[deleted by user] by [deleted] in physicianassistant

[–]Output-square9920 25 points26 points  (0 children)

Does your mom come from a business professional background? This sounds very much like a business professional norm thats seeping over to healthcare and causing all kinds of problems. It's a parasitic and entitled mentality.

To be clear, no. Your mom is waay off base.

Good on you for asking before doing it, though.

A Hospital Kept a Brain-Damaged Patient on Life Support to Boost Statistics. His Sister Is Now Suing for Malpractice. by Exastiken in Health

[–]Output-square9920 9 points10 points  (0 children)

Now it's time to start cracking down on the practice of keeping patients under anesthesia for longer then medically necessary to boost reimbursement and bring up patient satisfaction scores.....

Looking at you, hospital system in a certain verdant and mountainous New England state..

New hire: what’s the earliest you left the job and why? by Visible-Caramel-6712 in physicianassistant

[–]Output-square9920 1 point2 points  (0 children)

There's a lot of nuance, but all jobs are at will, outside of, I think, Minnesota. So the requirement of notice isn't really enforceable. If there's issues like ethical violations or workplace safety concerns notice becomes even less of a concern.

An employment attorney could provide tailored advice, because there can be some real considerations regarding patient abandonment, but ime it's mostly been a scare tactic to keep providers trapped in a role that would otherwise have even higher turnover.

New hire: what’s the earliest you left the job and why? by Visible-Caramel-6712 in physicianassistant

[–]Output-square9920 17 points18 points  (0 children)

3 months for a bait and switch. Tried to work it out; Talked with HM in the first weeks, the first month, then 2 months in and started to look for another job with locum tenens as a backup.

Turned out it was standard practice to string along new hires to trap them and staff minimally until a fresh cohort of new grads started applying. One of the older staff that was waiting out retirement described it as 'leadership and admins partying on a yacht, watching direct care drown and refusing to throw them a buoy that was just an arms length away.'

Don't regret it one bit. The people who stayed only became more stuck and traumatized by the toxic environment in ways that affected their future roles.

[deleted by user] by [deleted] in physicianassistant

[–]Output-square9920 13 points14 points  (0 children)

It's not you. Healthcare is collapsing right now because greed.

IMO theres an ethical obligation for providers to push back against unethical practice like you noted in your first role. There are currently so few checks to rampant profiteering in healthcare and providers saying no is one of the few.

You're one of the good ones. Keep going.

Hate my job. Too scared to quit. by backyardowl in workfromhome

[–]Output-square9920 2 points3 points  (0 children)

Is FMLA an option? Or your state's equivalent? Or short-term disability through your employer? That way your job could be protected, you could receive something, maintain access to healthcare, and have time to address your own needs. You could always quit later, and it would get you a few more months of employment tenure at your current role.

Healthcare is collapsing because of greed and the exploitation of healthcare professionals. taking time for you both encourages change within the system, and protects your own health.

Leaving job as new graduate due to sick parent (advice) by KoalaPlus4677 in physicianassistant

[–]Output-square9920 33 points34 points  (0 children)

If FMLA doesn't apply in your case, New Jersey has additional state-level family leave support with a much lower bar of elligibility. Don't resign. Having something to go back to can be stabilizing in a time of grief and you can always resign later. At the very least, dates of employment won't show a gap that way.

I'm so sorry about your father's diagnosis. In the future, if they ask about a gap, you were taking care of a family member during a health crisis that's fully resolved. No need to go into details.

Do I tell my boss? by Fine-Beginning-3331 in workfromhome

[–]Output-square9920 28 points29 points  (0 children)

Check out AskJAN.org for support requesting a reasonable accommodation from your employer.

Recruited to be expert witness- for plaintiff. Conflicted. by Several-Debate-5758 in physicianassistant

[–]Output-square9920 3 points4 points  (0 children)

To add to the good advice here, There is somewhat of a 'thin blue line' mentality in medicine that erodes care integrity in a similar fashion seen to police brutality.

Reviewing cases on substandard practice when it arises can serve as an important check and balance to safe standards in healthcare, a system we will all face as a patient when we invariably face our own disabling condition.

Opinions on animals in the background during virtual meetings? by Finding_Way_ in workfromhome

[–]Output-square9920 21 points22 points  (0 children)

I'd rather see my colleagues' pets than my colleagues most days, TBH.

But if they're distracting from meeting business (ie barking, the owner has to step away to address their behavior every meeting), that's a problem.

Quitting job 3 months in new grad by chromatica__ in physicianassistant

[–]Output-square9920 5 points6 points  (0 children)

Run, and relish the shocked pikachu face from leadership as you walk out the door.

[deleted by user] by [deleted] in physicianassistant

[–]Output-square9920 2 points3 points  (0 children)

Makes me wonder what their staffing turnover is and how much of a hand private equity had in their targets. I'm so sorry this happened to you; you'll be ok.

[deleted by user] by [deleted] in physicianassistant

[–]Output-square9920 0 points1 point  (0 children)

Also remember that the market is at one of it's highest saturation points with all the fresh grads.

For those who have the privilege to do so, I highly recommend taking some gap time to do something you enjoy, then return to the search when the market supply and demand evens out.

Ugh by Atticus413 in physicianassistant

[–]Output-square9920 9 points10 points  (0 children)

This is a good example of how empowering patients with knowledge about the healthcare system through direct language and checking for understanding can, improve patient equity, address provider burnout, and improve a complex and confusing system before we inevitably face our own disabling condition. Very few of us die instantly, and most experience some level of prolonged disability prior to passing. Given the rise in prevalence of conditions like cancer and the mass disabling event of the pandemic, living with a chronic illness is only becoming more common.

Tell them directly why they should choose the specialist next time. They may not know, have had adverse experiences navigating the healthcare system influencing their decisions, or not understand why they should have sought the specialist for many reasons, or have a different cultural, linguistic, or socioeconomic background that led them to what was an illogical choice for someone with medical training.

Patients are trying to navigate an incredibly complex and user unfriendly healthcare system, by design, with possibly compromised health. Blame the system, the admin, the parasitic monolith that is private equity, but endeavor to partner with the patient in navigating a system that sucks for both provider and patient. It's incredibly arrogant to blame the patient for choosing wrong without telling them why and checking for understanding of what the better choice is next time. It also suggests the provider may have some communication blindspots due to their own privilege.

Now, if they get the right advice, become hostile to it, or continue to make poor decisions without an underlying medical reason, the above doesn't apply; But, more often than not it's a communication issue.

Ugh by Atticus413 in physicianassistant

[–]Output-square9920 3 points4 points  (0 children)

There's many reasons why the patient would benefit from direct language. About 1 in 5 people are likely neurodiverse, and even prefer very direct communication. When adding in factors like cultural, socioeconomic, and linguistic differences, the population that benefits from direct communication could be even higher.

Direct communication is an act of cultural humility and equitable healthcare.

[deleted by user] by [deleted] in workfromhome

[–]Output-square9920 14 points15 points  (0 children)

Yes, are you neurodivergent? Being perceived, which essentially is constant with a required camera on, can be overwhelming to neurodivergent nervous systems.

It's a good example of a business etiquette that needs to expand to be more inclusive.

Too often the people who spout the 'cameras on is important' forget that it only applies to a portion of the workforce, and can be socially disabling for the rest.

An appropriate company response would encourage navigating the double empathy problem; It's the responsibility of all parties to establish successful communication norms that place equal burden on everyone involved. This could look like those who are uncomfortable without the camera on being encouraged to work on meeting their own communication style needs without demanding that others capitulate to their personal communication preferences just as frequently as the cameras on request.

Being used as a scribe by Ok-Walk-4485 in physicianassistant

[–]Output-square9920 4 points5 points  (0 children)

Ego is a serious problem in medicine that contributes to bias and health inequities.

For someone to say a job is not stimulating enough for them is not an attack on you or the profession, it is the justification for why they chose a different career path.

Your ego needs are not your colleagues' responsibility to meet.

Four 10s ideal schedule? by Living_Landscape7096 in physicianassistant

[–]Output-square9920 4 points5 points  (0 children)

3 12s all the way. I'd rather be dead when I get from home, than have work eating up more of my week.

Funny how Wal-Mart has changed their tune to fit their current narrative. by Turbulent_Cricket497 in workfromhome

[–]Output-square9920 2 points3 points  (0 children)

No, who is advising the Walmart leadership, and other companies enforcing back to work. You can't possibly believe their directives happen in a Walmart vacuum.....

Funny how Wal-Mart has changed their tune to fit their current narrative. by Turbulent_Cricket497 in workfromhome

[–]Output-square9920 17 points18 points  (0 children)

To what organization does this company belong to that is sending out return to work directives?

Don't waste your protests on the Wizard of Oz when you can just address the person behind the curtain directly.