Collaborating physician problems

I've been independent from my very 1st day of practice. No one (other than myself) assumed any responsibility for me in any way. To assert, as a previous poster did, that it is some enormous burden to work with a APRN is ridiculous and offensive, and I don't blame BostonFNP for calling them on it. I have had respectful conversations with many other providers about a variety of topics, but no one has ever insulted me that way.

OP, your colleague is a douche. Move on.

Blue devil, thanks. I learned through the grapevine I'm going to be given a PIP this coming week, which means 1st step to getting fired. He's had 3 different NPs in the past, each staying around 2 years. Why do companies put up with docs who can't keep an NP? its rural clinic so he has to have one. He's even had a doc there for 2-3 years. He's like this to anyone who tries to work there besides Hus own nurse, who acknowledges he hates NPs.

Is there some remedy for this? If I get fired, would there be any way to report his behavior? I hate to think this way, but it is just not right!

I just want to add, as if it isn't obvious, that I am just in a panic now. I don't want to go into the clinic this week knowing that Friday my doc and the om will hit me with this PIP that SOMEHOW others knew about before I did.

I'm back to thinking, am I really that awful to have occasioned this subversive treatment? What should I say at the meeting? That my nurse happened to overhear the receptionist and docs nurse talking about it? How unprofessional!

Should I preemptively request a transfer before the meeting occurs?

Finally, I am terrified now to work with a new doc. If I transfer, how can I be sure my record will be OK? I can't. Oy.

I think the job is not a good fit for you-this is a neutral way to describe the situation. See what else is available if you can transfer. You need an atmosphere of mutual respect where you can get more experience in a more supportive work situation.

Oh my goodness! Go ahead and just QUIT before this guy can even try to fire you!!!!

My collaborating physician is NOTHING like this...always treats me as a colleague and is very very helpful when I ask questions! You do NOT deserve to be treated this way. Get out before your hiring record reflects anything different.

I just graduated and passed my boards but i have been working with the physician who will be my collaborating for nearly 10 years. He encouraged me for 4-5 years to go back to school for my np before i finally decided to do it. Very respectful and kind. As were the numerous doctors i worked with and around during my education. Your's is the exception. I would put in for the transfer asap. Keep us posted.

Once again, thanks for the overwhelming support and the vignettes. Its nice to know what its like for other people. I'm over the panic again and called my on and told her I'm going to apply for a transfer. she said I'm so sorry to hear it but I'd do the same thing. I talked to my dad..so embarrassed about failing in my first job, and he said don't worry, but you can't live with a target on your back. Sound advice.

Its scary to hit the pavement again, but I'm going to have to see it as a welcome opportunity! So, no more panic, just business. I'll let you know what happens!

I'm sorry your first job has gone so poorly. He sounds like a terrible person to work with and I think you'll be much happier in a supportive environment. I hope you find something else very soon.

I hope you find a new job that is positive, where you will feel supported and treated like a team player. It is crucial to be in an environment that one is allowed to ask questions! I was expected to be independent from day one. I was ready to practice from my many clinical hours and beyond difficult classroom hours. My supervising physician is helpful if I have a question. We communicate by text, phone and occasionally in person. He never makes me feel bad. A new NP needs to know when to ask a question or refer to a specialist. If not, now that is dangerous practice.

I am not a FNP as of yet but my advice is based on personal experience in the past. If you have feelings that a job is not working out, chances are the employer feels the same. I was at a job position as an RN where the vibe was way off. One day I came in and the pushover manager has removed me from the schedule. She came to the job apologizing over and over not realizing I'd been scheduled to work that night. She proceeds to tell me that the night shift crew was very cliquish and I just wasn't fitting in. I never received a write up or complaint from a charge nurse or MD. I'd started having a bad feeling about the place but put it off as me missing my old hospital. Needless to say the rural hospital was operated by a national company and because I was let go before my 90 days, I'm not eligible for hire at other hospitals associated with the company. If I'd been smart I would've fought the termination but had at that time just started a full time FNP program and was able to obtain my current job a week later (pushover ex boss gave good recommendation). My philosophy now is that you should leave before they fire you especially if its your only or first job in the profession. Get the physicians you have consulted with to write recommendation letters especially if you don't think this MD will give a good reference. Dont allow them to tarnish your job record. My 2 cents.

I wish you all of the best in finding a job that fits your needs. Sounds like you shouldn't take what happened to you personal as this physician doesn't have the best track record w/ other NPs & he sounds like a jerk (just my opinion). I have talked to other NPs who were not satisfied with their first job and they chose to move onto other positions that offered what they were looking for (better hours, seeing pts in 1 facility rather than several, etc). Best of luck to you. I'll be starting a new job 11/4 and I'm a recent grad so we shall see what the future holds in store for me :)

Another thought: you can use this as a learning experience and as you search for other jobs. You could specifically ask about the collaboration process w/ the physician and perhaps shadow to get a vibe from the physician. Perhaps you could ask about the number of NPs the physician has had within the past 5 years (high turn over could indicate a red flag). Best wishes!!!