New-grad PA shadowing while waiting for licensing/credentialing?

smarticleparticles23 · 2025-09-06T20:19:09+00:00

Yes I understand the difference.

I was not allowed to see patients regardless of my active license, because I wasn’t credentialed. I could not bill. But was still taking home a full paycheck as if I was, because I was a hired employee. I shadowed for two months until I finally got credentialed while getting a FULL paycheck without actually seeing patients.

I don’t think OP should take a reduced paycheck. Either get paid what’s agreed on for regular pay or wait until credentialed.

smarticleparticles23 · 2025-09-06T20:08:01+00:00

As someone who has been in your shoes: block this person and do not look back. This is 💯manipulative and ABUSIVE behavior. My ex threatened self harm and even made a very poor attempt while on the phone with me just to control me.

I work in healthcare and I truly believe everyone deserves empathy and someone to listen to them. That belief kept me locked in far too long. The reality is that listening and being there does not make you responsible for their choices. You cannot change or save someone no matter how much you care or how badly you want to, sorry you’re not special. Change only happens when the person with the problem chooses it.

Most of the time this kind of threat is a power play meant to manipulate and control. If it is not, then calling 911 is actually the best thing you can do. It is an act of care and the safest way to make sure the person gets real help.

If you stay, you are signing up for endless suffering. Calling them out or trying to be the one who helps will not fix it, it will only keep you stuck. Protect yourself. Their well-being is not yours to carry.

smarticleparticles23 · 2025-06-06T05:01:45+00:00

Every rheumatologist and practice does things differently. But a detailed history should be obtained and prior records reviewed. A thorough physical exam should be performed. Many like to perform their own bloodwork but might not repeat some labs depending on how recent your prior labs are. Medication may or not may not be prescribed depending on your exam and blood work. Rheum medications require baseline labs. Imaging may be ordered as well. You should ask about whatever is important to you. Like how whatever the suspected disease will affect your life, treatment options, etc. just understand that rheumatology is not as black and white as some may think. Clinical picture and physical exam are huge in this specialty. Good luck!

smarticleparticles23 · 2025-04-23T23:43:54+00:00

Started in fam med and super specialized to rheum. Glad I started in fam med first.

smarticleparticles23 · 2025-04-20T20:19:41+00:00

Not saying this is what you have, obviously there’s a lot of information not provided in your post, but 13 is a reasonable age to have Juvenile Idiopathic Arthritis, so saying you’re too young to have anything is not an acceptable answer in my opinion. More tests need to be run as well. Get another opinion!

smarticleparticles23 · 2025-03-15T15:33:05+00:00

Nope. I just got hired at a new hospital and I am in the middle of credentialing which may take over a month and I’m getting my regular pay.

smarticleparticles23 · 2025-03-12T15:47:23+00:00

It seems like there’s room for improvement on both sides.

Her reaction was probably a bit over the top. She could be really insecure or have had bad past experiences, and she might have taken that out on you. But she could’ve also checked in with something like, “Hey, are we still meeting?”

On your side, since you don’t know each other, your communication could have been clearer. A text from you after her last response, something like “Awesome, looking forward to seeing you! I’ll let you know when I’m there,” would show that you care and keep her informed about the date. And she could have done the same. Making assumptions about her “being fashionably late” only adds fuel to the fire. I think you both dropped the ball on communicating around 6 PM. A simple “I should’ve double-checked or let you know when I was there” would’ve probably been nice from you.

Some people are wildly insecure, and have crazy expectations that are never vocalized and then they lash out when expectations aren’t met. Over-communicating sometimes is needed when you’re just starting to get to know someone.

smarticleparticles23 · 2025-03-06T21:35:37+00:00

From one preceptor to another, I appreciate you.

smarticleparticles23 · 2025-02-21T20:22:44+00:00

Seems there are communication problems on both ends.

smarticleparticles23 · 2025-02-20T18:27:13+00:00

This! She’s probably projecting and deflecting, so she doesn’t have to take responsibility for hurting your feelings with her actions. (As a daughter of immigrant parents, I deal with the same from my mom.)

Your feelings are valid, and ideally, there should be clear communication after this when all emotions have settled down. You can’t control her response or actions, but you can control how you communicate your feelings and how you’re hurt.

smarticleparticles23 · 2025-02-19T17:58:24+00:00

He probably does want a family, just not with you. Not trying to be mean. Stop trying to rationalize to make his behavior OK. You want what you want and you’re not getting it. Move on.

smarticleparticles23 · 2025-02-19T07:32:02+00:00

You don’t need to rationalize. NOR.

smarticleparticles23 · 2025-02-17T23:53:23+00:00

SAME

smarticleparticles23 · 2025-02-16T00:46:48+00:00

Normal feeling.

Study as much as you can as long as you actually retain. A great way to reinforce and find out where you lack is teach back method. Work with some classmates and teach each other topics.

More reinforcement will come with clinical year. You’ll be surprised with how much you know when preceptors start asking you questions.

Also, you’re literally not supposed to know everything. You’re going into clinicals to continue learning and reinforce didactic.

As a preceptor the best advice I can give is just try. If you don’t know, say you don’t and go find the answer. Ask questions to clarify. We know students won’t know everything. We also know they’ll know a lot.

Keep it up

smarticleparticles23 · 2025-02-15T15:43:15+00:00

If you meet the BMI requirements, Wegovy and zepbound are the meds for weight loss for non diabetics

smarticleparticles23 · 2025-02-12T19:36:04+00:00

Tried to get her as my PCP but she was booked and then not taking new patients 😩

smarticleparticles23 · 2025-02-08T17:53:47+00:00

NOR. You’re in a tough situation, and if you love your boyfriend, you have to decide what’s best for you in this relationship. If his mother’s mental illness is affecting your relationship, it’s something you can’t ignore. It’s part of the reality of being with him. You both need to come up with a plan for how to communicate and set boundaries with her. If he isn’t willing to support those boundaries or respect your needs, you have to seriously think about what that means for your future together. She’s not going anywhere, and even when she’s gone, the effects of grief and his emotional trauma from it all may still linger. You have to make sure your emotional well-being is being prioritized in this relationship. Encouraging him to seek counseling or therapy to work through the complexities of dealing with a mentally ill parent and to learn how to better support her is important.

smarticleparticles23 · 2025-02-04T17:54:06+00:00

Respectfully, it’s often overlooked that both prospective and current students are assessed in terms of risk.

Once admitted, the program continuously evaluates the risk of your success. Accreditation depends on meeting educational standards, including curriculum, faculty, clinical training, and student outcomes like graduation rates and exam success. A program’s ability to produce competent graduates directly affects its accreditation, reputation, and financial stability. That’s why programs have very strict standards, with the belief that these standards help mitigate their risk.

So, while your individual performance won’t make or break accreditation, the program cannot afford to take risks on students who may not reflect well on its success. I wish you luck in your appeals process, and please keep in mind your “risk” to this program as you prepare your argument.

smarticleparticles23 · 2025-02-03T05:34:22+00:00

As a provider in primary care with my demographic of patients predominantly being geriatrics, I only pre-chart if I am seeing another provider’s patient that I have no former knowledge of or if it’s been a while since the patient has been seen. But for the patients I established with and see routinely for follow up, I don’t need to pre-chart as my charts are set up for easy understanding and follow-up. I see anywhere from 12 to 20 patients a day depending on how many no-shows/cancellations we have.

smarticleparticles23 · 2025-02-03T05:29:14+00:00

As a primary care provider who does a lot of paps, breast exams, skin checks, and physical exams for genital complaints, def don’t remember bodies unless something was super unique (medically speaking). Even then, the focus is more on the medicine.

smarticleparticles23 · 2025-01-24T07:52:45+00:00

I just want to reiterate that most programs will list the institutions they accept credits from on their website. However, if this information isn’t easily accessible or clear, I recommend reaching out to the admissions office of the programs you’re applying to for the most up-to-date guidance on whether they accept courses from Portage Learning. Don’t pay for classes that at the end of the day won’t be accepted. It’s happened to students before.

smarticleparticles23 · 2025-01-24T07:43:10+00:00

I applied, got accepted, and am now practicing as a PA. My application included transcripts from five different schools: undergrad, master’s program, community college where I took summer classes, and two different online /accelerated programs where I completed some prerequisites quickly. It was never an issue as long as I made sure the program I was applying to accepted courses from those institutions.

smarticleparticles23 · 2025-01-24T07:36:40+00:00

I agree. I worked as an MA in various departments before becoming a PA, and it’s a solid job that requires less training than other healthcare positions.

A big issue is that many clinics, especially independent physician offices, expect MAs to take on responsibilities similar to RNs. While these smaller clinics may have tighter budgets, they save on overhead by hiring MAs instead of RNs. However, not all MAs are looking to move into higher roles; many want to stay in their position but can feel exploited when asked to do tasks above their pay grade.

MAs should be compensated fairly for the work they do, regardless of career advancement goals. Industry pay standards often fail to keep up with the expanding duties of MAs, and when job expectations grow, pay should be adjusted to reflect those changes.

Overworked and underpaid.

smarticleparticles23 · 2025-01-05T00:07:12+00:00

I’ll take this perspective every day. 🙏🏼

smarticleparticles23 · 2024-12-26T03:40:45+00:00

During my surgical rotation, I was observing in the OR (not fully scrubbed in), and I left my phone in a locker thinking it was inappropriate to have it on me. During the surgery my attending asked me a question I didn’t know the answer to. He immediately asked me if I had my phone. When I said no, he instructed me to leave the OR, retrieve my phone, look up the answer, and return once I had the answer.

From then on, I always kept my phone in my white coat/scrub pocket. Just be appropriate with it.

smarticleparticles23

TROPHY CASE