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About seekingtruths

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    Physician Assistant

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  1. You’re being level headed. It is very important to factor in the cost of school. If someone else is paying for PA school or you have lots of money saved up to cover the cost of tuition in cash, it matters less. But if you’re considering debt, it is very wise to set a hard limit on how much you’re willing to accrue. In my opinion it does NOT make sense to take out a high level of debt (eg over 75-100k) for any type of schooling. A PA career is not especially lucrative. It’s stable and respectable but definitely not worth being a slave to a student loan servicer for multiple years of your life. Take into consideration the risk that a high level of debt imposes on your life, the associated stress, and the opportunity cost that comes with the time and money invested in school. I paid 101k for school + living expenses. If I had the option now to do it over again for 180k, I would turn down PA school acceptance and either keep applying or find another career. You’re smart. You have options. Your earning potential is high because you’re sharp and energetic and willing to work hard. You can make much more money in many other fields besides medicine, and you don’t need to take out crippling debt to make a great living and be fulfilled at work. If you’re focused on being a PA: Pick the cheapest school you can, even if it’s in a state that’s not fun or with facilities that are not flashy. Try not to pay more than a year’s worth of salary for tuition/living expenses (no more than 100k total for PA degree and living costs). Pay it back ASAP within 2-4 years of graduating if you end up with loans. Good luck, my friend.
  2. This is great. I made 90s to 110k in my first three years doing cardiology inpatient/outpatient, albeit in a low cost of living area. From what I’ve seen of salary reports compiled from employer submitted W2s for cardiology PAs, this is a competitive offer. The PTO is not horrible and they offer tail. Hopefully CME allowance is good too, but that’s icing on the cake. If you’re regularly working 50 hour weeks instead of 40 that will lower your hourly rate but I don’t recommend worrying about that, especially as a new grad. I also wouldn't worry too much about the 2 year term - that time will pass quick and as long as there isn’t a draconian termination clause (eg you have to give over 3 mo notice if you want to leave, or financial penalties in excess of repaying the modest sign on bonus), there is no real drawback because a raise is built into year 2. As you gain years of experience you can further refine future offers to your liking. If you get good vibes and feel like you’ll learn a lot in this environment, and you enjoy the challenge and fun of caring for cardiac patients, take this job! And congratulations!
  3. I’m sorry you’re in this situation. Sounds very stressful. I encourage you to listen to yourself. It is wise to have reasonable expectations for your employer. As a PA, those expectations include a basic framework to allow you to practice legally, including an agreement with a suitable collaborating physician. Also, I think it’s reasonable to expect a certain level of support as a new grad, including physicians and PA/NPs that are committed to showing you the ropes. It sounds like these admins are rather clueless and flying by the seat of their pants. You have concrete reasons to be alarmed - this employer has demonstrated that they are unprepared and do not care about onboarding you the right way. Decisive action now may save you problems down the road. It’s much cleaner to end it sooner rather than later. Locums doctors are not committed to the practice and do not have a strong incentive to develop you as a PA. You’ve got a lot of learning to do as a new grad and the early years are critical to build good clinical foundation and skills. Trust your gut.
  4. Strongly recommend asking them for tail coverage. That is typically a standard offering and to my knowledge CTS has among the highest frequency of malpractice suits compared to other specialties. You need to be covered after employment ends. I'm not sure how much tail costs but it's probably at least a few grand if not more.
  5. Are these criteria made available to providers? I'm a new grad (not practicing yet) but would like to have this information so I can avoid unnecessary denials.
  6. I'm seconding the OP here. Just got my scores back (YAY!!!!) and passed, but not with as hefty a margin as predicted by PACKRAT --> PANCE equation. I got a 477 on PANCE. My official PACKRAT scores were 139 for didactic year and 169 for clinical year. PANCE score was a little surprisingly low but I didn't study much for the PANCE to be honest. Did Certified Medical Educators 3-day course, a couple extra practice tests on my own, and studied 4-5 hours/day for the week before the exam, but not much else. Obviously it's always better to study more but I would recommend that someone scoring similarly to me on PACKRATs buckle down and make sure you start studying earlier so you don't cut it close with your PANCE score. Seekingtruths, PA-C :)
  7. Maybe you can push to have the late shift rotated between all APPs. That way no one gets stuck with it all the time. It doesn't seem fair that you would be without support staff at the end of the day, will likely be there past 6 pm sometimes, and will lose out on the morning hour that is blocked for administrative tasks. I think you're justified in wanting a more fair arrangement, especially since your original understanding was that you would have the day shift like everyone else.
  8. WOW blood sucking. It's dog eat dog out there... Glad you didn't fall for that!
  9. Thank you all for your thoughts!! So turns out raises are not included. But I decided I'm happy with the overall compensation. Most important to me is that the culture of the place is good and I think I'll learn a lot and be very supported while I get my feet under me as a new grad. Thanks UGoLong - yes, there is a regional noncompete. Not ideal but I'm okay with it. I decided to take the position! Have a great day, everyone!
  10. Thanks. Included but I need to contribute $ every pay period, something like $30 every two weeks for myself only. More if covering dependents.
  11. No bites, huh :) Overall I'm happy with it and I think I'll take it. The only kicker is the 3 year contract but I think I can live with it. Still welcoming any advice y'all can share! Thanks!
  12. Any and all advice much appreciated!! Thank you for your time :) Seems like a wonderfully supportive cardiology group that is relatively large (currently 35+ providers). I love cardiology and am excited about this practice and the way they support their APPs. They have trained new grads before and most APPs stay at least 6-10 years after hire. Cardiology offer for new grad 3 year contract 85k base sign on bonus relocation assistance 5k for student loans yearly bonus - no info on how this is calculated or what % of APPs attain this 3k CME 24 days PTO licenses and DEA reimbursed separately from CME malpractice + tail Supposedly there is a raise written into the contract for years 2 and 3 but I am waiting for more info on this. Please share any and all thoughts! Thank you!
  13. Thanks, Rev!! I always appreciate your insight. I'm excited about this group, hopefully an offer will be forthcoming...
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