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Where is my 401k?

Posted By Sam Dyer, Tuesday, October 31, 2017

I don't know about you, but one thing I follow closely is my benefit package and money. I don't mind getting an extra Saturday, or requirement to change scrub colors, or a new EHR system, or a new law regarding opiate prescription regulations. These types of things are just par for the course and part of our jobs, you just have to roll with it. But when someone starts talking about changes to my benefits or compensation package, I bristle. If you follow the news, you know that congress has been batting around the idea of limiting the amount you can contribute to your 401k as part of a tax restructuring plan, and possibly substituting Roth IRAs in its place. This would be exceedingly painful for me personally. I think it is just bad policy. I have this number in mind, and if the 401k deduction goes away, well, that number changes. What can we do about this? I'm not sure how much influence we as PAOS members would have, but I do plan to contact the AAPA to see what their stance is and if they can advocate for this not to happen.

This discussion provides a segue into another issue. I would like to talk about retirement issues at some point. There are many of us who have more working years behind us than in front, and I think it a worthwhile topic to discuss. Do any of you have any thoughts on the matter? I think I will start a forum on it. What topics would you like to discuss? I think financing retirement, long term care insurance, social security and others are all relevant issues. What do you think?

 

 

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Opiod epidemic

Posted By Sam Dyer, Wednesday, October 18, 2017

According to the Department of Health and Human Services, opiod use and abuse is a significant public health concern (click here). As of this writing, representative Tom Marino has withdrawn his nomination to lead the White House Office of National Drug Policy (IE drug czar) over a potential conflict of interest (click here). An interesting story on CBS 60 minutes aired last Sunday which fueled this event.

On a more personal level, my state legislature is rolling out legislation regulating the prescription of opiods. The highlights of the legislation include limits on prescription quantity (5 days for acute pain and 7 days for post op), mandatory search of the patient's previous 12 month prescription profile on the state website by prescriber or delegate prior to prescribing opiates (also mandatory reporting of the prescriptions by pharmacies to the state with potential for audits of both prescriber and pharmacies-legal ramifications if non compliant), documented PA/NP consulting with MD if pain clinic role on prescriptions for > 30 days, and eventual mandatory E-prescribing of all scheduled substances. My state also requires that at least two hours of category 1 CME per cycle be in opiate prescription practices.

How is your state responding to the 'opiod epidemic'? Do you feel that increased regulation is a necessary way to control the problem or is it creating a further burden on your ability to practice (or both)? Many states offer free prescription cme through their medical boards; the PAOS will continue to offer it as part of our conferences to help you with this requirement. I would advise you to check with your state medical board for updates as this will probably affect us all at some point.

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PA day/week

Posted By Sam Dyer, Friday, October 6, 2017

Happy PA day/week to all of you!

As our way of saying thank you, please check out the free video on our main page that you can use for category 2 cme, compliments of the PAOS. Thank you for all you do!

I hope you have a great day/week!

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PAOS annual survey

Posted By Sam Dyer, Tuesday, October 3, 2017
I love the fall! It is my favorite time of the year (all except for leaf management--which I don't really mind). Halloween, Thanksgiving, Christmas, New Years, all are right around the corner...I hope you are looking forward to these times with family and friends as much as I am. Before we get to those dates, I need your help. Please take 10 minutes to complete our annual survey when it is sent to you in the next couple of weeks. This is such an important benefit to PAOS membership. It gives you objective evidence to use for salary negotiation, benefits packages and a comparison of financial and practice patterns of your colleagues. New this year, we will be able to customize the data per state (will continue to have regional and national data as well). Please take the time to do the survey when it comes to you. Thanks for your help.

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Salter IV fracture

Posted By Sam Dyer, Thursday, August 31, 2017
So working in a walk in ortho urgent care, I see all sorts of general orthopedic conditions. I never knew there were so many nursemaids elbows until I started it. You can imagine the LBP, the knee OA, the ankle sprains, etc. But every so often I get something I don't see very often. This is a Salter IV fracture of the middle phalanx. The kid was playing football and the ball impacted his finger awkwardly. Given the skeletal immaturity, will be treating this conservatively with a splint for a couple of weeks followed by buddy taping and early ROM.

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Fun in Baltimore

Posted By Sam Dyer, Monday, August 28, 2017

Welcome home Baltimore attendees!

I'm taking a day off from my clinic job to catch up on emails and other tasks. I hope you all had safe travels and are back with family and friends. My thoughts and prayers to our colleagues in Texas; I hope that you all weren't affected by Harvey and if you were, I wish you a speedy return to normal.

PAOS sent all attendees a post conference survey, please complete it so we can have more information on how to improve our future meetings.

What did you like best about the meeting? I was quite impressed by the first ever poster presentations. Kudos to all of you who entered a project! Well done! I hope that we can expand this effort next year. We are also planning on student papers/presentations linked to the scholarships. If you know of a deserving student, please direct them to our scholarship page.

Also please utilize the forum section we have created. i would like to increase our member engagement.

Thanks to you all who made Baltimore a success.

Sam

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Excited about Baltimore!!

Posted By Sam Dyer, Friday, August 11, 2017

Is anyone as excited about Baltimore as I am? Our committee has planned an exceptional event with instructional workshops, an awesome lineup of lectures, and fun social events. I can't wait to check out the inner harbor, Camden Yards, get some seafood, and enjoy myself for the week. I hope to see you all there.

CHEERS!!

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