Jump to content

Search the Community

Showing results for tags 'primary care'.

More search options

  • Search By Tags

    Type tags separated by commas.
  • Search By Author

Content Type


  • Pre-PA
    • Pre-PA General Discussion
    • Physician Assistant Schools
    • CASPA
    • Personal Statements
    • Shadowing Opportunities
  • Physician Assistant Student Forums
  • Professional Physician Assistant
  • International Physician Assistant Forum


  • PA Profession
  • Medical
  • PANCE/PANRE Review
  • Pre-PA
  • Other

Find results in...

Find results that contain...

Date Created

  • Start


Last Updated

  • Start


Filter by number of...


  • Start




Found 27 results

  1. Just wondering if anyone has connections to PA, MD, or DO's in the state of Hawaii that might be interested/willing to take on PA students for clinicals, especially in primary care. My wife and I are both in PA school and applied and interviewed with the MEDEX program set to start in Kona. We didn't get into that program, but did get into another and we would still love the opportunity to help with the healthcare shortage in the state. Any tips or suggestions are greatly appreciated.
  2. I don't really comfortable speaking this frankly to my colleagues. None of my close friends or family are in the medical field so they don't truly understand. I am still a somewhat new PA and I am already considering a new career path. I went to PA school 2 years after graduating college, so I don't have any experience in any other fields besides healthcare. But I've been having serious thoughts about quitting my job and quitting the medical field altogether. A little background about me, I am in my late 20s and I have been a practicing PA for about 4 years. During this time I have been at the same practice, a specialty and internal medicine office. There are several physicians, but I am employed by one. I see patients in the clinic, in several acute care hospitals, and at nursing homes. Although I like the variety and the types of patients I see are very interesting to me, there are downsides to the job that just become more apparent every day. I work M-F 9-5 and 2 weekends per month. I have to take round at the hospitals and take calls on those 2 weekends, plus take calls 3 weekdays out of the week. I often work 3 weekends a month, and occasionally even 4 when my contract technically says 2. My supervising physician is retirement age and he refuses to retire and instead delegates more and more tasks to me. For example, sometimes if he is too tired / lazy he will tell the staff to just transfer patient appointments to my schedule. Patients are understandably upset when they made an appointment with the doctor they've known for years and get switched to the schedule of a PA they don't know. I feel like "as the PA", and an employee of the doctor, I pretty much get saddled with all the grunt work and undesirable tasks that he doesn't want to do. I know in other settings PAs are treated with a little more respect and not just given the busy work to do. There are some upsides, I do like my SP, we work well together, and I feel like I can honestly and freely discuss patients with him without judgment. I also know that he may retire in a few years so this job won't be permanent either. I don't know if getting a new job will help. I applied for two separate jobs that I did not get. One was a family practice M-F with no call/weekends and the other was an allergy practice M-F with no call/weekends. Getting rejected for both of those jobs really discouraged me and made me feel trapped at this job. It won't be easy to find a new position. I get frustrated with patients too. It just feels like there are so many patients who are med seeking. Some providers in my area were recently sentenced to prison time for overprescribing narcotics. They were reckless with their prescribing and I am quite careful, but the fact that jail time is in the realm of possibility for our profession constantly looms over my head. Patients also often want to be on disability when they clearly do not need to. There are so many patients wanting DMV disability placards and getting irate when I tell them they don't qualify. In addition, patients whose licenses get revoked want me to sign off on them being safe to drive when there was a clear reason the licenses were revoked. Again, I am on the receiving end of the brunt of their frustration and anger when I say they need a specialist clearance. There is just so much liability in our career field and so much stress involved. Liability is always there medically too. YOUR decision can affect whether a patient LIVES or DIES and it's so much stress that I have actually developed my own health issues secondary to the stress. I have had a patient stalk me and become obsessed with me. He wrote me unhinged letters and made many calls to the office describing my car, etc. We had to get the police involved and I considered filing a legal restraining order. I know this is possible in any profession, but it feels like healthcare can be personal and intimate and patients can get the wrong idea. I again contemplated quitting the profession at this time. I have looked into other careers such as being a pharmaceutical representative, working in research, being an accountant, ANYTHING other than this. I have contemplated quitting and just living off my savings until I figure it out. I have talked to some colleagues to an extent, many are much older and have been PAs longer than me. I sometimes question if I'm just being an entitled millennial who wants life-work balance early on in their career until I realize that it's not normal or common to work 24-25 days in a row. It's not normal to only get 4 days off a month (if that. Some days I would get 2 days off a month.) I actually finally told my SP I was considering leaving because I was too burnt out. He trivialized my concerns and said "Why are you burnt out? You're young. I have been doing this for 40 years." Which is true, but this wasn't the life I envisioned for myself. After talking, he did acknowledge my concerns, and he hired an NP who can help me with the workload and guaranteed that I will only have to work the 2 weekends a month as outlined in my contract and I did get a raise. (I still feel like I'm underpaid which is a whole separate story.) Sorry for the essay, I just really needed somewhere to air out my frustrations with other people in my career field. Thanks in advance for reading.
  3. Okay. So I have been having trouble finding a job out of PA school. I graduated in December. I applied to a few residencies and fellowships and made it to the final round of one of the residencies but ultimately was not chosen. (This process took 2.5 months of my life= 1.5 months waiting for the interview and 1 month waiting for the results). So now I am 7 months out of school and without a job. The biggest problem is that I struggle with confidence. I did very well on all my tests in school but I feel like 2 years in school wasn't enough for me to be ready to practice medicine. Unfortunately, all of the fellowships and residences have deadlines that have passed so I am trying to find a job that will be welcoming of a new grad and be training heavy. I have a few interviews/job offers but need some advice of which would be best for me. One job primary care. They will give me 1-2 weeks of shadowing the doctor then 2 months of working in the same clinic with the doctor who I can utilize for questions. After that time I would be solo at one of the clinics. Pay is okay 90k but job is in California which is kind of expensive. One job is Urgent care. Shadowing for maybe 1 month then would be solo "sometimes" at 2 of their locations. But able to call doc at other locations if I have a question. Better pay and benefits than the primary care job. But I have read on the forum that Urgent care may not be the best for a new grad to start in. One jobs is endocrinology (I am scared this may be too specific for my first job and I may not be able to get out of this specialty if I end up not liking it). Any advice of which I should take if offered the position (knowing that I am a new grad who struggles with confidence)? I wish there were more residencies and fellowships for pAs! Thanks!
  4. I'm a 2nd-yr PA-C currently stuck in geriatrics but interested in psych. I think my next job would be in psych (in an ideal scenario, as of now). I get a lot of new patients from nursing homes and ALFs that are already on psych medications. I haven't found a good reference guide for psych meds outside of the 1st line SSRI's that are started for depression/anxiety and stuff that I learned in school. Is there a good source for what meds come after SSRI's? I inherit a lot of patients who are on SNRI's/Anti-psychotics and although I don't manage them (they are often seen by psychiatry), a lot of these people have a hard time being seen by psych because they are few and far between and the wait times to get to their psychiatrists are pretty long. I just want to know why they would take one med over another, like: for SSRI's: why would you choose celexa vs. lexapro vs. prozac vs. paxil vs. zoloft, etc... when would you consider an SNRI? for psychosis: why would you choose zyprexa vs. geodon vs. risperdal something that would break down basic questions into a quick guide for someone like me who doesn't work in psych would be much appreciated! Medscape & UpToDate are a little to detailed for what I'm looking for, although I read up on those too-- but something more quick and dirty is more appropriate for what i'm looking for
  5. Hey all, would appreciate your inputs- thoughts, questions, concerns welcomed. Thanks! Rural midwest FQHC, 4 or 5 day work week. Low COL area. 85k base (nonnegotiable, increase to 90k after 2 yrs, no productivity) 10k student loan reimbursement Retirement 1% match, w/ potential 1% extra dependent on overall practice productivity Health benefits req. ~$30-100 monthly contribution a little over 7 weeks accrued PTO yearly (includes everything- vaca, holidays if scheduled, sick, cme) 3k CME Natl and state professional assoc fees, license, PANCE paid for, won't say no to others within reason. (Uptodate incl) malpractice with tail incl. but I need to spend more time understanding the actual coverage
  6. Has anyone transitioned to primary care from a specialty? I'm a relatively new grad that has about 2 yrs of experience, all primary care jobs. I've always wondered what it would be like to be in a specialty. I'm feeling the burnout already and mostly from the charting. I've had 2 different primary care jobs and the charting is pretty heavy in both. I'm pretty quick about typing and charting too and I still don't see how it can get any faster than it already is for me. More importantly, is the stress level at a specialty any lower, especially considering the fact that your visits are more focused in one area? Between taking everything into consideration, along with walk-ins/sick visits, new patient visits, annual visits-- primary care can give someone an ulcer just thinking about the workflow.
  7. Dear East Bay PAs, I begin PA school in January of 2018 and beginning in March our program is placing us into what they call Longitudinal Clinical Experience (LCE), where we spend time in a primary care, family practice or internal medicine practice for 4-5 hours one day a week for the remainder of the didactic year (through December 2018) in order to get mentorship and training in patient care. I have been in research and healthcare for a long time now (7+ years), and have quite a bit of prior clinic experience and patient exposure across the UCSF network both in San Francisco and Oakland. Unfortunately because my work has always been in specialty clinics I do not have a network of colleagues and prior mentors in primary care/internal medicine. If you are a certified PA, MD or DO in primary care/IM in the Contra Costa or Alameda counties and are willing to accept a student in 2018, I would love the opportunity to speak with you. I am happy to send my CV to you as well. If you know anyone who might be interested, I would appreciate your referral as well. Thanks very much!
  8. Hey all, I've been a licensed PA for about 9 months, working for the past 5 months. I took my first job as a general medical provider/psychiatry PA at a locked psychiatric hospital in a rural area. It is a very, very poor environment to be an APP in many ways, thus I am already seeking an out. I certainly don't feel comfortable with practicing medicine yet and I'm getting zero training/supervision by my current physician. However, I interviewed and was accepted into a primary care fellowship at a very well-respected academic center in my current city which would start in July. I am hopeful that some of you current or past residents/fellows can give me some insight on your training and your practice ability after the fellowship/residency ended. In my area (Midwest) fellowships and residencies for APPs are just now starting to appear so 99% in my area don't have them. The details are as follows: Mostly internal medicine specialty rotations, some urgent care, some FP rotations (+/- rural FP/ER, depending on the location), didactics, research, examinations, presentations, etc. It's 12 months in length. The hospital system has stated that they "plan to place all fellows in positions with the system after completion of training". I realize this is not a guarantee, but I'm also not bound to take a position with the hospital afterward either, so that clause is fine with me. I'm still trying to figure out what I want to practice in medicine, which is one reason I chose to become a PA - so I could switch if need be. I like so many areas of medicine, which is why I think doing a primary care residency would be great option for me. But, I want to see what other residents/graduates think of their experience and how they were received by employers after the fact.
  9. I am in my 6th year, taking PANRE for first time this year. I am not sure which focused exam to pick. I work in an outpatient Internal medicine office, with no pediatric population. However I have no experience with inpatient/hospitalist part. I am not sure if one test is more difficult or so. Which one is a better choice of both? Thank you
  10. Asking for a friend -- Can anyone please comment on new grad salary for family medicine in WA state? A friend has gotten offers around 85K in rural WA. Seems pretty low. Their argument is that there is no state income tax but Nevada doesn't either and I've seen offers there that start in six figures.
  11. I've applied to a few family practice offices in Dallas and Fort Worth Texas, and was wondering what a fair salary range would be. I'm seeing anywhere from 90-115k/yr. Does that sounds about right?Assuming benefits are standard and full. I have 3 years of family med experience in Pennsylvania. Making the move to down south soon!
  12. Hi everyone, First time poster. To start, I graduated with my BA in Psychology in 2012 from a UC. Ended with a 3.2 ish GPA. Throughout college I was pre-med, but not completely convinced it was for me. After college I became a respite care provider to children with autism, volunteered, and took some advanced level science courses/retook classes I got C's in. I applied to DO school last year and received 5 ii, attended 4, waitlisted at 2, rejected at 2. Im convinced it was due to my lack of interview skills. I am currently applying MD/DO again and I find myself feeling like this isn't for me anymore. I even feel like not attending one of my interviews at the moment. In my 4 years off after graduating, I realize that family/relationships are very important to me, whereas before they weren't so much :/ I want a career where I can prioritize my family and my own well-being. I want to start a family by the time I'm 30. I want time. I want to enjoy my life and focus on the quality. I dont care about autonomy in practice anymore. All I want to do is treat and care for patients. The only thing is that I will be going on 27 years old next year and I don't have years of patient care experience like most pre-PA's. I also am already 100k in debt from my undergrad years. My question is: Is it worth it? I will be about 200k in debt by the time I am a practicing PA and I will be around 30 years old. My boyfriend right now works in retail and did not go to college so I will be the sole financial source for our family, which I don't mind. Will we live comfortably??? Does the application offer grade replacement as well? My stats are: Acc to AMCAS--cGPA 3.4 sGPA 3.3 (Still need Anatomy/Physio/Med Ethics) MCAT 501 During college: Honors Society-VP position 100 hours in patient transport in hospital while in college 2 years in college sorority-VP position Optometry Intern for 3 months-patient pretesting, etc. After college: Basically working /taking some classes 2 years experience as volunteer 24 hr hotline advocate for sex assault victims 2 years experience as a paid math/english tutor 3 years experience in volHospice 3 years in Behavior Respite 2 years as Kaplan medical proctor for physicians I would need to shadow a PA, possibly take the GRE, and take A/P + labs. I was also thinking of being an Optometry assistant? Would this count towards direct care work? Do I have any chance at PA school in CA? I really dont want to have to be a reapplicant for PA school, esp since I have already wasted so much time :( Please, I am open to all criticism and advice!!!! I feel like i'm having a quarter-life crisis. I don't even want to tell my family...
  13. So this is essentially my first rodeo when it comes to negotiating a contract offer. Reading up on it now and came across this statement. Source: http://cheekyscientist.com/12-tips-on-how-to-negotiate-a-job-offer-to-increase-your-starting-salary/ Based on your experience, is this a good way to go about things. I'm trying to negotiate this contract (http://www.physicianassistantforum.com/index.php?/topic/41261-family-med-offer-need-advice/), and i don't know if i should ask for everything at once or separately, like the author of the article suggests. Any input would be appreciated. Thanks!
  14. I have some books that could provide good use to a student either in their didactic or clinical year. Blueprints Series: Pediatric Medicine OB/GYN Emergency Medicine (2) Nelson Essentials of Pediatrics 5th Ed Obstetrics and Gynecology 5th Ed by Beckman, Ling, et all Essential Guide to Primary Care Procedures Physician Assistant - A Guide to Clinical Practices Color Atlas of Anatomy Step up to Surgery Clinical Psychiatry DSM-IV And a few others. All are in great shape, with the exception of a couple covers. I'd be willing to sell these for an extremely reasonable price. Just message me and let me know. Located in Baltimore, MD. Thanks!
  15. Hello, new grad here in NYC just got offered a primary care contract with a private practice seeking expert opinions. 1 doc, office manager, 3 nurses, and front desk. Doc is super nice and willing to teach, got really good vibes. A little background about this practice is that it is about 70% Chinese population, which is probably why they want to hire me (bilingual). It is worth noting that I will be the first PA the doc has ever worked with. This is a rough draft that does not cover everything. But I have given them a counter offer and they have agreed to meet up and negotiate. Anything else that I should be concerned with or any thoughts about the counter offer? Any thoughts about bonus structure for second year? Thanks for any advice or comments. Draft offer : Base Salary - 100,000. Incentive bonus of 20% guaranteed second year. (not sure what that means, probably means 20% of salary increase). PTO - 2 weeks vacation first year. 3 wks second year. 4 wks third year. Hours - 5 days/week with 1 weekend day. 9am-5pm. Health insurance - $1000 per month reimburse coverage (no idea what that means). Malpractice - "professional liability coverage." 2 year restrictive covenant within 2 miles of practice. My counter offer : Starting Salary : $105,000.00 Yearly Bonus : 10% of salary. Professional License : Cover DEA license if required. Malpractice : Per occurrence coverage or claims-based with tail coverage. Include as a named provider. CME : 5 days, up to $2000.00 allowance. Sick Leaves : 5 days. 1 Year contract. Questions to discuss : Retirement Plan - 401K Health Care - Currently with wife insurance plan. Professional license second year - practice coverage. National Holidays. Other office duties. On call duties. Second year - Continuous commitment, salary, and bonus structures.
  16. If you love your work but don't love the system that surrounds it, I'd like to hear from you. I'll be starting in primary care after about 6 years in Urgent Care, and several times I've heard from patients that my non-scheduled, walk-in, takes-as-long-as-it-takes kind of visit is far superior to what they sometimes experience in the day clinic. I recently had a patient hug me, just because I "listened." I know the people working in our primary care clinic are smart and caring people, so it's not that. I've also had a glance at their schedules and sometimes... yuck. Just no. So I'm sure the 15-minute visit, and all the reasons why that supposedly needs to be a thing, are a big part of what's wrong. But beyond that, surely there must be more that's out of whack. So: if you had the ability to impose one or two new rules as the administrator of a primary care group, or if you were setting out to start your own model of how clinic should be done (and money would work itself out somehow, guaranteed, for at least a year), what would you decree? How would you make life easier and better for patients and providers with one fell swoop?
  17. I've just received an offer from an independent clinic that includes a base salary + productivity bonus. When asking about what that bonus may add, HR said one experienced PA has pulled in $40k more. I asked for how this number is calculated and was told, "RVU calculations are taken from the standard CMS format." Despite looking online for examples, I'm not sure what this means practically. I am a new grad, so I understand my focus will be on learning and not productivity for at least the first 6-12 months. But, being reasonable for my first year, should I expect this to bring in an extra $500? $5k? $15k? I have no idea how much this may influence my salary and would love any guidance or perspective you all may have.
  18. Hi, I'm a pre-PA student and I'm trying to get an idea of the different specialties PA's operate in and find one that may peak my interest. Though PA school is still a ways away and choosing a specialty to begin with is even further, I want to begin at least learning the most popular specialties and what they do. One specialty I've seen a little bit of info about is hospitalist medicine. Technically speaking, I've seen it referred to as inpatient care. Now don't jump all over me saying I don't know what I'm talking about and that I should reconsider my career choice, because I don't know what I'm talking about haha, that's why I'm here :) But from what I've read about inpatient care as a PA specialty is that you deal with patients admitted to the hospital and examine them, order tests, diagnose, perform some of the more routine procedures that physicians need not be present for, treat patients (providing it is a relatively simple illness requiring a relatively simple treatment), write prescriptions (again, provided they aren't real risky prescriptions. In which case the supervising physician should be consulted), and some more. Is there any truth to this? Is this typical of what an inpatient care PA would do on a daily basis? If not, can someone give me a description of what they do do? What does a normal day look like? If there is a specialty that's closer to that description? That job description sounds like what I am interested in so I don't know if maybe there is some other specialty that is closer to that description. I've heard of specialties like primary care and general practitioner, both of which sound like pretty broad specialties that would deal with patients suffering various illnesses. Maybe I'm thinking of one of those, or one of those would be a better match to the description above and be of more interest to me. Thanks!
  19. Is anyone interviewing for Heritage University's PA program in February? I don't see any other posts for this school or program so hopefully all of us can touch base here. =)
  20. I am about a month away from starting my clinical year and would like some opinions on what references you are carrying and in what format. I am trying to decide between getting an ipad mini, iphone 6 plus or maybe just a few books. I tried searching the forum but didn’t find too many threads. Looking for a system to get me through my clinical year and a residency. If your using digital what apps and e-books do you carry or if your old schools what books are you carrying? Pros and cons of both? Thanks
  21. Hello Everyone, I was recently accepted into PA school in California. I am from Connecticut and I am still currently residing in CT with plans to move to California in August. I will be completing my didactic year in Cali and then I will complete all my Clinical rotations in Hawaii. I desire to work in primary care upon completion of my schooling in the state of Hawaii. I am trying to find scholarships to help me cover the costs of school, moving and cost of living in general. I will be unable to work while in the program and do not have much savings. I want to take out minimal loans (don't we all) so I have less to pay back when I am done. I have a lot of international experience, tons of community service, leadership positions, I am openly gay, grew up on government subsidies and like I said before desire to work in primary care. If anyone knows of any scholarships, no matter how big or small, please let me know! I know of the obvious Nation Health Service Corps scholarship, but I am looking for more. Thank you, Jacob
  22. I'm separating from the military in 2 months after 3 years of service as a PA in primary care and was recently extended 2 job offers; one with the VA in primary care, the other an occ med job with a non-profit organization run by Catholic Health Initiatives. As I consider what I'm looking for in my next job, factors such as work-family balance, minimal red tape and stress are more important than pay. Both offer good benefits. Can anyone offer any insight to life as a PA with the VA and how that job might compare with a position with a non-profit? Thanks!
  23. After my first two+ years of PA practice (and steep learning curve!) I will be relocating from Southern California to Boston for my husband's job. We are not planning to make the move until spring of 2013, however I am already looking into licensing requirements and job options. With just the little bit of research that I have done so far, it seems that Massachusetts seems like a GREAT state for PA practice! If you are a PA with current or past work experience in the Boston area, I would love to connect with you to discuss what the PA-employment atmosphere is like. I have experience in Emergency Medicine and Gyn, however I would really like to use this move to switch my career trajectory into more of a primary care setting. Any thoughts on the larger practice groups (Harvard Vanguard, etc) as it seems that they have the bulk of job availabilities? Or even better...know of any primary care practices that are considering to add a PA? Any info appreciated -- on the thread or private message. Thanks in advance!
  24. Would like to know how outpatient clinic PAs are being compensated. Salaried, hourly or paid small fee per patient plus low hourly rate? The last form of payment appears to be popular with employers, would like to know if anyone is doing this and what is the consensus on this practice. Forgot to mention that with the pay per patient, all PA's are paid the same regardless of experience. Compensation is dependent of clinic visits, so your income will vary from day to day. Any thoughts on this?
  25. Hello! I would love some advice from practicing PAs on how to handle this situation: I was just accepted into my first-choice school (Methodist University in Fayetteville, NC near Ft. Bragg) and will start next Fall. In case it matters: I'm a 31-year-old female. I already owe about $26K for courses I took to complete prereqs. The PA program tuition + fees, supplies, etc. will run about $70K. By the time 6.8% interest kicks in, I figure I'll owe about $110K once school is over. My husband and I are both incredibly frugal, and even if I have to pay for school 100% using loans, we have a plan in which the loans would be paid off in 6 years. BUT..... There is a grant program that was awarded to Methodist in which they select 6 students to receive $44K ($22k for 2 years). The caveat is that each recipient must promise to work 5 years in primary care (family med, peds, or IM). My father-in-law is a primary care physician in Illinois and is a huge inspiration to me. I think I would enjoy primary care. BUT...I am also hugely interested in cardiology, and the ER seems appealing as well. And who knows? Once clinicals start, I may change my mind again. What I'd like to know is if it's worth it to commit myself to primary care before school even starts to get such generous financial assistance. I'm looking at the difference in owing $35K (if I'm one of the lucky 6 to receive the grant) vs. $110K (without the grant). I may be putting the cart before the horse a little bit here, because I don't even know that I would be one of the 6 to get the grant funds. I thought it would be good, though, to hear what people have to say before I submit an application when the time comes. I've done research on this forum about salaries in different specialties and different regions within the U.S., but there are so many variables here (picking a specialty before school starts, committing to said specialty for 5 yrs, salaries, loan payments, etc.). I decided I should just post something and hope for responses. I keep going back and forth on what to do. I am crossing my fingers that your experiences will highlight some factors I haven't considered that will help me make up my mind whether I should apply for the grant. Thank you very much for your time!
  • Create New...

Important Information

Welcome to the Physician Assistant Forum! This website uses cookies to ensure you get the best experience on our website. Learn More