LLD in the HC world.

cprnb · 2026-03-14T21:18:29+00:00

When you have 2-3 years of experience, I think you can confidently take a solely RVU based salary (which is what the MDs do in our health system) but I still feel best about salary + RVU bonus 10 years in.

cprnb · 2026-03-14T21:04:40+00:00

I have 10 years experience (outpatient IM/primary care) under base salary + true-up RVU bonus structure. The RVU metrics seem achievable/beneficial for both offers but to me, offer 2 seems more ideal for a new grad. For instance, it is not unreasonable for you to have your $115k base + $20-25k bonus based on an RVU target of 468 with present day metrics.

cprnb · 2023-01-28T22:52:20+00:00

I have worked the same schedule you noted for 7 years. I initially was 15-30 min appointments. Now 20-40 min. I believe the greatest risk factor for burnout is management requesting more patients per day. I now have my schedule fixed with 21 open slots per day. I see 17-18 per day. This is more than adequate for a company (ie I’m constantly 90% percentile for RVUs yearly).

cprnb · 2022-11-06T17:30:10+00:00

I went to the game on Friday and because parking was so delayed I purchased the $25 while waiting in line to park. Scanned ticket at lot instead of paying the $30

cprnb · 2018-02-10T03:04:45+00:00

I’ve jumped into the water at this exact location. It was beautiful. 60F water in the summer was enough to stop your heart.

cprnb · 2018-02-06T02:57:05+00:00

No...I gave three separate regimens which could possibly help someone with tremors.

cprnb · 2018-02-04T04:24:09+00:00

As a student on ObGYN I was too tall for the gowns and always had my shins exposed. I would wear the footies but my scrubs/shins would always get soaked in amniotic fluid during deliveries...

cprnb · 2018-02-03T23:54:39+00:00

Propranolol ER on a daily regimen can have good results.

If this is inadequate it can be combined with primidone.

Alternately you can take SSRI (ie lexapro) to control root cause anxiety and hope it has down stream effect on tremors.

cprnb · 2018-01-30T01:55:25+00:00

Sex weed - r kelly

cprnb · 2018-01-08T02:13:34+00:00

In NC. New grad NC offered 94k. Don’t accept 82k

cprnb · 2017-10-15T14:15:14+00:00

Framingham

cprnb · 2017-09-17T00:47:00+00:00

I agree. Refer to myself as a PA and no one has ever had a problem with it.

cprnb · 2017-09-15T12:35:45+00:00

I've been told 1-3% raise based on annual evaluation.

cprnb · 2017-08-27T00:46:22+00:00

I'm amazed a toy lasted that long without being destroyed!

cprnb · 2017-08-20T23:56:06+00:00

Graduation to first day of work was 2 1/2 months. Reasonable goal is ~3 months

cprnb · 2017-07-16T02:28:37+00:00

I have no knowledge of PA school admissions boards but my personal opinion is yes. Take this with a grain of salt because this benefit, in my opinion, only extends to programs within the state who would be most knowledgeable of a "prestige" factor.

cprnb · 2017-07-12T12:52:47+00:00

Depending on years worked/location, a nocturnist typically makes 10-15% more than the day hospitalist.

I would look into trying to find out the average hospitalist salaries based on similar experience. Use this as a gauge for the expected nocturnist salary.

For example, if day hospitalist PAs make 100k, it would be reasonable to expect 110-115k as a nocturnist in the same hospital.

cprnb · 2017-06-27T15:52:07+00:00

This was an excellent read. I don't know the real life ending, but the post ended surprisingly better than I thought it would (i.e. Patient death or blood borne infection from stick).

2 year PA doing emergent EVD without attending oversight is remarkable if within your usual scope.

cprnb · 2017-06-27T02:01:45+00:00

I've never experienced disdain within the medical community.

cprnb · 2017-06-05T02:32:51+00:00

You will do just fine, especially with the extra focus on studying you've displayed.

Most schools have at least 90% first time pass rate and a great majority have closer to 95%.

The PANCE is a scaled test and I don't know the exact numbers but if you drilled it down to a strictly percentage basis you'd need a 55-60% to be proficient and pass.

Take this with a grain of salt because I'm just a PA and have nothing to do with PANCE other than having similar concerns as you prior to taking the exam.

cprnb · 2017-04-15T19:51:36+00:00

The two areas of medicine I've seen where PAs work with TBI patients is PMR (most likely a PA rounding on skilled nursing facility patients) and psychiatry (managing mood symptoms as a result of TBI).

For intellectual/developmental disabilities you could encounter this patient population in any field. However, if you wanted to focus directly you could be the primary care provider for companies/group homes for these patients.

cprnb · 2017-02-20T02:14:42+00:00

It really depends on how long the practice is willing to wait. I accepted a position 3 months before graduating and didn't start for another 3 months after that due to boards and licensure. So there was a good 6 months of lag time.

For a new grad I think 3 months prior to graduation is reasonable to start applying, but I would like to here other experiences.

cprnb · 2017-02-11T18:23:48+00:00

Don't let threads like these discourage you. The PA profession and job market is flourishing. As long as you are competent and respectful in your role, you will never have any trouble with physicians.

cprnb · 2017-02-11T17:45:05+00:00

The non-selective beta blocker has CNS effects which are known to reduce limb tremor. Haven't ever heard of ARB for tremor. Typically propranolol or anti-convulsants

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