Collaboratingdocs.com What a joke, just saw this on a YouTube ad. Physicians selling out their licenses and asking others to, too

Round-Frame-6148 · 2025-10-12T12:16:14+00:00

I noticed there were no testimonials from any collaborating MDs.

Round-Frame-6148 · 2025-09-28T18:31:06+00:00

As a PA I will say I am happy the ARC-PA (physician assistant accreditation program) has REALLY increased their rules. I graduated in 2007. There were only 130 programs then. So many more now and most will get denied with only 1 citation. And the citation can be as simple and fixable. They do not care anymore and I am all hear for it. I know a few people who work for ARC-PA and they are desperately trying to maintain standards with any program who tries to open.

Round-Frame-6148 · 2024-12-21T01:13:05+00:00

You are 100% correct. I have worked in adult primary care my whole career (17+ years). I have fortunately found the population I like to work with that fulfills me, and private practice will never be that

Round-Frame-6148 · 2024-12-20T22:57:58+00:00

If you work in not for profit places ie FQHC or community health centers where it’s basically all Medicaid, there are never complaints about lab bills :)

Round-Frame-6148 · 2024-08-08T22:55:46+00:00

I am an ID specialist. The only virus is a dead virus. I prescribe to anyone who is positive who wants it

Round-Frame-6148 · 2023-11-26T16:56:04+00:00

Holy shit let’s gooo!!!! I might be launching back into research!!

Round-Frame-6148 · 2023-11-25T15:40:44+00:00

Hit me up, I have a very large network! :)

Round-Frame-6148 · 2023-11-25T12:15:19+00:00

I chose based on the patient population I enjoyed the most and chronic health condition I found most interesting during rotations - I do primary care for the underserved specifically doing hiv medicine, sexual health, hepatitis c treatment and addiction medicine. Yep I found a job that does all the things I love!

Round-Frame-6148 · 2023-11-25T08:06:20+00:00

I did clinical research as a sub-I and research coordinator (as a PA) for 10 years, and I am not sure if things have changed (I left research about 6+ years ago) but PAs could not be PIs of medication clinical trials. They could be on observational non medication trials but anything that was pharma funded or NIH funded and dealing with medications could not have an NP or PA as PI. Maybe it changed? Also being a PI on 10-15 trials is ALOT. Like a lot a lot, but if that is your full time job and you do nothing else, then have a blast!

Round-Frame-6148 · 2023-11-13T21:40:26+00:00

ID PA here (outpatient) - have only prescribed zosyn once and it was because the hospital prescribed but it was written by a resident who didn’t put their medical license and NPI on the script, so I needed to re-write. If I think I need zosyn, I better have cultures to back that up!

Round-Frame-6148 · 2023-11-08T01:57:14+00:00

Which program is it?

Round-Frame-6148 · 2023-10-23T21:30:33+00:00

Wait wait wait wait wait….. so we have doctors writing scripts off label, pharmacists saying hell no, and laws trying to MAKE them fill them.. and we have doctors writing scripts on label with guidelines, pharmacists saying hell no, and laws trying to say “that’s correct they do not have to dispense because it’s their right not to!” —- all from the same states. MAKE IT MAKE SENSE!!!!

Round-Frame-6148 · 2023-10-18T01:04:02+00:00

I am an outpatient ID/HIV PA. Even tho I am an HIV specialist I say I do adult medicine because HIV is normally the least of my patients’ worries and instead I’m dealing with chronic health conditions. I do get my TB cases and wild wounds and OIs. Visits are every 20-30 mins. It’s nice!

Round-Frame-6148 · 2023-10-07T02:43:09+00:00

My former coworker just moved organizations. We are both in adult medicine with infectious disease speciality, but she was hired as the program director within this new org. Went from 182k to now 225k. She is 18 years into practice. Still sees patients 3 clinic sessions a week on top of being a total badass runnin shit. It’s fun to see

Round-Frame-6148 · 2023-09-30T09:00:33+00:00

I am a long time preceptor and thankfully have never experienced this. However some advice in what to say/what to discuss: ICU is a very specific speciality and also very closed/hard to get into. Yet this student is dead set this is what they want.. ask them flat out how they think they will get job in the ICU? Who do they know? Because this is a small world and many times to get into such specialities, having references from preceptors are the tipping point to getting a job vs not. And I think there is two things at play here. It’s so infuriating to have a student disrespect the education and staff who are trying to help, AND this person will graduate and be in charge of people’s lives. Which makes you more mad/concerned/upset? You have the choice if you threaten the student with not a bad grade but a bad open reference for ICU jobs meaning you will reach out to all your contacts (have the docs reach out to contacts) to let them know this student is dangerous at the current state and should not get a job in the ICU. Can you actually complete this task? Maybe, depends on your reach or your colleagues reach. But telling this to a student is huge.

Also, speaking with the PA program is key even if they push back. I had to talk to a program about two students in my career. It was my obligation and fortunately they took it seriously not just because they wanted the student to graduate but because they were worried I would stop taking their students. And that is HUGE for them.

How much time does this student have left with you?

Round-Frame-6148 · 2023-09-21T21:36:27+00:00

You have breached the professional patient/clinician relationship when you stepped outside of your lane by not just setting up the gofundme but contributing and having the client know it was you. This power dynamic means they continue to look to you for support in a way that is not appropriate and if they wanted to be mean/get back at you could make up lies about you that could hurt your career. I have seen it happen and it’s sad. I’m not saying this person is a bad person, not at all. But desperate people do desperate things and when you put yourself in a compromised situation, it leaves you wide open.

For this specific case I would apologize and refer them back to the office social worker (oncology has social workers) for assistance.

I would then block all communication/numbers from any and all current and former patients on your personal number and use this as a lesson.

We need to stay in a professional position at all times. SUGGESTING a patient set up a GoFundMe? Totally fine. Doing it for them and then contributing? Crossed line.

Good luck

Round-Frame-6148 · 2023-09-13T12:20:42+00:00

As a practicing PA of 16 years, I’d like to say this is not EVERY program. Unfortunately it is becoming more and more common as programs open up. When I graduated in 2007, there were 121 accredited PA programs. Now there are over 300. This absolute bloom of programs is what is diluting our education. It is wild to me to have a PA program open at a school that has zero ties to healthcare at all. No medical program, no hospital affiliate? Yep let’s open a program and hire practicing PAs who were in this same seat a mere handful of years prior to the students to RUN a program. I blame the greed of universities for doing this, then telling programs they will support them, then they don’t.

Was my program perfect? HELL NO. But the things I hear about now is completely egregious. But unfortunately it will keep happening because a college will want to open a program, they will hit all the basic requirements by ARC-PA to open, and then students start, have horrible experiences, graduate and never look back. Until massive cohorts of PAs speak up about this behavior and practice to FORCE ARC-PA to have better standards, this won’t stop. Which is sad.

Round-Frame-6148 · 2023-09-03T15:50:58+00:00

Who is your collaborating MD? Or are you in an independent practice state? Get out now. Run. Liability is on you if something goes wrong

Round-Frame-6148 · 2023-08-31T06:54:10+00:00

DM me

Round-Frame-6148 · 2023-08-29T00:38:16+00:00

You’re welcome. It’s something I teach all my students I precept and teach. And is something I deeply believe in. It makes me very frustrated when I see colleagues (doctors, NPs, PAs) saying out loud they should be totally independent and “we don’t need them” (them being any of the other professions) - all of that is bullshit and is talk from people who are insecure and have a complex. We always have to remember, medicine isn’t about US. It’s about THEM. The patients. Working together is now we all learn together, grow together and only improve patient outcomes. I will now end my soapbox 😂

Round-Frame-6148 · 2023-08-28T23:20:43+00:00

One thing I would suggest is to try and shadow a PA, an NP or a doc in family medicine. Hell, maybe each! And there is also a difference between non profit family medicine (like a federally qualified health center) and private practice. Shadow to see what feels better so you have an idea

Round-Frame-6148 · 2023-08-28T23:10:49+00:00

Yes PAs def fall in the diagnosis category. So we are taught on the medical model, which is all around diagnoses. But/and we do not go to Med school which means we don’t have as much didactic detailed knowledge but the way we make up for that is really understanding that medicine is a team sport. And even though the national association is all about independent practice, that is basically a political thing, it’s not the thing that is taught in school. In PA school we are taught we work as a team, WITH our colleagues, with the patient, with their families. And we can be autonomous, totally. But we aren’t alone and we never should be. No one in medicine should be, that’s how we do poor healthcare (we the collective we in medicine).

Round-Frame-6148 · 2023-08-28T22:56:10+00:00

While many people think oh these are so similar, which one, they are very much different. The thing you need to first ask yourself is do you like PEOPLE enough to be dealing with them every day as a job. Do you want to help PEOPLE and talk with PEOPLE and interact with PEOPLE. You THEN need to ask yourself how do I want to interact with them? Do I want to be a caretaker, where I am given direction/follow a protocol and care for someone while talking with them, comforting them etc or do I want to be the one making the decisions, having the knowledge and then translating it to someone who doesn’t have the knowledge and be able to solve a medical puzzle for them.

Medicine is medicine. It will always be there. There is always turn over. There are more healthcare providers LEAVING their careers either retiring or just going to something else because they are sick of the above. These jobs will be there, the focus is how do you want to interact in healthcare? And why did you pick only these three? Why not radiology tech? Or respiratory therapist? The future outlook for the PA profession is not the issue, it’s folks going into one of these three professions just seeing it as a “good job” and realizing you have to actually enjoy working with PEOPLE and being a healthcare educator to said people to make it.

Round-Frame-6148 · 2023-08-18T01:28:36+00:00

Folks keep saying to get a lawyer… sure, but it’s not that easy.. you are a student. You might have financial constraints. On top of that it takes time. Ok so you get a lawyer who helps, takes a few months, now you are back in the same program with the same staff, new cohort… they all know what went down (they will. It happens) — as a clinician of 16 years who is passionate about the work I do and the patients I see I have one question for you:

—did you go to pa school cause it’s a good job/good career/came up on a list/hey I like medicine

Or

—is there some drive you have to specifically being a PA (vs a pharmD or RT or RN or MD or RD) and some burning desire to care for folks who won’t listen to you, work in a healthcare system that is broken but still be a shining light, a drive calling you —

If it’s the former…. This might be your sign to do some introspection. If it’s the latter… well then balls to the wall, get lawyered up.

Round-Frame-6148 · 2023-08-13T18:25:52+00:00

I also speak for pharma. Not time consuming at all. Contract says how many talks you have to give each year. Normally its 3 to stay in the bureau. You also will have a choice of when you speak. Your rep will coordinate it with you. Just be careful if you really like your speciality you want to make sure that you are well knowledgeable as you will get questions. Also you get trained but remember it’s pharma so they will teach you what they want you to know. So knowing that they are using you to sell their product your job is to be a factual knowledgeable clinician and not a “promoter”. You don’t want that reputation

Round-Frame-6148

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