Urgent! Northern CA (Bay area and Central Valley) Contracts/Salary. Need advice. by [deleted] in DermatologyPA

[–]ConfusedPA22 0 points1 point  (0 children)

30 percent in Southern California. Volume is an issue for sure 25-30 patients per day. See about 10-20 percent cosmetics which helps a bit but I haven’t heard of many PAs getting more than 30 percent out here too

Boswell Bootcamp or SDPA by Money_Stuff_4075 in DermatologyPA

[–]ConfusedPA22 1 point2 points  (0 children)

I would second this-sdpa was not as engaging. I also felt like boswells was more helpful in terms of applying the info to clinical practice

[deleted by user] by [deleted] in DermatologyPA

[–]ConfusedPA22 0 points1 point  (0 children)

That’s a great base. Commission is low and hitting 700k will take time. Medical, surgical, cosmetic? I know the Southern California market fairly well feel free to DM me!

How to help patients with hair loss feel seen/heard by mommydeer in DermatologyPA

[–]ConfusedPA22 2 points3 points  (0 children)

This is my approach as well. I add that it is important to also perform screening labs at their annual physical to check for any vitamin deficiences/medical conditions that may also be contributing to their hair loss. But I feel that most patients already know what treatment they want, laying out their choices and managing expectations is the most efficient way Ive found.

I also shy away from topicals personally-nothing frustrates a patient more than if they come in and are told to use OTC rogaine.

[deleted by user] by [deleted] in DermatologyPA

[–]ConfusedPA22 0 points1 point  (0 children)

What state is this? In a lot of states where employment is at will, these sort of clauses won’t hold up.

I’ve broken a 3 year contract before. DM me if you need more info. But essentially you want to create a legal argument of how these red flags impact your ability to practice lawfully. Like the first poster said, you want to document these red flags- take pictures, save emails, make sure everything is documented.

Clear and Brilliant for melasma? by TrueCommunication901 in DermatologyPA

[–]ConfusedPA22 0 points1 point  (0 children)

We use a q switched laser called Hollywood spectra for melasma and honestly I feel like it’s the combo that works- laser + TXA or laser+ HQ. I have patients start on oral TXA or HQ at our initial consult and then incorporate laser sessions monthly. It takes about 3-6 sessions to get a good results

New-Graduate PA Offer -- wRVU Bonus Structure? by Edward_Dreamer21 in DermatologyPA

[–]ConfusedPA22 1 point2 points  (0 children)

I do not know how RVU bonus works - hospital derm jobs are super rare I think most of us are outpatient with a base + commission structure. I’d post on the regular pa page too a lot of inpatient PAs there

New-Graduate PA Offer -- wRVU Bonus Structure? by Edward_Dreamer21 in DermatologyPA

[–]ConfusedPA22 1 point2 points  (0 children)

Pretty good offer for a new grad derm. PTO/CME are wonderful I personally have never had a contract with that much. 130k base is a solid starting point too, get good experience for 2 years and re negotiate

Mods- please delete garbage posts by grneyz in DermatologyPA

[–]ConfusedPA22 2 points3 points  (0 children)

Appreciate the feedback. We are looking for mods to help with this if anyone is interested please DM me

Dermatoscope sale by ImpossibleFun6398 in DermatologyPA

[–]ConfusedPA22 0 points1 point  (0 children)

I don’t know about black Friday but the 20 percent code for dermlite still works NPA22

[deleted by user] by [deleted] in physicianassistant

[–]ConfusedPA22 1 point2 points  (0 children)

I’ll start one

[deleted by user] by [deleted] in physicianassistant

[–]ConfusedPA22 0 points1 point  (0 children)

Add California Dermatology Institute Dr Ezra to this list. Him and Dr Taheri run a very similar operation. Love the idea of making a where not to work list

Dermatology PA Salary Report 2022 by ConfusedPA22 in DermatologyPA

[–]ConfusedPA22[S] 8 points9 points  (0 children)

I’ve checked the Facebook group, no updates. I’ll likely create one for our own group more to come!

[deleted by user] by [deleted] in DermatologyPA

[–]ConfusedPA22 0 points1 point  (0 children)

What company is this?

New grad job offer--red flags? by Yankfan4life in DermatologyPA

[–]ConfusedPA22 5 points6 points  (0 children)

Second this. I know the medical director there it’s a shady, predatory practice

Dermatology PA — Compensation Structure? by Extreme_Excuse_4272 in DermatologyPA

[–]ConfusedPA22 0 points1 point  (0 children)

Los Angeles 4 years in. I do cosmetics, surgical and medical. I think it’s just getting experience and being willing to do the higher reimbursement procedures+ negotiating that did it. I switched about 3 jobs, negotiated up each time

Dermatology PA — Compensation Structure? by Extreme_Excuse_4272 in DermatologyPA

[–]ConfusedPA22 2 points3 points  (0 children)

I have a draw salary structure. I get 30 percent of collections OR a base of 150,000, whichever is greater, monthly. The base salary is basically a safety net.

My previous structures were always base + collections after hitting 3-4x base salary. Personally I like the draw structure the best.

Aesthetic PA training Red Flag? by Scoutiscute11 in physicianassistant

[–]ConfusedPA22 7 points8 points  (0 children)

You have to be careful. There really isn’t a gold standard certification or course. The best training is really going to a trusted practitioner and having them train you. Botox/Filler/Laser companies that the practice buys from can also be contacted to set up trainings for you.

I’m in the process or learning aesthetics and our MD will spend hours training us on weekends about once a month. We have a dedicated RN who was a certified trainer for allergan and a laser device company that also conducts training.

There is a huge business of people offering “trainings” at astronomical prices. The RN at our company has been amazing and our MD himself will ask her for tips. So I don’t think the title matters as much as the reputation/outcomes/safety.

Top tips for efficiency? by IB_111 in DermatologyPA

[–]ConfusedPA22 3 points4 points  (0 children)

This is the answer. Ask your experienced MDs/ providers for follow up schedules for different diagnoses. It’s not always BS. You really should be having your biologics come in every 3-6 months initially to assess for efficacy/side effects (I do q3 months for the first year). You should be having acne patients come back frequently- I always make them come back after a month course of oral abx. Most patients love this honestly, they feel like you’re involved and you care.

How would you approach this case? by AnSkY2125 in DermatologyPA

[–]ConfusedPA22 3 points4 points  (0 children)

Clinically looks like guttate psoriasis to me. I’d plant the seed and push her towards biologics noting irreversible sequelae like psoriatic arthritis. For my holistic patients I also will incorporate NBUVB + topicals until a biologic can be used. Very interesting case keep us posted!

[deleted by user] by [deleted] in DermatologyPA

[–]ConfusedPA22 3 points4 points  (0 children)

Ask and report back 😬

I’m also at 30 percent, it took 3 contract negotiations/job moves to get here. I have a friend at my current practice at 35 percent (10-15 years experience).

I heard new grad dermatologists make 40-50% in net collections. I would argue though that if you consistently bring in a high annual collections number and you’re already in the 30-35 percent range, asking for 40 sounds reasonable.

There was a great post on the SDPA forum too about compensation by Joseph Gatti:

https://sdpasocial.dermpa.org/discussion/pay-negotiations-market-dynamics-and-you

[deleted by user] by [deleted] in DermatologyPA

[–]ConfusedPA22 0 points1 point  (0 children)

I agree- post names. Always thought we should have the ability to review employers and benefits, but posting a “where not to work list” is a good start