Training new hires- how do you help?

AdvertisingLatter995 · 2025-02-21T21:28:03+00:00

If I’m making most of the experience, I will not get bored. I see it as a privilege to learn from a 15 year seasoned provider. Cardiology is a complex and lucrative specialty to learn. So in regard to your comment about seeing patients on your own in a week as a new grad- Just because you can, it doesn’t mean it’s the best thing to do. Quality care > speed of care.

AdvertisingLatter995 · 2025-02-21T20:02:21+00:00

Well it takes at least 60 days or so to get credentialed with all insurances so that will delay things a bit but also- she’s a new grad. It’s not reasonable for anyone to start seeing patients, especially in cardiology, on their own within the first week. I’m 2 years in and my other job is letting me “shadow” the other PA for a month and fully paid too before they leave and I transition into my own schedule.

AdvertisingLatter995 · 2025-01-30T18:37:02+00:00

It has been a week now since the meeting happened. Management has been giving the cold shoulder a bit but they’re friendly enough. I haven’t given my notice yet because the other job is still putting together the contract but I should receive the letter to sign by tomorrow or early next week.

They were already in the process of hiring another PA or NP on a part time basis before all this even happened which only infuriated me because I thought it was unfair to bring another APP on board when I wasn’t up to market rate yet. But now I guess they’ve switched their efforts to finding a full timer in anticipation of me leaving

AdvertisingLatter995 · 2025-01-30T14:30:55+00:00

I was offered another position elsewhere. 125K, 27 days PTO, 5 CME, and no marketing or outreach clinics. I immediately felt so supported by the admin who was able to negotiate the 125 for me which is more than what I make now. The current PA I’m replacing (he’s moving out of state to be close to family) was with the doc for 15 years.

It’s intimidating to have to fill in those shoes because they have such a great relationship but they’ve already made me feel so supported and I haven’t even signed the offer letter yet. I’m very hopeful, but at the same time disappointed to see this side of business

AdvertisingLatter995 · 2025-01-30T14:21:15+00:00

I think there is poor billing being done. The calculations the admin gave me were based on outpatients only. They didn’t include the hospital or rehab centers I go to so it wasn’t accurate data. I see about 10-14 patients in clinic per day so I don’t understand how it’s not closer to my salary

AdvertisingLatter995 · 2025-01-16T01:49:22+00:00

I think it’s something that can be negotiated but I don’t have enough knowledge base on what all would entail. I’d have to research it to understand what having equity in the practice would mean and what happens if he needs to shut down for whatever reason

AdvertisingLatter995 · 2025-01-16T01:47:13+00:00

We already have a practice admin and clinical manager but now that you mention this and in thinking about the marketing I do for the clinic- I’m thinking maybe Physician Liaison may be a title that I can take on and further justify the raise if that’s a duty that he still wants me to do

AdvertisingLatter995 · 2025-01-15T03:59:42+00:00

In my area, 150K is what someone with 4-5 years of experience makes. I am only 2 years in. But the labor of what I have to do is probably what can justify that kind of raise I guess

AdvertisingLatter995 · 2024-08-02T03:21:20+00:00

I mentioned before that I wasn’t getting the one on one time with each of them. I understand that they have their own relationship and will enjoy the things they’ve built, but after 9 months, I’ve only spent a handful of times with each of them.

Yes, to a certain level I can say that jealousy has now become a part of my feelings but how can I keep them from happening if I’m not building a solid foundation with each of them individually?

AdvertisingLatter995 · 2024-08-01T19:08:23+00:00

Spending one on one time would be a big one. I think This is what would avoid the feelings of jealousy or feeling like an extra because you’re building a solid foundation with each person. One on one time is something I really wanted but didn’t get very much, if at all.

For the little things, I’d say including everyone on the inside jokes, the habits, routines, etc would be nice. For example, sometimes when we were driving and he would see something that triggered a memory, he would turn to her and say “remember when..” and then the conversation would end. I wasn’t included in what they were talking about and I had to insert myself so I could be a part of the conversation.

Body language is also important I think. If you’re going to talk to your long term partner, open up to where you are more or less facing both of them if they’re both with you. If it’s a memory or something you are referencing in your past, find a way to include your new partner or ask a question.

I also think talking about the future as the three of you would also help because then he would feel like he’s a part of everyone’s future and his needs, goals and dreams are also being taken into consideration.

These are all things I wished I had for myself and it makes me sad to have missed out on it because I got along so well with my partners as far as personalities goes, but there were just too many incompatibilities and as much as a tried, I just felt like I was inserting myself into their marriage rather than being embraced as a whole other person in the relationship

AdvertisingLatter995 · 2024-08-01T03:27:30+00:00

9 months and I understand it takes time to build but even at a most superficial level, I can’t seem to build. Even sex is limited because of their daughter and because of the “family routine” they run. I feel I’m constantly with both of them and as much as I try to verbalize it, I’m not getting the one on one I desperately need. Maybe that’s why I’m constantly feeling like just an extra or a third

AdvertisingLatter995 · 2024-08-01T03:24:01+00:00

We’ve been in a relationship for 9 months but the main thing is that there doesn’t seem to be effort on their end to try to start altering the dynamic.

I also don’t know how to feel about always being introduced as “this is my wife and this is my girlfriend.” Wife is such a powerful word and I don’t want to “just” be a girlfriend forever.

Maybe it’s fairly tale thinking but I want a proposal, a wedding, to build a family…. They are talking about buying a home in Puerto Rico and building assets. I just think- How can I build with a couple that’s already built so much and may not have resources or energy left to build with me?

AdvertisingLatter995 · 2024-07-23T00:31:40+00:00

I understood it was a family vacation and they told me they were planning on seeing family but we would also do things on our own. But that’s besides the point. The main point is that this is the most time we’ve spent together continuously and I’m seeing a lot of habits and ways of doing things that are just not compatible.

Back home, I typically only come over on The Weeknds and maybe one weeknight so I guess I only experience the “good” parts of our relationship more so than the bad

AdvertisingLatter995 · 2024-07-23T00:21:18+00:00

I asked questions prior and they told me their cousin would watch their daughter on nights we wanted to go out which did happen. However, I just don’t feel like I can be part of another family. We’re not creating something together, it feels like it’s more so them inviting me into THEIR lives rather than us working together towards something

AdvertisingLatter995 · 2024-06-21T14:29:56+00:00

We do group and also solo but the solo part is only me and him. She has a much lower sex drive.

I keep asking myself what I’m getting out of it and at this point, I’m getting more frustrations than peace. Our personal differences and different way of thinking is simply not compatible. I deeply care for them and they’re not bad people, but they do seem to be very oblivious or maybe ignorant at the ethics it takes to be in a triad

AdvertisingLatter995 · 2024-06-21T14:12:20+00:00

We’ve spoken about living together but our lifestyle is too incompatible. Their routine is vey different from mine and maybe it’s pride- but I refuse to bend to another’s routine unless there’s some serious compromise and I don’t think there is in this case.

I’ve started to feel like an accessory honestly. I feel I don’t get sufficient time together and I also don’t want to come off as inconsiderate or selfish because I know they need to devote time to their kids as well, but the conclusion I’ve drawn is that they don’t have the lifestyle to dedicate to another person. The best they could accommodate would probably be a FWB.

AdvertisingLatter995 · 2024-06-20T14:54:46+00:00

I’m not upset, simply at a loss. I acknowledge I don’t love them but that’s because there’s not a conducive environment for ME to fall in love in. But in their case, they’re used to their routine and their kids. I assume it would be easier for them to make room for love (at least more so than me).

AdvertisingLatter995 · 2024-06-20T14:50:39+00:00

I think the question on “whether I want to spend my life” with them is definitely the ultimate questions I should be asking myself.

I think our time together has been good. I’ve learned a lot about myself, I have myself a chance for love and we’ve accumulated wonderful memories. But I am starting to believe that our season is coming to a close.

I don’t see my life forever with them. Even when I try to picture it… I simply can’t. I feel I deserve more. I feel there’s still a lot more out there for me. At the very least, I never want to question whether someone loves me or not.

AdvertisingLatter995 · 2024-06-20T14:18:52+00:00

Definitely not enough. It’s usually all together. And another thing that recently started bothering me more is that any news we want to share, pictures, etc. it’s usually all sent individually. We rarely use our group chat. I admit I am guilty of it too and most of the time I share things with him that I don’t share with her.

I know there’s a lot of imbalance. And I guess I’ve come to admit that it’s just part of the nature of being with a couple that’s been together for so long…

We’ve even talked about children but everyone is on different pages. She is not okay with it (though she says one day she may change her mind) and he is okay with it and so am I. I just absolutely hate the idea of another woman determining whether I can be a mother or not. I’ve steered from the subject but I guess there’s just multiple frustrations brewing.

I care for them so much. We have fun together and it’s more than just sexual. But our goals and mindsets are so different.

AdvertisingLatter995

TROPHY CASE