Feasibility of finding work as a midlevel during gap year between internship and PGY-2

[Kissmyabjj]

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Here it goes. I didn't match into PM&R last year, but this year matched to an awesome program as a PGY-2 that I will be starting in July 2016. I am currently 3 days away from completing my TRI. The program director where I matched told me he would really like to see me continue doing clinical work during the upcoming year before I start my residency. Unfortunately I cannot find any clinical jobs that I seem to be qualified for. I feel like I have searched EVERYWHERE: Indian Health Service, VA, Bureau of Prisons, NHSC rural and underserved, Doctors without Borders, cruise ship medicine, urgent care. All of the private sector jobs I find seem to require BC/BE status, while the federal jobs require at least 2 years of residency experience.
(The federal "general medical officer" jobs (prison and VA) seem to only require completion of an internship and an unrestricted license at first glance, but when you click on the qualifications and responsibilities, immediately listed are the qualifications and responsibilities of a GS-12 level medical officer. This level requires 2 years of residency training.)

So I was wondering if it is possible to be hired as a midlevel as a physician. I can't seem to find any precedent for this online, but it is hard to come up with useful search terms in google. Has anyone heard of someone doing this before? I can understand that malpractice coverage may be an issue, but I figured it's worth a shot to ask.

 

[Shikima]

Missouri?

 

[primadonna22274]

If you actually are a licensed PA or NP, sure. If not, except for the Assistant Physician program in Missouri, no.
I am a PA but once I have my permanent physician license (in process, beginning PGY2 July 1) I would not plan to continue to work as a PA when I could work as a physician. Fortunately I am not in this position. I'm in SC which allows permanent license after PGY1 and passing USMLE/COMLEX 3, as well as a bunch of other hoops and FCVS.
My PA license is totally separate but also under the BME (which is, of course, in the same office as the physician licensing folks lol).
You cannot "work as a midlevel" unless you are one (we hate that term, by the way).

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[GoSpursGo]

As stated above, what you're proposing is not possible. I think your best bet might be reaching out to your new program director and find out if there are any places in your new location where you might be able to use his contacts to help you "get your foot in the door."

 

[deleted480308]

Midlevels have certifications and training specific to what they do. We shouldn't be walking in and doing their job any more than we like them pretending they know how to do ours

 

[Winged Scapula]

If you actually are a licensed PA or NP, sure. If not, except for the Assistant Physician program in Missouri, no.
I am a PA but once I have my permanent physician license (in process, beginning PGY2 July 1) I would not plan to continue to work as a PA when I could work as a physician. Fortunately I am not in this position. I'm in SC which allows permanent license after PGY1 and passing USMLE/COMLEX 3, as well as a bunch of other hoops and FCVS.
My PA license is totally separate but also under the BME (which is, of course, in the same office as the physician licensing folks lol).
You cannot "work as a midlevel" unless you are one (we hate that term, by the way).

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What do you prefer?

 

[Shikima]

They still haven't figured out how to license/regulate this yet, so no.

Was more of a cheeky statement.

 

[primadonna22274]

@wingedscapula: PAs prefer to be called PAs and NPs prefer to be called NPs. The term midlevel originated in government lingo (the DEA in fact) as PAs and NPs needed a new "level" of DEA licensure to distinguish which scheduled drugs they could prescribe; hence, my PA DEA license number began with "M". Even that notion is antiquated as more states are authorizing schedule II prescribing privileges in which case a PA or NP's DEA license is in actuality not different than a physician's in such states.
The term "midlevel" was co-opted by the healthcare workforce folks who sought a generic term to reference PAs, NPs and other non-physician practitioners, and while it may seem to fit, it infers that there is another level beneath us--and the nurses REALLY dislike that inference lol.

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[deleted480308]

@wingedscapula: PAs prefer to be called PAs and NPs prefer to be called NPs. The term midlevel originated in government lingo (the DEA in fact) as PAs and NPs needed a new "level" of DEA licensure to distinguish which scheduled drugs they could prescribe; hence, my PA DEA license number began with "M". Even that notion is antiquated as more states are authorizing schedule II prescribing privileges in which case a PA or NP's DEA license is in actuality not different than a physician's in such states.
The term "midlevel" was co-opted by the healthcare workforce folks who sought a generic term to reference PAs, NPs and other non-physician practitioners, and while it may seem to fit, it infers that there is another level beneath us--and the nurses REALLY dislike that inference lol.

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In terms of training an RN is beneath a PA

 

[primadonna22274]

^^but many of them sure don't think so! Lol

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[link2swim06]

^^but many of them sure don't think so! Lol

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And some people think pigs fly.

I don't know why people take this so personally. It has nothing to do with how good of a person you are or even your quality as a clinician. It's simple how much training you got from the start.

 

[DrBowtie]

Look into doing disability exam or in an occupational health clinic.

 

[medumacation]

I think "midlevel" has a better connotation than "physician extenders."