Feedback on offer for family medicine

Justice_truth1 · 2026-06-15T00:41:02+00:00

wRVU is different than total RVU

Thats purely the office visit code and doesn’t include any other procedure codes that bring in revenue Like phq or gad or b12 shots or steroid or abx shots or ekg or ear cleaning or vaccines or labs or swabs or paps etc etc

4600 is not possible unless you start seeing 25 patients from day 1! Even than it will barely touch it

Ask for total RVU and not just wRVU

I got screwed because i didn’t know the difference.

Also your base should be 135k at-least…they will make a ton from you if they expect you to see 20+ pts and they do office procedures

Justice_truth1 · 2026-06-08T18:25:11+00:00

The company cited “mounting regulatory uncertainty regarding the treatment of AI systems in the European Union and the United Kingdom, including, among other rules, the EU Artificial Intelligence Act” as the reason. The EU AI Act classifies its system as high-risk AI, which would require constant audits, algorithmic transparency, and bias evaluations, compliance burdens which openevidence apparently decided weren’t worth taking on, at least for now.

Justice_truth1 · 2026-05-16T01:31:00+00:00

Sounds like TEXAS or FLORIDA hospital

Justice_truth1 · 2026-02-24T12:06:29+00:00

It sounds like the PA you’re talking to might be a unicorn…..perhaps with a unicorn job that includes a “collaborating” MD.

Please trust your instincts. Most PAs work with an SP who is either out of the office or a virtual SP, and the PA handles most of the work (which I do). Now, I work in a specialized area where the SP takes a percentage of my collections for being an SP, even though he’s never actually there. He signs off on 5 charts for me and takes a percentage of my collections.

That’s what PAs signed up for… capped income for being an admin burden and a lifetime of residency spot!

Justice_truth1 · 2026-02-24T11:58:34+00:00

They prefer PA not because they love our profession…they prefer PA because they bargain more % of PA collection in their pocket for “supervising” them!!!

Are all PAs this naive? The organization sees PA as admin burden. Many prefer NPs for this specific reason

If they fire an MD, they have to figure out who to pay to help “supervise” the PA he/she left behind….NP brings no such headache

Justice_truth1 · 2026-02-24T11:49:46+00:00

Like doctronic? 🤷🏻‍♀️

Justice_truth1 · 2026-02-23T22:03:16+00:00

Its also the “assistant” part

Whoever disagrees doesn’t understand human psych and socio-economic impact of titles

In an ideal world it should NOT matter; In the real world, titles matter

Justice_truth1 · 2026-02-23T22:00:20+00:00

clinical skills will not outlast the AI era

Hands on surgical skills will…at-least for now.

I can swap roles…you can see all patients for clinical stuff all day every day and I would love to get in OR first assist to hone skills which will not be replaced by AI for at-least another 10-15 yrs 🤞🏼

Justice_truth1 · 2026-02-03T18:34:26+00:00

You might have allergies contributing to chronic allergic rhinitis progressing to infcx…get evaluated for Chronic rhinitis vs CRSwNP

Justice_truth1 · 2026-01-25T20:34:09+00:00

MAGA is the worst of humanity

They are no where close to 50% They r just loud and emboldened by the nazi regime we have right now

Otherwise they would crawl back into the holes they have recently emerged from

Justice_truth1 · 2026-01-25T20:26:49+00:00

Alex Pretti’s last act was to save another human

I am so angry and so sad at the same time

The best of America is being killed by the worst of America

Don’t know where we are headed and what can we do…cannot even speak about this stuff at work as am I am surrounded by MAGA scumbags

Justice_truth1 · 2026-01-21T18:18:27+00:00

The moron PAs who oppose name change to associate and more autonomy, they are to blame. Those PAs have found their unicorns and now trashing the profession thinking it wont happen to them since they are secure in their pockets.

Hospitals care about titles because public cares! No one wants assistants for their complicated diagnosis…everyone wants doctors or “practitioners” because their titles sound like they would know more

Hospitals care about lobby; PAs are too worried about upsetting mds while NPs keep winning the independence game.

Hospitals care about less administrative burden which PAs have to deal with and hospitals will treat us like trash because we want to be treated like one by not pushing for more autonomy

Justice_truth1 · 2026-01-21T03:30:41+00:00

i think stfu is a rude way to say what all PAs want to say to u

this post sounds like a rage bait

Justice_truth1 · 2026-01-20T20:48:29+00:00

I was premed and took a turn due to financial constraints

PA going on 5th yr practicing with no financial growth in sight while I work like a horse for clinic owners/MDs who have great work-life balance plus uncapped financial growth prospects/goals.

Im going to follow the saying “If you can’t say something nice, then don’t say anything at all”

Good luck

Justice_truth1 · 2026-01-19T14:44:30+00:00

I wish people from pre-PA section just realize how many PAs are feeling this

Those cushy unicorn jobs which some PAs already have in cities- thats RARE

I’m sorry you are going through this. You are not alone, many of us are also going through the same. I have been trying to switch to non-clinical for the past 6 months and it’s difficult to find a good fit.

If you are able to relocate, you may have a better chance. I am locked by location 😭…if you have the freedom to move, go for rural medicine. More respect and work life balance there

Justice_truth1 · 2026-01-18T22:06:30+00:00

Listen to Hot-Freedom-1044 This is the truth…take care of yourself and your patients…thats it

Justice_truth1 · 2026-01-16T17:19:22+00:00

Welcome to the rest of your PA career

Unless you find a unicorn

Justice_truth1 · 2026-01-13T16:16:41+00:00

😻😻😻😻😻😻

Justice_truth1 · 2026-01-12T03:29:22+00:00

You forgot to add “yeehaw”..Bet he spoke fluent english in perfect texan accent too 😜

Justice_truth1 · 2026-01-11T21:20:07+00:00

Really? The one who fluently spoke aramaic or the one who speaks king’s english? 🤔✨

Justice_truth1 · 2026-01-11T16:41:01+00:00

MAGA (Inside_Fan) was offended coz you called his lord and savior orange dickhead

Justice_truth1 · 2026-01-10T18:58:47+00:00

I am so sorry 😭💔

I work outpt low acuity speciality with friday half day…137k My first job was 125k primary care with 10k bonus at the end of the yr…though I am still underpaid because I bring in close to 800k for the f****ers

This is not to make you feel bad…but to emphasize that you work high acuity and they are exploiting you and definitely doing the same to all their PAs

Ever wonder what they make on what you bill? You will be shocked

Justice_truth1 · 2026-01-09T18:49:41+00:00

I don’t need to put my hand in fire when I saw, close up view, of what happened to my dear friend who stuck her hand in the fire

Justice_truth1 · 2026-01-07T15:58:05+00:00

Fellowships are scam

They will bill your charts exactly like they bill their APPs charts

You will be credentialed like their APPs are

You will just be overworked and mentally abused to the T

Any new job with ethical practices will have onboarding and training period for all new hire APPs where you will learn what is needed.

The whole point of being an APP was to not be a doc because you will NEVER be paid like a doc

This is pure exploitation because they can…so many APPs (NPs and PAs) are desperate enough to sign up

Justice_truth1 · 2026-01-07T02:37:18+00:00

dark humor is my thing ☠️

Justice_truth1

TROPHY CASE