yup, I have a lot of free time on my hands working solo night shifts....
anyway, some of these things have been listed here over the years, but thought I would put them all in one place
1. your first job is about leaning your trade, not about money
2. if you can afford to do a residency in your field of choice, do it! see #1 above
3. as a new grad you can have 2 of the following 3 if you are lucky; location, specialty, salary. choose wisely.
4. don't buy a $50,000 car right out of school. a good rule of thumb is take your yearly salary and divide it by 3. at most you should spend 30k on a car if you make 90k/yr assuming no alternative source of income and no other major debt. I have too many friends who have to work extra to make their $700/mo BMW payment. drive a safe and efficient car until you can afford your dream car.
5. don't buy a $500,000 house right out of school if you are single. take your yearly income and multiply by 3. this is a good price for a first house. 90k salary? 270k house. spouse/partner also makes 90k? you can double that.
6. living within your means(see #4 and 5 above) means you can work less, travel more, and take time to enjoy life. I spent too much of my 20s, 30s, and most of my 40s working 180-220 hrs/month. don't do that. now I work 168 hrs/month and have never been happier. I used to never have time to go out with friends. now I go out at least once/week, go to jazz clubs, etc. in 2017 I already have tix for sting, red hot chili peppers, U2, and foreigner concerts. I also now have time to do 2-3 international medical missions/year and taake time out with the family for spring break, cme conferences, etc
7. don't take the first job you are offered unless it's perfect. don't settle for mediocrity.
8. don't work in a field you detest just because it is a job. moving is better. you will be miserable doing surgery, urology, pain clinic, etc if you hate it
9. don't accept a "training salary" unless in a formal residency program. A formal residency program has off-service rotations and dedicated learning time. don't be fooled by training fellowships that are just low paid jobs in one dept in disguise.
10. don't accept a position that does not offer cme, retirement, malpractice, vacation, etc. you have earned a benefits package
11. don't work in a very narrow field right out of school unless it is your dream job and you never intend to leave the specialty. I know lots of folks stuck in jobs they hate who can't leave them.
12. if you are getting burned out consider the following: work fewer hrs/mo, see fewer pts/shift, switch specialty, switch location, find somewhere you are appreicated. I can't tell you how much better my mood is after transitioning from a high volume/low acuity facility(30 pts/12 hrs) where I was treated like an interchangeable worker bee to a low volume/high acuity(10 sick pts/24 hrs) facility where I am valued as an individual for my skill set and experience.
13. don't sign a lengthy contract or a non-compete clause. these are tools to keep clinicians in crappy jobs. If it's a good job, you will want to stay anyway.
14. don't take a job where your clinical supervisor is an RN or office manager. we are not medical assistants
15. don't refer to yourself as Dr Smith's PA. they don't own you. Say instead " I'm John Doe, one of the PAs here" or "I'm John Doe, I work with Dr Smith on the surgical service". language matters. don't let yourself be treated like an assistant. don't regularly take out trash, take your own vitals, room patients, etc unless the docs in the group do too. I can see this in a small office, but there is no excuse for it elsewhere.
16. don't work for free. if you are charting at home, make sure that you get paid for it.
may add more later, but that's what I've got for now after a 24 hr shift.
17. don't take a job at far below market value just to be in a particular location. lots of new grads are taking jobs in NYC for example at 55-60k. As a young new grad this may seem like a lot of money if you have never had a real job before. it isn't when the national average is around 90k. know what you are worth. don't accept less. if enough of us do that the crappy job offers will go away.
- True Anomaly, ToppDog, jmj11 and 48 others like this