I've been offered a PCP job by Optum. Seems good: good staff, pay, benefits and PTO.

What worries me is the intense focus on HEDIS and metrics. Feels like this would take away from practicing the way I want and providing the best care I can. Also feels like that would be all Optum would care about: the metrics I generate/meet, not anything else.

Any thoughts from current Optum employees?

Thanks guys

I made a post the other day about an issue in my contract I’m facing. Essentially, my contract had a quality incentive bonus for meeting certain metrics. I’ve come to find out after really staying on top of them that they have not been tracking anything metrics for me and are unable to do so. I am not a paneled PCP (I share a panel with a doc), so they can’t differentiate what I do vs him (a them problem). So - no bonus for me.

I tried proposing a reasonable solution before going nuclear, so I made the argument for a substantive raise in my base while they determine a new system for quality metrics for the balance of the $ promised in my bonus. Apparently they decided they can’t track anything for me and they’re scrapping bonuses entirely. They will not add the bonus value to my base. If they did, evidently it would bring my base higher than paneled APP PCPs. They will give me a raise and I am willing to bet based on some other info that it won’t be more than 2-3 grand.

I am so angry about this and mostly just needed to vent. Obviously the money is a big deal. But they clearly don’t respect or value me. It’s tough because it’s only these corporate folks who I never see or interact with that are grinding my gears. I love the people in my office and the job is not one I was planning on leaving.

My options are to just take whatever they offer, give notice/new job or get an attorney involved.

Not sure if I’m asking anything. Curious if anyone else had similar experiences?

Just looking for some fun ideas and stories about how everyone else celebrated the accomplishment as I'm getting close.

So I’ve been in urgent care for a while now. Where I work is really going downhill. I’ve been desperate to get out and over the past year I have applied to so many positions with constant no’s. Now I’m in a pickle because I got 3 interviews. I had one with one company earlier this week. I have medium interest in this, primary care, and immediately got a job offer the next day. Which was great but I have two interviews with another company next week for 2 different positions. One for urology earlier in the week, again medium interest, and one for a Medicare position at the end of the week which I have high interest in. One of my previous coworkers is in that position, and is very happy currently.

The problem is that the position I got the offer for is likely going to want a response before I even get that interview for my high interest position. I’m trying to drag it out but I’m still nervous they will want a response before I hear back from the others.

At the end of the day, would you decline the offer with not knowing if you got the other job, or.. accept? I don’t know what to do. I will say I was not given an official time line on the offer, I know standard is one week..

Hey everybody. I started my first job as a PA in outpatient pain management in Texas. I’m a couple months in and have just gotten my DEA. Most of the patient are in schedule 2 meds like Norco, Percocet etc. Can I also prescribe schedule 2 meds if my supervising physician (SP) gives me prescriptive authority?

Edited: When I mean prescriptive authority, I mean my supervising physician is my delegate physician when I made my DEA. When I searched online, it said that Texas restricts PAs from prescribing schedule 2 meds if they’re in outpatient. I just want advice, if I am doing everything legally.

Does anyone know if Mt Sinai in Astoria is part of 1199? I was told that only their part time staff is 1199 and full timers are not. Which sound very unusual.

Soon to be new grad with a few job offers. One is for an ER position through a physician group.

I was offered the job on the spot after the interview, of course I asked for a bit of time to review and think about it, especially as I am waiting to hear back on another ER position through the same company. The physician sent an email to let her know my decision when I decide, however, I haven't received some sort of offer letter with the financials yet.. Do they typically wait for a yes before sending this? I mainly ask as I was hoping to negotiate a bit prior to accepting any sort of offer.

Mainly curious as a different outpatient opportunity I interviewed for already sent me an offer letter, but I'm more gunning for the ER positions.

Hopefully this post makes sense Lol.

So here’s the issue. I’m a new grad by the way.

I’m applying for Company A, two different positions. Company A offered me a General Surgery job around the same time they offered me an Internal Medicine interview. I ended up turning down the GS job because I’ll be relocating soon closer to the IM job, which I was transparent about when I declined the offer.

However, the IM job got back to me today and my salary will be about $90K. They’re asking me if I want to proceed with the interview — this is where my issue comes in.

A doctor I worked under is now telling me there will be an APP position opening up soon that they want to hire me for. This is still under Company A.

I have 0 interest in taking the IM job with such a low salary and a guaranteed position. But I know the recruiters with the GS and the IM job are talking to each other. How should I navigate this situation without burning bridges? I JUST declined the GS offer yesterday and gave the IM people the dates I was interested in interviewing for two days before that.

I'm a new grad PA, and I had a UC interview 2 weeks ago. It was a small UC, led by a previous ED attending doc, who was looking for additional help. The doc was willing to train me under a "fellowship" for 3-6 months. The practice was currently being bought out by a corporate company, and they were looking to make the shift in 2-3 months. The interview went great, the doc gave a verbal offer, and clearly stated that I will hear from them. However, 2 weeks later, and I have not heard anything. Did I get ghosted? Should I reach out, and if so, what should my e-mail say? TYIA!

anyone have experience working as a PA with complex care solutions? I'm interested in adding a per diem job as I work 4 days a week currently.

I'm in NY if that changes anything thanks in advance

I made a post a couple days ago of what I make and what my duties are. I took a lot of people’s advice when we had our performance review but unfortunately, it didn’t go as well as I hoped it would.

There were 4 people present (the doc, admin, manager and finance person). It felt like 4 vs 1 the whole time. My doc said this wasn’t a negotiating platform almost immediately after I gave them a list of all my duties to justify what I was asking.

He jokingly said “you don’t see enough patients to cover your own salary, if anything, you owe us money” and everyone at the table laughed. I was told I can’t just “demand” a raise only because another job offered me more money.

I told him I do a lot, I commute to many different clinics and we are on call all 2 separate hospitals AND I’m expected to do marketing for the clinic. I said marketing is not a typical duty for a PA and that it’s not something I want to continue doing.

He said to think about how little I knew at the beginning fresh out of school and he looked me in the eyes and ended the meeting with this last sense… “you wouldn’t have made it anywhere else.”

Needless to say I bawled my eyes out as soon as I left the building. I constantly told them I wanted to stay and that I was wanting to come to an agreement. That I had a heart for the clinic and wanted to make it work.

What’s worse, I had two other very confident women sitting at the table with me and for them to just stand idly by as a man tells me I wouldn’t have made it anywhere else while I am trying to prove my worth felt absolutely awful.

We talked for about an hour and not one positive remark was made for what I’ve contributed. The theme of it all felt like it was “see more patients, market yourself more and go to more clinics”

I feel it’s now going to cost them more money than the 5-10k more I was asking to find someone else, train them and convince anyone else to do all I do for the same price.

I feel so blindsided by the entire meeting. I was even starting to convince myself that I came on too strong and asked for too much. But I know I didn’t. I felt so undervalued and to say I wouldn’t have made it anywhere else…. It was wrong. I have to put in my resignation in the next few days and I’m doing it with such a heavy heart.

Still in my first inpatient job after grad at a large hospital that uses CAQH. To my understanding, CAQH is a central hub to enter provider information in order to share it with insurance plans. My job site has a credentialing and enrollment team that basically does everything for us, I haven’t had to do anything since onboarding.

Unfortunately, I got an email that the re-attestation deadline was missed and my provider profile has expired. Are there any consequences or ramifications to an expired profile? Figuring out who to email now to fix this. Thanks :)

I was wondering if anyone has any recommendations on how to train for Emergency Medicine on their own. I'm unable to do any fellowships, and trying to pull shifts is few and far between. But id like my next stop on this train to be in that environment.

I've looked at the SEMPA FOAMed resources, seeing what else was out there.

Thanks

What are your thoughts on overtime and do you feel like you are compensated enough for it? How much overtime would you say you can work before you feel like you’re heading towards burnout?

New grad pa who has gotten a job offer and signed the offer letter. I did not inform them of my previous job offer which fell through however we had started the process of the collaboration agreement and CDS registration in December and the job progression was on limbo, I did not work there and he did not sign a contract.

Now my new actual first job is going to start the credentialing process. Idk if this would be an issue or if I should tell them. Or just keep quiet and if something pops up they will verify/clarify with me and I’ll let them know.

I’m thinking of calling the CDs registration and changing the name of the office that I had on it and let them know the job fell through.

Notification of collaboration agreement in place & CDS registration complete

Some lady called the clinic today and said that i misdiagnosed her child and is going to file a lawsuit. I looked back in her records which she was seen 9 days ago. I diagnosed her with the flu. She was having fevers chills bodyaches, and runny nose for 1 days. (flu like symptoms). Physical exam was benign aside from fever of 103F. The flu test was negative. I treated her fever in clinic and brought temp down to 101F and told parents to make sure the fevers are controlled at home. I went ahead and gave her tamiflu. The other pcr that we sent out was also negative for all viruses and bacteria. I’m kinda sad. She called the clinic one of my MAs answered and yelling on the going saying that she was misdiagnosed and she’s going to file a lawsuit. She never told the MA what she was diagnosed with or if she was ever hospitalized. I also charted everything. I just don’t know what else I could’ve done differently.

The Nemours EM PA Fellowship is currently open and I was wondering if anyone has gone through it and can give more information about their personal experience. What is the work environment like? What is the salary like during the fellowship? What is the salary after doing the fellowship? Is a position guaranteed after completing it? Pros? Cons? I'd appreciate any insight. Thank you in advance!

I'm a orthopedic surgery hospitalist - no OR, just floor management. We do manage them medically more than you would think, but obviously not nearly as comprehensive as our IM partners. I want to brush up on my IM knowledge, but I know I will not sit down to read the textbooks that are so often recommended. I loved osmosis in PA school and am thinking about getting an account just to brush up on everything from the ground up essentially, but if there's any way to get CME from that- that would be ideal, obviously. Anyone know of any resources similar to an illustrated video style that also can give you CME? Thanks!

I’m looking for PRN gigs; a couple nights or weekends every month. I really just want something to make up the difference in my new increase in loan payments (thanks federal government!).

I’ve got 4 years or Ortho experience, but I’m having a real hard time finding ortho per diem spots. That being said, I do see a ton of Urgent Care positions looking for per diem coverage. I don’t have any Urgent Care experience, but my ortho experience included a lotttt of ER consults; bumps, scrapes, breaks, I+Ds, joint aspirations, complex wound closures, etc.

I’m thinking about maybe applying for some Urgent Care per diem spots, but obviously the non-ortho pathologies are a weakness of mine.

1. Are there are crash courses I can take to brush up on Urgent Care prior to applying?

2. Am I completely crazy for considering this?

In case it matters, I’m located in the northern NJ area.

I’m leaving my job with Envision because it’s been a nightmare, my contract says I have to pay back my start date bonus of $5,000 if I leave within the year. Totally willing to pay it back but I was hoping they would forget and not ask for it back. Anyone have experience with this?

Hi all, pretty basic question, just looking for opinions. Currently in ortho

Current job-

125k. Half OR, half clinic. No nights/weekends or call and no inpatient floor work (residents). No bonus. Good SP. 10 min commute. M-F (Friday half day). No room for growth but I am not burnt out, we finish surgery early often, I'm averaging probably 32 hours/week

Possible new job-

150k. Half OR, half clinic. 1 in 5 call, docs take ER consults so mostly rounding/discharge stuff etc. SP seems nice. 30 minute commute M-F

Difference in benefits, PTO, and CME is negligible. My biggest concern is the commute, it would probably be 45 minutes in the winter months (Midwest). On one hand, half the country commutes 30 minutes 5 days a week, on the other hand nobody wishes they worked more and spent hours driving every week their entire life.

Edit- thanks for the advice y’all. I think I will stay put and enjoy my work life balance. I may try to negotiate a raise at current job, fingers crossed 🤞

Anyone here have experience starting their own practice? I have 20 years experience at a community health center that is likely going to be very impacted by the new administration. I am thinking of setting up a primarily telemed practice for gender affirming care (which will increasingly not be covered by insurance sadly). I have lots of experience in this area (I’ve worked in an urban FQHC for my entire 20 years of practice), so I feel pretty confident I would have a good client base. My biggest concern is how I would find an SP. Would they also need malpractice? I would do an all cash practice focusing narrowly on gender affirming treatment, so the visits would be all telemed. Would love to hear if anyone has started their own practice and has any advise.

Any ENT PAs that care to share what their day to day work day/flow is like? What are your most common presentations? I have been working in urgent care for eight years and the hours are starting to get to me. Looking for all inputs!

I’m a newish PA in family med with about 1 year and 4 months of experience. I’ve definitely learned and feel better/more confident then when I started. Sometimes though, I do get the occasional bad comment or make a mistake. These mistakes aren’t ones that harm the patient, but it’s hard not to beat yourself up a little or have it affect your evening when we’re doing our best to provide quality care.

How do you handle the occasional mistake or bad patient comment? Do you beat yourself up? Do you learn and move on? Ignore bad patient comments?

Hey everyone! Got a new job in an ortho clinic & would love any resources/books/apps you use on the job or at home to study. Any tips would be appreciated!

Hi all, I have been a PA for 10 years working that whole time in Ortho. While I’m comfortable there and I make about average for my area, I don’t love it and plenty of things frustrate me. I don’t want to work the surgical sub speciality route forever so I don’t mind changing.

My wife and I are expecting our second child and full time childcare costs are bordering on ridiculous with 2 very young kids. That being said, we’re looking at ways to cut costs with childcare.

My wife has a very good and relatively flexible hybrid remote/in person job. It’s too good for her to give up. She really wants me to switch to urgent care PRN, ideally working some evenings and weekends combined with normal weekdays. That way we could save on child care 2-3 days per week rather than a full 5. Then if turn off to for both of us is my missing dinner and bed time with the kids.

Has anyone else done this? What does everyone here do in this situation. Thanks for your input!

When a potential employer tells you they pay you holidays, is that included in the base pay they tell you when you sign your contract or is that separate? Also, same goes for on call pay. Is the on call pay included in the yearly pay they tell you?

I’m just an anxious person and had a job offer and just wanted to clarify on the process for collaboration agreements, applying DEA, malpractice, and when to be able to opt in for health insurance. Now I’m just anxious that the offer could be rescinded and maybe I should have bothered asking cz it wasn’t things that would have made me not want to sign. Now I gotta play the waiting game before official signature.

Update: I was just anxious. They actually answered all my questions

So I’m fully aware that the general consensus on here is that new grads shouldn’t go into urgent care because they are typically poorly run and you are given little support while seeing way too many patients in a day.

But I was wondering if there was anyone who had positive experiences starting out in UC? Maybe places that had great support and onboarding? Or if someone is happy where they are at, you could tell me what makes it great? Thanks!