orangepink

Marry a doctor ? no stress there! you can even audition for real housewives or married to medicine ? I'm just joking!

One female doctor did the same thing last week to another older male doctor and the manager allowed it because the older male doctor only works twice a week (part-time) in our practice. And I feel like now, it's my turn. I'm really sad and disappointed that it turned out like this. They just gave me a substantial raise 1-2 months ago and with a higher salary, I feel like I'm finally being paid for the work that I do but that doesn't give them the right to treat me like this. I'm really at odds and would like to hear more advice.

This is what worries me. This happened before in my previous workplace. The exact SAME THING and that previous practice never gave me a chance to speak up and you’re right, they treated me worse after that but this time, the new doctor is a cousin-relative of the owner-doctor. It’s a private practice. Im so mad right now because I finally thought I found a workplace that treats me right. I’ve been there for more than a year almost two years and I never bought any decoration for my office because Of what I’ve experienced before and just when i feel comfortable with management,( I actually bought office decor!) this crap happens.

I don’t know what happened but my original message got deleted so here goes i work in a large practice and they hired a new MD who complains about his assigned office because he felt it was too small for him and he wanted a window. I heard from the gossip that he’s been wanting mine which is roughly the same size but has a window. I was approached my another provider that he has been lobbying the office manager and that they’ll do the switch soon. No one has bothered to ask for my opinion. From what I’ve heard the manager approved it because he’s an MD and I’m not. Personally, I’m just a little speechless What would you do?

I knew one physician who quit her practice because she assumed (or was promised) better financial outcomes. She moved her family from another state to wherever they were and a few months later, she was very upset because it was not what it seemed. I know of one PA who just graduated and was told that they will help him out with the paperwork but in the end, he had to do everything himself and his paychecks were 2-3 months BEHIND.

This is just a work rant but I need to vent somewhere LOL I'm just a full-time salaried provider in a private practice. All providers have their own MA/scribe but when my supervising MD's long-time MA resigned (due to a salary dispute), our office manager hired this MA who is slooooowwwwwww as molasses (she's in her 50s) and laaazzzzyyyyy! She has a great personality though! She makes everyone smile and laugh at work. My supervising MD has already commented on how slow she is but the only thing he did is he hired another MA to help her out! WTH?!?! To me, had he just given that raise to his old MA, he would have saved some money at least. Her 90 day evaluation is up and it looks our office manager plans to make her permanent. OMG! Can she not do the math?

First, no one in my family including distant cousins have ever served in the military. That's why I'm posting my question here. I'm single with no kids. Im interested in joining/applying in the military (preferably Air Force given my current location) mostly because of the retirement benefits. I understand that I have to stay 20 years for that. My questions are: 1/ given my masters degree, I have been told that I will enter as an officer. Do all officers have to do basic training? I had a patient who was a retired physician in the air force and he said he didn't have to do it. Maybe that has changed? 2/ He said that if I didn't want to do the basic training, I should consider being a civilian contractor but my coworker whose husband is in the air force said that contractors don't get similar military benefits. My current job only gives me 14 vacation and sick leaves combined. Next year it's 20. I felt so jubilant until my friend said that's the norm. 3/ what are the work hours like? What are the vacation and sick leaves like?

I had to share an MA in my previous workplace with my supervising MD. She would take vitals, room patients, prep chart and help with prior autos and refills. The only thing she didn't do was scribe for me. My new workplace gave me a temp MA that does all that including scribing but she's SLOW! So I have to help her. I had a colleague where she had to to take vitals, room in her patient, do prior auth and refills, answer calls and SEE A PATIENT. She saw 20 patients daily.

The temp MA that I talked about in my first post....well, I caught her talking cr@p about me during lunch time and what for? Because I ask her to be more organized and efficient? Pardon me for having a work ethic. There's a LOT of office politics and it does get frustrating because quite frankly, the work that I do, the patients that I see helps pay their salaries. You would think they'd put that in perspective.

Hi! My MA who has years of experience resigned due to the fact that the practice manager after 3 years wouldn't give her a raise and promoted someone else who has lesser experience. I can't blame her. It's due to office politics im sure. She was such a good worker, very reliable and a fast learner. This is the first time my workplace has provided me my own MA. In my previous workplaces, I had none or I shared one with my supervising MD which meant I had to do a lot of MA stuff back then since his stuff were prioritized. I was initially upset at the manager when she resigned then I found out that the manager never informed the doctor who owned the private Practice. He found out when he came from vacation on her last day. He offered to match the salary raise given by another practice but anyway that's another long story. The manager assigned me another MA last week and I'm just frustrated because quite frankly, it's like babysitting a 10 year old. She said she had lots of experience and she always seemed eager to learn. She always says she wants feedback but I feel like I'm training her to be an MA all over again. As a provider, my focus should be on patient care only and it seemed like I'm doing two jobs now, being a clinician and training an MA. Plus she's LOUD. Granted she's loud when we're not in the patient room but when we're at our desks, you can hear her voice laughing at the end of the other hallway. Yesterday after work, I finally emailed the manager that I want another MA assigned to me. I often feel guilty with situations like this because I too needed a lot of coaching at the start of my career but I like to think that I did adapt and there were improvements seen immediately. My supervising MD and owner once implied that I should be grateful for being provided an MA which I am but I feel like she's hindering my work more than ever. Im just airing out my frustrations. I wished my previous MA didn't leave but that's life.

I get it a lot but I don't let it get to me.

Are there any NPs here with their own practice? If so, are you the solo practitioner or do you work with other mid-levels? Since I graduated NP school, I've always been employed but now, I've been considering opening up my own practice. I'm a little hesitant because I know of a couple of family physicians who opened up their own private practice as a solo practitioner and after 10 years, they closed because as they stated, it's just hard to be a business-owner/provider. I just want to hear what's it like to be a solo practitioner/business-owner as a mid-level. I am, however, planning on opening my practice in an underserved area which is 40-45 minutes drive (one-way) from my house. I already have an experienced biller who is willing to help me set everything up.

She's an NP, not an MOA. We don't have a dedicated HR personnel in our practice, let alone risk mgmt. I'm just bidding my time and waiting to see the right opportunity to discuss her behavior with her. She's closed friends with the office manager so even if I bring it up to the office manager, it may back-fire on me. I appreciate all the suggestions though!

This is her first job as an NP and she's having a hard time coping up with the patient load. Sometimes, she would ask me questions like what to do with a particular case and I'm always willing to help but it gets on my nerves because she would ask me like "hey orangepink, if this person was your patient, what would you do?" So I'd give her my answer and then she'd say "oh yeah i knew that" Then, one time, she came to me and slammed an MRI report in front of my face while I was typing my notes and she said "so what will you do if you see this MRI report?" I'm like WTH!?! Another time is I was talking to another MA about a patient who has an attitude and she came up and said "orangepink, you should have done this and that" and she said that to me in front of all the other MAs and that was when I finally decided that I'm not even gonna try and build a working relationship with her. I was on the phone talking to my vet about my sick dog last week when she literally butt in my phone conversation and said "orangepink, you should do this and that for your dog" WTH?!?!?!?

I'm thinking the same thing. She only does that only with me. I have never seen/heard her comment on how the other MD's do their dictation let alone stand by their desk watching them type their notes. Lately, I just pretend that my dictation software is acting out of whack so I go to another desk station which is fine because I like hanging out with the MAs. For now, it's not interfering with my patient care so I let it slide. We're supposed to be moving to a new, bigger office and from what I've heard, the layout of our desks might be different so I'm hoping I get a desk far, far, away! Right now, we share an office together.

Hi! I have another work issue. One of the mid-levels in our practice tends to eavesdrops in my conversations/dictation almost on a daily basis. This has been going on for months now. For example, one of the MAs approached me at my desk that my patient called and had a problem etc and I was about to answer, when she turned around and answered the question herself. I looked at her then proceeded to just give my response to the MA. Another incident, when she's standing around our workstation, she would stand by my desk and seriously, she would look at my notes while I'm typing. Or when I'm dictating, she would comment when I paused to take a breath. Third incident, I was discussing a patient case with the supervising MD in the hallway and she literally answered my question all the way from her desk station. I started in this clinic around 5-6 months ago and I'm technically new to their practice. She's been here longer like 1-2 years but this is her first job as an NP. I'm trying to be patient but it does get on my nerves. I'd appreciate suggestions on how to address this without causing friction in the workplace.

How do you define bad reputation?

Hi! I currently work in a large private family practice clinic with 7 MDs (5 are the owners/shareholders) and 4 mid-levels. They recently hired a new front office girl who based on my patient's feedback is very rude to the patients but when I bring this up to the office manager, she would just nod, smile and say that she'll speak to her about it. This has happened around 2-3x already and I still don't see any changes. From what I understand, the office manager didn't bother to screen for references when she hired her. Apparently, she was fired from her previous clinic as well. I asked other NP colleagues who work in other clinics and one commented that this is grounds of termination. I am not a shareholder nor am I directly involved in mgmt but my MA just handed in her resignation with 2 weeks notice and I am concerned about their hiring process. Right now, I only specified that I prefer someone bilingual but I wish to go back and talk to the office manager that I want to be involve in the hiring process or should I just say that I want to be there in the interview? Is this okay or am I overstepping?

I haven't met an office manager that I actually liked. They're mostly bossy and think I'm their subordinate. I think it makes a difference when they're more educated though. The ones I've met are straight out of high school and worked as an MA for years and just got promoted. Being a good manager needs to be taught.

Antagonism between NPs and physicians exist everywhere. I don't think a solution will come to passim this decade. Personally, I come across physicians like this all the time and what I do is find employment where they truly welcome mid levels.

I like interacting with the patients on a daily basis in a broader capacity and I like the authority that comes with being a mid-level. I also like coming across interesting cases. I have much respect for bedside nurses but personally, with my chronic back pain, I'm just over it.

I have a colleague who has 3-5 years NP experience in internal medicine then she switched over to a specialty clinic (I think neurology) where she worked for 7 years. She was then hired in a neurology clinic here in our state. She was fired in 3 months later because the neurologist was upset that given her extensive experience, from what I heard anyway "she doesn't know much." IME, NPs are trained by their supervising physicians especially when it comes to specialties. As corny as it sounds, I feel like her firing was grossly unfair. Maybe in the 7 years that she worked in that out of state clinic, most of her patients were follow-ups where the treatment plan has been outlined and/or she was only given simple cases like headache etc. Her situation makes me wonder should NP training be standardized especially with specialties? I would appreciate your thoughts on this.

I often miss being a RN because (1) I miss being a bedside nurse, (2) I have way too much student loans as an NP, (3) sometimes, there's way too much responsibilities as a provider. I do like being a NP because (1) I like being in a position to make more decisions with a patient's health (which I know, contraindicates my third reason) and (2) my back doesn't hurt as much now that I'm an NP. (3) The pay helps too although I know some ICU nurses who make almost as much as I do right now. What I regret the most is that (1) I did not take my chemistry courses seriously. I could have made As and applied for CRNA; (2) that I did not try to apply for OR nursing. I could have been a first assist right now.

I were single with no other family obligations, I would use travel/location as a major decision-making factor. For instance, I'd work in Lake Tahoe for sure!

1. Were you able to work full time while completing your program? Nope, I quit working to go to school full-time. Some people are good at balancing work, school and family life. I am not one of those. I did however work 2-3 jobs prior to going in to NP school so I saved a lot! Best be realistic about yourself so you can make the right decisions. 2. How would you compare the difficulty of MSN-FNP schooling to nursing school? It's challenging (I don't like the word difficult) because you are now attempting to think beyond nursing practices. I remember when we first did a patient case study and we were asked to write a SOAP note, my first item on the plan section was PT/OT eval hehehe 3. Are you happier as an NP than you were as an RN? Yes. I had severe lower back pain as a RN and being an NP helped a lot but did not eradicate it. I like interacting with patients as an NP. I just wished I had better supervising physicians. I had to learn a lot on my own. 4. Did any of you graduate from a program similar to mine, if so, how did you like it? I was in an online program. The way the curriculum was laid out could have been better but I did more studying on my own.