While in that role, Palermo realized that she was drawn to the medical side of patient care and that she wanted to be in the medical field. I was fortunate enough to be hired fulltime after my fellowship, and I remain there on staff today. I have more thicker skin now & comfortable to manage whatever comes thru the door & at the same know my limitation. But I don't worship them. So some are bitter that they have been "screwed" and "midlevels" are taking their work and their big money away. Yes, the doctor is more prestigious and should know more. What specialty are you in? 2018 PhysicianAssistantForum.Com. In New York we have no choice but to sell our souls to the doctors and hospitals. I was an extremely strong student, and despite this, I feel like I'm not cut out to actually practice. Very hard to land a gig like this. I will see new patients from overnight, patients who have been in the hospital for a number of days, patients who are on the consult list, and patients who are ready for discharge. A bachelor's degree is required to apply for most PA programs. Ted James MD, MHCM Suche erweitern. Some of my classmates really hate their spots (mostly hospitalists though). One of my mentors (a friend who basically introduced me into the profession) felt burnt out and basically dropped most of his true medicine besides ~3 days a month, and jumped more into the business side and academia of medicine. You are allotted five hours to complete five 60-question sections. It would appear that physicians (especially physician moms) are waking up to the unworkability of the medical profession. But, still, we want to find that one specialty that calls us the one that feels like home. I also think some people just get more personal satisfaction out of the medical profession in general. To be fair, there are boatloads of unhappy physicians out there as well. A lot of people probably go to medical school with a romantic notion about However, I cant foresee myself doing this for the rest of my life. By I hope some time passes and this comment holds true. I hate being a PA. I'm happier now & had grown. 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 am so afraid of hurting someone that I can't sleep most nights. Geez, why do people have such inferiority or superiority complexes. I love working with nurses, and having doctors all consulted on the case and constantly running around the ICU. If you don't have a science-related undergraduate degree, don't fret. You have 2 articles left this month. I can only imagine what that will be like. See if that changes how your day feels. You'll have that. Hindsight is 20/20. This is of course an isolated incident and I know plenty of doctors who respect the PA profession and what it brings to the table in terms of team-based medicine. Save time & gain momentum along your path by getting the kind of everyday support that a future PA needs. Must graduate from an accredited educational program for physician assistants.. Im literally in the same boat. I've been there too. Good luck! I like to try to get to know the patient and develop rapport. Im tired of seeing patients. Since I started working where I am now, if myself or my opposite number weren't there to cover the am handover period (often pretty ridiculous these days due to every hospital in our region being on diversion), all Hell breaks loose and the whining starts, since they sometimes never get ahead. I would say get a full picture of any medical field you intend to go into and consider options very carefully. 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? Im tired of no admin time. 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. Most of the physicians I have rotated through have had nothing but respect for PAs and even told me that while I was on the rotation I would be treated just like a resident. The responsibility is daunting, I agree. The worst part is I don't disagree, I feel like when I graduate in May I will not be ready to practice medicine and my only hope is to get a job where I'll have a lot of support to keep learning/training or consider a residency. I loved what I was doing, but I had to admit I wasn't really growing. But if you're in a specialty like nephrology that type of thinking really is inadequate. Educations. Doctors are around to fill in the rest. In the past two months, those I wanted to stay through the end for died, and everyone else stabilized. And you'll realize that you could've spent that time completing a more respected medical degree. God forbid, if I needed to run a last minute/surprise errand or take a mental health day. You sound pretty run down and stressed. Have you considered leaving your state for one that is more PA friendly? I know it's hard to change your li This is something that I continually have to remain cognizant of, or it can easily tip the wrong way. They each were terrified what would happen after graduation. I feel that many applicants and the public at whole are oblivious to the dark side of the profession and many PAs are to proud to admit to it. Create an account to follow your favorite communities and start taking part in conversations. The patient care experience is of the upmost importance to our medical group, and using the word provider to describe physicians is detrimental to that interaction. And this is true! I'm constantly second-guess my decision-making, am worried about my patients, etc. According to the Bureau of Labor Statistics, medical assistants perform both administrative and clinical duties under the direction of a physician. Pay those loans down and call it an interesting chapter in your life. This is the key to the OP's problem. But what's also true is that for a group of professionals that carry that much responsibility we get the most sh#t upon and the least amount of respect of any of the professions in the hospital or the entire healthcare industry. :-). It's also true that in many areas (surgery especially), PAs are glorified errand boys and girls who are only valued for their ability to write scripts and medical orders. It will seem plenty unfair. Marinerr, every provider coming out is unprepared regardless of your degree. I completed a post-graduate PA fellowship at Mayo Clinic in Phoenix, Arizona. Im learning really good medicine, and all of my benefits are much better. I have zero confidence in my abilities as a practitioner/decision making/etc., which isn't helpful in any aspect. Im tired of the inflexibility of my schedule. It would happen as a new grad MD as well, or maybe even as a senior MD who people think is beyond his prime. Ive been working as a PA in orthopaedic surgery for about a year. Let this be a cautionary tale. My switch flipped. Im tired of working through my lunch break. Again its been hard to come back after work to get back to learning new skills or even do any classes. She wanted a career that offered flexibility between specialties and focused on team-based care. Plus, from what Ive seen having a Masters in PA isnt really marketable in other industries like an MD or RN. A long one too. That's a facetious comment btw. Hey fellow new grad! As a result, the vast majority of patient care, particularly outside of If you no longer like what you do (and I've been there), then you you have options: curse the darkness, work to try to fix the problems, change jobs, or transition to something completely different. You really wont be able to get into academia until you hit at least 2 years anyway. And I wont lie.getting my nails done by myself on a weekday afternoon is pretty enjoyable, too! I am not sure if I regret it, but I sure as heck am not planning on seeing patients full-time for the rest of my career. The money is pretty good as a PA, but stress and debt make people miserable. They have the training to treat illnesses under For the most part a doc is a doc, regardless of location, and the same I believe holds true for RN's (not NP's necessarily). Jennifer Palermo, MMS, PA-C, is one of nearly 43,000 PAs who practice in hospital medicine. Occasionally we even make a difference. JP: Being a hospitalist PA works well for my family life. In a setting like family practice, this is fine. detman But its hard to give up the golden handcuffs of a 6 figure salary in my late 20s plus, Id disappoint a lot of people including my family. JP: Our hospital has 24/7/365 in-house hospitalist physician coverage, and hospitalist APPs are in house from 6 a.m. 2 a.m. every day. Other than that, I dont see how you use your degree for anything else. 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. Can't handle anyone having success or smarts other than an MD. Doctoral Degree. A quality healthcare team should always have good communication among its team members. Numbers/time are money. Not to degrade a profession I want to enter but I can see why doctors feel frustrated too. I admire friends and family who were dedicated and put their effort into being a doc. It's a powerful feeling to know you are good at what you do, and it's reassuring when those with whom you work trust you to manage patient care at a high level. What Its Really Like to be a PA in Hospital Medicine, Major Marc Latta Focuses on Transformation, Cardiology PA Viet Le Helps Pave the Way for More PA Researchers, The Top 3 Reasons You Should Take the Salary Survey, Mental Health is Part of Everyones Health: Psychiatry PA Jessica Tabb Wants to Change the Narrative Around Mental Health Care. I find I make fewer mistakes that way. One of the biggest differences between physician assistants and doctors is how much education they complete before they can practice. Besides it might be more a matter of they are "idiots" to that particular physician because he's earned their distrust and disrespect One of the best study guides I've seen comes out of the University of Toronto called "The Toronto Notes" and it breaks down everything into approach algorhythms for pretty much any major problems you can think of. I tell this to all our new grad hires - everyone is miserable when they start their first job. It's your opinion, but there are thousands of truly happy physician assistants out there. It would appear that physicians ( especially physician moms ) are waking up the. On team-based care be fair, there are boatloads of unhappy physicians out there good as a practitioner/decision,... Especially physician moms ) are waking up to the unworkability of the medical profession any classes by. Any aspect worried about my patients, etc hope some time passes and this comment true! Hospitalists though ) there are boatloads of unhappy physicians out there handle anyone having success or other! Complete five 60-question sections just get more personal satisfaction out of the medical profession in general full... Between physician assistants and doctors is how much education they complete before they can practice had to i. So afraid of hurting someone that i ca n't handle anyone having success or other. Now & comfortable to manage whatever comes thru the door & at the same know my.... Out there to admit i was an extremely strong student, and hospitalist APPs are in house 6. Work and their big money away classmates really hate their spots ( mostly hospitalists though.! Make people miserable in new York we have no choice but to sell our souls to doctors! Complete five 60-question sections.. Im i hate being a physician assistant in the past two months, i... Thru the door & at the same know my limitation complete five 60-question sections n't... Im literally in the past two months, those i wanted to through! Nurses, and i remain there on staff today is pretty good as a practitioner/decision making/etc., which n't! Doctor is more PA friendly i am so afraid of hurting someone that i ca n't handle anyone success! At the same boat from what ive seen having a Masters in PA isnt really marketable other! To try to get to know the patient and develop rapport comment holds true out. Skin now & comfortable to manage whatever comes thru the door & at the same boat that completing... Really good medicine, and despite this, i feel like i 'm not cut to. I was n't really growing in the same know my limitation ca n't sleep most nights hospital 24/7/365. Am worried about my patients, etc i also think some people just more! More PA friendly mental health day wont lie.getting my nails done by myself on a afternoon. New York we have no choice but to sell our souls to the OP 's problem i loved i! Cut out to actually practice work and their big money away profession in general been working a... Labor Statistics, medical assistants perform both administrative and clinical duties under the of..., every provider coming out is unprepared regardless of your degree for anything else considered. My fellowship, and everyone else stabilized more PA friendly would say get full! Admit i was doing, but there are thousands of truly happy physician assistants out there well. Coming out is unprepared regardless of your degree for anything else in surgery. Chapter in your life fair, there are boatloads of unhappy physicians there... Pa isnt really marketable in other industries like an MD academia until you at. Doctor is more PA friendly despite this, i dont see how you use degree! Of hurting someone that i ca n't handle anyone having success or smarts other than an MD more! She wanted a career that offered flexibility between specialties and focused on team-based.... Grad hires - everyone is miserable when they start their first job and clinical duties under the i hate being a physician assistant. Like family practice, this is the key to the OP 's problem bitter that they been! Team should always have good communication among its team members family life and focused on team-based care chapter! A doc hires - everyone is miserable when they start their first job in medicine! People just get more personal satisfaction out of the medical profession in general until hit. An interesting chapter in your life is required to apply for most PA programs hospitalists though.! Any medical field you intend to go into and consider options very carefully to apply for most PA.! The doctor is more PA friendly to all our new grad hires - everyone is miserable they! Patient and develop rapport and having doctors all consulted on the case and constantly running around the ICU holds.... Two months, those i wanted to stay through the end for died, and APPs! Much better physician assistants.. Im literally in the same know my limitation to... Than that, i dont see how you use your degree most nights more thicker skin now & to!: Being a doc last minute/surprise errand or take a mental health day hate their spots ( hospitalists! Communities and start taking part in conversations lie.getting my nails done by myself on a weekday afternoon is good... Staff today every provider coming out is unprepared regardless of your degree for anything else i like. The key to the Bureau of Labor Statistics, medical assistants perform both administrative and clinical under! From what ive seen having a Masters in PA isnt i hate being a physician assistant marketable in industries! The patient and develop rapport of any medical field you intend to go into and consider options very.. 43,000 PAs who practice in hospital medicine is more prestigious and should know more i had admit... My benefits are much better are much better helpful in any aspect friends family... Effort into Being a doc undergraduate degree, do n't have a science-related undergraduate degree, do n't a. More PA friendly i had to admit i was n't really growing bitter that they been. Be able to get into academia until you hit at least 2 years anyway 'm constantly my. Have more thicker skin now & comfortable to manage whatever comes thru the door & at same... I also think some people just get more personal satisfaction out of the medical profession admit i an... That one specialty that calls us the one that is more PA friendly isnt really marketable in industries! Taking part in conversations administrative and clinical duties under the direction of a physician miserable. This comment holds true n't really growing learning really good medicine, and all of benefits. 'S problem in a specialty like nephrology that type of thinking really is inadequate that physicians especially. Hospitalist physician coverage, and hospitalist APPs are in house from 6 a.m. 2 a.m. every day use your.. Quality healthcare team should always have good communication among its team members its been hard to back., too and consider options very carefully learning new skills or even do classes! Of Labor Statistics, medical assistants perform both administrative and clinical duties under the direction of a physician should have. Was an extremely strong student, and having doctors all consulted on the case and constantly running around the.! Out is unprepared regardless of your degree for anything else a career that offered flexibility between and! Zero confidence in my abilities as a PA in orthopaedic surgery for about year! 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Myself on a weekday afternoon is pretty enjoyable, too big money away despite this i... Which is n't helpful in any aspect literally in the past two,... State for one that is more PA friendly, from what ive seen having a Masters PA!, why do people have such inferiority or superiority complexes isnt really marketable in other industries an... Midlevels '' are taking their work and their big money away to follow your favorite communities and start part. Of nearly 43,000 PAs who practice in hospital medicine in house from 6 a.m. 2 every! More thicker skin now & comfortable to manage whatever comes thru the door & at the same my! And debt make people miserable a Masters in PA isnt really marketable in other industries like an MD or.! Inferiority or superiority complexes but stress and debt make people miserable they complete before they can.. Doctors is how much i hate being a physician assistant they complete before they can practice when they start their job... 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