I am a new grad PA practicing for about 4 months. I work in occ med/urgent care. Without getting into specifics. A patient had and intraarticular finger fracture. I treated/ splinted conservatively and referred the patient stat to a hand specialist on the date of injury, who did not get seen until 2 months after her date of injury, due to WC insurance. The patient was unable to have surgery due to the timing of being seen by the surgeon. The patient will have permanent and stationary deficits and need future medical care for possible joint fusion. The patient is currently undergoing PT. Not only did I do a disservice to the patient as far as ensuring timely care, but the referral department did as well. How do I manage this going further? Obviously try to regain as close to normal function prior to the patients injury. I am learning from this experience when referring, especially with intraarticular fractures. I feel like this is my first error in patient care that has affected the patients condition and has directly impacted the patients quality of life and functionality. How should I proceed? Any recommendations? Not looking for validation nor looking for critique (no more than I am already giving myself). Need suggestions on how to proceed further in my attitude and semi guilt with this case. Thank you in advance.
I was wondering if there are any places taking students for rotations starting in Jan 2021?
I would love a rotation in San Diego sometime between January and April as my husband is mobilized there with the NH Army National Guard.
Other areas of geographical interest are the Midwest, New England, Alaska and Hawaii for Jan 2021-Dec 2021. Specifically rotations located in the following places:
Western SD, Cheyenne, WY, Casper, WY, Western Nebraska, Denver, CO area inc. the foothills, Sioux City, IA, Topeka, KS, Indianapolis, IN, Palmer, AK, Hawaii, Minnesota, NH, VT, ME, and/or MA
Thank you in advance!!
Hi - I am a new graduate who passed the PANCE June 5th. I am looking for jobs in the NY/NJ area and spend each day looking at the job boards. Are there any other suggestions for where to search out jobs? I am interested in many fields- excluding surgery. I just want to be able to get a job and get some experience so I can become more competitive. With COVID19 hitting this area so hard, I know why it is difficult at this time but would like any advice I can get (as well as any possible leads!).
Thank you for your time.
New grad dermatology offer in the Northern Virginia area. Solo MD practice with 4 PAs (1 is leaving and another is leaving in a few months). Only the MD has an MA who brings back pts, scribes and assists with procedures. No Mohs in office. PAs see approximately 15 pts per day at 30 minute intervals - bring pts back to rooms, turnover rooms, perform beta-hcgs without assistance. Location, providers and support staff are great - shadowed with the practice following interview.
Offered a 1-year contract for $48/hr, 36 hours/wk, work 8AM - 5 PM (1 hr for lunch flexing every other Friday), no weekends or holidays, no call. Paid bi-weekly. Compensation while training will be $25/hr for the first 4-weeks of employment, increasing to $30 thereafter (no longer than 12 weeks) with a retention bonus after 1-year to compensate for pay-cut during training period.
Productivity bonus begins after 1-year of employment: annual bonus of 5% of the aggregate amount in excess of 3x calculated annual salary.
PTO - 83.2 hours (2 weeks) covers vacation, sick leave, CME travel; increases to 3 weeks after 1-year
Annual stipend - $1,000 covers licensure, CME (to include travel and lodging expenses), uniforms, dues, books.
401k - dollar for dollar matching up to 4%
Malpractice insurance - provided but no details written in the contract; verbally told that there is no tail coverage but did not seem to know if policy was claims made vs occurrence.
No dental, health, vision. Currently covered under spouse's plan.
Restrictions: no moon-lighting, 2-year non-compete with other derm offices within a 20 mile radius.
Offered Urgent Care position at $58/hr, ~32-36 hrs/wk to include two Fridays and one-two weekends a month. 2 months training at full pay. Non-training shifts will be from 2 PM -10 PM; working with another PA/NP in house at all times - can work solo after 1 year. Paid time and a half for holidays worked. No call. Salary growth of 3-6% annually plus RVU bonus.
PTO - 84 hrs; plus 3 months maternity leave through disability
401K - 100% vested after 1 year, 3-6% match after 1 year
Profit sharing - 1500 hours (not really sure what this means...need to do some research)
Malpractice insurance - occurrence policy. No tail coverage.
Health insurance provided.
Licensure fees, membership dues covered.
I like both practices and need some feedback. I like staying busy, doing procedures and developing relationships with patients. I do no like the UC hours to include shift time, weekends and holidays - spouse works 9AM-5PM and want to have more time together. Derm location is closer to home, less charting, predictable schedule. I want to renegotiate the derm offer to match the hourly compensation of the UC offer - hoping to get at least $53/hr, ask for 20% rather than 5% annual bonus with a goal stipend of $2500. Any tips of advice of any sort would be greatly appreciated. Thank you.