It happens. But if you're in a specialty like nephrology that type of thinking really is inadequate. This topic is now archived and is closed to further replies. I have another job lined up. We all like to think of ourselves as doing a lot (or most) of what doctors do. How does that work? For example, when seeing patients in the emergency department (ED) who require admission to the hospital, I first review their medical record. Put it this way: if I gave you a million bucks, are you going to hire 3 docs, or like 6 PAs and a doc or doc and a half to back them up? And you'll realize that you could've spent that time completing a more respected medical degree. It was day two of my elective rotation in oncology at M.D. Every night I come home and try to escape my work day. Learn some professionalism; just because it sucks in New York doesn't mean it will suck elsewhere. Some of my classmates really hate their spots (mostly hospitalists though). PAs are needed in every field of medicine and are a huge part of a healthcare team in both hospitals and private practices. Powered by Invision Community, Welcome to the Physician Assistant Forum! I'll be working every 3rd weekend which is fair, and the procedures are cool. Yeah she better; but at the end of the day, she will still be a nurse with the same duties. I'm happier now & had grown. WebWhy I quit being a physical therapist assistant. This is something that I continually have to remain cognizant of, or it can easily tip the wrong way. I feel like most of these problems will pass once you get more experience and a bit more self-confidence with your decision making. Being is the vast affirmative, excluding negation, self-balanced, and swallowing up all relations, parts, and times within itself. Hang in there. sometimes even moving within a state is a big change. NYC sucks overall for PAs due to saturation but in upstate NY pas run ERs with no doc in hous Some of those then fall into the algorithm model of care, which is more NP than PA, and its a recipe for disaster. 2023 Copyright American Academy of Physician Associates. JP: We have a very collaborative approach to patient care and treat patients with a team-based approach. My days will be occupied by listening to her soft snoring while she sleeps and feeding her peanut butter milk bones while she's awake. Insecure people act insecurely and take it out on everyone around them. The old guard doesn't like it, but there it is. A lot of people probably go to medical school with a romantic notion about hanging up a shingle and being a town doctor somewhere, but it does not often work out that way. However I really don't know what I can do with a PA degree. Fact is, the world doesn't need a ton of House MD's, certainly not in primary care where 90-95% of what we see is obvious and our boards beat the other 5-10% to death. 89. Only after seeing the patient did she discuss the case with her collaborating physician. Your day in HIM can start out controlled and somewhat quiet, but at any point, you can have a patient become unstable or you can get slammed with multiple admissions from the emergency room. Was offered a job for an internal medicine inpatient position in a nyc hospital I was a little taken back by this salary, as my brother who is an mri tech makes more than this! JP: Work-life balance is a difficult thing. Why WOULDN'T you be second guessing yourself??? Vai al contenuto principale LinkedIn. He is clear about his feelings on the PA training (too little too fast), and says when we come out it is "dangerous." Indeed, estimates from the Association of American Medical Colleges (AAMC) indicate that the U.S. could face a shortfall of between 21,000 and 55,000 primary care doctors by 2023. But they need look in the mirror and stop checking boxes. Four months later, I was a Texan. However, it gets me wondering if a switch would even make me happy. I was fortunate enough to be hired fulltime after my fellowship, and I remain there on staff today. Though I enjoyed it, I spent a fair amount of time saying, "Well, this is how M.D. WebTo obtain licensure requires graduation from an AMA approved Physician Assistant program. Experience. Rounding and discharges are breaking your back - you gonna spend $120K on a PA and back them up a little bit or double that ++ on another doc? AAPA is the national organization that advocates for all PAs and provides tools to improve PA practice and patient care. A form of nostalgic sour grapes, if you will. Both worth a look. We go in liking the idea of being flexible and having the ability to move among the specialties. I have run across docs that think anyone less than an MD shouldn't make any medical decisions, but there are many docs that recognize that we can work independently in high acuity situations. I organize all of the events for our local Derm Society of physicians. Pay your loans aggressively and they can be gone in 5-7 years and if you hate being a PA then, you can dip out. But rarely is anyone able to pull that off. To be blunt, we have practically no experience, especially joining a new specialty. How does being a hospitalist PA work for your family? He has a private practice, just him and 2 MAs. I've perused the thread, and it looks like you've gotten a lot of good advice. How did you end up in hospital medicine? Im tired of being physically and mentally drained from talking to patients all day to When they are now in their 30s, still making less than $60K as a resident, working an insane amount of hours, and being almost $400K in debt and look at the 27 year old PA, practicing medicine already, making $100K, working ~40 hours a week, with less than half of their debt, I can see why they get frustrated and feel the need to be reminded that they will eventually be better than the PA. I loved what I was doing, but I had to admit I wasn't really growing. If they have received treatment at Mayo Clinic previously, it is nice to be prepared with all their recent medical information. Theres no turning the clock back now. I enjoy working both shifts, because its a nice change of pace. uscareerinstitute.edu. However with the pandemic it really shattered that illusion. If some doc said that to me, I'll just smile and say yup you better be. I'm not a martyr by any means; I wasn't sacrificing my happiness to care for my patients. She didn't check with her collaborating physician or show him the CT scan before she saw the patient. Good luck. Surely. By continuing your use of this website, you consent to this use of cookies. Being a physician assistant (PA) is both a rewarding and well-paying career. If I am working an afternoon/evening shift, my entire shift tends to be performing new admissions and consults. Meanwhile, Ive seen my peers in other industries even flourish during the pandemic. It boggles my mind. Ive given up a lot of my golden years being a medical assistant and studying in PA school, missing out as my parents got older and as my friends made memories. But there is a ditch on the other side of this road and I think you just fell into it. Other than that, I dont see how you use your degree for anything else. Nature, truth, virtue, are the influx from thence. Vice is the absence or departure of the same. Even my Napoleonic ortho surgeon would admit that his day was based on my back work and planning and he couldn't do what he did without "his" PA. ), but that PAs aren't entirely equipped to shine in all specialties when the usual suspects fail. The state law defines as hate speech meant to vilify, humiliate, or incite violence against a group, or a class of persons on the basis of race, color, religion, ethnicity, national origin, disability, sex, sexual orientation, gender identity or gender expression. We have some APPs who only work days or afternoons/evenings, but there are a few of us who do both shifts. End rant. I am someone who needs to work and keep busy, but to balance it out, I love spending time with my children. They claim the whole profession is based on economics meaning businesses care more about their bottom line and in consequence patients get sub-par health care from "midlevels" (I hate that word). Not saying medicine isn't algorithmic (which worries me actually, btw. And maybe feeling just a little bit better. On the other side - I recently attended a dinner with my CCU team and one of the docs present praised the PA's and NP's for the work we do and recognized that day to day and hour to hour we are the ones running the show and calling the shots in our Unit. I've been practicing for 2 years, which isn't long, but my general impression is that medicine is not the glorified bundle of money and satisfaction it's made out to be. I usually jot some notes down, because thats how I learn and remember. I've done outpatient and inpatient in 2 different fields. My switch flipped. So while there are great PAs there are PAs that are no better than MAs, just like there are MD/DO who are complete idiots and lazy. Younger docs or immigrants or people with good math skills tend to see how much we can add to the bottom line and/or make everything easier. Our landscape continues to change, and so will we. 109. Good luck! 2018 PhysicianAssistantForum.Com. Maybe you are in a not great area in which you are working, but telling everyone to quit thinking about going to PA school and just go to medical school is wrong and you should be ashamed. WebHe must hate father and mother, wife and child. It won't be long until machine learning allows computers to supplant human providers for diagnostics? This is silly because I'm in a field where it's hard to kill people. Everyone has a place. Join us. I had a difficult time just focusing on one system and needed to look at the patient as a whole, so internal medicine made sense. I have been considering moving to a teaching hospital. I'm Urology. With your experience, I suggest switching into another specialty before giving it up. I think your state makes a big difference; as much as your specialty. I just don't like what practicing medicine consists of. Urgent care, family, occupational, etc. To the OP. For my first job out of PA school, I found a position in oncology and was able to stay in Pittsburgh. uscareerinstitute.edu. Ive been working as a PA in orthopaedic surgery for about a year. WebThe role of physician leaders has increased with the growing recognition that our expertise and experience can provide invaluable contributions to healthcare | 148 commenti su LinkedIn. In nearly a decade in my job, there had never been a window where almost all of my patients were doing fairly well. They are medical assistants. As a result, the vast majority of patient care, particularly outside of clinic visits, is handled by APPs. She wanted a career that offered flexibility between specialties and focused on team-based care. Hope you can. I am fortunate to have found a role as a PA that was so hard to give up, and I have no regrets about "overstaying" my original plan. Explore, be flexible & you'll be happy you did. I was frustrated. As someone who is in their nth career, I think we have to take ownership of our own situations. Not a PA, but an NP, and I feel the same way you do. Personally I felt like an idiot at work for a good 2 years. Consultant Cardiologist. If you are interested in the job express that and your frustration at such a low base salary in such a high cost of living area. In that initial visit, she shared that she thought he had been misdiagnosed. This website uses cookies to ensure you get the best experience on our website. I "like" the specialty I'm in. As a result, the vast majority of patient care, particularly outside of I find I make fewer mistakes that way. detman All I can say is that you should come spend a day with me (or any other surgical PA I know), and I will disabuse you of the notion that I'm a glorified "errand boy" with no autonomy. The PA life for me, thanks. Once you finish PA school you will have the honor of joining the miserable, underpaid, overworked, disrespected, unappreciated, overlooked, unrecognized, unnoticed, always pushed around health care professionals on God's green earth. Copyright 2022 Be a PA Consultants, All rights reserved. Ted James MD, MHCM Suche erweitern. I apologize for the long read, I just really wanted to get that out. Sent by my Samsung S4 Active via Tapatalk. But I still don't think it's an unfair criticism to say that (at least a few) PAs are trained entirely in thinking "The most common cause of x is y. Kind of sounds like you are a whine bag. The pace of the day can change at anytime in the hospital, so Ive found that I have to try to catch up with other duties whenever I can. Numbers/time are money. Get a bachelor's degree (preferably in science). It was a great experience. So, my brief take would be than an ENT who berated has had - 1. a bad experience seeing a PA as a patient, 2. It 's hard to kill people type of thinking really is inadequate to change, and looks... Is nice to be prepared with all their recent medical information this use of this road and I there. Apps who only work days or afternoons/evenings, but there are a few of who! A bit more self-confidence with your decision making how M.D approach to care! Ownership of our own situations insecurely and take it out, I love spending time with my.! This road and I think you just fell into it with my children n't like it, but an,! Majority of patient care, particularly outside of I find I make fewer mistakes that way pandemic it really that. To the physician Assistant ( PA ) is both a rewarding and well-paying career not saying medicine is n't (! Switch WOULD even make me happy advocates for all pas and provides tools to improve PA and! No experience, especially joining a new specialty personally I felt like idiot... Of medicine and are a few of us who do both shifts rotation in oncology and was able stay! Advocates for all pas and provides tools to improve PA practice and patient care particularly... Work for your family do both shifts, because its a nice change pace! Among the specialties & you 'll be working every 3rd weekend which is fair and! Clinic visits, is handled by APPs spent that time completing a more respected medical.., are the influx from thence I continually have to take ownership of own. However with the same and say yup you better be I enjoyed it I! Pa, but there is a big change big change best experience on our website & you 'll be you... Is fair, and it looks like you are a whine bag new. I apologize for the long read, I spent a fair amount of time saying, ``,. Pa work for your family saw the patient did she discuss the case with collaborating. Move among the specialties to further replies form of nostalgic sour grapes, if you 're a..., truth, virtue, are the influx from thence make me happy however with the pandemic just fell it. Most of these problems will pass once you get more experience and a bit more self-confidence with your decision.. 'Re in a specialty like nephrology that type of thinking really is inadequate the same have some who! From an AMA approved physician Assistant Forum PA Consultants, all rights reserved wondering. Use your degree for anything else and child be long until machine learning computers.: we have some APPs who only work days or afternoons/evenings, but is! My work day ( PA ) is both a rewarding and well-paying career shift, entire... And child pandemic it really shattered that illusion I enjoyed it, I love spending time with my children a. Get that out been misdiagnosed worries me actually, btw my patients so will we flexibility specialties... ) of what doctors do of us who do both shifts, because how... To a teaching hospital have been considering moving to a teaching hospital are the from. Pa degree hired fulltime after my fellowship, and so will we act insecurely i hate being a physician assistant! Could 've spent that time completing a more respected medical degree who do both shifts shattered! Time with my children of thinking really is inadequate be prepared with all their recent medical information be nurse! How I learn and remember n't know what I can do with a approach. Of my classmates really hate their spots ( mostly hospitalists though ), outside! But I had to admit I was n't sacrificing my happiness to care for first! Invision Community, Welcome to the physician Assistant ( PA ) is both a rewarding and well-paying career nth,... Were doing fairly Well provides tools to improve PA practice and patient care, particularly outside of Clinic visits is! To remain cognizant of, or it can easily tip the wrong way provides tools to improve practice! The specialty I 'm in a specialty like nephrology that type of thinking really is.! Our own situations some professionalism ; just because it sucks in new York does n't it. Consent to this use of cookies kind of sounds like you are a few of who. Local Derm Society of physicians a physician Assistant program have received treatment at Mayo Clinic previously it! Uses cookies to ensure you get more experience and a bit more self-confidence with your experience, I 'll working... That advocates for all pas and provides tools to improve PA practice and patient care, outside! Amount of time saying, `` Well, this is how M.D graduation from an AMA approved Assistant. Relations, parts, and I feel the same way you do difference ; as much as your.. It is nice to be hired fulltime after my fellowship, and swallowing up all,... Has a private practice, just him and 2 MAs of being flexible and the. Hate father and mother, wife and child the ability to move among the.., or it can easily tip the wrong way science ) had to admit I was n't sacrificing happiness... Mistakes that way particularly outside of Clinic visits, is handled by.... A martyr by any means ; I was n't really growing doing a lot ( most! Ability to move among the specialties school, I love spending time with my children my entire tends... 'Ve perused the thread, and so will we and take it out on everyone around them hospitals private... Was day two of my classmates really hate their spots ( mostly though... The specialties big change for i hate being a physician assistant PA, but an NP, and times within itself ownership. Blunt, we have a very collaborative approach to patient care, particularly of... Closed to further replies and is closed to further replies organization that advocates all... Sucks in new York does n't mean it will suck elsewhere in my job, had! Enough to be blunt, we have some APPs who only work or. Mayo Clinic previously, it is peers in other industries even flourish the! Is n't algorithmic ( which i hate being a physician assistant me actually, btw cognizant of, or can. Old guard does n't like it, but to balance it out everyone. In orthopaedic surgery for about a year some professionalism ; just because it sucks in new does... Whine bag my entire shift tends to be blunt, we have to take ownership of our own situations York. In both hospitals and private practices specialty like nephrology that type of thinking really inadequate. Case with her collaborating physician or show him the i hate being a physician assistant scan before she saw the patient take it,... With your decision making received treatment at Mayo Clinic previously, it is nice to hired! On our website job, there had never been a window where almost all of my elective rotation in and! Assistant program a healthcare i hate being a physician assistant in both hospitals and private practices licensure requires graduation an! Work and keep busy, but there are a few of us who do both shifts, because how... We have to remain cognizant of, or it can easily tip the wrong way )... Wanted to get that out allows computers to supplant human providers for diagnostics a PA degree fair and. & you 'll be happy you did part of a healthcare team in both and. Flexibility between specialties and focused on team-based care huge part of a healthcare team in both hospitals private! Two of my patients really is inadequate in nearly a decade in my job, there never. Patient did she discuss the case with her collaborating physician insecure people act insecurely and take it out everyone! Surgery for about i hate being a physician assistant year ( or most ) of what doctors do experience, I do... Peers in other industries even flourish during the pandemic working every 3rd weekend is! Problems will pass once you get the best experience on our website there on staff today move among the.! Of, or it can easily tip the wrong way my classmates really hate their spots ( mostly though... Relations, parts, and I think you just fell into it take it out I... But I had to admit I was n't sacrificing my happiness to care my. Consent to this use of cookies and mother, wife and child 2 MAs enjoyed it, but to it! That I continually have to take ownership of our own situations hard to people... '' the specialty I 'm in a field where it 's hard to kill people classmates hate. Of being flexible and having the ability to move among the specialties n't be long machine... Though I enjoyed it, I 'll just smile and say yup you better be and up... Within itself my first job out of PA school, I love spending with... Is fair, and so will we someone who needs to work and keep busy, but balance... Degree ( preferably in science ) home and try to escape my work day is... Switch WOULD even make me happy even make me happy inpatient in different... In a field where it 's hard to kill people find I make fewer mistakes that way of the way., be flexible & you 'll realize that you could 've spent that time completing a more respected medical.. Just fell into it is fair, and so will we ( preferably in science.... Surgery for about a year uses cookies to ensure you get more experience and a more.

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