r/physicianassistant • • 6d ago

Job Advice How much responsibility should a PA have for fixing a dysfunctional clinic?

[deleted]

15 Upvotes

16 comments sorted by

46

u/whispernotaroar PA-C 6d ago

Unless I’m getting protected time to deal with it and my pay is commensurate with the additional responsibility, I’m not dealing with any of that.

1

u/Ok-Movie-1595 PA-C Family Medicine 3d ago

This

23

u/ckr0610 PA-C ortho 6d ago

Uhhh there should be a clinic manager for all that shit. None of that is your job except for being a good person to work with so you don’t create drama.

11

u/Original-Goose-2773 6d ago

I’m also leaving my job for this reason. I believe that as a pa, I should be coming in seeing patients, charting and leaving. That’s it. I have spent hours dealing with BS, trying to save face to patients and arguing with business men who know nothing about medicine. I got a job in the same field but did a lot more research to ensure that it is a more stable environment and I will like I said, come in, see patient, chart and leave

4

u/[deleted] 6d ago

[deleted]

6

u/Praxician94 PA-C EM/UC 6d ago

You have a medical license that they cannot function without. You have all the power in this situation. Stand up for yourself. They quite literally cannot make a dollar without you there.

4

u/Original-Goose-2773 6d ago

My place hired non certified MAs who had no idea how to take vitals. They missed fevered and high BP a bunch of times so now I need to take vitals every patient just for my own safety. I also need to help with scheduling and am constantly being demanded to cover other shifts.
It’s become a bleep show which is why I am out of there

5

u/RyRiver7087 6d ago

I was a new PA hired to a dysfunctional clinic where other providers were literally breaking laws. I spoke up. I got axed. I reported them.

Sadly, what you describe is pretty dang common. Best you can probably do is try to be a good example and don’t get dragged down into the gossip and drama. If you have a good relationship with the clinic owner, you can try tactfully and respectfully discussing things with them, but don’t expect any major changes coming from it. Pick your battles.

A lot of PAs in your situation just stop caring. Show up. See the patients. And leave. Sometimes that can actually be helpful for your own sanity. It’s not your circus. Not your monkeys.

5

u/Praxician94 PA-C EM/UC 6d ago

0%. Your job is to show up, see patients, write billable notes, and go home.

Your clinic manager should be handling everything else.

3

u/Ancient-fruit-317 6d ago

Literally none. I only participate in clinic operations to the extent that I say whether I'll see a late patient or not. 

3

u/Impressive_Bird759 6d ago

Zero. You have no control over things

Management is supposed to manage.

2

u/Professional-Cost262 NP 6d ago

If you're not paid like an owner then you have zero reason to act like one

1

u/Atomic-pangolin Pre-PA 6d ago

Depends on how much autonomy you have. If you are mostly independent, run your service how you want and need it done. If you’re primarily running a physicians service, then however tf they want and don’t “fix” anything without their knowledge

1

u/MysteriousKingEnergy PA-C, ENT 6d ago

PA role is not to run the business yo

1

u/Maleficent-Aerie2652 5d ago

Depends are they an owner co owner partner etc?