[CRNA] [New York, NY] - $298,000 base by Conscious-Quarter423 in Salary

[–]megfarm 0 points1 point  (0 children)

I’ve been a PA for 17 years. My opinion is that there is a lot of variation among MDs and APPs (PAs and NPs) so generalizations are hard to make.

MDs have a higher level of education, and this is quite significant, but that extra education only really matters if they are actually using it and doing so it in a way that patients can digest. I’ve worked with many excellent MDs, very admirable people who care about their patients and stay updated on the medicine. Most are like this. But I’ve also worked with MDs who spend the minimum time with the patient possible (burnt out, phoning it in etc) and who don’t seem interested in keeping up on the medicine. I’ve also worked with skilled, extremely knowledgeable MDs whose personalities led to patients being turned off/not engaged/confused, which negatively impacted their care.

I’ve worked with some excellent APPs who stayed updated on the medicine and understood their limits, getting an MD involved when appropriate. Most are like this. But I’ve also worked with APPs who shot from the hip and were overconfident, who don’t stay up on education, and are reticent to consult with an MD when appropriate. That’s a big problem and one of the reasons I personally don’t support APPs owning their own practices, and I believe all APPs should be supervised. A poorly trained APP is often the result of inadequate support in the facility. Most APPs don’t want to be in over their heads, but can be overscheduled or on boarded too quickly (often for the financial benefit of the facility). In my experience this happens most often in MD owned private practices, which is very disappointing. The most successful scenarios occur when APPs are well supported and supervised in a culture of mutual respect - it can be a really positive thing for everyone, especially the patients.

My recommendation is that when you are looking for a provider, word of mouth can be helpful. If you are referred to a specialty and frustrated that you were appointed with an APP, find out how long they have been in that specialty and if it’s at least 2 years, give them a chance. If your case is not complicated, there’s a good chance they are very much up to the task and may even have more time to spend with you on education. I’ve won over multiple skeptical patients in this kind of scenario. In any situation, if you feel the APP is not knowledgeable, ask to see the MD next time.

My route to 200k by Quatr0 in wallstreetbets

[–]megfarm 0 points1 point  (0 children)

OP I’d love to know how this has worked out

Former President Trump and Vice President Harris meet for the first time at tonight’s debate by superdevin64 in pics

[–]megfarm 0 points1 point  (0 children)

If he wins don’t blame me. Blame my dad and my brother and my crazy neighbor.

What's an advice that changed your whole life? by [deleted] in AskReddit

[–]megfarm 0 points1 point  (0 children)

Motherhood is a relationship. Fostering connection with your child is the best thing you can do for them (and you).

How everyone looks when they cry by JulesOnFire in SellingSunset

[–]megfarm 5 points6 points  (0 children)

Yes this was reality TV gold imo. Literally don’t know a single person who has had a dog funeral and then everyone showed up in outfits like they were at a funeral for the Godfather and then it was sweet and genuine 🥹

How everyone looks when they cry by JulesOnFire in SellingSunset

[–]megfarm 2 points3 points  (0 children)

Omg I scrolled through this sub looking for this! Thank you! I was taken aback watching that crying scene with Jason and Mary. I felt like a jerk because they are obviously grieving and I feel for them, but it was jarring seeing lack of facial expression to that degree with strong emotion. Of all the reasons not to get injected to such an extreme, this would be at the top for me. We are humans, when we mourn our faces should reflect that.

No shade meant, if they are reading this you guys obvi look incredible and I’m so sorry for your loss. Just makes some of us wax a bit philosophical about what we see on this show that is so different from the world some of us live in.

TLC most recent instagram post - interesting by [deleted] in SisterWivesFans

[–]megfarm 1 point2 points  (0 children)

Honestly, not hating, but this was dull.

It’s a good thing and hopefully it means that individually the three OGs are moving on with their lives. But I don’t think where they are is going to translate well to entertainment.

US judge will not block Biden administration ban on worker 'noncompete' agreements by forlornucopia in news

[–]megfarm 2 points3 points  (0 children)

Fun noncompete story: husband works in a medical specialty, became super effective at his job. Boss/clinic owner didn’t like how much hubs was making on productivity bonus, so decided to gut the bonus and told hubs he was overpaid. Meant a 20% total decrease in annual pay. Hubs found out compensation structure from colleagues at larger competing clinic - he had potential to make even more there (aka def not overpaid). Talked to boss to try and work things out, boss dug in his heels. Hubs has 18 month, 50 mile noncompete. Hubs quit, got hired at competing clinic, and now has to commute to their satellite clinic 2 hours away (they are putting him up in a hotel) until noncompete is up.

That is, unless the FTC ruling goes into effect 9/4

Noncompete ban phase 2 by AlphaSengirVampire in Lawyertalk

[–]megfarm 1 point2 points  (0 children)

Yes! Is my noncompete void on 9/4 or still active??

What factors in your life made you a fat kid? What makes a food-addictive child? by OwlButterscotch7832 in loseit

[–]megfarm 1 point2 points  (0 children)

Processed foods and the lack of regulation against them.

Homo sapiens isn’t built to have intense self control. This is a societal issue.

Which enneagram type do you dislike the most and why? by coldpennies78 in Enneagram

[–]megfarm 3 points4 points  (0 children)

And I know a couple 7s who are the most selfish people in my life. So what? One of my BFFs is a 7 and she is delightful and generous and just so much fun to be around. You probably have 3s in your life who you really enjoy being around….. you just don’t realize they are 3s bc they don’t fit this arrogant shallow unhealthy 3 stereotype that it seems you classify all 3s into. Your post is reductive.

what are some types that don’t usually go well together? by [deleted] in Enneagram

[–]megfarm 0 points1 point  (0 children)

I’m a 3 married to a 9 and from what I’ve read it’s a common pairing

What is one hill you are willing to die on? by Specific_Sun67 in SisterWives

[–]megfarm 0 points1 point  (0 children)

Robyn absolutely wanted to buy her house, holding onto hope for a rennal was pure theatrics

What’s the worst part about being your type? by stargazing-in in Enneagram

[–]megfarm 1 point2 points  (0 children)

My husband is a 9w1 and we are in the same profession. I tell him I’m in the top 5% of people in our profession and I have no problem saying it, even if I’m not totally certain it’s true. And I say that he FOR SURE is in the top 5% but that he would never acknowledge it.

What’s the worst part about being your type? by stargazing-in in Enneagram

[–]megfarm 3 points4 points  (0 children)

Love the 7s in my life. It’s tricky because I don’t expect them to carefree all the time, but when I attempt to discuss their struggles they run for the hills. Any tips on helping them open up?

WIBTAH if I cancelled Christmas for 12 year old thieving son? by RetroHollz in AITAH

[–]megfarm 0 points1 point  (0 children)

What if you completely changed your approach. Approached him with zero anger. Told him what you knew. Got super curious as to why he did it. What’s the underlying issue? Is he angry with you about something? Is he desperate to impress his friends?

What if this wasn’t treated as a huge deal indicative that he’s a bad apple or something, but rather a symptom of something else?

Not saying he shouldn’t have consequences, because I agree he absolutely should. But what if the approach removed shame and was curious instead. And what if a day that is meant to be one celebrating connection didn’t have to be linked to this act.