Docs On Montefiore Attending Service Replaced By PAs

[futuredoc15]

---

Members don't see this ad.

Montefiore Medical Center, one of the largest and most prestigious medical centers in New York City, combines the strengths of an integrated healthcare delivery system with the teaching and research capabilities of a leading academic medical center.

Size and Growth
The Attending Service at Montefiore Medical Center is a Physician Assistant (PA) managed medical service that cares for an average of 170 medicine and cardiac inpatients. The Attending Service is the largest and fastest growing service at Montefiore. Our team of more than 70 Pas is well trained and enthusiastic and cares for adult patients with a wide range of illnesses and disease acuity.

See more here:

http://www.advancedpracticejobs.com...Indeed&utm_medium=organic&utm_campaign=Indeed

Comment:

Should I be afraid when I see hospitalist doctors being replaced by PAs?

 

[jvesco22]

You and your threads suck.

 

[ozzi22]

 

[Mithril]

 

[shaggy alfresco]

No.

 

[ESzczesniak]

Ok, so I've read no more than what was in the OP. However, 70 PA's for 170 patients? So that's 2.5 patients per PA?

So ya, doctors shouldn't be too worried then. I'm an intern and carry 14-20 patients on a service during the day and cover 90+ patients on call at night.

Perhaps there's more to the story though.

 

[shaggy alfresco]

2.5 patients only? What the heck is there to do all day if you only have 2-3 patients? That can't be right.

 

[futuredoc15]

Ok, so I've read no more than what was in the OP. However, 70 PA's for 170 patients? So that's 2.5 patients per PA?

So ya, doctors shouldn't be too worried then. I'm an intern and carry 14-20 patients on a service during the day and cover 90+ patients on call at night.

Perhaps there's more to the story though.

Let's do some real math,
If the 70 PAs each get 4 weeks vacation then in an average week only about 64 of the PAs work. THe working PAs probably work 5 days a week which leaves 45 PAs working (64 x 5/7) on an average day. The PAs probably work an 8 hour shift only which leaves an average of 15 PAs per shift (45 PAs divided by 3 shifts). 170 patients divided by 15 PAs is about 12 pateints per PA. This number might vary some if they do not staff all 3 shifts with the same number of PAs.

 

[jvesco22]

^

either become a PA or steffu

/thread

 

[ESzczesniak]

Let's do some real math,
If the 70 PAs each get 4 weeks vacation then in an average week only about 64 of the PAs work. THe working PAs probably work 5 days a week which leaves 45 PAs working (64 x 5/7) on an average day. The PAs probably work an 8 hour shift only which leaves an average of 15 PAs per shift (45 PAs divided by 3 shifts). 170 patients divided by 15 PAs is about 12 pateints per PA. This number might vary some if they do not staff all 3 shifts with the same number of PAs.

While seeming logical, you're math doesn't likely reflect the situation. PA's being on vacation will reduce the number some. However, patient's covered by PA's still need to have a supervising physician. Rarely, if ever, do PA's take overnight call shifts and they often will not work on weekends (outside of acute care PA's in the ED). Typically these times are covered by the physician on call. There may or may not be some logic in you're multiplication by 5/7's, but I'm skeptical about PA's working at all on weekends. Dividing by 3 shifts definitely is not realistic.

So sure, you can apply some of you points and get up to 3-5 patients per PA.

This seems about right based on my experience. The few services I've seen that have PA's instead of residents seems to have in the neighborhood of 6 patients assigned to a PA. In some instances, PA's and residents will both be on the same service and in those case it may appear the PA has 20-25 patients. However, they cover the same patients as the residents, so they are splitting the workload with a couple of residents on those services.

 

[Gmw1386]

The PAs for the attending service work 12.5 hour shifts. Day and night.

 

[pfaction]

My friend is a PA that got hired at Montefiore.

 

[Suncrusher]

You and your threads suck.

totally agree