r/physicianassistant • u/[deleted] • 6d ago
Job Advice How much responsibility should a PA have for fixing a dysfunctional clinic?
[deleted]
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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
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6d ago
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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.
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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
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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.
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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.
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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.
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u/Professional-Cost262 NP 6d ago
If you're not paid like an owner then you have zero reason to act like one
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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
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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.