Long time reader, first time posting. I recently secured a job at a vascular surgery practice working with 2 different surgeons. The job includes working in all clinical settings (OR, inpatient, ICU, and clinic), but I am especially excited to be in the OR. My start date is at the end of August so I will have some down time before my first day. I was wondering if anyone had any recommendations as to how I can prepare so I can put my best foot forward when I start. Books, online material, videos etc. (I am open to anything really). I do understand that the first year, as a new graduate, can be tough especially starting off in a surgical specialty.
Any and all advice is greatly appreciated!
I am a relatively new neurosurgical PA in Las Vegas, NV.
Recently one of the hospital systems we cover (Valley Health System, UHS) here in Las Vegas informed me that in order to gain first assist privileges in their hospitals, I will be required to have a separate first assist certification. If I were to have gotten my privileges completed one month earlier, I would have just been grandfathered in. What confuses me most is that at a few of the hospitals, they are allowing me to have the first assist privileges until my next reappointment in over a year whereupon I will then need to have the certification then to continue having the privilege. At other hospitals within the same system they are not allowing me to have the privileges at all.
I have reached out to the AAPA and they drafted a letter to send to several people within the organization, but I have not heard of any response yet from anyone within the Valley Health System.
Has anyone else every seen/heard anything like this before? In my opinion it does not make sense and downplays any surgical training we get during school or thereafter.
I appreciate any other thoughts, idea, or opinions.
I was just offered a job as a new grad in psych at a private practice outpatient clinic in the Houston, Tx area. My hours would be 9-6 or (10-6 with no lunch break) Tuesday - Friday and a possible Saturday shift from 9-1 which I am clarifying now as to if this is set in stone or not since it was unclear. They told me I would be shadowing the first two weeks and then after that I will slowly see my own patients while consulting with the doc after each patient. They currently have one NP who they hired as a new grad and trained.
Salary: I told them I was looking for 100k since that is the average for a new grad in Texas and they offered me this breakdown: 92k for years 1-2, 102k for years 3-4, and 113k for years 5-6. Then, a bonus set up like this: starting at 6 months, a quarterly bonus at 65% patient occupancy is a 1k bonus quarterly, at 75% patient occupancy a 1750 bonus quarterly and at 90% occupancy and greater a 3k bonus quarterly. The bonus seems okay but I have no idea how to gauge this since idk if I will even be hitting these numbers as a new grad. They told me the NP currently sees follow ups in 15 min slots or 4 an hour with a break after to chart and that new pt visits are 1 hour. They told me my follow ups would be set for 30 minutes instead of 15 since I am new.
PTO: 7 days first year (this seems very low to me and was also not broken down into CME or sick days so now I have no idea if I even get CME days so that will be in my email back with questions)
Malpractice coverage and 401k with 5% match effective after first year. It was also unclear if the 401k is not effective at ALL until the first year or if just the matching so I will be asking this as well. Need to ask if this includes tail coverage?
Overall, I am happy to have a job offer but wondering if this is a good one. I would like to counter with a base salary of 96-97 possibly since a 1k bonus for three quarters in my first year would put me at the average new grad salary in Texas of 100k. Does this seem unreasonable? I also really don't like how the salary is already structured for the next 6 years and how I do not get a yearly raise to match inflation even. Is this common? What do you all think I should include in my counter? Overall, is this a good offer and would you take it as a new grad? Is it a bad idea for me to counter? Please help!! Thank you!
Edit to add: they do not offer health insurance if this makes a difference. Thank you!
I'm a new grad starting out in ambulatory surgery-- I'm super excited because I love being hands on in the operating room. I was just wondering if any of the Surgical PAs could give some insights about ambulatory surgery? The site I'm going to be working at has 12 surgical subspecialities (list below). From what I gathered through the interview process, I'll be able to get experience in all of them. That being said I'm worried about being prepared and knowledgeable for cases. Anyone have any tips of how to study up, or even get more comfortable once starting? I have a little over a month before start date so any resources are welcome. Thanks in advance!
List of subspecialities/ topics to brush up on🤯🥴:
Head and neck surgery
Minimally invasive gynecologic surgery
Sports medicine surgery
I'm a PA who's been working in Oklahoma doing general surgery and urology at the same hospital since I graduated in May 2018. I have two concerns:
1) I finished a 1-year contract and resigned for a 3-year contract which bases my annual bonus off of RVUs (very low 1520). I recently finished the first year of this contract and I've been told the hospital doesn't know how many RVUs I've accumulated because they don't know how to calculate my RVUs from surgery. Apparently, they have always had this issue with RVU calculations for PAs (there is only one other PA working in ortho at this hospital) and they've been "working to figure it out" , but I've been asking for my productivity for about two years and have yet to get ANYTHING useful. In fact, I have been stood-up twice by the clinic manager for scheduled meetings to discuss productivity.
2) As I mentioned, recently finished off the first year of that contract. I requested an annual review and the clinic manager completely ignored that portion of my email. Seems completely unprofessional to not perform reviews. Convinced my first job at a bowling alley was more professional than this.
Wondering if this kind of thing is normal or just a lazy clinic manager...and maybe any legal advice regarding them giving me a contract with a metric that they have admitted they don't know how to measure. Thanks in advance.