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I need to get out of my job. I can't be a PA any more, I just *bleeping* can't be a PA anymore but I also have no idea what to do. I still have a crap ton of loan to pay off which makes it tough to leave the current job. Honestly any advice is appreciated. 

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What specialty are you in? How long have you been practicing and what are your biggest qualms about being a PA?


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lots of threads about this

 

I just saw an insurance company job for ortho pa  115-160k year - if you want to join the devil...

 

Teaching is also good

 

But I would say don't give up on medicine yet - you just need a change of scenery

 

the local summer camps pay $1000/week to hang out

jails, correctional, BOP all are very different and NO INSURANCE CO BS

could also try something like grant funded positions like family planning, street medicine

 

Or what about admin

 

search the threads and see what is about there

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I feel for you.  I really do.  I finally got out in August after 30 years.  I'm working as a medical technologist again.  Took a massive pay cut but I just could not do it any longer.  I would love to teach but at least in my state you have to have your masters which I don't.  Try insurance companies, Utilization review jobs,  employee physicals maybe at some hospital.  

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I've seen -- and been a part -- of this show many times. You take a job thinking that you will always like it and then...after a while ...you just don't. You despair of your choice and at the same time feel helpless to change. "No one would hire me at my age," " I'd have to move," " I would have to take an enormous pay cut," " my spouse would be angry." Whatever it is, that kind of internal dialog just keeps you in the same trench, fighting and dying a little bit more each day.

We mostly keep changing, and so do the particular jobs we have taken, so a mismatch between job and job holder is almost unavoidable at some point. Looking back, I seem to have changed jobs or careers every 7-15 years. Fortunately there is no law that you have to stay in any job beyond the point when it's obvious you're ready to leave. Yes, you have to make money to support yourself and your family, but you have way more options than you might think. To find your way out of this, don't despair to the point that you believe that all jobs are the same or "that's why they call it 'work.'" 

Be willing to try something new that's meaningful for you now. All jobs will have problems, but they don't have to be the same problems you are already sick of dealing with.  Your only real job is to find something that you would like to do next. Once you accept that as your challenge, you may very well be surprised what you might find.

Someday you might just look back and smile at just how much better your life has become.

 

Edited by UGoLong
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You know, as much as I gripe about corporate medicine, I get more and more job satisfaction every year.  I have bosses now who leave me alone to do my thing right, make them money, and make a difference my way.

What made you want to be in medicine?  What can you do to recapture that joy, to succeed at that raison d'etre?

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Rev,  You are the only person, PA or MD that is happy with corporate medicine.

 

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Well, aside from myself.  No billing, insurance carriers, refills, patient phone calls, though it all ends tomorrow.  2.5 mos. notice and they haven't interviewed yet to replace me.  Sorry to the cucumber for leaving him solo.  One clarifier, it is GOV'T, and not private CORP.

Edited by GetMeOuttaThisMess
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Fellow psych PA here. I hear you. 

Just a few ideas, not sure what you may have already done in the past...

1) Make the move to addiction medicine. My understanding is the schedule tends to be more manageable, meaning fewer patients to herd in and out like cattle. 

2) Insurance. Claims and utilization review. I think that's where I'll be headed next. Some jobs you can do from a home office, so major bonus points there. Don't listen to anyone telling you you're playing for the other team or working for the devil. You will have just as much of a chance to make a difference, albeit from a different perspective.

3) Health coaching, possibly even behavioral health coaching. Sounds like you're experienced, so this is something you could even do on your own. You couldn't advertise yourself as a PA, but rather as a personal health coach. Another job that could be done from home or a location of your choosing.

 

I feel for you. I'm not sure what your specific situation is, but I know psych has been a letdown for me. It's the only specialty I found interesting, so I can't just get up and move to family med or something. That would be even worse. The endless admin BS puts a drain on your joy. Seeing patients suffer and not being able to tell them why their meds aren't working is difficult. But that's psych. A lot of art, a little science. Not having enough time to truly listen. Parading patients in and out. I get it. I've been there.

 

Get creative and do some research. It will get better again.

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I am with you.  Literally crawling by my fingernails to the finish line which I decided to move up 5 years.  Time to make room for some new blood I guess.  I have explored just about every non-practicing PA possibility and unlike nursing, I just can't seem to find anything.  I applied to multiple corporate and insurance type non-clinical jobs and never go so much as a follow-up email.  When following up on my own, 100% of them went to NP's.  Basically, I didn't have a chance.  Ah well, my career in the security guard industry is about to begin.  I wonder if I will get one of those cool Paul Blart scooters?

Edited by Cideous
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14 hours ago, TWR said:

Rev,  You are the only person, PA or MD that is happy with corporate medicine.

I think I've been BADLY misunderstood. I sneer from the fringes at corporate medicine, and help patients despite it.

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Has anyone here tried medical science Liaison? Or something like clinical research on new drugs coming out?

I read a little about MSL, seems intense to break into but assuming with some clinical background you’d be a good candidate

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Has anyone here tried medical science Liaison? Or something like clinical research on new drugs coming out?
I read a little about MSL, seems intense to break into but assuming with some clinical background you’d be a good candidate
I used to be an HIV specialist and now Hepatology/GI and have thought about this... One caveat, you go to A LOT of meetings and you are kind of like a drug rep. It may be one's cup of tea but not mine.

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Well, aside from myself.  No billing, insurance carriers, refills, patient phone calls, though it all ends tomorrow.  2.5 mos. notice and they haven't interviewed yet to replace me.  Sorry to the cucumber for leaving him solo.  One clarifier, it is GOV'T, and not private CORP.


Best wishes for a mostly bright and happy future!


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Congrats on your retirement.  I will see how long it lasts before you look for part time something.  Keeps the cob webs from building up around our brains!!

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Thanks.  I'll be looking for something after the first of the year on a part-time basis only I suspect and it WON'T involve my providing care to patients.  Those days are done.  The elderly parent, hand grenade waiting to go off, will limit choices I suspect.

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On 10/29/2019 at 8:00 PM, UGoLong said:

Be willing to try something new that's meaningful for you now. All jobs will have problems, but they don't have to be the same problems you are already sick of dealing with.  Your only real job is to find something that you would like to do next. Once you accept that as your challenge, you may very well be surprised what you might find.

Someday you might just look back and smile at just how much better your life has become.

 

I think this is really good advice.  I love hospitalist work, but the admin/IT/etc. hurdles can be really draining.  The best decision I ever made was to go full time locums/contractor/1099/whatever.  Now all those problems that still exist everywhere aren't my problems except for a short time.  I show up, do a good job, and next week I'll be somewhere else with a nice change of scenery.  

OP, have you considered doing some locums work?  I can't tell you how much of a mental break it can feel like to just go into a new clinic or hospital, even if you're working in the same field.

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Medical Liaison Diabetes - Western Massachusetts-Maine Job

-
Pittsfield, MA
 
 
 
 
About the Department
The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk Inc (NNI) is one of the most diverse and collaborative groups within the organization. From health-care-provider interactions and developing and implementing regulatory strategies with the Food and Drug Administration (FDA) to providing medical education and collecting data to support efficacy and new product development, CMR is involved. The one thing that keeps us all marching to the same beat is our patient-centered focus. At Novo Nordisk, you will help patients around the world. As their needs evolve, so does our challenge to find better and more innovative ways to improve their quality of life. We’re changing lives for a living. Are you ready to make a difference?

The Position
Builds relationships and demonstrates the clinical outcome and benefits of NNI products. Educates and demonstrates the benefits of key products to patients. Provides medical information and coordinates continuing education workshops. May explore and identify sites for clinical trials in all stages of development. Incumbents have a deep scientific and clinical education and experience. Within Field Medical Affairs (FMA), this position functions as a scientific liaison between Novo Nordisk Inc (NNI) and key external customers to further scientific exchange. Provides advanced product and scientific and medical field support to Medical, Sales and Marketing, as well as Managed Care and Government by using academic credentials and scientific expertise to communicate with health care providers, organized providers/accounts and other relevant healthcare organizations. Strategic determination of change of territory prioritization will be based on customer need and analytics which identify need for change. This may occur at any time throughout the annual performance cycle.

Relationships
Position reports to Field Director/Senior Field Director. Serves as organization spokesperson on advanced medical and technical projects with the Medical Liaison (ML) teams, Clinicians, Marketing, Market Access & Government, and Sales personnel. External relationships include key opinion leaders (KOLs), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized providers/integrated delivery networks (IDNs), and managed care organizations (MCOs) as needed based on territory archetypes.

Essential Functions
  • Completes administrative duties accurately and timely, in line with current Standard Operating Procedures (SOPs) and working practices
  • Complies with all guidelines, policies, legal, regulatory, and compliance requirements
  • Ensures effective administrative management of regional business as well as operational budgets
  • Maintains thorough understanding of all relevant Novo Nordisk processes and procedures, and proactively assists FMA members to further their understanding with these as needed
  • Provides monthly reports on scientific support activities in region to Director including budget expenditures as directed. Records all activities within One Stop Shop (OSS) and all expenses within Concur in accordance with FMA procedures
  • Attends assigned medical and scientific meetings; ensures and maintains awareness of current issues and new data pertaining to NNI products; develops and maintains relationships with key health care providers and IHNs; develops appropriate use of NNI products and greater utilization of its services; supports and assists representatives and managers in answering questions from health care providers and integrated health networks (IHNs). Combines account management skills, business acumen, and scientific expertise to enhance value and develop collaborative relationships
  • Collaborates with Health Economics & Outcomes Research (HEOR) team to deliver scientific value proposition of NNI’s products and devices to key customers and formulary decision makers
  • Delivers HEOR presentations upon request. Collaborates with Marketing and Sales management to develop scientific strategies to optimize NNI’s products and development activities in the medical community
  • Collaborates with trial/study investigation sites; ensuring effective coordination and facilitation of studies to ensure timely review, initiation, and completion, as well as publication of study results
  • Provides clinical support in cooperation with other Novo Nordisk groups to ensure investigators demonstrate appropriate knowledge of studies, support patient recruitment and retention activities, answers responsive requests from investigators and provides feedback to sites to other groups
  • Provides clinical support in cooperation with other Novo Nordisk groups to ensure investigators demonstrate appropriate knowledge of studies, support patient recruitment and retention activities, answers responsive requests from investigators and provides feedback to sites to other groups
  • Coordinates and collaborates with regional FMA team members to ensure integrated comprehensive coverage of regional clinical and scientific needs
  • Coordinates with key internal stakeholders to provide customized and dedicated system-wide clinical education and support within respective IHNs and coordinate and manage professional relations of Novo Nordisk within these Networks from an overall “account management” level
  • Coordinates with respective Health System Manager (HSM) to provide scientific and clinical education to Chief Executives, Medical Directors and formulary stakeholders to secure proper access to NNI’s products and services in respective IHNs
  • Develops and presents product and scientific updates as requested, including Formulary presentations within IHNs, using approved material

Physical Requirements
50 - 75% overnight travel required. Home based role. Territory includes Western Massachusetts and Maine. Driver must maintain a valid driver’s license. Must be in good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records.

Qualifications
  • Doctoral degree required
  • At least two years experience in a health related system, pharmaceutical company, or managed care environment required
  • Relevant clinical and/or therapeutic experience preferred
  • Displays business acumen/knowledge based on experiences such as participation in formulary process decisions
  • Extensive experience in endocrinology strongly preferred
  • Strong communication skills

Novo Nordisk is an Equal Opportunity Employer - M/F/Veteran/Disability/Sexual Orientation/Gender Identity.

If you are interested in applying to Novo Nordisk and need special assistance or an accommodation to apply, please call us at 1-855-411-5290. This contact is for accommodation requests only and cannot be used to inquire about the status of applications.

Requisition ID: 60413BR
State/Provinces: Pittsfield
Job Category: Regulatory
 
Novo Nordisk - Today - save job
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On 10/31/2019 at 2:28 AM, Joelseff said:

I used to be an HIV specialist and now Hepatology/GI and have thought about this... One caveat, you go to A LOT of meetings and you are kind of like a drug rep. It may be one's cup of tea but not mine.

Sent from my SM-G975U using Tapatalk
 

You would be such a good candidate with that background!!!!!

Yeah it seems like tons of presentations/data/a little seller’s pitch in between 

One must love data and presentations and be good at networking/social events

 

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I appreciate everyone's advice. Thank you for taking the time to reply.  

I've come to loathe everything about medicine. The longer I work in medicine the more I hate it. I'm probably going to die of an easily preventable disease because I don't want to see any medical professional. I know this view is not healthy, which is why I've been working on it. 

I've been looking at other jobs but this job is easy, in a sense. If I just shut up and do what I'm told I can get through it. I get paid well for doing what the docs don't want to do. 

I don't know what I want to do... I'll probably just suck it up and continue doing what I'm doing 

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