physasst Posted June 11, 2012 Author Share Posted June 11, 2012 PM&R.....non operative spine center. Brand new position...they have never had a PA....Was worried that it would be chronic back pain, and train wrecks from all over the country, but apparently not. The director stated that 90% of appointment slots were reserved for patients of the clinic or system with ACUTE spine issues. Also, we are a consultative service. While we might see an occasional chronic spine pain patient, we will see them once, and write our thoughts and recommendations in a letter to their primary, or if necessary, refer them on to the Pain Rehab Center. We do NOT manage these patients chronically. Many of them will have their charts/imaging studies reviewed by myself or the attendings, and we will send them a letter discussing the fact that we cannot offer them an appointment, as we cannot offer any treatment that has not been attempted. They were interested in me because of my ED and Ortho backgrounds, my research doctorate, leadership background and abilities, and the fact that I have a second masters in Sports Medicine in addition to my masters in PA. Will see 6-8 patients per day. 1 hour appointment slots, and will have every other Friday off for research/admin time. During the interview. I had a few thoughts, and what I said was: I am not an assistant, I am a competent medical provider, if you want an assistant, hire someone else. If you want an autonomous provider who can increase the number of patients seen, with a high degree of independence, I'm your guy. Also, I don't like the term mid level provider. It can be construed as insulting. If I am a mid level, what does that make the nurse? I prefer non physician provider. I also told them that I will address them by first name, except in front of patients. I'm too old to play games with the ego boosting "Dr" so and so. BUT the real reason, is to establish an environment of mutual respect...see....THEY HAVE NEVER HAD A PA...I will be the first, so I have to establish the rules up front. As I told them, formal titles convey a sense of respect to patients, however, in the hallway, or in private, they can hinder true teamwork and open dialogue. I envision a true team, with all of us working together. If they don't envision that, than they should hire someone else. I also demanded, or rather strongly requested: 1. to be involved in the executive, practice, and research committees of the Center. I need to be involved in the decision making processes of the Center. 2. a respect for my external professional obligations (speaking, committee obligations, board requirements, etc.) and a healthy respect for my research obligations. 3. The ability to secure protected time (they will give me 0.1 to start) for research time with grant funds...(up to 0.5)... 4. A new laptop (MacBook Pro) and a new iPad3. 5. Finally, I requested an office. Now, you need to understand that while all the physicians in this Center have an office, office space is EXTREMELY limited and there are multiple attending physicians at the Clinic who do NOT have an office. They not only found me an office, but they found me one with a window. I gave my notice to the ED 2 weeks ago, I start in PM&R on August 15th. Link to comment Share on other sites More sharing options...
physasst Posted June 11, 2012 Author Share Posted June 11, 2012 PM&R.....non operative spine center. Brand new position...they have never had a PA....Was worried that it would be chronic back pain, and train wrecks from all over the country, but apparently not. The director stated that 90% of appointment slots were reserved for patients of the clinic or system with ACUTE spine issues. Also, we are a consultative service. While we might see an occasional chronic spine pain patient, we will see them once, and write our thoughts and recommendations in a letter to their primary, or if necessary, refer them on to the Pain Rehab Center. We do NOT manage these patients chronically. Many of them will have their charts/imaging studies reviewed by myself or the attendings, and we will send them a letter discussing the fact that we cannot offer them an appointment, as we cannot offer any treatment that has not been attempted. They were interested in me because of my ED and Ortho backgrounds, my research doctorate, leadership background and abilities, and the fact that I have a second masters in Sports Medicine in addition to my masters in PA. Will see 6-8 patients per day. 1 hour appointment slots, and will have every other Friday off for research/admin time. During the interview. I had a few thoughts, and what I said was: I am not an assistant, I am a competent medical provider, if you want an assistant, hire someone else. If you want an autonomous provider who can increase the number of patients seen, with a high degree of independence, I'm your guy. Also, I don't like the term mid level provider. It can be construed as insulting. If I am a mid level, what does that make the nurse? I prefer non physician provider. I also told them that I will address them by first name, except in front of patients. I'm too old to play games with the ego boosting "Dr" so and so. BUT the real reason, is to establish an environment of mutual respect...see....THEY HAVE NEVER HAD A PA...I will be the first, so I have to establish the rules up front. As I told them, formal titles convey a sense of respect to patients, however, in the hallway, or in private, they can hinder true teamwork and open dialogue. I envision a true team, with all of us working together. If they don't envision that, than they should hire someone else. I also demanded, or rather strongly requested: 1. to be involved in the executive, practice, and research committees of the Center. I need to be involved in the decision making processes of the Center. 2. a respect for my external professional obligations (speaking, committee obligations, board requirements, etc.) and a healthy respect for my research obligations. 3. The ability to secure protected time (they will give me 0.1 to start) for research time with grant funds...(up to 0.5)... 4. A new laptop (MacBook Pro) and a new iPad3. 5. Finally, I requested an office. Now, you need to understand that while all the physicians in this Center have an office, office space is EXTREMELY limited and there are multiple attending physicians at the Clinic who do NOT have an office. They not only found me an office, but they found me one with a window. I gave my notice to the ED 2 weeks ago, I start in PM&R on August 15th. Link to comment Share on other sites More sharing options...
physasst Posted June 11, 2012 Share Posted June 11, 2012 PM&R.....non operative spine center. Brand new position...they have never had a PA....Was worried that it would be chronic back pain, and train wrecks from all over the country, but apparently not. The director stated that 90% of appointment slots were reserved for patients of the clinic or system with ACUTE spine issues. Also, we are a consultative service. While we might see an occasional chronic spine pain patient, we will see them once, and write our thoughts and recommendations in a letter to their primary, or if necessary, refer them on to the Pain Rehab Center. We do NOT manage these patients chronically. Many of them will have their charts/imaging studies reviewed by myself or the attendings, and we will send them a letter discussing the fact that we cannot offer them an appointment, as we cannot offer any treatment that has not been attempted. They were interested in me because of my ED and Ortho backgrounds, my research doctorate, leadership background and abilities, and the fact that I have a second masters in Sports Medicine in addition to my masters in PA. Will see 6-8 patients per day. 1 hour appointment slots, and will have every other Friday off for research/admin time. During the interview. I had a few thoughts, and what I said was: I am not an assistant, I am a competent medical provider, if you want an assistant, hire someone else. If you want an autonomous provider who can increase the number of patients seen, with a high degree of independence, I'm your guy. Also, I don't like the term mid level provider. It can be construed as insulting. If I am a mid level, what does that make the nurse? I prefer non physician provider. I also told them that I will address them by first name, except in front of patients. I'm too old to play games with the ego boosting "Dr" so and so. BUT the real reason, is to establish an environment of mutual respect...see....THEY HAVE NEVER HAD A PA...I will be the first, so I have to establish the rules up front. As I told them, formal titles convey a sense of respect to patients, however, in the hallway, or in private, they can hinder true teamwork and open dialogue. I envision a true team, with all of us working together. If they don't envision that, than they should hire someone else. I also demanded, or rather strongly requested: 1. to be involved in the executive, practice, and research committees of the Center. I need to be involved in the decision making processes of the Center. 2. a respect for my external professional obligations (speaking, committee obligations, board requirements, etc.) and a healthy respect for my research obligations. 3. The ability to secure protected time (they will give me 0.1 to start) for research time with grant funds...(up to 0.5)... 4. A new laptop (MacBook Pro) and a new iPad3. 5. Finally, I requested an office. Now, you need to understand that while all the physicians in this Center have an office, office space is EXTREMELY limited and there are multiple attending physicians at the Clinic who do NOT have an office. They not only found me an office, but they found me one with a window. I gave my notice to the ED 2 weeks ago, I start in PM&R on August 15th. Link to comment Share on other sites More sharing options...
dkuhns1 Posted June 11, 2012 Share Posted June 11, 2012 Well played! Congratulations! (Did you get my PM?) Link to comment Share on other sites More sharing options...
dkuhns1 Posted June 11, 2012 Share Posted June 11, 2012 Well played! Congratulations! (Did you get my PM?) Link to comment Share on other sites More sharing options...
dkuhns1 Posted June 11, 2012 Share Posted June 11, 2012 Well played! Congratulations! (Did you get my PM?) Link to comment Share on other sites More sharing options...
jmj11 Posted June 11, 2012 Share Posted June 11, 2012 Shocking as I saw you as an ER PA forever. Congrats. Are you still within the "World Famous System?" Link to comment Share on other sites More sharing options...
jmj11 Posted June 11, 2012 Share Posted June 11, 2012 Shocking as I saw you as an ER PA forever. Congrats. Are you still within the "World Famous System?" Link to comment Share on other sites More sharing options...
jmj11 Posted June 11, 2012 Share Posted June 11, 2012 Shocking as I saw you as an ER PA forever. Congrats. Are you still within the "World Famous System?" Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted June 11, 2012 Moderator Share Posted June 11, 2012 congrats, sounds great. "laying down the law" is fun. I have had the opportunity to do it a few times and loved it. you played it well. the key is being able to walk away, and doing it, if they say no. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted June 11, 2012 Moderator Share Posted June 11, 2012 congrats, sounds great. "laying down the law" is fun. I have had the opportunity to do it a few times and loved it. you played it well. the key is being able to walk away, and doing it, if they say no. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted June 11, 2012 Moderator Share Posted June 11, 2012 congrats, sounds great. "laying down the law" is fun. I have had the opportunity to do it a few times and loved it. you played it well. the key is being able to walk away, and doing it, if they say no. Link to comment Share on other sites More sharing options...
Moderator ventana Posted June 11, 2012 Moderator Share Posted June 11, 2012 perfectly player it is great to have someone thinking far ahead and not just of getting a job - love that you have an office with a window! Link to comment Share on other sites More sharing options...
Moderator ventana Posted June 11, 2012 Moderator Share Posted June 11, 2012 perfectly player it is great to have someone thinking far ahead and not just of getting a job - love that you have an office with a window! Link to comment Share on other sites More sharing options...
Moderator ventana Posted June 11, 2012 Moderator Share Posted June 11, 2012 perfectly player it is great to have someone thinking far ahead and not just of getting a job - love that you have an office with a window! Link to comment Share on other sites More sharing options...
marilynpac Posted June 12, 2012 Share Posted June 12, 2012 I thought you were headed in another direction...... Link to comment Share on other sites More sharing options...
marilynpac Posted June 12, 2012 Share Posted June 12, 2012 I thought you were headed in another direction...... Link to comment Share on other sites More sharing options...
marilynpac Posted June 12, 2012 Share Posted June 12, 2012 I thought you were headed in another direction...... Link to comment Share on other sites More sharing options...
physasst Posted June 12, 2012 Author Share Posted June 12, 2012 I thought you were headed in another direction...... I am over time Marilyn.....and actually we are talking about creating an Office of Health Workforce Analysis here for me to direct and run, but NOTHING happens quickly here. Also, most faculty positions here, because of our reputation, start at the Assistant Professor rank for junior faculty, with some even requiring Associate Professor..... I've had 4 articles already accepted this year, with another 2 solicited for me to write (that was kind of exciting, never been "asked" to write for a journal, for blogs yes, but peer reviewed journals, no) but to be really competitive for a junior faculty position in research here, I need another 3-5 articles and a track record of some grant funding, extramural or intramural. This will all take about another year or so, which is fine as the position isn't even created yet. The move to Spine is nice because I can create the position and the environment, get a stable schedule, and set things up for the next PA after I move on to research full time. Link to comment Share on other sites More sharing options...
physasst Posted June 12, 2012 Author Share Posted June 12, 2012 I thought you were headed in another direction...... I am over time Marilyn.....and actually we are talking about creating an Office of Health Workforce Analysis here for me to direct and run, but NOTHING happens quickly here. Also, most faculty positions here, because of our reputation, start at the Assistant Professor rank for junior faculty, with some even requiring Associate Professor..... I've had 4 articles already accepted this year, with another 2 solicited for me to write (that was kind of exciting, never been "asked" to write for a journal, for blogs yes, but peer reviewed journals, no) but to be really competitive for a junior faculty position in research here, I need another 3-5 articles and a track record of some grant funding, extramural or intramural. This will all take about another year or so, which is fine as the position isn't even created yet. The move to Spine is nice because I can create the position and the environment, get a stable schedule, and set things up for the next PA after I move on to research full time. Link to comment Share on other sites More sharing options...
physasst Posted June 12, 2012 Author Share Posted June 12, 2012 I thought you were headed in another direction...... I am over time Marilyn.....and actually we are talking about creating an Office of Health Workforce Analysis here for me to direct and run, but NOTHING happens quickly here. Also, most faculty positions here, because of our reputation, start at the Assistant Professor rank for junior faculty, with some even requiring Associate Professor..... I've had 4 articles already accepted this year, with another 2 solicited for me to write (that was kind of exciting, never been "asked" to write for a journal, for blogs yes, but peer reviewed journals, no) but to be really competitive for a junior faculty position in research here, I need another 3-5 articles and a track record of some grant funding, extramural or intramural. This will all take about another year or so, which is fine as the position isn't even created yet. The move to Spine is nice because I can create the position and the environment, get a stable schedule, and set things up for the next PA after I move on to research full time. Link to comment Share on other sites More sharing options...
burnpac Posted June 12, 2012 Share Posted June 12, 2012 It is great fun negotiating for a job that you don't need.... :-) Link to comment Share on other sites More sharing options...
burnpac Posted June 12, 2012 Share Posted June 12, 2012 It is great fun negotiating for a job that you don't need.... :-) Link to comment Share on other sites More sharing options...
burnpac Posted June 12, 2012 Share Posted June 12, 2012 It is great fun negotiating for a job that you don't need.... :-) Link to comment Share on other sites More sharing options...
primadonna22274 Posted June 12, 2012 Share Posted June 12, 2012 I'm impressed Mike. Nice cajones :) Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.