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Would you go to work if it did not influence your income?


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Can I participate? If yes, I would only work 1-2 shifts a month for the mental stimulation and pursue other avenues as a distraction; flying planes as a hobby, traveling/spending 2-6 months in a new country, learning a trade for fun, real estate.

Mind you, I've only been in a professional career for less than 3 years and I'm absolutely over the bureaucracy. But alas, it's the only thing I've tailored my resume to do and it's the only way (for now) for me to dig my self out of low-income and into middle/higher income.

Edited by Diggy
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But working as a PA DOES impact my income; I've lost over half a million dollars by NOT staying in IT Security for the last 10 years, taking 28 months of no income for PA school, and working in family medicine.

But yeah--I work, every week, as well as splitting my time among other things that give meaning to my existence.

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I have to decide if I keep my cert by the end of March. The only thing I lack is Cat I CME. With my COVID vaccinations done (had work restriction due to bone marrow transplant) I could go back to work if I wanted. I miss it, but other times I don't. Am staying busy writing, hiking daily, building a stone cottage, but there are times I miss medicine. I have two more years on my disability, which ends if I draw a salary, so it makes no fannical difference to me. But it raised he intriguing question if people loved medicine enough to do it for nothing.

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The closer I get to retirement the more I ponder this sort of question.  My current answer is that I will probably continue to work at a reduced amount, mostly for the mental stimulation.  I used to think that I'd do that as a ff/medic, now I think that doing it as a PA is better path: more mental stimulation and less physical demands.

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I just came across a list of goals I wrote about 30 years ago. At the time, I wasn't a PA and I wrote that I wanted to retire at 57!  I didn't do that!

Instead I became a PA at age 60 and I am still working at nearly 75. I believe that I'm financially independent enough now to stop working. I have a couple of pensions, I am required to draw down my retirement savings, and there are more 1099-Rs than W2s when I do my taxes.

Now I just do 1 or 2 days weekly as a clinician and teach for a PA program half-time. The variety and stimulation is important to me. I am also learning to prioritize our personal life more too; my wife and I took a month off to go somewhere warm in January and life went on. 

If there is a lesson I've learned through all this is that you need to find a job that you like. There is an assumption that all jobs are the same; a pessimistic guy I used to work with kept repeating "that's why they call it 'work.'"  But it really wasn't true; some jobs are more suited to your needs than others so you have to keep trying to find your niche.

I am the kind of person that has some non-work interests but I do get bored without a purpose after a while. If you personally have some driving interest (like flying your plane around the country, hiking the Appalachian Trail, etc), then you might want to design your life so retire when you can and enjoy those activities. 

No one answer for everyone but figuring out who you are and what you want in life is a lifelong voyage.

Edited by UGoLong
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If I did not need the money, I'd absolutely continue to work the ED in small rural facilities. Though I would have far more stipulations, like I'm not doing any more morning rounds on 72 hours shifts, because F that noise. But I'd probably only work something like 24 hours a week like others. 

I assume your talking about volunteering, because you say it doesn't alter your income. If you aren't being paid, then you are well protected in many instances. 

https://journalofethics.ama-assn.org/article/liability-considerations-physician-volunteers-us/2010-03#:~:text=Although state immunity laws provide,of volunteering their professional services.

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1 hour ago, jmj11 said:

Related question, if I decide to keep my cert, having just finished the re-cert and paid the fees, the only thing lack is Cat I CME. I know this question has been asked before, but for an update, where is the best place to get free Cat I CME online? I always had mine via conferences.

I'm in the same boat but my license expires at the end of August and I'm debating whether to keep it active.  My cert is good through end of next year.  I don't anticipate using it any longer but one should never say never.  I think that I used this site, https://www.freecme.com, in years past when I didn't subscribe to what is now EM:RAP.

The EM topics don't seem very EM to me.  It may be worth it to re-subscribe to EM:RAP just to be entertained while getting the CME.

To answer your original question, no, unless it was for mission trips or ability (key word) to assist in volunteer endeavors which have apparently been effectively shut down here in Texas due to legal oversight requirements.

Edited by GetMeOuttaThisMess
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14 minutes ago, GetMeOuttaThisMess said:

I'm in the same boat but my license expires at the end of August and I'm debating whether to keep it active.  My cert is good through end of next year.  I don't anticipate using it any longer but one should never say never.  I think that I used this site, https://www.freecme.com, in years past when I didn't subscribe to what is now EM:RAP.

I said the same thing a year ago when I left my job to move and (I thought) retire.  Yet here I am, very happy I kept my license up.  I need it now, bigly lol.

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9 hours ago, jmj11 said:

Related question, if I decide to keep my cert, having just finished the re-cert and paid the fees, the only thing lack is Cat I CME. I know this question has been asked before, but for an update, where is the best place to get free Cat I CME online? I always had mine via conferences.

Do your Bupe waiver for 24 hours free.  Medscape. UpToDate if you have it. JAAPA CME is 1 a month.  Other journals often do about that (1/month) as well, I do most of them from Wilderness & Environmental Medicine to keep up my FAWM.  Lots of societies have online CME, often in the form of virtualized conferences for 2020.  I've used SEMPA 360, Catholic Medical Association's bioethics stuff... Not super cheap, but you can often get 20 Cat 1 hours for $400ish.

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Nope.  I have not worked as a PA in 11 months and will be starting work in the clinical laboratory at a local hospital in the upcoming week.  (My undergrad degree is in Medical Technology).  Can't quite retire yet at age 61, but am happy to be returning to being a lab rat.  I still really enjoy case studies and do miss some of the patient contact, but have no desire to ever step back into direct patient care.  I am grateful for the experience, amazing co-workers, and retirement savings I was able to build as a PA, but I'm done. 

 

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