[NPInfo] "British" PAs

[Dena]

Merry Maids charges me $84 for 2 persons to clean my 3 BR 2BA condo every
other week... and they do it in slightly less than an hour. Lunch break??
They're not even there long enough to qualify for a 10 minute break! <G>
Dena Galler

-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Carla Anderson
Sent: Friday, February 16, 2007 8:00 PM
To: NP Info
Subject: RE: [NPInfo] "British" PAs

I want to preface also, I am not singling out any particular maid services,
it is an example only, and I have NO idea what they charge. The point is,
that the PA/NP or any other provider of services be compensated for worth,
and treated with courtesy, respect, and professionalism, as should be
persons in other industries, regardless of what they do.  In fact I was just
looking at Monster.com, where they had an article on "nurses" applying for
jobs, and what to watch out for, and a reference was given to a book about
"why nurses eat their young".. anyway, they just showed a small page of one
part of the book, which spoke about "horizontal hostility" (which can be
doctor-NP/PA, or doctor-nurse, nurse-nurse), and also one definition of
"verbal abuse" is "communication perceived by a person to be harsh, etc.."
So again, abuse is how it is perceived, individually as well as on a larger
scale. Carla 

Carla Anderson <carla_rayne at yahoo.com> wrote:  A "day or two" is true, we
have all had days like this, and let me explain how I interpreted what was
said. If it truly was said in a "cat ate the canary" smug way, then the
"comment sounds like the GP is "thinking/accepting that this is
"acceptable", or that "look at all the money we are saving" kind of thing,
by replacing 2 1/2 GPs with a PA who doesnt take lunch. and I said "if it
was said truly in a certain way"..as it comes across to me, the "snatching
her lunch in a few minutes" sounds not normal, and yes, the "employer" is
responsible, and so is the "pa", but someone should not be sort of bragging
about something that to me does not sound right. This is just my personal
interpretation of what I read, so I guess I should have said "my opinion".
But to me, it would be like me saying "I replaced Merry Maids at my home
(for 40.00 an hr, 3 hr minimum) with another maid that works with no lunch,
and I pay 1/2", trying to make
 this equivalent to the analogy of the 2 1/2
GP salaries compared to the PA salary.. as even though it is not directly
mentioned, I do gather money is part of the bargain they are getting right?
If the PA said, "I will work 9-6 and snatch my lunch but will cost you the
same price of the 2 1/2 GPs, I do not think it would be spoken about in
quite the same way? Who knows.. I am not mad at all at the British GP...
Maybe he truly thought this was normal American culture. But the "snatching
the lunch" got to me. And it is hard to imply tone from email/written words.
It all depends on how it was said. But working straight through, and not
barely getting a lunch, should not be considered normal standards by anyone.
My opinion only/Carla/Portland, OR 

Dena wrote: If the observation is true, why would it be "abuse and
exploitive to speak
of them in that manner"? Possibly the GP had actually seen this occur or
heard about it and was remarking on the situation. It would then be fact
(and I certainly wouldn't be surprised if it was!! How many of us have had a
day or two like that????). I'm sorry, I guess I just don't understand why
someone would be pissed off at the poor British GP for making this
statement. I'd be pissed off at 1) the PA's employer for and the deplorable
working conditions and 2) the PA for doing it in the first place! 
Dena Galler

-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Carla Anderson
Sent: Friday, February 16, 2007 4:49 PM
To: NP Info
Subject: Re: [NPInfo] "British" PAs

It is abuse and exploitive to not only have the person working like that,
but also to speak of them in that manner, if that is truly what was said.
Carla/Portland


Interesting comment from a physician's column in London's Guardian
newspaper.

³And I recently heard a GP describe how one US trained physician assistant
had replaced two and a half GPs in his practice. "How could that be?" I
asked. "It's a matter of culture," he answered. "The physician assistant
starts at nine and sees patents continuously until six, snatching her lunch
in a few moments."
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