I am a physician assistant practicing in psychiatry. I was recently offered, and subsequently accepted a remote behavioral health position at my organization. In this role, I am working overnight placing admission orders ONLY (yes, it's a limited role) after talking to nursing staff and the intake team by conference call. Before putting in any orders, I will call the on call psychiatrist to clear me to give these orders. Sounds straightforward and incredibly simple, right?
Well, the Pennsylvania Medical Board denied my written agreement stating "not enough supervision." I am speaking with a psychiatrist by phone in regards to EVERY patient and am also required to see my supervising doc in person on a monthly basis, per my organization's requirements. Per the AMA and PSPA, there is absolutely NO REQUIREMENT for in-person supervision. The doc must simply be available by phone if he or I requests.
Why is the board denying? I feel like we've stepped back in time here... Now the board is continuing to deny until they meet in person at their next monthly pow-wow.
Just venting mostly, but also curious if anyone has advice.
I have the option of working 36 hours a week so can do four 9s and have a day off but lose some percentage of pay. I am thinking of doing that and trying out a different job PRN or doing some remote work. Any suggestions? I have looked into medical record review but cannot find a remote position for PAs in Ohio to do that. Thanks!
The last poll in Jan 2017 had 215 responses. Time for round 2. Votes are anonymous.
Select your GROSS (before taxes and other deductions) income which includes your base pay plus bonuses. Again, this is as informal as it gets. We all know years in practice and location play a huge impact on these numbers.
***EDIT: I edited the poll in order to add more options at the top end. As of writing this, there were 3 people who selected " >$180k" which is now the option "$180k-190k"
I am a new grad and came across the following proposal after interviewing for an ENT position in North Carolina:
PROPOSAL OF TERMS FOR EMPLOYMENT
WORK SCHEDULE: 5 DAY WORKWEEK 8 AM – 5 PM, LUNCH 12-1 PM.
PA WILL BE ASSIGNED PATIENTS BY THE PRACTICE WITH GOAL OF MAXIMIZING PHYSICIAN AND PA PRODUCTIVITY AT THEIR LEVEL OF EXPERTISE/KNOWLEDGE. THE PHYSICIAN WILL MENTOR THE PHYSICIAN ASSISTANT UNTIL HE/SHE GAINS APPROPRIATE SKILLS/COMPETENCY TO WORK INDEPENDENTLY
SALARY: $90,000 PER YEAR PAID IN MONTHLY INCREMENTS
BONUS: PRODUCTIVITY BONUS BASED ON 40% OF PHYSICIAN ASSISTANT-GENERATED INCOME OVER $200,000.
BENEFITS: THREE WEEKS PAID VACATION PER YEAR (INCLUDES 5 PAID HOLIDAYS), PAID SICK AND/OR CONTINUING MEDICAL EDUCATION LEAVE (5 DAYS); AND CME/ANNUAL DUES/LICENSURE $3000 ANNUAL ALLOWANCE
RETIREMENT PLAN (SIMPLE IRA) AFTER ONE YEAR OF EMPLOYMENT (3% MATCH)
MALPRACTICE INSURANCE PAID BY THE PRACTICE
ON-CALL (FIRST CALL): 5 WEEK NIGHTS PER MONTH, 1 WEEKEND PER MONTH
NON-COMPETE RESTRICTION: AFTER ENDING EMPLOYMENT WITH THE PRACTICE, PA WILL NOT SEEK EMPLOYMENT WITH AN ENT OFFICE LOCATING IN NEIGHBORING COUNTIES FOR A PERIOD OF ONE YEAR.
IN ADDITION TO SEEING PATIENTS IN CLINIC AND BEING ABLE TO PERFORM CLINIC PROCEDURES, THE PA WILL BE ASSIGNED PRE-OPERATIVE VISITS, POST-OP VISITS AND SUTURE REMOVALS WHERE MINIMAL INPUT FROM PHYSICIAN IS NEEDED, AND MAY BE RESPONSIBLE FOR HOSPITAL DISCHARGES. WHERE REIMBURSABLE, THE PHYSICIAN ASSISTANT WILL BE GIVEN THE OPPORTUNITY TO ASSIST IN THE OPERATING ROOM ON CASES.
*The offer does not include medical benefits
I have a few offers on the table and I have yet to come across this type of offer. I am very intrigued but also a bit nervous about the possibility it may not work out as I am the first mid-level that this provider has hired.
The productivity bonus: I keep 40% of all revenue over 200K that I bring into the clinic.