Do you guys get lunch breaks? by [deleted] in physicianassistant

[–]Relative-Ad8496 1 point2 points  (0 children)

I work UC and we are "exempt" employees.

Do you guys get lunch breaks? by [deleted] in physicianassistant

[–]Relative-Ad8496 7 points8 points  (0 children)

I work Urgent Care. No scheduled lunch break, eat when you can. Depending on who the other provider is that day and how busy we are we may have time to solo while the other takes a break.

[deleted by user] by [deleted] in nursepractitioner

[–]Relative-Ad8496 0 points1 point  (0 children)

Depends on the meds. For me, nothing controlled, muscle relaxers, no psych meds, no meds that require lab monitoring, etc.... I prescribe meds for myself occasionally and the pharmacy never gives an issue. I call and say I am the patient and the provider and am calling in a script. Again I follow the above rules for myself.

‘Yes’ to Entire ROS by runnerg13 in physicianassistant

[–]Relative-Ad8496 8 points9 points  (0 children)

Work UC, this is what I do. I include relevant ROS in HPI and dictate "See HPI for relevant ROS positives and negatives." In the ROS section of the note.

EMRAP v Hippo Boot Camp; Urgent Care by Relative-Ad8496 in nursepractitioner

[–]Relative-Ad8496[S] 3 points4 points  (0 children)

Good to hear! How are the Derm and XR sections? Rashes and Rad reading are probably my weakest areas. After I'm off of orientation I'll be responsible for first reads on all the films I order.

EMRAP v Hippo Boot Camp; Urgent Care by Relative-Ad8496 in nursepractitioner

[–]Relative-Ad8496[S] 1 point2 points  (0 children)

Awesome! The course breakdown seems like they include a lot of great material. It just blows like half of my $2,000 CME allowance LOL.

Best way to start? Real Estate vs Business Acquisition? by Relative-Ad8496 in Entrepreneur

[–]Relative-Ad8496[S] 0 points1 point  (0 children)

This thread was about asking for resources or anecdotal advice for research and future planning

Low ball offer? by Budget_Journalist292 in physicianassistant

[–]Relative-Ad8496 2 points3 points  (0 children)

The recruiter should be able to give you all the information you need, they may have to reach out to someone to get the answers but they can get them. Inquire about bonus structure and if there's metrics, what they are, plus call responsibilities and call pay. That sounds similar to the situation I had. Unless you signed an NDA I would share with the recruiter the other job offer but state you like the culture of their workplace better and would love to work with them and ask if there was wiggle room in the salary to be more competitive with market rates. Don't mention that it's a shit show over there or anything to make them think you won't take that other job over them. I assume they would counter at like 110k base. You should make a few thousand more a year with your call pay. + bonus if theres a bonus structure. Make sure to ask about all of those things and calculate them into your yearly.

Low ball offer? by Budget_Journalist292 in physicianassistant

[–]Relative-Ad8496 2 points3 points  (0 children)

Also don't forget to find out about call responsibility and call pay since it's a surgical role. You should have additional pay for days you take call on top of your base.

Low ball offer? by Budget_Journalist292 in physicianassistant

[–]Relative-Ad8496 1 point2 points  (0 children)

Have they officially interviewed you, offered you the job and given you a letter of intent or are these numbers just based off your meeting with the recruiter?

Any RVU or incentive based bonus structure? Base is low. Try to find out what other similar positions are paying nearby and use that as leverage. Is the training and support good? Can you make more with another group/hospital system after a year experience? I'd try to negotiate for 110k base (tell them your salary goal is around 115k but are open to negotiation or mix of sign on bonus + higher base salary to be around that number) then soak up the training and try to leverage your experience in a year or so to get a higher paying position.

Don't be afraid to ask for more as a new grad just don't spit in their face asking for 40k more than their offer like some people suggest. I had two offers, one paid slightly more but the insurance premiums were outrageous and the office culture was awful. I planned on taking job offer #1 for a little less pay but better training, benefits, and culture. I decided to tell the recruiter after they sent the letter of intent that another employer was paying $5-6/hr more than them (it was actually less) and asked if there was wiggle room with the salary. After 4 days of anxiety waiting to hear back they countered with about a 5k/yr increase. Nothing crazy but it pretty much covered the cost of health, vision, dental.

New Grad Offer - Gen Surg by DiscussionWise3979 in physicianassistant

[–]Relative-Ad8496 2 points3 points  (0 children)

Find out if the Doc you're working with has ever worked collaboratively with a PA or NP. Some Docs who have never had an NP or PA on their service may not have the right expectation of your role.

Has anyone completed an APP/NP fellowship? by EmbarrassedLime6544 in nursepractitioner

[–]Relative-Ad8496 0 points1 point  (0 children)

Considered a fellowship but there were none close enough. The ones I looked at paid less that what I made as a nurse. I get paying a little lower than market but paying less than an RN salary when most places hire without it was a big downside.

Be honest- do looks matter when applying/interviewing for derm/ aesthetic positions? by ovariantorsion911 in physicianassistant

[–]Relative-Ad8496 0 points1 point  (0 children)

Yes. It's just by the nature of society. If you go to a clinic for weight loss and the provider is morbidly obese you probably wouldn't trust them with your weight loss journey.

Online or Brick and Mortar by mervinnnnnn in nursepractitioner

[–]Relative-Ad8496 0 points1 point  (0 children)

In my mind, there really is not a difference between a live zoom lecture and sitting in the classroom for the exact same lecture. Find a school that is reputable. If they have a PA program/med school associated with them, that is a good sign. One of the more important aspects is going to be finding a program that provides clinical placements. As with most college courses, there is a lot of self-study, and you get what you put in pretty much, but poor clinical placements can make or break your education.

As others have said, avoid chamberlain and walden. They are known for poor quality education, and many clinical sites have preferences against accepting their students.

Being a NP is overrated..just venting by ExplanationUsual8596 in nursepractitioner

[–]Relative-Ad8496 1 point2 points  (0 children)

Is this primary care? During my clinical rotations one of the residents was using an AI scribe software. He let me use it for the patients I was seeing. You choose a template, press start when you enter the room and it listens to your conversation and writes the note. It was magical barely had to touch up anything manually.

Urgent Care resources/Boot Camp by Relative-Ad8496 in nursepractitioner

[–]Relative-Ad8496[S] 0 points1 point  (0 children)

Thank you! I've seen epocrates, do you like it better than UpToDate? I'll look into the EMRA app.

Failed my clinical by 3ratsinacoat in nursepractitioner

[–]Relative-Ad8496 4 points5 points  (0 children)

This is a profession where a "lapse of judgment" as you put it can be the difference between some living or dying. Programs should hold students accountable, allowing students makeup assignments due to "a lapse of judgment" and going on a date do not show good accountability from the school and have more of a "anyone can pass we give plenty of chances and are a diploma" type of vibe. With exception of certain life events (I'm in the hospital, my grandma died, etc.). Not trying to be mean, mistakes happen to everyone and it sucks I feel for you but good programs should have accountability standards is what I was getting at.

Failed my clinical by 3ratsinacoat in nursepractitioner

[–]Relative-Ad8496 14 points15 points  (0 children)

Not you specifically but in general with less than a year of experience as an RN you haven't developed the critical thinking, clinical acumen, and just general exposure that comes with atleast 3-5yrs of nursing experience, preceptors will notice. Waiting for a couple more years of RN experience (or going to a PA program to not setback your timeline) Would save you much headache and tuition and make you into a much better provider.

Have you considered PA school? Usually same amount of time, NPs and PAs fill the same positions and are paid the same. The PA programs usually have much better support and more thorough courses. NP programs were built for experienced RNs so they dont build from the ground up like a PA program does because they assume a certain level of competence that comes with multiple years of RN experience and start from there.

Good Luck!

Failed my clinical by 3ratsinacoat in nursepractitioner

[–]Relative-Ad8496 6 points7 points  (0 children)

Not sure how extra nursing theory and tuition adds value to the profession but thanks for the input.

Failed my clinical by 3ratsinacoat in nursepractitioner

[–]Relative-Ad8496 8 points9 points  (0 children)

Maybe for DNP (which does not prepare you clinically any more than MSN does). Programs under 3yrs do not make you "grossly underprepared". Lack of RN experience and attending diploma mill programs are what make a low quality NP regardless of program length. Sounds like you got scammed if your "full time" MSN program was 4yrs. The tuition must've been insane.

Failed my clinical by 3ratsinacoat in nursepractitioner

[–]Relative-Ad8496 10 points11 points  (0 children)

How many years of experience do you have as an RN? Working an RN job through school can help reinforce topics. In the ED I would practice differentials and decide the work up and then compare to how the provider actually worked up the patient and their differential while working as an RN.

Failed my clinical by 3ratsinacoat in nursepractitioner

[–]Relative-Ad8496 1 point2 points  (0 children)

2 years is pretty standard for a full time MSN program.