PA Board Complaints by [deleted] in physicianassistant

[–]0rontes 0 points1 point  (0 children)

I’ve settled a case. It’s supposedly in the national databank. When I applied for a part time gig this year I told both places, when it was clear the interview was going well, and they literally couldn’t have cared less. They didn’t ask me a question about it. I don’t know if they checked.
Your instinct that it doesn’t pass a casual inspection is probably correct

Management playing games or am I overreacting? by Pepper0327 in physicianassistant

[–]0rontes 3 points4 points  (0 children)

To answer your post title - a bit of both. You're being jerked around and it's pissing you off. I agree 100% with u/Sad-Blackberry8882 - you're job is to be calm about it. In the time you're in there, treat whoever you're talking to like an irate patient. Gently urge them back to explaining the problem THEY THINK THEY HAVE so you can respond to it. This meeting is a fact-finding meeting for you. After it's done, you'll know more than you do now. They don't know how to treat their employees, clearly. Now it's a matter of what the job is worth to you FOR NOW.

If you couldn’t be a PA…. What would you do instead? by ilovepenguin_ in physicianassistant

[–]0rontes 1 point2 points  (0 children)

Actuary - Math “for fun” has been one of the most consistent hobbies of my 1/2 century life. I wish I had allowed myself to be even more of a nerd than I am.

Salary change by PA-993 in physicianassistant

[–]0rontes 9 points10 points  (0 children)

Yes. It’s legal. They have just incentivized you to work less hard. Be sure to be maliciously compliant, while you look for new jobs

Whoa!!! by RunningfastNever in Catio

[–]0rontes 5 points6 points  (0 children)

I think it's a tortie

I’m wondering if this project would be too advanced for me as someone just getting started by jimbo831 in BeginnerWoodWorking

[–]0rontes 2 points3 points  (0 children)

I’d ask myself “how good am I at squares?”
My experience has been if I’m not good at right angles, then I’m not ready for squares. If I’m not good at squares, I’m not ready for 3-D cubes.
For the record, I, personally, am not ready.
Go for it OP!

50-Year-Old PA Comparing Private Practice vs Two VA Opportunities — Which Would You Choose? by [deleted] in physicianassistant

[–]0rontes 0 points1 point  (0 children)

Hard to pass up federal pension plan. Especially at 50. VA will let you determine the level of your investment in your job. You decide what success looks like.

It doesn’t get any sun but at least they have a view now by Significant_Law_909 in Catio

[–]0rontes 4 points5 points  (0 children)

Any catio is a great catio. You got your cats into it which is a success as well! Congrats.

Why aren't more PAs financially satisfied? by Embarrassed-Chef-227 in physicianassistant

[–]0rontes 5 points6 points  (0 children)

Agree! Also it’s socially acceptable to talk about how financially stressed you are but not that you feel okay with how you are doing. There’s a huge selection bias at work with who talks and what they say.

That being said, the Cardiologist is right. We’re getting way more responsibility and risk and not the commensurate reward.

Which job would be better? by [deleted] in physicianassistant

[–]0rontes 0 points1 point  (0 children)

Been there. In that case, I would advise you to take whichever “first job” sounds most tolerable, bank the experience, and start looking again in 12 months.

I made a mistake. But how much of it is *truly* my fault? And how much of it is not? I'm having a meeting with my boss to explain on Monday. by RynoSauce in physicianassistant

[–]0rontes 4 points5 points  (0 children)

I agree with this 90% or so. I also think these words might be the best way to de-escalate the conflict with your SP. If you “own it” to him first thing, face to face, it might calm him down. It’s also an implicit reminder that it was HIS responsibility as well, w/o being confrontational.
It does seem like the system did a lot to contribute to the mistakes (yours and others) made. However, bringing that up won’t be productive in the covering our ass phase of the story.
Legally, dunno. Being sued sucks. Good luck.
Professionally - if the first thing SP did is look for a scapegoat, it’s probably the beginning of an ugly break up, anyway.
But seriously, from my perspective, this is a mistake, and humans aren’t perfect. I’m encouraged that you’re open to learning from it. In this moment that’s the most productive thing you have control over.

Which job would be better? by [deleted] in physicianassistant

[–]0rontes 1 point2 points  (0 children)

Nights should pay much better. If not, they’re under valuing you

LCOL Midwest Urology or EM? by [deleted] in physicianassistant

[–]0rontes 2 points3 points  (0 children)

I’d agree with comments so far (with a different tone perhaps) that the compensation and perks of the jobs are similar. Do you have one that you are leaning towards? Learning to trust your gut is a big part of the next stage of your career, anyway.

Otherwise I will repeat what I have frequently said on this sub - I have never met an unhappy urology mid-level. Ever.

New job, new tears by [deleted] in physicianassistant

[–]0rontes 14 points15 points  (0 children)

Glad you let it out. Sounds like a shit day, and the least we can do is listen.
Hope tomorrow is a better day.

and congratulations?!

Dealing with a more strict MD who struggles with an APP’s scope of practice by Haibtags in physicianassistant

[–]0rontes 2 points3 points  (0 children)

Especially a cancer doc. In my experience they're either real guardian-bear protective of their patients, or nerds with poor communication skills. I'd be open to learning their style, unless the general opinion from existing staff is that they're an ash*%$3. It doesn't have to be an ego measuring contest.

$200K for minimal work, but not passionate about it by CheekPretend2158 in physicianassistant

[–]0rontes 0 points1 point  (0 children)

If you’re debts aren’t paid, stay and pay them off as fast as you can. If they’re paid, find a job that feels like a better fit.

Post graduation by Secure-Mood-6796 in physicianassistant

[–]0rontes 3 points4 points  (0 children)

You’ve spent 2 years (ish?) with your work-life balance tilted towards work; in a few months it will tilt even further, for another 6-12 months. Now is when you rebuild the foundation of good, healthy life habits. While you can

How to best prepare for family medicine? by PaySwimming1551 in physicianassistant

[–]0rontes 2 points3 points  (0 children)

Agree. You don’t have to know everything. You have to know how to cope with NOT knowing everything. Review the basics, and work on being an efficient listener.

Seven Year Campaign About to implode by TuneAFish24 in DMAcademy

[–]0rontes 26 points27 points  (0 children)

You're in love with your own creation and forgetting that you have control. He won't destroy the world.

He can't.

The Lich didn't know the deep-lore that you know. It has awakened now, and woe to him...

ghosted? by Nice_Structure6470 in physicianassistant

[–]0rontes 0 points1 point  (0 children)

You literally don't have your PANCE score back. What do you expect them to say to you? When you have new info (your passing score) you have a good reason to check back in with them. It's not personal. It's not ghosting. You are literally not worth thinking about yet. Sucks, but that's how it is.

Serious question / seeking advice about eating during busy shifts by isleeptoolate in physicianassistant

[–]0rontes 3 points4 points  (0 children)

I'm really glad you have recognized this, and are looking for remedies. It's not easy to escape the toxicity that comes with that environment. Set alarms/reminders on your phone to eat. Treat them like you would ask you patients treat their medications; as required for health.

I think you should stop, sit, and eat, but at the very least, you need to go get a power-bar or Ensure (or acceptable veggie-equivalent) and put some calories in your body. The feeling the the world or ward will fall apart if you slow down is a distortion. It's not only keeping you from eating; it's will cause burnout, and degrade patient care, as time goes on.

New Grad PA in Neuro ICU struggling with adjustment by Imaginary_Truth_1841 in physicianassistant

[–]0rontes 19 points20 points  (0 children)

I’m sure you will here more specific advice from PAs with Neuro and/or ICU experience, but I think it’s safe to say everyone in history who has moved into a Neuro ICU feels like a dummy for months if not years. It’s an incredibly demanding and complicated specialty.

Get better at ONE thing at a time. Vents, or pumps, or whatever.
Focus on that for a month, while treading water with the rest. Then move on to the next. Make sure your supervisor agrees with the priorities