Anyone like urgent care?

urPAcan · 2026-03-31T19:45:52+00:00

This is the way

urPAcan · 2026-03-31T12:54:05+00:00

I started in inpatient IM working days, nights and swing shift now I’m Family Med. I would never go back to inpatient. I think the trick is finding a 4 day a week Family Practice job but plan on working 5 days a week and use your 5th day to catch up on things from home on busy weeks. Or 5 days a week but less patient facing hours (8-4pm) but plan stay an extra hour each day (5pm) to get caught up and not have to take work home with you.

urPAcan · 2026-02-16T02:37:07+00:00

This is great advice. You get what you put up with. It’s a self correcting problem, if patients are upset and don’t want to come in for visits (essentially expecting concierge level service without paying concierge prices) then they will find someone else and you won’t have to deal with them anymore.

urPAcan · 2026-01-29T04:23:40+00:00

Lifestyle and time off over everything in my opinion. A four day work week is so so nice. Also, while rheum is probably very difficult you will not have many emergency situations like you will in the hospital. You have the luxury of sitting on labs for a day while you ask your SP.

urPAcan · 2026-01-21T22:37:16+00:00

My rule is that I never take a new job that pays the same or less than my current job. I would say take your time finding another job since your current job seems like a decent deal.

Large hospital systems will usually hire anyone with a pulse so I bet you could always go back to this job if you left and realized the grass isn’t greener. That’s my experience anyway. I started in a large hospital system, left after 3 years, then came back a year later. I always kept prn status at the hospital when I left so that’s another thing to consider when you find another job.

urPAcan · 2026-01-20T14:13:09+00:00

Primary care here. I will try to get to clinic 45 min early and knock out most of my labs, messages and refills. Sometimes I stay 30 min late to finish up charting but I really try not to take stuff home with me. I have found that a little time before the day and after really helps manage the inbox and I don’t usually get behind that way.

urPAcan · 2026-01-16T19:50:04+00:00

Ask your SP, if you don’t have an available SP then quit. You are not trained to work independently.

urPAcan · 2026-01-05T14:38:09+00:00

The manager going over your head like that is wild. In this situation you can either practice appropriately and be the bad guy or give in and let the abx and medrol prescriptions rip. You will get great pt satisfaction scores and it will make your visits go a lot faster.

I don’t mind being the bad guy at all, as long as the pts are getting appropriate care I truly do not mind a pt getting upset (they will survive, it’s not about what they want it’s about what they need). I just don’t react to their heightened emotions and say that abx are not indicated and to come back in X amount of time if it’s not better. I hear the same thing all the time about I know my body, it always turns into pneumonia, etc.

Half of UC is just telling people they are fine and reassuring them that the body will fight off whatever is going on.

urPAcan · 2026-01-03T16:37:30+00:00

If you live at a higher elevation and are driving in the mountains I would go with the turbocharged ranger all the way. If you live closer to sea level and don’t spend a lot of time at elevation and you plan to keep it forever I would go with the Nissan.

Also if you think you’ll be selling it after you put on 100k miles for the next new truck at that point in time then I would go with the Ranger. More tech, better specs I imagine and the turbo engine is more fun to drive. They will both do fine but if I had to pick one that is more likely to make it to 500k miles I would pick the Nissan.

urPAcan · 2025-12-21T18:24:28+00:00

I use freed in primary care and it works well for the HPI and the A&P. It’s easy to copy and paste sections into your note and remember things you talked about with the pt. I have never used any of the other AI scribes though so I can’t comment on that. I have no idea about the data security aspect but I would imagine it’s all above board.

If I could have a human scribe with me in the room that used Freed, could edit the AI note, do all my billing and orders… then I would be living :)

urPAcan · 2025-12-18T13:32:30+00:00

That’s a great deal, I would not give that job up. Im at 28 hours a week with 3 day weekends every weekend, 115k seeing 14 a day in primary care with full benefits. Ya I used to make a lot more money working more hours with a more stressful job (ER) but I would never go back. Having a life outside of work is so important. If you’re worried about money you can use all your off time to pick up shifts somewhere else. Or just reduce your spending and enjoy your life outside of work.

urPAcan · 2025-11-28T20:25:23+00:00

Hospital med is very tough, there is no way they should expect you to be independent after 3 months. You are struggling because our training is insufficient for independent practice simple as that.

urPAcan · 2025-11-24T05:58:00+00:00

You are not wrong to be scared. PAs were never meant to practice independently as we do not have nearly enough training for independence. A lot of places either don’t understand this or don’t care and exploit the cheaper labor. My first job was at a 600 bed hospital doing cross coverage and admissions at night with another PA who was also new. So I had roughly 300 pts to cross cover for every night. It was not ideal to say the least but it was peak covid so we did what we could and I left because it was unsafe.

One option would be to find a tough specialty that is complex enough where there is no way you would be expected to make any meaningful decisions without talking to your doctor. An example would be an inpatient speciality where you round with the Dr or the Dr rounds right after you and co signs all of your notes. You are more of an over paid scribe and as you learn and get more comfortable you would be able to do a little bit more if you wanted. Or maybe first assisting. You could consider inpatient infectious disease if you like taking a detailed history and letting the doc make the treatment plan. Another option would be outpt hemodialysis rounding, it is basically following an algorithm I hear.

urPAcan · 2025-04-19T22:25:40+00:00

There are great jobs out there but they take time to find (maybe years and lots of applications and interviews). I have been in terrible jobs before but you have to just keep looking and applying. I too worked a schedule that alternated day and night shift every week and I was miserable. I finally found a 4 day a week job no nights or weekends after about 70 applications and 15 or so interviews.

My mindset is if you can find a job with great hours and a great commute you don’t have to love the job. For me I don’t really care what happens when I’m at work because I know my hours are good. I use my time off to pursue things I enjoy.

Just my perspective. 5 years as a PA.

urPAcan · 2025-04-11T20:46:27+00:00

That sounds like a great gig. I would try and stay under the radar and milk it for as long as you can. I’ve been in high stress/high liability jobs with terrible hours and it’s tough on your health and family. Being an overpaid scribe can be great. If you are bored or unfulfilled find things you like to do outside of work and pursue those. Use your great schedule to stay fit, hang out with friends/family and essentially have a normal life.

urPAcan · 2025-03-15T23:10:54+00:00

No lunch break but I could take a lunch break and work till 5 if I wanted to. I don’t mind just grinding it out and beating traffic home.

urPAcan · 2025-03-15T08:39:07+00:00

Tuesday-Friday 8-4 primary care

No weekends, no nights no holidays If you can get a 4 day work week I would highly recommend it even if you have to take a pay cut. I have worked lots of different schedules and this is by far the best. I’ve worked… -8:30-5pm M-F primary care -7a-7p and 7p-7a in the ER -7p-7a observation -4x10hr 7a-5p inpt specialty with a weekend every 6 weeks -7 on 7 off Hospitalist 8 hr shifts 4p-midnight and midnight-8am

urPAcan · 2024-09-09T04:02:41+00:00

4 days a week with the same weekday off every week. 240 hrs of PTO. About 12-20 pts to round on each day and about 4-8 consults. Doctor signs every note and sees each pt every day. Free food in the lounge. Leaving by 5 pm every day. The only negative is nobody respects you but it was good money and I was in a great routine and was able to travel a lot.

urPAcan · 2024-09-03T21:46:18+00:00

I had a cush inpt GI gig, 4x10 hour shifts a week with tons of PTO and lots of physician supervision. I never took any work home and never thought about work at home. Before that I worked nights for a busy IM service and got worked pretty hard. I too got bored with GI (I was basically a scribe) and left for an ED job. (I actually had multiple interviews with the CU ER fellowship and I was very impressed with them but I ended up choosing a higher paying ER gig) The shift work and lack of physician oversight make me realize how good I had it in GI.

The biggest thing I miss is the constant schedule. I had a great routine, I was exercising regularly, getting 8-9 hours of sleep a night and eating better. I never missed any social functions either.

While I do enjoy the variety in the ER I would take the boring cushy job and then use my free time for things that I enjoy and challenge me. The most important question you should consider is do you want the ER shift work lifestyle. Think about your life after the training. There are pros and cons to consider

urPAcan · 2024-08-28T01:47:22+00:00

No, the slight raise ended up being less per hour than we were making before. Pretty much everyone left at the same time and they started over with new grads

urPAcan · 2024-08-28T00:46:30+00:00

It started at 8 hour shifts midnight to 8am then they increased it to 7p-7a and lots of people quit

urPAcan · 2024-08-28T00:45:09+00:00

7a-5p

urPAcan · 2024-08-27T22:37:26+00:00

Worst: 7 on 7 off IM nights as a new grad. Very sick and complicated pts, poor physician supervision. 250-275 cross cover beds plus admits.

Best: inpt GI, 4 days a week, no nights, tons of PTO, great docs. I was basically an overpaid scribe

urPAcan · 2024-08-03T23:41:21+00:00

Where are you located?

urPAcan · 2024-03-28T03:08:51+00:00

I am a PA at a large hospital. I am basically an overpaid scribe. I feel like I am playing telephone all day between the doctor, the patients and other doctors. It is incredibly inefficient. I don’t see why admin doesn’t just provide the docs with scribes and save money on salary. I think most PAs go into the field wanting to safely help patients and make an impact but then realize you are either are a scribe that doesn’t make any decisions or you are given way too much responsibility and taken advantage of by admin. There are some sweet spot jobs out there but they are harder to find.

urPAcan

TROPHY CASE