I am a graduating PA and am currently looking for outpatient jobs, particularly in primary care. From what I have heard and seen, many primary care clinics are going through hiring freezes, and the few positions I have seen have required 2-5 years of experience. I have applied to them anyway in case they take a look at my CV and consider me, but they have either not contacted me or told me that I do not have enough experience.
I had a good first and second interview for an endocrine PA position. I do like endocrine, however I believe at least 90% of my time will involve working only on diabetes management. If I am offered this position--or if I am offered a position in another specialty that I do not see myself in long-term--should I take it to get experience (and a paycheck)? Should I wait it out hoping for a primary care position? If I take a specialty position will I be less desirable as a future applicant for primary care positions? The job market is difficult, generally, for any new grads, but the pandemic seems to have made things a bit harder as well.
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.
I worked as a PRN rehab technician for about 3 months (roughly 20 hours a week) before I became Full-Time (40 hours a week). How do I record this change in hours? Do I make two separate entries or average the hours per week? My hours for PRN also varied each week, with weeks working up to 30 hours and sometimes only 15 hours. Do I need to record this somehow? I also do not understand how PA schools validate that the numbers of hours stated are honest. Is there some sort of validation document needed from each employer from past jobs. Any advice is appreciated, thank you!
I work at a rural hospital in orthopedic surgery. I recently met with my employer’s director of clinical operations to discuss my productivity. In my second contract (signed this summer) it states that there will be a bonus of $25 for every wRVU over 2350. Last year as a new graduate I produced somewhere around 4300. During the meeting with the director I was given a statement of practice operations stating my current RVUs, charges, etc with the statement that the “fee modifying deduction” has not yet been added to the RVU total. He states that I will receive 25% of the surgeon’s RVUs for each billable surgery. That makes sense, however, they are wanting to give me 85% of my own clinic RVUs. Does anyone else have any experience with these kind of deductions in regards to their bonus payout? I know the conversion factor of $25 is already pretty low, so are they trying to avoid paying me with these deductions? There is nothing in my contract regarding these deductions.
Thanks in advance.
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.