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Bare Bones posted:So I am beginning to investigate the specifics of what I'll need to become a pharmacist, and how to make it happen. I wish I could remember where I read it (presumably a thread in BFC), but I read a post recently that painted a pretty bleak picture of the job market for pharmacists. The gist was that retail locations, which are almost all grocery stores and drug stores these days, are all trying to maximize their profit by employing a single pharmacist to work as many hours as possible. Apparently the best jobs are hospital jobs since the hours are actually reasonable, but they're nearly impossible to get since demand is so high.
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Jun 19, 2019 05:57
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I didn’t want to break the goon’s heart, but I’ve heard the same - pharmDs are a dime a dozen, it’s a saturated market, pay is falling and they’re working ridiculous hours unless they’re in a hospital and unfortunately those jobs are hard to come by. Good luck goon
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Jun 19, 2019 07:33
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Physician Assistant is such an amazingly great job but most of the people I tell who would be a good fit (starting later, not an absolute genius, interested in healthcare in a nebulous fashion instead of living breathing and making GBS threads it, not a total loving psycho) can't get over the fact that "they wouldn't be at the top of the food chain." What a crazy entitlement issue. You don't get to have an ego that you're too good for a job that other brilliant, driven, highly-successful people have to work their asses off to obtain. "I'm too smart to be less than the most credentialed and respected person in my workplace" is a deeply contemptuous attitude and not one shared by most successful physicians I work with, either.
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Jun 19, 2019 15:10
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EAT FASTER!!!!!! posted:Physician Assistant is such an amazingly great job but most of the people I tell who would be a good fit (starting later, not an absolute genius, interested in healthcare in a nebulous fashion instead of living breathing and making GBS threads it, not a total loving psycho) can't get over the fact that "they wouldn't be at the top of the food chain."
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Jun 19, 2019 15:15
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You mentioned taking an interest test, but what were your grades like in high school? How did you fare in classes like biology and chemistry? It's great to say "I want to be a pharmacist!" or "I want to be a nurse!" but from the people I know in those professions, you need to be able to handle to course load and get accepted into the program which can be competitive. I think the local state college near me requires a 3.5 GPA from your first two years of college coursework to get into the nursing program.
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Jun 19, 2019 15:24
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My primary care person is a PA. All my pharma friends are struggling unless they get into a hospital, super difficult.
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Jun 19, 2019 16:31
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spwrozek posted:My primary care person is a PA. All my pharma friends are struggling unless they get into a hospital, super difficult. The few times I've been seen by a PA has been great. They all seem to live under the fear of god that their MD will chew them out and fire them if they screw up and miss something so they tend to be very thorough in their diagnosis. I mean sure one time one wrote me a Rx for 2g BID of Augmentin but what are you going to do. Thankfully my pharmacist caught that. (I forget the exact dosage, but it was something along the lines of the total daily dosage for amoxicillin written as twice a day for amoxicillin/clauvilanic acid.)
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Jun 19, 2019 17:19
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real question, what even does a doctor do nowadays? cause every time i got to the doctor the PA or a nurse does all the actual work and then the doctor rolls in after making me wait another 20 minutes, barely looks me over, and then sends me on my way.
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Jun 19, 2019 18:44
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100 HOGS AGREE posted:real question, what even does a doctor do nowadays? cause every time i got to the doctor the PA or a nurse does all the actual work and then the doctor rolls in after making me wait another 20 minutes, barely looks me over, and then sends me on my way. Sees actually sick people. My opinion is that young healthy people receiving routine care could be cared for entirely by non-physician providers without any loss of quality. They're just rubber-stamping the work of the person collecting the information out of you and doing the preliminary thinking. Physicians are superfluous for obvious or trivial stuff.
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Jun 19, 2019 18:53
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100 HOGS AGREE posted:real question, what even does a doctor do nowadays? cause every time i got to the doctor the PA or a nurse does all the actual work and then the doctor rolls in after making me wait another 20 minutes, barely looks me over, and then sends me on my way. First, 'the actual work' is being dictated by the doctor. The nurse taking your BP and hooking up your IV drip isn't evaluating your numbers and choosing those meds. The 'barely looks me over' part is largely because hospital adminstrators are penny-pinching morons and your doctor has to see 20+ patients in a shift, write notes in the EMR system on each of those patients, deal with orders for each of those patients, admit patients to their service, manage transfers and discharges, consult with specialists, and death by another thousand cuts of tasks-per-patient. God help them if they're in a teaching hospital, because now they're supposed to be managing the experience and education of residents and/or medical students along with their actual work. [My wife is a hospitalist physician and burnout is real as gently caress.]
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Jun 19, 2019 18:56
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What the gently caress is a physician assistant
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Jun 19, 2019 21:10
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CelestialScribe posted:What the gently caress is a physician assistant
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Jun 19, 2019 21:15
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What's the point of them? Why not just have doctors?
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Jun 19, 2019 21:24
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CelestialScribe posted:What's the point of them? Why not just have doctors?
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Jun 19, 2019 21:28
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CelestialScribe posted:What's the point of them? Why not just have doctors? USA-wide, the average PA makes $104K per a quick google search. This makes them cheaper than a nurse practitioner and significantly cheaper than an actual doctor. Also, they're not in anywhere near as restricted a supply, so the health industry can use them to apply downward pressure to doctor salaries. Edit: ^^^ What he said, but his stat is more robust.
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Jun 19, 2019 21:29
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Capitalism at its finest I suppose.
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Jun 19, 2019 21:35
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EAT FASTER!!!!!! posted:You don't get to have an ego that you're too good for a job that other brilliant, driven, highly-successful people have to work their asses off to obtain. Wait are we still talking about PA's here? In my experience, the main qualifications of surgical PA's are young, female, and attractive. potatoducks fucked around with this message at 23:15 on Jun 19, 2019 |
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Jun 19, 2019 23:12
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It is widely accepted that the more specialized a nurse is, the more attractive he/she is Plain ol' physician office nurses are icky
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Jun 19, 2019 23:27
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gently caress off with this creepy poo poo.
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Jun 20, 2019 03:58
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Some people are attractive, deal with it I'm not harassing them at work I'm just saying pediatric oncology nurses are hot
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Jun 20, 2019 08:32
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Nobody gives a poo poo about your opinion on hot nurses, you should indeed gently caress off
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Jun 20, 2019 09:24
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I didn't bring it up, but more than happy to drop it
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Jun 20, 2019 09:28
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its weird & bad
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Jun 20, 2019 13:10
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Sundae posted:USA-wide, the average PA makes $104K per a quick google search. This makes them cheaper than a nurse practitioner and significantly cheaper than an actual doctor. Also, they're not in anywhere near as restricted a supply, so the health industry can use them to apply downward pressure to doctor salaries. So it depends on how we are looking at this. To their healthcare org employers, yes, PA/NPs are a cheaper way to have patients seen. To the healthcare system, it is debatable. PAs and NPs generate more laboratory, imaging, and consults than MD/DOs which is cost borne by patients and insurers. I will not cite any papers because I am not aware of any that are from reliable sources; the majority are crappy noninferiority studies published by PA/NP orgs. But, healthcare orgs generally don’t mind this because those extra tests generate revenue. So, again, beneficial for the employer. The supply and demand equations are changing as well. You can get your NP/DNP degree online with minimal clinical work, so how long till that path gets saturated?
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Jun 20, 2019 13:44
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howdoesishotweb posted:So it depends on how we are looking at this. Yeah, I meant more specifically the employers rather than conceptual total cost of healthcare. It was more re: "why not just hire a doctor?" - because you can hire someone far cheaper who will still make you shitloads of money while reducing the relative need for doctors (because you can hire someone other than a doctor for the task). Because doctors cost more than these PAs / NPs, it puts downward pressure on doctor salaries for any roles that aren't extremely specialized. As the supply for NP/DNP gets more saturated (I had no idea you could do an online DNP; I thought that one was still phd-caliber university only), yep agreed re: changing the equation. I just don't think it'll change it in a way that makes ye olde physician come out on top in the end. Agreed re: likelihood of a net negative to the total health system of the country, though. I have no idea where I'd even start on finding trustworthy numbers for that (so totally understood on you not citing anything, too  ).
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Jun 20, 2019 21:57
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NPs only recently regulated a PhD for NP, it used to be a masters, which is where all the clinical work gets done. The rest is research and leadership and other crap, so you can do it online. Kind of like how you can have a RN with an Associates degree and a RN with a BSN.
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Jun 20, 2019 23:41
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Cacafuego posted:NPs only recently regulated a PhD for NP, it used to be a masters, which is where all the clinical work gets done. The rest is research and leadership and other crap, so you can do it online. Kind of like how you can have a RN with an Associates degree and a RN with a BSN. There are PhD programs in nursing but you are talking about a Doctorate of Nursing Practice which is not the same thing. A DNP is an additional terminal degree for advanced nurse practitioners such as NPs CRNAs etc but is not required to practice in any state at present.
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Jun 21, 2019 00:21
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I'm not planning to leave my job in the near future, but what is the normal recommendation for 401k once separation occurs? The one I am thinking of is 100% JH 2055 TD with a 0.79ER, I do not currently have a trad IRA, I am close to the Roth cutoff income wise, and everything else (Roth, HSA, taxable) is three funded in Fidelity.
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Jun 21, 2019 01:03
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BEHOLD: MY CAPE posted:There are PhD programs in nursing but you are talking about a Doctorate of Nursing Practice which is not the same thing. A DNP is an additional terminal degree for advanced nurse practitioners such as NPs CRNAs etc but is not required to practice in any state at present. You’re correct, not required (yet)
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Jun 21, 2019 02:19
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BlackMK4 posted:I'm not planning to leave my job in the near future, but what is the normal recommendation for 401k once separation occurs? The one I am thinking of is 100% JH 2055 TD with a 0.79ER, I do not currently have a trad IRA, I am close to the Roth cutoff income wise, and everything else (Roth, HSA, taxable) is three funded in Fidelity. Either roll it into a rollover IRA with vanguard/Fidelity or roll it into your new 401k (if allowed). If you roll over to an IRA it will mess up your ability to back door Roth so something to consider.
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Jun 21, 2019 18:44
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spwrozek posted:Either roll it into a rollover IRA with vanguard/Fidelity or roll it into your new 401k (if allowed). If you roll over to an IRA it will mess up your ability to back door Roth so something to consider. That is what I was worried about, though it just seems like I have to nut-up and pay the tax to roll it into a Roth and it is no longer an issue. I will look into rolling into a new 401k when the time comes, thank you
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Jun 21, 2019 20:38
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BlackMK4 posted:That is what I was worried about, though it just seems like I have to nut-up and pay the tax to roll it into a Roth and it is no longer an issue. I will look into rolling into a new 401k when the time comes, thank you Why would you not roll it into a traditional IRA, and then back into your next 401(k)?
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Jun 21, 2019 21:29
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Ralith posted:Why would you not roll it into a traditional IRA, and then back into your next 401(k)?
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Jun 21, 2019 21:50
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Hoodwinker posted:I believe not every 401k allows rollovers from Trad IRAs. Yes. Mine added it 3 years ago
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Jun 22, 2019 05:03
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Alternatively, leave the 401(k) where it is until you're ready to roll over into the next one. IIRC the only reason you'd ever want to close out a 401(k) immediately upon separation is if the fees are really usurious, but that'd have to be pretty incredibly bad to justify paying the Roth conversion taxes.
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Jun 22, 2019 21:42
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Got our energy performance measured, witch led to a reduction of the mortgage rate by 0.05% since our lender gives rebates to classes C-A. It's unreal to me that a 70 year old house can be as efficient as a newly built home specifically made for good energy performance.
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Jun 23, 2019 07:16
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How much stock, if any, do you all put into Glassdoor reviews of companies? It feels like something you do mostly as a cathartic release after leaving a position you didn't like, or rarely if you had a really great experience there, so I feel like they're going to skew negative on the whole just because of who's writing them and when they're being written. At the same time I'm interviewing with a company this week who's had some pretty nasty Glassdoor reviews written about them earlier in the year, albeit for a site on a different continent from where I'd be working.
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Jun 23, 2019 22:23
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If it's a really small company, and the review sounds relatively sane and well adjusted, I would probably pay some token amount of attention. If it's a huge megacorp, I'd probably ignore most of it, as there's too much variation from department to department.
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Jun 23, 2019 22:59
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Just look for general trends and don't focus on the individual content of any one review. Also, ignore anybody who sounds batshit crazy. They probably are. "Layoffs are constant and my boss is a bitch." "Great place except for the layoffs. Some stability would be nice." "Work life balance was great until my boss was replaced and now it sucks." "Threat of layoffs ever looming, and the cafeteria stopped serving hummus." "gently caress you gently caress your mother my boss A.B (YOU KNOW WHO YOU ARE) backstabbed me and blocked my promotion they just want you to fail here." Takeaway: Lots of layoffs and a reorg. Nothing else. :p
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Jun 23, 2019 23:16
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"Great, cohesive team. Except Brad. gently caress you, Brad. I know you didn't bake those croissants yourself."
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Jun 23, 2019 23:19
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