I have a CMA, who, if she asked for a $3.00 raise I would have to give it. She is a CMA who practically practices at the level of a FNP. Obviously, she is not. She refuses MaineCare, so I try to help with insurance, but it is tough.

I think the only reason she doesn't ask for more money is 1) she gets the largest raise, 2) she gets a much higher bonues, and 3) she knows I couldn't afford it.

She thinks outside the box, inside the box and on the lines. Half of our patients come here because of her, well maybe the combination. I seriously don't know what I would do if she moved on. She is just that good.
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Speaking of all your employees leaving at one time. My last job where I worked with another pediatrician who was the owner and his wife was the office manager (Peer to Peer using server but no active director), all of the MAs, billers, receptionists, etc., looked up to me and considered me their boss. This, of course, unless there were a major issue. So, one day there was a huge fight over the fact that I was bothering an MA while she vacuumed. It kinda blew up from there. To be honest, I was over it in 15 minutes, but everyone else was overwhelmed by it. So, that night the office manager kept emailing me about what we were going to do. I kept saying just let things go on and maybe we could all sit down with the MA and the owner/office manager and me.

That night, the triage nurse, biller, two MAs, two receptionist called the office manager and told her it was either they or me. If I came into work, they would all quite. So, my colleague of six years told me he couldn't work with no staff and told me if I came to work, he would fire me. So, I came to work and police cars were in the parking lot, and I was unceremoniously dismissed. My stuff was packed on Friday, and I was given until Saturday to pick it up. When I got home I noticed my hard drive had been completely wiped clean by our real IT guy. Really wiped clean. Fortunately, I had a backup, as files from way back were on there.


Bert
Pediatrics
Brewer, Maine