EMNP Posted August 13, 2018 Share Posted August 13, 2018 Any of you or someone you might know in inpatient palliative medicine? Got a very good offer with an amazing schedule that I would regret later if I don’t take. 3 12s/weekly, 6am-6pm, weekends, holidays off plus an increase in pay from where I’m at. Your thoughts. Im currently doing inpatient cardiology. Sent from my iPhone using Tapatalk Link to comment Share on other sites More sharing options...
AbeTheBabe Posted August 13, 2018 Share Posted August 13, 2018 No experience in it but if you can talk to a current PA (or the one that you're replacing) I'm sure that would be helpful. Link to comment Share on other sites More sharing options...
Moderator ventana Posted August 13, 2018 Moderator Share Posted August 13, 2018 what is the numbers behid this offer? it is still a full time work position I would say it depends on the life you want to lead and what the pay is. Palliate care is a sort of warm fuzzy field but you really need to know your medicine and have great family skills Link to comment Share on other sites More sharing options...
sas5814 Posted August 13, 2018 Share Posted August 13, 2018 ^^ This. I did a lot of end of life and palliative care years ago and it takes patience and compassion because you have to care for the patient and all the family members some of whom will be a real challenge. I found it very rewarding because so few people want to do end of life care and fewer still do it well. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted August 13, 2018 Administrator Share Posted August 13, 2018 I would like to do palliative care work at some point. To date, it's seemed like an NP-dominated field due to hospice/medicare billing rules, but with my background in chaplaincy it seems like I'm reasonably well positioned. When they change the reimbursement rules... Link to comment Share on other sites More sharing options...
Guest thatgirlonabike Posted August 13, 2018 Share Posted August 13, 2018 1 hour ago, rev ronin said: When they change the reimbursement rules... It's happening in January. https://www.aapa.org/news-central/2018/02/new-law-permits-pas-provide-hospice-care-medicare-patients/ Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 13, 2018 Moderator Share Posted August 13, 2018 a very good friend of mine did inpt palliative med for a few years She worked for the dept of physical medicine and rehab, but it was essentially helping provide quality of life/ end of life care to folks with conditions that would likely take them out within 6 months. Link to comment Share on other sites More sharing options...
Moderator ventana Posted August 13, 2018 Moderator Share Posted August 13, 2018 2 hours ago, thatgirlonabike said: It's happening in January. https://www.aapa.org/news-central/2018/02/new-law-permits-pas-provide-hospice-care-medicare-patients/ not really related, palliative care is not hospice care I do agree that this will open up more jobs for PA in Hospice thought Link to comment Share on other sites More sharing options...
Guest thatgirlonabike Posted August 14, 2018 Share Posted August 14, 2018 17 hours ago, ventana said: not really related, palliative care is not hospice care I do agree that this will open up more jobs for PA in Hospice thought The are very much related. My understanding was that PA's have always been able to bill for palliative care but not hospice so that shut the door for them since many places offer both hospice and palliative care. That's how it's been in my state. Link to comment Share on other sites More sharing options...
sas5814 Posted August 14, 2018 Share Posted August 14, 2018 They are very much related but also a bit different. Sort of like a Venn diagram with a big overlap. When a patient transitions from palliative care to hospice, palliative care continues even though the patient is (generally) not expected to live more than 6 months. All my work in palliative care and hospice was billed under the SP Link to comment Share on other sites More sharing options...
ravenspac Posted August 15, 2018 Share Posted August 15, 2018 just joined the forum, but I've been in Rad Onc for 5 years. I see my fair share of palliative cases. Palliative Medicine folks are literally a god send. I respect them more than any other service. They are often over worked while being under utilized. We should easily have double the current PM staff for our hospital, AND probably double my patient population should be seeing them. That being said... I replied because it can be emotionally daunting and over the years I've found damaging to deal with terminal patients on a daily basis. I'm able to compartmentalize work v life very easily...to the point where my SO has often questioned how I can function like nothing has happened when I come home some days....but over the years I'm starting to feel depressed now. Its not for everyone, but PM providers are literal god sends Link to comment Share on other sites More sharing options...
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