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Found 10 results

  1. 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?
  2. We are actively looking for an EXPERIENCE ORTHOPEDIC SPINE/NEUROSURGERY PA-C AT OUR OFFICE IN CENTRAL FLORIDA (LAKELAND/WINTER HAVEN/BRANDON AREA). Please contact me with interest!
  3. Hi! I'm new to the forum and wanted to ask some career advice from all the pros out there. I will graduate in 6 weeks and have been lucky enough to receive two job offers in a pretty rural area. However, I'm really struggling between the two. I've made a pros/cons list and still haven't come to any conclusion. One is my ideal speciality (peds ortho) while the other is in a speciality I've never wanted to work in but seems to offer a fantastic work environment, SP, and more money. I was approached by the physician for this job and considered it as jobs are somewhat scarce in my area. I would love some insight on what has provided you with the most happiness in your career. Was it work environment, a speciality you're passionate about, salary or lifestyle? I am married with a 9 year old too so lifestyle kinda automatically factors in for me. I will list a summary of the two and appreciate any advice on the offers! 1) Ob/Gyn private practice with first assist duties at his private surgery center and hospital for deliveries/sections 94K base salary with bonus of 10% on anything I bill over $52250 per quarter Contracted-60 days notice required for both parties; can break contract for any reason Noncompete for 1 year in that county only (not the county I live in) and that speciality only Mon-Thurs (4 10 hr shifts = just 40 hrs a week) Typical week for him includes 65 patients a day, 8 deliveries a week, and 6-8 surgeries a week I will have to build my own patient schedule as he has never had a PA only PA students (little concerned he has never had a PA and in his mid 60's) 3 weeks PTO, 1 week CME 2500 CME (includes fees, dues, licensure) Malpractice with tail coverage included Pays for my health insurance (family coverage is available but extra) No 401K offered Gave no reference to evals/raises/increase structure but when asked stated we could discuss them anytime I desired No call SP says he has no expectations for me and will fully train me; I can begin seeing patients when I feel ready as early or late as I am comfortable with Moonlighting ok, doesn't need approval 2) Peds Ortho with travel for large multispeciality practice; typically 5 clinic days/2-3 OR mornings with first assist duties 90K base salary with statement of "bonus may be given by SP physician and will vary" (got a flat "no" when I countered with 94 to try to make it equal to my prev offer) Starting pay of $15 an hour until I have licensure (they stated temp licensure would suffice) NO contract-letter of intent only and states "may be terminated at will" at bottom (I used to work for this company and never had any issues before but this bothers me) NO noncompete Mon-Fri with no definitive schedule; M, W, TR are OR mornings and clinic the other times Multiple locations each day with lunch used to travel to a different office His current PA said she was "happy" with her hours and only offered that they varied with two "long days" a week I'm estimating at least 55 hrs a week with drive time 2 weeks PTO, 1 week sick, 1 week CME $2500 CME (includes fees, dues, licensure); must be paid back if I leave within 1 year of them paying for it Malpractice with tail coverage included Stated his patient load and surgery schedule varied by season (busier when kids are in school and playing sports and when deductibles are met) Health insurance begins after 90 days; I am responsible for the cost and that was not provided 401K with 4% matching Ignored my question about raises/eval when I asked in email I have since found out the company states they are on a salary freeze which began 4 years ago when I worked there! Call (two types: phone post ops and level 1 trauma hospital call 1-2 times a month); gave no clear layout for this or how this factored in to pay; there is nothing about this in the "letter of intent" Option to work UC once I am trained (stated this would be an extra hourly rate but did not state how much and said this could be discussed later if I was interested) He covers 8 locations and I would be responsible for half of them once fully trained...so lots of travel Mileage reimbursed at .52 to any location outside of my home facility Monthly cellphone stipend of $100 PA friendly company-facility has multiple (55+) PAs and frequently hires new grads so I'm assuming he understands the training process States he is willing to train me and also has a PA to train with that has been with him for a 1 year (last one was there 6 years before moving out of state) I've always wanted to do peds ortho so that excites me, but I was a little disheartened by the immediate "no" to my counter offer and the lack of structure in their letter of intent. I had to press for the benefits to be sent as it simply stated eligible for benefits and PTO. It's kind of like pulling teeth to get information that seems like it should be included without question. Also, the bolded statement saying they could "fire me at will" requiring my signature makes me uneasy as a new grad. The lack of job schedule and description is somewhat worrisome too. I would love to have a little bit of heads up on my schedule as I have a family and a 9 year old. Maybe this is common for ortho though?? Sounds like they plan to work me to as much as possible for little as possible. Should I just accept this if this is my dream speciality, do my time as a new grad, and bolt once I've gained experience? Also, is this offer even fair? Does this offer seem sketchy or am I being paranoid? Women's health has NEVER been a field I've had any interest in, but the SP seems amazing! I've heard that's so important for new grads. Plus, he has been waiting on me to finish to school saying he felt like I was the perfect fit for his office and practice. Four 10 hr shifts is also nice for my family. His offer was more structured, clear and reasonable. He originally offered 88 and then fully accepted my counter offer stating he wanted me to feel I was an equal in his practice should I decide to take the position. I feel like if I go down the Women's Health road, it will be harder for me to transition to any other speciality. Ok. I've rambled long enough. Thank you in advance!
  4. I graduated PA school last May and 6 months ago I started "my dream job" - Ortho surgery. I was told it was going to be working 40hrs/week, half clinic half surgery, no call.. it all sounded perfect. Now this is my current reality - I am pushing 6 months at this place, love the field and a couple of coworkers. However the doc that was supposed to be a "super nice teacher" is done with me it seems like. At the current time I am working about 10-12 hours every day and scheduled to start taking calls soon. This amount of time plus the calls arrangement is not what I was told this position would be like during interviewing. That being said, I realize that I am getting so much experience, and being a new grad I can use as much of it as I can get. The major problem is the doc I work closely with. He gets upset with me when I ask him questions or am unsure about something, he was really good about walking me through a lot of stuff for the first few weeks but very early on I was expected to be a fully functional partner. I entered this job with them knowing that I am a new grad. I lack so much experience and despite my success in school this isn't something I learned before or even something I can pick up from a book. There are so many cases and they all can be so vastly different, even if its all shoulders. In my mind I think that patient safety and well being comes first but the doc I work with has been upset for some time as he thinks I am slowing them down. Basically for the last month or so he has been avoiding me as much as she can. I try not to ask him questions and instead go to my other colleagues, but i feel like his attitude isn't fostering a professional relationship between us. I can see that he is not fully wrong in expecting more of me but I don't know why they hired a new grad knowing that it would be very difficult for me to work on par with him within just a few short months. Just a couple of days ago he sat me down to tell me he isn't sure if we are a good fit for each other and that we should both think about that as my 6 month performance evaluation is around the corner. I knew that he has been annoyed with me and mostly sees me as a "kid" but this really took me by surprise. Especially since I asked him no more than a month ago how I could improve or what I am not doing well... to which he responded - "you are doing great". So now I don't know if I will even have a job by the end of April. Has anyone had similar situations? Am I supposed to start applying for other jobs? Do you think that a 6 month employment period will look super bad to new potential employers? I've been thinking about what he said and have come up with a few things I want to talk to him about further. I plan to speak to him again this week and tell him what I plan on doing to better my work flow and increase my knowledge as well as ways in which our relationship could be smoother (aka better communication on his part) but even if he doesn't fire me I don't know how we can come back from this. Sorry for the long post but i just needed to vent a little bit. Thanks for your replies in advance!
  5. 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!
  6. 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.
  7. 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.
  8. 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?
  9. 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!
  10. 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
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