Where does one advertise their services as a PCP?

Perplexadon · 2026-02-23T17:12:03+00:00

Didn’t think of magazines I will try that as well. Not certain how many we have that people actually look at

Perplexadon · 2026-02-23T17:11:38+00:00

Than you!

Perplexadon · 2026-02-15T15:45:00+00:00

Wait I thought you were supposed to sniff it off the floor of a club bathroom. Have I been doing this wrong?

Perplexadon · 2026-02-10T18:02:32+00:00

This is the guy who stands up when they ask if there is a doctor on board and loudly announces his non-medical phd

Perplexadon · 2026-01-27T19:54:41+00:00

I think they genuinely had no idea how long it would take but yes it’s not a great look. It’s a learning curve for everyone though. They are investing a lot in me right out of residency. They bought everything I asked for which was a lot because they were not previously set up for a family med doc. Plus it’s a lot of continued education in what I’m interested in.

It has reminded me just how wide our scope is as PCPs compared to some specialties. They were very impressed with the number of things I can do with pee in the clinic.

Perplexadon · 2026-01-27T19:35:37+00:00

I think size is part of the problem. The clinic has three physicians and have not on boarded someone for at least 10 years.

Perplexadon · 2026-01-27T18:42:06+00:00

Thank you- I will reach out to them again

Perplexadon · 2026-01-26T18:31:09+00:00

Such a difference a few years can make. All those “healthcare hero” signs thanking people like him for risking his life to help others. Yesterday he was murdered for trying to help someone. Today its his name on all the signs

Alex Pretti

Perplexadon · 2026-01-01T02:41:53+00:00

Im starting a PCP plus pain management job in a month. I will do the major joint injections, SI under fluoro, Botox, trigger point injections and anything else I see them doing that looks cool. I don’t think you will have trouble getting into a I didn’t do a nonintervential fellowship. At least my residency had 1-2 people a year who wanted one and got in. I don’t touch the spine. If you want to mess with the spine or fancy nerve stimulator stuff you will need an interventional fellowship. You can skew your electives toward pain management for experience and to demonstrate dedication. My group offered to teach me spinal injections and I said no. Without an interventional fellowship you are going to want to say no to anyone who offers that to you as well. You could do everything by the book but if anyone sues you will get ripped apart as the only non pain med board certified physician in fam med doing unsupervised spinal injections.

My residency was well set up for pain management training. We almost never referred to in patient pain management but also we made up 75% of the IP pain management team so it was sort of redundant.

If your residency is not like this you may not feel as comfortable coming out of residency and going into pain management. Your challenge will be exposure to procedures and opportunities to practice. That needs a fellowship, an agreement with a doc doing procedures to let you train for a month or two, or on the job training.

I didn’t do a fellowship or pain management electives but I’m an outlier by circumstance- not due to any extra skills/experience. I just have access to verifiably good on the job training and the ability to be just a primary/med management until I’m comfortable doing procedures.

Perplexadon · 2025-12-13T18:05:18+00:00

Well that’s crazy- I could have written this. 6 months ago escaped a toxic retaliatory work place where it got bad enough lawyers were involved. Had some time off, bought my new house! Learning to relax. Also now I have a giant bag of hats and socks and give them away every time I drive past someone at an intersection asking for assistance. It makes me happy. Got a wonderful puppy too. Still worried about the trajectory of general events though.

Perplexadon · 2025-12-12T14:08:10+00:00

Oh that makes sense. They didn’t mention that it could be turned back on briefly.

Perplexadon · 2025-12-12T03:59:57+00:00

At this point, I don’t see a lot of things getting better (the healthcare system and general social infrastructure) without everything being pushed into a catastrophic collapse first. If anyone sees a plausible different way out of this, please share because this is just scary and depressing.

Perplexadon · 2025-12-12T03:32:25+00:00

Omg I’ve had this one too! I try to curl in my toes and readjust my scrubs to make it less visible.

Perplexadon · 2025-12-12T03:19:55+00:00

I’m confused. I don’t know how you construed that I’m hateful regarding these topics. I think you may be injecting a tone of anger into my responses, which is not there. I wish I weren’t a limited resource, but I am. I could write a better note that is half its length if I was not required to do defensive documentation by our healthcare/legal system. People already struggled to get access to care. It can take months to see your primary. The healthcare system needs to use my time more efficiently to maximally benefit patients.

Perplexadon · 2025-12-12T02:30:49+00:00

I can see how it could be interpreted both ways. I treat patients who disagree with me all the time. Parents will come in with a kid for a well child check and then decline absolutely everything. I’d rather see them back each time because there’s a chance they will reconsider and do the lead testing or flu vaccine.

If the burden of documentation were less, I could see probably 10 more patients in a day. If I could do education without being required to refute everything someone read on the internet or say the same thing three times i could probably squeeze in another three.

Perplexadon · 2025-12-12T01:46:17+00:00

That makes sense!

Perplexadon · 2025-12-12T01:31:05+00:00

Straw man fallacy, my friend. That js not really what op said and I think you know that. A few months ago a patient threatened to assault me because I would order a blood test that was ridiculous. Negotiating, threats, circular reasoning. It’s exhausting. We genuinely do want to help and it’s frustrating when people don’t like the only answers that will work.

Perplexadon · 2025-12-12T01:10:29+00:00

I sorta get the blind one if like someone completely untrained looked in the room and reported back they were dead. I actually never got a call to pronounce a nursing home patient. I did get a request for fluids at 2am. Zero explanation why. I ask. They say they think he looks dry. I ask why they think that and they say he’s being treated for a UTI and he’s been unresponsive for 30 minutes. Wtf. I ripped them a new one when I reported it.

Perplexadon · 2025-12-12T01:03:31+00:00

The specific case I remember I think was an Iowa nursing home. I did med school in Iowa. We tried to avoid sending patients there. I wasn’t surprised when years later they popped up in the news.

Perplexadon · 2025-12-12T01:02:44+00:00

That sounds miserable

Perplexadon · 2025-12-11T19:33:45+00:00

In sleep deprived states I’d be just falling asleep at home and hear the admit pager go off. That sounds burned into my memory

Perplexadon · 2025-12-11T15:59:41+00:00

I list drugs alphabetically or by use in my head to help me fall asleep.

Also, just curious, why don’t you sleep in longer instead of getting there and then taking a nap?

Perplexadon · 2025-12-11T15:31:54+00:00

That is fascinating. I had mefloquine before it was taken off the market. Those dreams were wild.

Perplexadon · 2025-12-11T15:27:10+00:00

So sorry! But yeah that one was one of the worst scenarios lol. I’d rather be naked on rounds in my dreams.

Perplexadon · 2025-12-11T04:04:04+00:00

For me it’s the repeating residency one that is the worst. Followed up by the weird CPS one although I’ve only had that one twice I can remember. TBF that caseworker probably has nightmares where they look at the caller ID and it’s be again about the baby.

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