I've been a licensed PA for about 9 months, working for the past 5 months. I took my first job as a general medical provider/psychiatry PA at a locked psychiatric hospital in a rural area. It is a very, very poor environment to be an APP in many ways, thus I am already seeking an out. I certainly don't feel comfortable with practicing medicine yet and I'm getting zero training/supervision by my current physician.
However, I interviewed and was accepted into a primary care fellowship at a very well-respected academic center in my current city which would start in July. I am hopeful that some of you current or past residents/fellows can give me some insight on your training and your practice ability after the fellowship/residency ended. In my area (Midwest) fellowships and residencies for APPs are just now starting to appear so 99% in my area don't have them.
The details are as follows:
Mostly internal medicine specialty rotations, some urgent care, some FP rotations (+/- rural FP/ER, depending on the location), didactics, research, examinations, presentations, etc. It's 12 months in length. The hospital system has stated that they "plan to place all fellows in positions with the system after completion of training". I realize this is not a guarantee, but I'm also not bound to take a position with the hospital afterward either, so that clause is fine with me.
I'm still trying to figure out what I want to practice in medicine, which is one reason I chose to become a PA - so I could switch if need be. I like so many areas of medicine, which is why I think doing a primary care residency would be great option for me. But, I want to see what other residents/graduates think of their experience and how they were received by employers after the fact.