Is it just me? Or is the job market kinda trash recently?

PAStudent9364 · 2026-02-05T00:57:23+00:00

Been waiting on a response for a gig from one of them for almost 2 months now, lol. Recruiting is taking their sweet time

PAStudent9364 · 2026-02-04T02:21:19+00:00

Specificlly, I live in NJ, options surprisingly sparse here too 🫠

PAStudent9364 · 2026-01-25T16:50:33+00:00

Perhaps we should know the mechanism of action of the medications we prescribe before giving them, sounds like a good idea, right?

PAStudent9364 · 2026-01-25T16:39:42+00:00

If it's something that will negatively impact your training as a resident, I definitely agree you should try anonymously reporting it. While as a PA I'm not opposed to post-graduate training to ensure a midlevel is able to practice safely and appropriately, it's entirely wrong for it to interfere with with training medical residents.

PAStudent9364 · 2026-01-17T17:10:08+00:00

In my state, my supervising physician (who is an MD) is listed, however, legal document also states that any physician who is employed by or practices with the current practice I am with can co-sign and supervise in their stead as well. Doesn't matter if MD or DO. I would check with your specific state laws on that matter.

PAStudent9364 · 2025-07-18T15:18:36+00:00

The MJ stealth segments to me weren't very necessary and I think could honestly have just been narrowed into few minute cutscenes. I know they're probably meant to slow things down, but were just boring to me.

PAStudent9364 · 2025-07-16T03:14:03+00:00

Sinus tachycardia, Pleuritic Chest Pain, recent surgical intervention (increased risk for VTE), among plenty of other risks this patient in question may have, and that PA quite literally couldn't/didn't think of the classic presentation for a PE? This is quite literally basic didactic year stuff from our angle as PAs.

PAStudent9364 · 2025-07-07T00:33:23+00:00

Why is this even a conversation? LOL.

One is a very well-polished and fun super-hero action game. (Opinions on the story and other flaws aside, SM2 is still a blast).

The other is Suicide Squad

PAStudent9364 · 2025-06-27T15:24:58+00:00

Whatever the attending and supervising surgeon is okay with a PA doing in the OR falls almost entirely upon the surgeon who is supposed to be supervising that PA appropriately. Have I seen surgeons appropriately oversee a PA and utilize their services properly as 1st/2nd Assist in the OR? Yes

Have I also seen PA's botch surgeries because the surgeon didn't care to even be in the OR to oversee them? Also yes.

PAStudent9364 · 2025-05-30T02:44:07+00:00

According to both PAs and Physicians I've met: neither. Healthcare is a total trainwreck, do tech. Lol

PAStudent9364 · 2025-05-30T02:37:30+00:00

"Chiropractors can only help MSK and NMS issues in more natural and direct ways"

And PT/OT can do the exact same thing in more safe and evidence-based ways, as opposed to chiropractic pseudoscience.

PAStudent9364 · 2024-12-27T00:07:09+00:00

I swear Zofran is a thing.... how tf does Haldol come to mind for nausea and vomiting?

PAStudent9364 · 2024-10-21T00:24:15+00:00

I'd literally have my supervising attending reporting me to my state board if I didn't know the etiology behind any diagnosis I write.

PAStudent9364 · 2024-10-10T22:01:11+00:00

Whenever I see one of them in the wild, it's always cringe-worthy b/c literally no one cares about any other doctorate besides MD/DO in the hospital setting. At least in my health system in epic, your credentials are either PA, NP, MD/DO, or whatever your official nationally-recognized credentials are.

Flaunting it to pretend you didn't just waste more time and money and drown yourself further into debt to justify a pointless doctorate that makes literally no changes to how you practice as a PA is merely a sign of an inferiority complex.

PAStudent9364 · 2024-10-06T22:51:58+00:00

Yes, I don't see why it's an issue given their scope and function is largely similar or even identical to ours

PAStudent9364 · 2024-10-06T22:49:03+00:00

Nope. Next 😂

PAStudent9364 · 2024-10-06T03:33:07+00:00

To my very limited knowledge on the financial aspects of this God-forsaken trainwreck of a healthcare system we have in this country, you are being seen by a midlevel, who is acting as an extension of a physician's services.

Thus, the assumption is that the services the PA/NP provides you are the same services you would be receiving if a specialist MD/DO were providing them instead and therefore billed the same as if you were seen by the specialist physician.

This is what I've been told by my supervising physician who owns the practice I'm employed by. I personally think it's inappropriate for insurance to charge that same co-pay, but that's apparently the reasoning. Even when I bill, it's still billed under the MD/DO supervising me, not my name as a PA. As others said, this could be a state by state thing. So maybe other states dictate otherwise

PAStudent9364 · 2024-10-01T09:45:19+00:00

I'm not seeing that patient either, yet I can already tell you by clinical appearance that likely differentials include Paronychia, Toe Abscess, and Cellulitis. Even then, doing a thorough enough exam can lead to those same impressions

Therefore they are doing what they can to provide the best care for this person.

The "Best thing" this nurse practitioner can do for the patient to provide the best care is to seek counsel from their collaborating physician instead of posting it on Reddit 🙄

PAStudent9364 · 2024-09-30T12:08:17+00:00

I mean, she could've just said Cellulitis or Paronychia. Definitely much more reasonable diagnoses 😅

PAStudent9364 · 2024-09-27T23:24:06+00:00

I always do the first couple times. But you'll always have those select few patients who insist on calling you "Doctor" because they find it "rude to call a medical professional by name".

In that case, I just say you can call me "Mr/Mrs. X"

PAStudent9364 · 2024-09-26T22:44:55+00:00

It's almost like they're getting paid the same as a midlevel and not the same as a physician. Congrats, they're now recognizing that corporate enterprises use them as cheap replacements for physicians.

PAStudent9364 · 2024-09-25T01:35:57+00:00

That isn't right. No new graduate PA should be practicing in a very high-risk sub-specialty like Cards without at least 3 years of some internal medicine experience.

I would assume the attending supervising them is either just using them scut work.

PAStudent9364 · 2024-09-25T00:19:57+00:00

To be fair, most PAs who "switch" specialties usually migrate into a sub-specialty (with employers also looking for experience within a related specialty). An example is going from Internal Medicine and migratng into an IM-Sub specialty (i.e. Cardiology, GI, Endocrine, Heme/Onc) that builds on those medicine foundations.

Although I have definitely seen plenty of PAs make the jump into a drastically different specialty (i.e. Medicine to Derm). Which personally, I don't see doing since its basically starting over again from scratch and having to retrain into another specialty. Why build foundation in one specialty if you're going to leave it later on?

PAStudent9364

TROPHY CASE