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RE: In reference to the overtreating thread
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RE: In reference to the overtreating thread - March 13, 2008 8:06:56 PM
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ysumpt2006
Posts: 113
Joined: March 31, 2005
From: Youngstown, Ohio
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Well, the job and myself have parted ways on my 18 month milestone. It was their decision, but based upon the fact that my "rogue thinking" and failure to go along with conventional thinking and the sore feelings that went along with it as being one of the biggest reasons. I knew it was inevitable, but I'll bounce back.
Yeah, I'm looking for non-SNF, but that may be the route I take for a while if times get desparate. We'll see. I have my my resume out there and I have connections for jobs that would fit me personally and professionally, but they are an hour away. I'll have to weigh my options, I guess. I'm afraid to get out of outpatient ortho as that is where my passion is and I believe it at least allows me some "mini-autonomy" or at least should.
I wonder if it will be harder to get into outpatient ortho if I step out of that realm for a while.
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RE: In reference to the overtreating thread - March 14, 2008 9:51:53 AM
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orthotherapist
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good luck to you
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RE: In reference to the overtreating thread - March 14, 2008 11:57:32 AM
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buckeye
Posts: 147
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Do you have a resumé online?
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RE: In reference to the overtreating thread - March 14, 2008 1:20:01 PM
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SJBird55
Posts: 2292
Joined: May 10, 2004
From: Michigan
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Ah, you answered my question here.
You can probably sign up for unemployment... not sure of the laws in Ohio nor do I know the specifics with your situation. Here in MI, when one is unemployed and collecting unemployment, the provision of an online resume does result in employers contacting the unemployed individual.
Hey, I'll publicly admit - I was fired. I was fired in 2004 because I refused to go down a path that I knew was wrong. There are individuals out there that no matter how you try to argue your point or prove your point, they won't listen. When it comes to money, some individuals choose doing wrong and risk the ramifications to make more profit in the short run versus doing what is right. I'm not that type of person. Being fired was a whole lot easier than the mental crap... how long do I give them to change? how do I part ways politely? if they agree with me, when should I see corporate change? The only fantasy that I have from that experience is... I wish it was Donald Trump that did the firing. LOL
Right now, the market is huge for employment for physical therapists. The cost to find a physical therapist is also huge. You know what I'd do? I'd actually walk into various clinics in the area personally, with a resume and CV in hand, and see if there happens to be an interest for another PT on staff. Don't assume that because you aren't seeing anything suggesting a company is hiring that the company isn't hiring. Right now, I'd consider hiring the right physical therapist part-time. I'm not actively looking. If the right person walked in the doors or the right resume came across my desk, I'd definitely consider the physical therapist. The other thing... I'd advise interviewing whomever is hiring - you are technically in the seat of control. Ask and learn whatever you can from your interviews. When I left the hospital setting (outpatient), I saw myself as the one in the driver seat and I honestly had the mental attitude of "prove to me why I should want to practice in your setting."
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RE: In reference to the overtreating thread - March 14, 2008 1:59:40 PM
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Kaden
Posts: 264
Joined: June 17, 2007
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SJ,
Great advice. I agree that if you go into an interview with the thought of prove to me why I should work for your company, everything seems to fall into place.
Ysumpt, you have stated many things you have learned over the past 18 months. Use these as stepping stones to an interview. Don't be afraid to ask the tough questions b/c if you don't ask them now you will end up in a place that you will ultimately learn does not mesh with your professional beliefs both financially and patient care driven.
...and if you get some answers you don't like (such as the financial and rx frequency issues you were dealing with at your past clinic) don't look at it as a job lost but rather the opportunity gained to save you the headache of having to deal with a similar situation in the future.
Good luck with the search
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RE: In reference to the overtreating thread - March 14, 2008 2:01:35 PM
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Kaden
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and one more thing. The job market for PTs now is a good one. You can afford to be picky (as long as you can handle financially in the short run) and find the job that suits you instead of molding yourself into the PT you think they want to hire.
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RE: In reference to the overtreating thread - March 14, 2008 4:57:52 PM
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ysumpt2006
Posts: 113
Joined: March 31, 2005
From: Youngstown, Ohio
Status: offline
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Thanks for the words of encouragement. I, as well as my wife, am almost relieved at this outcome. I'm happy because I will no longer feel like I have to defend myself every week/day at my job. I won't have to come home every night and worry about who is trying to "run to the principal" and urge patients to do the same because someone doesn't agree/understand why I'm doing something.
I have a few options in the air right now. Hopefully I won't have to do the SNF thing as I have very little experience in that area (my choice), but I will have to do what I will have to do. There is a facility a ways from my hometown that I'm supposed to discuss a position with tonight. PT owned/managed, OCS/Manual Therapy Certified (McKenzie and Mulligan). The clinic goals shadow what my goals are. Things are put in black and white for all to see regarding what is expected of patients in terms of taking ownership for their treatment, etc. Basically the kind of job I was hoping this last one would be--the kind I was hoping to make it--at least by doing my part.
Now I understand why there was a high turnover rate at my former facility (a fact I didn't learn about/ask about until after my hiring).
Oh yeah, I started contacting other clinics last week and will be hand delivering resume's all next week. I have 10 ready to go right now. Whenever I interview for a position, I'm going to tell the interviewer exactly what my philosophies are in terms of what I think PT should be and if he/she can't handle it, then it isnt' the place for me.
< Message edited by ysumpt2006 -- March 14, 2008 5:02:20 PM >
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RE: In reference to the overtreating thread - March 14, 2008 5:59:10 PM
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SJBird55
Posts: 2292
Joined: May 10, 2004
From: Michigan
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No, no... don't go "telling" your philosophies! BIG mistake! Ask questions and listen to the responses!!! YOU need to interview them! Put them in the hot seat. If you give away your philosophies, there is an opportunity for you to be misled.
Of course, the person interviewing you believes he/she should be in control. Anyone in a professional position who is seeking a long term commitment needs to have his/her specific questions answered also. If you are asked anything specific, respond truthfully. Questions you could ask (and not indicate your preferred response): What is the typical case load? Some times the person doing the interviewing will not divulge referral sources, but you could ask the percentage of patients referred from various referral sources (i.e. family practice, ortho, podiatrist, dentist, neuro, physiatrist...). Payor mix? Scheduling process (how is frequency determined and how are return appointments determined - who sees the patient and who determines this)? Staff mix (PT, PTA, other)? Productivity expectations? How are procedural code denials handled? Turn-over rate? How many staff are APTA members? Compliance with rules and regulations - how is compliance knowledge shared? Continuing education funding? Change - how does change occur? What type of documentation system is in place? What type of scheduling system is in place? What is the no show/cancelation rate? NEVER sign a non-compete clause unless you agree to the restrictions - negotiation is always possible.
You got burned. Keep your frustrations out of the whole interview. Have a response prepared as to why you are no longer with XYZ company. (i.e. it wasn't working; the company vision and your vision were divergent; there wasn't an opportunity for you to aspire in your professional goals with XYZ) You know what you want; you know the environment you want; you know your short and long term goals. Learn from the past... focus on the future... ask what you need to ask to not be in the same situation again. At the same time, think of your professional dreams... what motivates you? What do you want to see yourself doing in 5-10 years? Try to learn if this next employment opportunity can bring you closer to your personal professional dreams.
And I know exactly how you feel with being relieved. :) At the same time, if you need time to think and time to compartmentalize the experience, take that time now. Be ready to interview and be ready to be assertive yet positive. If you aren't in that frame of mind, you aren't ready. Just as you will be making first impressions, so will the person interviewing you.
Good luck! Change can be unsettling OR it can be fun. Wihle you are hand delivering resumes, ask for a tour of the facility! See what the competition has out there!
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RE: In reference to the overtreating thread - March 14, 2008 6:10:00 PM
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ysumpt2006
Posts: 113
Joined: March 31, 2005
From: Youngstown, Ohio
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Great, great advice. Exactly what I was looking for. I have two interviews set up for next week. I'm ready for a place that will allow me to grow professionally and will offer me the things I should have been more concerned with in the past. I thought I knew what was important when I took my first job, but over the past few months I have done a lot more soul-searching and understand the importance of "autonomy", mentoring, accepting of change, EBP, professionalism and what not. This change has me amped for a new beginning; a rebirth, so to speak. Maybe I'm being naive, but I have "seen the light".
Of course, like I stated in my other thread, I understand I still have a lot of growth to do as a co-worker, employee, and therapist--but don't we all?
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RE: In reference to the overtreating thread - March 26, 2008 8:22:11 AM
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ysumpt2006
Posts: 113
Joined: March 31, 2005
From: Youngstown, Ohio
Status: offline
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Well, I accepted a position with NovaCare. I'll be running a small clinic with hopes of increasing the traffic. I have some great ideas for doing just that. I'll be the only person treating until I increase the patient load. I'll run it just like it is my own clinic with a backup system from the corporate model. I'm also going to do some PRN work at a local nursing home for some extra cash.
I can't wait to get started.
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RE: In reference to the overtreating thread - March 26, 2008 10:03:06 AM
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SJBird55
Posts: 2292
Joined: May 10, 2004
From: Michigan
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Well, congratulations. Enjoy the change and challenge.
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