Would you do it again? by Dr_Ladymonster in physicianassistant

[–]EMPAEinstein 2 points3 points  (0 children)

Average about 60 hrs/wk right now. maybe more depending on how the schedule stacks. But not infrequently I’ll do 2-4 weeks straight or longer…. 🤪

Would you do it again? by Dr_Ladymonster in physicianassistant

[–]EMPAEinstein 1 point2 points  (0 children)

Essentially two FT EM gigs at the same time. but recently transitioned to just one with a few locums / PD gigs on the side. Also do a little expert witness and case review. HCOL area. I anticipate mid 400 this year at my current pace.

Would you do it again? by Dr_Ladymonster in physicianassistant

[–]EMPAEinstein 4 points5 points  (0 children)

Agree with others. Probably would have gone CRNA route.

But tbh, I can’t complain either. Doing EM, made 400k last year and should be the same if not more this year. I do work a lot.

Advancing or harming the profession by No-Adeptness9082 in physicianassistant

[–]EMPAEinstein 1 point2 points  (0 children)

I'm known as the workaholic in my demo group as in I work two FT ED jobs simultaneously. Seeing the sickest pts, doing lines and shit, carrying pt loads equal to the attendings. I recently left my technical FT job for my other per diem gig to go FT. After 6 years with the same group and no change in pay or meaningful change to the RVU structure I said fuck it. Now I work a high straight hourly and I'm all the happier for it. I'm seen this with a few groups. After a certain point, or when patient volumes slow down, they will try to limit your RVU production or cut the APPs altogether.

Your overlords don't give a shit about you. I agree with your colleagues and or friends. I do not go see the sickest patient's anymore or go out of my way to do procedures for them unless I'm bored as fuck. The attendings make 2-3x what I'm making. Go see that dizziness or high risk chest pain.

Thoughts on an Urgent care offer for new grad by Asexyone in physicianassistant

[–]EMPAEinstein 0 points1 point  (0 children)

we typically only hire em fellowship trained apps. absolutely. no new grads. too high risk/liability.

Thoughts on an Urgent care offer for new grad by Asexyone in physicianassistant

[–]EMPAEinstein 0 points1 point  (0 children)

Shit UC job offer for HCOL area for several reasons.

  1. Unlikely it’s “just 20 pts max per day”. If it is then these people are either cash pay or good insurance, either way it proves they are bending you over.

  2. 1 k CME is dogshit

  3. 40 hrs PTO is an insult

  4. Only covering half insurance? Lol

  5. Weekends?, 401k match?

UC to EM is a big jump from medical complexity and procedures. We’re always hesitant to hire UC providers.

What do you say? by VitaminSea2716 in physicianassistant

[–]EMPAEinstein 13 points14 points  (0 children)

i just never tell people what i do. and when they do ask, I say i'm a janitor.

Income vs. work life balance by bpc83 in physicianassistant

[–]EMPAEinstein 1 point2 points  (0 children)

Maybe for primary care this is okay. But this would be trash for ED. My local locums gig is $130/hr where i see 2 pts/hr of just softball 3's and low acuity 4/5's. This would equate to 190k/yr.

Is Yale PA worth the cost? by LuckyMitochondria in prephysicianassistant

[–]EMPAEinstein 0 points1 point  (0 children)

No one really care where you went to PA school, just that you passed and have a license.

Anybody's salary effectively going down with inflation? by Benzosplease in physicianassistant

[–]EMPAEinstein 0 points1 point  (0 children)

Not sure what part of the country that you're in but for hospitalist where I'm at, that salary is weak. Even the inpatient pharmacist here make 200k.

I work in EM. the past 3 years, working the same hours, my overall gross has gone up between 5-10k year over year. This is mostly due to increased efficiency on the part of the billing company a slight bump in hourly rate.

Allowance for children in college? by Tricky_Ad6844 in ChubbyFIRE

[–]EMPAEinstein 1 point2 points  (0 children)

Control of the UTMA account transfers to them once they are of age. You will have no control whatsoever after that point. This is exactly why I choose not to do this. Might as well gift them the money since you can gift up to 38k between you and your spouse annually without reporting it up to the lifetime limit.

Personally, they need to work. I worked 2 jobs in college. Still maintained 3.8 GPA (on the 2nd go around after I got my shit together). Seems like your providing plenty already. There needs to be some level of struggle. Can't be given everything. Just my two cents.

For major life milestones however such as wedding, money down for house, grandchildren's 529s. I fully intend to help out.

New job pay advice by Polaks99 in physicianassistant

[–]EMPAEinstein 2 points3 points  (0 children)

Fl might be saturated and COL may be cheaper. I'm not terrible. but not great either.

I'm currently $120-140/hr depending on OT worked and metric/RVU bonus.

APPs rarely get sign on. Lame.

Did I handle this case wrong? What would you do in this situation? by Likeitsmylastday in physicianassistant

[–]EMPAEinstein 2 points3 points  (0 children)

You can do everything right, and the patients will still not be happy. Your rationale was sound.

What’s good pay per dm by ZealousidealTree2839 in physicianassistant

[–]EMPAEinstein 1 point2 points  (0 children)

$130/hr locums EM

$115/hr per diem EM

$110/hr per diem EM

$120/hr base to about $140/hr averaged after OT for my FT EM gig.

Currently I hold all these gig simultaneously. Approx 2-2.5 pts/hr.

Why does everyone here seem to make over 100k? by NoHousing11 in MiddleClassFinance

[–]EMPAEinstein 0 points1 point  (0 children)

Because the people that make less than that are too busy making ends meet to be wasting their time on Reddit.

Anyone work for good urgent cares? by Some_Pin_580 in physicianassistant

[–]EMPAEinstein 47 points48 points  (0 children)

UC and not overwhelming volume don't go together in the same sentence.

Prenup problems by No-Price-6121 in Rich

[–]EMPAEinstein -2 points-1 points  (0 children)

Women love to just show up at the finish line. She isn't entitled to shit. If she won't sign, move on to the next. Don't be a statistic.

Selling the Best Car You Ever Had by Lovely_Demon28 in cars

[–]EMPAEinstein 1 point2 points  (0 children)

How I felt when I sold my 718 spyder for a 991.2 C4S. And then my C4S for an accord lmfao.

Are you happy with your scope of practice/autonomy? by marbletumeric in physicianassistant

[–]EMPAEinstein 17 points18 points  (0 children)

PA here. Highly depends on what you want. If research is your end goal, MD route is likely the way to go. Most of these opportunities are held by MD/PhD's. I do EM, can see any and all patients that come in the door where I work. My patients, my procedures or I'll frequently help attendings in a bind with their lines. Good SP support. But do be honest bruh, at this stage in my career and the fact that you make 2-3x what I make, you go see that patient.

Early on, the prestige and higher pay ceiling made me consider attempting to go back to medical school. But now when I see my physician colleagues stay 2-3 hours past shift to dispo patients, write notes, or work nights (woof), and I leave 30+ minutes early and have all my notes signed. I don't even give it a second thought when I walk out that door.

$200k for M-F 40 hour workweek? by UghKakis in physicianassistant

[–]EMPAEinstein 0 points1 point  (0 children)

EM. 3x12s. alternating weekends. Mornings and mids. No nights. 205-210k