one day a week. They did mention the possibility of giving me the morning off the day after that long day, but that is still up in the air. They are open to other suggestions I have in terms of making that commute work for me. I would love to hear any suggestions you guys have as to things I should ask for. I was considering at least additional PTO since I have family in the Northeast and would have to travel to visit during the holidays. Please let me know if there is anything you think I should ask for or anything you wish you would have asked for! Thanks!!!
  21. Hi all, I'm recent PA graduate looking to shadow an orthopedic PA in the Houston area. I have always had a interest in ortho but was unable gain enough exposure during rotations. Please respond with any leads or advice. Thanks!