I am a new grad PA practicing for about 4 months. I work in occ med/urgent care. Without getting into specifics. A patient had and intraarticular finger fracture. I treated/ splinted conservatively and referred the patient stat to a hand specialist on the date of injury, who did not get seen until 2 months after her date of injury, due to WC insurance. The patient was unable to have surgery due to the timing of being seen by the surgeon. The patient will have permanent and stationary deficits and need future medical care for possible joint fusion. The patient is currently undergoing PT. Not only did I do a disservice to the patient as far as ensuring timely care, but the referral department did as well. How do I manage this going further? Obviously try to regain as close to normal function prior to the patients injury. I am learning from this experience when referring, especially with intraarticular fractures. I feel like this is my first error in patient care that has affected the patients condition and has directly impacted the patients quality of life and functionality. How should I proceed? Any recommendations? Not looking for validation nor looking for critique (no more than I am already giving myself). Need suggestions on how to proceed further in my attitude and semi guilt with this case. Thank you in advance.
I'm a PA who's been working in Oklahoma doing general surgery and urology at the same hospital since I graduated in May 2018. I have two concerns:
1) I finished a 1-year contract and resigned for a 3-year contract which bases my annual bonus off of RVUs (very low 1520). I recently finished the first year of this contract and I've been told the hospital doesn't know how many RVUs I've accumulated because they don't know how to calculate my RVUs from surgery. Apparently, they have always had this issue with RVU calculations for PAs (there is only one other PA working in ortho at this hospital) and they've been "working to figure it out" , but I've been asking for my productivity for about two years and have yet to get ANYTHING useful. In fact, I have been stood-up twice by the clinic manager for scheduled meetings to discuss productivity.
2) As I mentioned, recently finished off the first year of that contract. I requested an annual review and the clinic manager completely ignored that portion of my email. Seems completely unprofessional to not perform reviews. Convinced my first job at a bowling alley was more professional than this.
Wondering if this kind of thing is normal or just a lazy clinic manager...and maybe any legal advice regarding them giving me a contract with a metric that they have admitted they don't know how to measure. Thanks in advance.
I'm a new grad PA (started the program right out of high school) who just received a job offer for a hospitalist position with the details here:
40 hour week. Five 8 hr shifts a week. Overnight from Sun- Thurs 11pm-7am. $85,000 base pay $15,000 for overnight annual bonus. Would be taken away if I switched to days. 4 weeks PTO 1 sick week 1 week CME and $1500 Paid DEA liscense.
I'm curious if I should ask for more base pay. Any opinions? Thanks!
In my myriad Google searches, I seem to have found the answer, but I want to confirm this before I play the waiting game. I have applied for state licensure in CA, but I am still waiting on approval. Can I apply for my DEA before the license comes through? The answer seems to be no, that I must be fully licensed before I even begin my application for a DEA.
Anyone have any light to shed on this? Any way for me to speed up the waiting game?
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.