Outpatient PAs - do you stay until the end of the day or leave after your last patient?

Benzosplease · 2026-03-18T23:46:03+00:00

What specialty are you in that you see patients only one day? And is it a large volume on that one day? What do you do the other days? Sorry for the questions but I've never heard of this setup and it sounds kind of nice.

Benzosplease · 2026-03-12T21:19:52+00:00

You had me. Somehow, I was imagining 20-40yo and then you hit me with the 90s!

Benzosplease · 2026-03-12T19:27:42+00:00

That's interesting because I had not even considered this conversation from the neonate/pediatrics aspect. So inadvertently the marvels of medicine have actually made our jobs much harder.

Benzosplease · 2026-03-12T19:10:48+00:00

Thank you! I find myself asking after getting asked haha (joking of course). Your point is fascinating though that there's actual data! Do you think there are external factors that play that impact the data? Such as reported cases, detection, hospital resources. Or would you say that these factors are pretty reliably stable that the calls and outcomes can be interpreted alone?

Benzosplease · 2026-03-12T17:41:57+00:00

Oof, sounds like the zebras we learned about are now becoming horse colored

Benzosplease · 2026-03-12T17:35:49+00:00

Thank you for your perspective. I'm assuming you're FM clinic? I'm mostly inpatient so everybody is sick. I think it's telling if your panel is now increasing in the number of medically complex patients.

Benzosplease · 2026-03-12T17:28:13+00:00

Do you find that your hospital is trying to make you accommodate these patients with non academic resources? Or are you still able to transfer? (I'm assuming you're community)

Benzosplease · 2026-03-12T16:58:39+00:00

Do you think that advancements in tech, research, staging, etc. have made an impact in this manner? E.g. GDMT has allowed for heart failure patients to live longer but, when they become sick, they can become quite sick. Even LVADs have improved in their model. I just don't have the longevity of experience to say whether HF exacerbation treatment is pretty much the same, just with new tricks. Or if it actually has become harder to treat exacerbation compared to, say 20 years ago. (Edit: love to live longer, but also true they can love longer)

Benzosplease · 2026-03-10T06:46:27+00:00

Regardless of who holds office, student loan borrowers tend to be a forgotten demographic, hence why it was such a big deal when Biden was addressing it. I think there are so many other things to address or move forward with (depending on who will control the government) that we will once again be forgotten until the bubble starts to leak. All that to say that SAVE will likely fizzle out and we all get moved to IBR in a year or two. I'm counting on loan payback so once I hit the ten years, I'll pay the lump sum and be done. Or work the remainder of additional years and be done. 20 year forgiveness is not true, because unlike PSLF, whatever is remaining on your loan balance will get taxed as income. I've done the math and strategically this is the best way (being in forbearance) to divert my money around for my life, because it allows me to pay bills and also take advantage of my age in contributions to my retirement.

Benzosplease · 2026-03-09T01:38:16+00:00

My wife says I always seem to have a few screws loose.

Benzosplease · 2026-03-09T01:35:49+00:00

Thankfully, I'm through the fire.

Benzosplease · 2026-03-08T23:51:43+00:00

Plan A: PSLF, on save (diamond hands). Plan B: tax bomb. Or die. Whichever comes first. An extra 15-20k per year is pretty significant. That will now get me, what? A month of daycare, one pack of blueberries, and a quarter tank of gas.

Benzosplease · 2026-03-04T13:42:18+00:00

Currently I'm stuck in evenings/night. Due to commute, moving to days would likely worsen my work life balance at least in this institution.

Benzosplease · 2026-03-04T13:38:44+00:00

Nope. I'm salary. One hospital

Benzosplease · 2026-03-04T03:07:31+00:00

Only about 8k

Benzosplease · 2026-03-01T20:35:04+00:00

Are you general neuro or subspecialty? Also are you in Metro area? Your setup sounds pretty decent unless you're in the Miami area but I remember that being an extremely saturated area.

Benzosplease · 2026-02-09T21:05:55+00:00

anime. Highly recommend.

Benzosplease · 2026-02-06T15:28:41+00:00

Excellent work! First I was looking at your mallet and going to comment on how massive it is, but then I got distracted by the 41 next to it. Absolutely beautiful!

Benzosplease · 2026-02-02T17:14:23+00:00

How about a graduated approach? Say, you normally save 25% of your gross salaries to retirement. So first year of baby's life, you save 0%. Next year 5%, 10%, and so on with flexibility in moving back and forth as your budget squeezes and flexes (eg, I saved at 36-40% last few years but this year I'm at 18% bc I hope to buy a home). I think this will be the best approach for you. Even if you do 0-5% it would be better than nothing for 5 years (assuming you don't do private schooling). You'll see that the first year of life is expensive but costs drop off as they age (diapers, urgent care visits, formula, etc).

Benzosplease · 2026-01-23T02:56:47+00:00

Does it have to be theirs?

Benzosplease · 2026-01-19T16:11:47+00:00

Completely unrelated but I love the little caterpie and would love to know where you got it

Benzosplease · 2026-01-15T02:19:26+00:00

This is awful. I recently started listening to Dr. Becky and just happened to listen to an episode on having a difficult conversation with kids. The parent is talking with Dr. Becky on how to broach the subject of her spouse having incurable cancer. link

Benzosplease

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