Rbnz Posted December 22, 2016 Share Posted December 22, 2016 Surgical PA one year out, that signed a contract as being a "physician assistant", not a surgical PA. Biggest mistake of my life. I work at a small critical access hospital that has surrounding family/urgent care clinics. The other PA I work with is another surgical PA as well. The current situation is that there are no providers to cover one of the clinics for a week and they want us to cover the clinic for one day each. I know that my contract doesn't state surgery only, but can they force me to cover a clinic? I went to talk with the clinic manager and told him that I did not want to cover the clinic due to their poor planning, and also said "hypothetically what if I said no to covering the clinic", his response was that it wouldn't go over well for me and that I am an employee of the hospital and they can force me to cover the clinic. This is a small thing in a growing list of problems where I work. Any thoughts greatly appreciated. So angry! Link to comment Share on other sites More sharing options...
MedicinePower Posted December 22, 2016 Share Posted December 22, 2016 If they don't have enough MDs/PAs to cover a clinic it wouldn't make sense for them to terminate you for refusing to cover. It wouldn't be the best move on your part politically speaking but if they already lack providers then it wouldn't make sense for them to reduce that number even further. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted December 22, 2016 Administrator Share Posted December 22, 2016 If they want to pay you surgical PA wages to mop the floor... (shrug) Link to comment Share on other sites More sharing options...
WeBuyAndSellJunk Posted December 22, 2016 Share Posted December 22, 2016 Can imagine the lawyer's field day. A new grad who has been practicing for one year IN urgent care or FP still needs hand holding, let alone the surgical PA with no experience otherwise. Who is your SP gonna be for this role? Would love to hear the conversation with the surgeon regarding the bleeding 24 wk preggo lady. Link to comment Share on other sites More sharing options...
Moderator ventana Posted December 22, 2016 Moderator Share Posted December 22, 2016 issue comes down to skill set yes they can force you to do it but forcing a surgeon to run an IM clinic is never gonna happen, nor should it with a PA.... play stupid Link to comment Share on other sites More sharing options...
Boatswain2PA Posted December 23, 2016 Share Posted December 23, 2016 They can't force you to do anything. Tell them no you're not doing it. Talk to a couple of the surgeons and tell them what the morons in admin are asking you to do. Prepare to be fired. You're a surgical PA, not a UC PA. Go find another surgical PA job. (Unless you WANT to branch into UC....then go for it....but tell them you need an additional $5K a year in CME!) I am an EM PA. Every once in a while I agree to help a clinic out and do walk-in clinic in addition to ED. I freaking HATE it, but I sometimes I agree to do it. But nobody MAKES me do a damn thing. Just say no. If they put you on the schedule, email the scheduler, with a CC to everyone in the chain that you know of, telling them that you are a surgical PA and are not prepared to do UC. And prepare to be fired, which may be the best thing that's happened in your career. Link to comment Share on other sites More sharing options...
RuralER/Ortho Posted December 23, 2016 Share Posted December 23, 2016 Another avenue you may want to investigate is your practice agreement with your state. Often types of services you can perfrom and prescriptions you write are based on your SP specialty... maybe there is a way in there you can get put of it. I agree with the others though.... just refuse. Link to comment Share on other sites More sharing options...
LKPAC Posted December 23, 2016 Share Posted December 23, 2016 Am I the last team player? It's one day! Cover the darn clinic, but make it clear that you won't let this be a routine thing. Then shut your pie hole and be the best PA you can. Let them appreciate you, not resent you. Link to comment Share on other sites More sharing options...
Boatswain2PA Posted December 23, 2016 Share Posted December 23, 2016 Am I the last team player? It's one day! Cover the darn clinic, but make it clear that you won't let this be a routine thing. Then shut your pie hole and be the best PA you can. Let them appreciate you, not resent you. I agree....but only if he wants to. I've been known to shovel the sidewalks and take out the trash....but I'm not going to be put on the housekeeping schedule. (not comparing UC providers to housekeepers). Link to comment Share on other sites More sharing options...
WeBuyAndSellJunk Posted December 23, 2016 Share Posted December 23, 2016 Team player? This isn't a question of stepping up, this is a question of patient safety. A surgical PA with no FP experience shouldn't be called to cover the FP/UC clinic. Imagine the inverse situation. Link to comment Share on other sites More sharing options...
LKPAC Posted December 23, 2016 Share Posted December 23, 2016 Team player? This isn't a question of stepping up, this is a question of patient safety. A surgical PA with no FP experience shouldn't be called to cover the FP/UC clinic. Imagine the inverse situation. The poster didn't say he wasn't capable, just that he didn't think he shouldn't have to do it. I would hope that a good PA trained in primary care could cover a clinic for one day. I think this is an opportunity to shine, as long as admin doesn't abuse him. Link to comment Share on other sites More sharing options...
WeBuyAndSellJunk Posted December 23, 2016 Share Posted December 23, 2016 I have to respectfully disagree. This is a do no harm first career. You can be as cowboy as you'd like, but I would hope to god I wouldn't be taking my family member to the urgent care for evaluation by the surgical PA with no prior experience. Walking on the wild side for me. Link to comment Share on other sites More sharing options...
Boatswain2PA Posted December 23, 2016 Share Posted December 23, 2016 I have to respectfully disagree. This is a do no harm first career. You can be as cowboy as you'd like, but I would hope to god I wouldn't be taking my family member to the urgent care for evaluation by the surgical PA with no prior experience. Walking on the wild side for me. However, it is all-too-common in UC shops to see a provider who specializes in something else. I helped out at an EXTREMELY busy UC shop for a few months and the docs there ranged from FP to OB/GYN to Ortho/Sports, to pain management. It's often a landing place for people who are burned out, or can't seem to get jobs in their specialty anymore. Link to comment Share on other sites More sharing options...
WeBuyAndSellJunk Posted December 23, 2016 Share Posted December 23, 2016 Granted, but those people at least have the expectation to work in UC. This poor fella is being thrown to the wolves. At least I expect that they arent gonna give him a week crash course CME on UC. Link to comment Share on other sites More sharing options...
CAAdmission Posted December 23, 2016 Share Posted December 23, 2016 Do the clinic day. See patients extremely slowly, like one every 30-45 minutes. Call your supervising physician with lots of questions. They won't ask you back. Link to comment Share on other sites More sharing options...
Moderator ventana Posted December 24, 2016 Moderator Share Posted December 24, 2016 Do the clinic day. See patients extremely slowly, like one every 30-45 minutes. Call your supervising physician with lots of questions. They won't ask you back. bingo!!!!!!!! Link to comment Share on other sites More sharing options...
Houstonian Posted December 27, 2016 Share Posted December 27, 2016 Please review your state laws. Does your Primary Supervising Physician have responsibility for seeing that your scope of practice is suitable to your skills and abilities? Has your PSP agreed to this assignment? Has he made arrangements to supervise you while in clinic or arranged an alternate supervising physician while you are in urgent care? Administrators often have no clue, but an administrator cannot determine your scope of practice (even a PA administrator) nor can an administrator delegate medical responsibilities to you. If I were you, I might "get sick" on the scheduled clinic day, if I didn't get all of the above satisfactorily resolved. Basic problem is a political one. Link to comment Share on other sites More sharing options...
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