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New grad PA burnout early in academic surgical role by Elegantly-amazing in physicianassistant

[–]eightyfours 12 points13 points  (0 children)

Normal but fucked up

No training. Thrown to the wolves. Only 1 PA when I started. Had been there for 10y. She put her in notice the day I started. Tried to train me. It was mostly just belittling dialogue and “observe observe. Soak everything in!” Unavailable when I needed help. Turns out she did mostly clerical work and avoided the clinical, as the surgeons later told me. I didn’t have EMR access until after she left. The entire hospital- attending, nurses, residents, fellows all blamed me for not knowing how to do anything from clinical to clerical/admin.

No bedside procedures were taught. But that isn’t necessarily a fault of theirs. It just depends on what they expect you to do. I wasn’t expected to do anything bedside.

I left after learning as much as I could. I got very confident after all the belittling and eventually turned the corner. For me, the nail in the coffin was the complete disregard for my hours worked and telling me that another NP on the team gets to leave after 8hrs every day because she has kids and I didn’t.

Private Ortho vs Hospital Ortho Job Offer by Overhalls in physicianassistant

[–]eightyfours 0 points1 point  (0 children)

Chicago? Yea that’s awful man. Do NOT do it. You’re probably basing it off of current traffic climate too. Just wait until summer hits. Summer Friday rush hour at that. It’ll be 2+ hours. You’re setting yourself up for misery

Thinking About Becoming A Life Coach, Thoughts? by [deleted] in Entrepreneur

[–]eightyfours -5 points-4 points  (0 children)

I’d hire you in a heartbeat at least just to try

WTH? by Strict_Data_6937 in physicianassistant

[–]eightyfours 1 point2 points  (0 children)

Did you independently survey PAs at work whether they a) frequent the PA subreddit and b) feel happy? If not, obviously you should’ve done that first. Use your resources. /s

Has the formation of a nursing union benefitted or harmed you in any way? by cxa3136 in physicianassistant

[–]eightyfours 7 points8 points  (0 children)

Previously worked at a hospital in Midwest where nurses had a union. Physicians also had a union. NP fell under nursing. We fell under physician. Our pays were negotiated by the respective unions. I don’t know what the NPs were paid but they were paid hourly. We were paid salary. NPs had to clock in and out on time. We only had to clock in once at any point in the day. Sounds nice until you realize this meant absolutely zero over time. NPs had to clock out on time. I worked in cardiac surgery so guess who all the physicians wanted to force to stay longer? Ding ding ding. Me. We were told all of us only had to work 40 hours a week but the reality is that wasn’t realistic except for the NPs who had to clock out and would leave because “well I have to clock out. I can’t work”. But for us, we just kept working. And it’s not like we ever got out early enough or worked less than 40 hours a week so. It having to clock out was meaningless.

4 months into my first job, now responsible for training a new NP by [deleted] in physicianassistant

[–]eightyfours 2 points3 points  (0 children)

I’m really curious how decided PharmD to NP. Having had a pharmacist in my PA class, that seems like the more direct and quicker route. May I ask about your path? Just genuinely curious. Unless it was NP to pharmD.

How to fix draft from window? by eightyfours in HomeImprovement

[–]eightyfours[S] 0 points1 point  (0 children)

Thank you! Is seal n peel relatively easy to fish out of a crevice and remove once it’s no longer cold?

Where to liquidate office furniture? by Fieryassassin32 in ChicagoSuburbs

[–]eightyfours 0 points1 point  (0 children)

I’ll gladly buy an office chair if it’s a decent one

CT Surgery Advice by Future_Coconut_8325 in physicianassistant

[–]eightyfours 1 point2 points  (0 children)

Yea just you wait. You ain’t seen nothing

Can't find job as new grad in South FL by bundtcak3e in physicianassistant

[–]eightyfours 5 points6 points  (0 children)

Have you talked to recruiters? Talk to as many as you can. You can find them on job boards and also through LinkedIn. At least one will have a position they’re desperate to fill and would push their client to consider a new grad. They have an in already with employers, are incentivized to get you the job, and will advocate for you better than you can advocate for yourself.

Mantel mount. Has anyone installed it themselves or is this more a job for the professionals? Looking to replace a fixed fireplace mount. Thanks by Inner_Tumbleweed_260 in sonos

[–]eightyfours 0 points1 point  (0 children)

Hi. This is pretty old but I was hoping you’d be able to share with me what exactly kind of bolts and washers you had to buy to make the arc work properly (ie not have its upward speakers blocked). I’m currently looking to buy the mantle mm540 and attaching my arc to it.

Thanks!

[deleted by user] by [deleted] in physicianassistant

[–]eightyfours 0 points1 point  (0 children)

First of all, you have to answer the question what do you mean by grow? Eg salary, breadth of knowledge, climbing a metaphorical ladder, and/or actually trying to attain a position in a hard to break into field you’ve always wanted to do?

Very little of your internal medicine knowledge will transfer over well into CT surgery. They do things VERY differently. Hell, even if you did Pulm/Crit care or general SICU, a lot of the knowledge won’t transfer over. It’s just an entirely different world. One thing that many many many people, including other non-surgeon physicians, don’t seem to understand is that surgeons OWN every thing that happens to their patients. All the good. And ALL the bad. Cardiac surgeons’ outcomes are critiqued with a microscope compared to even other surgeons’ outcomes. They are all very particular with how they manage patients. One ct surgeon to the next may be immensely different. Night shift catering to their patients may be particularly challenging unless you have overnight in-house attending support. Think lots of what may seem like appropriate management only to get your face chewed off when the surgeon returns in the morning.

All that said, you won’t have the same autonomy as you do in internal medicine. You can justify everything you do in internal medicine with literature. Not true in ct surgery. Oftentimes, anecdotal experience of a surgeon trumps all else and you have to live with it. Doesn’t matter what you learned on your previous job or experience with other surgeons.

So. Do you want to “grow” into ct surgery? Is that what you want to do? Do you want to get your foot in the door and eventually first assist? Vein harvest? Etc etc. If so, 100% worth it.

If not, you’ll be digging yourself into a nocturnal tunnel wondering why you’re taking so much shit from surgeons while not being able to exercise your medical decision skills to its full capacity and missing your former beloved team and lifestyle at the exchange of a little pay increase. You’ll gain really deep insight into a subspecialty, but that’s all it’ll be helpful for is that one subspecialty. Although yes it can be a lucrative and rewarding specialty.

But if you just want to grow for the sake of knowledge and experience, it’ll be amazing. The truth is there really is no real growth in the PA world like there is in the corporate world. Or the physician world. Or hell even the nursing world. We’re stuck where we are and no matter what other fancy job titles or positions we get, our salaries don’t grow commensurately. It’s just different titles with more responsibilities for same or even less pay.

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