HanSolo

How many hours per week? Otherwise sounds pretty solid to me. If you're looking to counter, I would see if a 3-5% annual raise can be built in. What area of the country?

If the argument to obtain a doctorate is to "keep up with Jones" and get a seat at the table, then we better change our name to go along with it. Writing off the cuff here, but would the creation of a doctorate program designed for PAs focused on clinical and healthcare management/leadership be worthwhile? It would A) give us PhD level training, and B) help move PAs into administrative roles. Does this already exist?

ICU. Worthwhile to see the full spectrum of "general medicine" from primary care to ER to inpatient to critical care.

Only thing I could find close to what you mention on the AANP website is here: "Reauthorize and Provide Stable, Sufficient Funding for Nurse Education Programs. NPs are essential to meeting the increased demand for health care, however, nurse education programs are facing extreme budget pressure as Congress wrestles with reducing the federal deficit. It is critical for Congress to reauthorize and provide sustained, stable funding to maintain nurse education programs. Funding must be sufficient to enable these programs to sustain current NP education and faculty preparation programs, support education of advanced practice nurses and fund clinical training programs." I've never been on their page before. It's well done. I guess "clinical training programs" could = residency. Not sure why taxpayers have to fund this...

My initial feeling is that you are only a month in, so it's highly likely your role will expand with time. It's too soon to tell. Why do you doubt what your Chair is telling you? Yes, there are fellows and residents managing patients on the floor, but you should be able to manage them, too. Give it at least 6 months to a year. You may have built this role up in your head to be a lot more than it is. Things move slowly at times. Unless you absolutely can't handle the personalities of the other people on the team, then I would not look for another job yet.

Having more "respect" is all relative. Be a good person, treat patients and colleagues well, work hard, know your sh!t (and admit when you don't), and you'll get respect no matter what letters you have behind your name.

I don't think it is fair to say it is a terrible offer, but it's not great. My understanding is that supply >>> demand in south Florida. What is OP supposed to do, not pay off student loans and sit jobless? Move across the country? See if you can bump up salary to 90k, get rid of the non-compete, and/or make it a one year offer. Then negotiate a raise later or bail with a year of experience under your belt.

Is this 170k purely for tuition or does this also include living expenses? The interest rate for graduate student loans (2019-2020 academic year) is 6.08% (https://www.valuepenguin.com/student-loans/student-loan-interest-rates). If you wanted to pay that 170k off in 10 years, you'd be paying $1894.19 per month. Total interest would be just north of 57k. Now, let's say you earn 100k per year and total taxes are, say, 20% of your take home pay. Obviously this will vary tremendously, but it's a nice easy number for now. Thus, you took home 80k = $6,667/month. Subtract the student loan debt and you're at $4,772.81/month. That may seem like a lot, but if you have other debt like a car loan, undergraduate loans, etc., then you could be further in the hole. You could, of course, live off that amount and be very comfortable. However, if you are like most people, your life will change, you'll probably have a family, might consider buying a house, etc. You could calculate the same for an RN program based on average cost of education and subsequent salary. Those numbers seem to vary tremendously, so I am not sure what to use for calculations. You'd have to see what the options are in your area and what RNs get paid locally. Then compare it to the PA salary and see where you are at. In the end, there are RNs who are getting paid more than PAs, but that is not the norm and seems to be concentrated in a few geographic areas where the demand must be vastly greater than the supply. Furthermore, the job responsibilities are quite different, so you'd have to consider if that is even something you're interested in. Overall, I think you are asking good questions that many people don't think about prior to school. If you can attend a program with cheaper tuition, I think it would behoove you to at least explore that option. Your future self might thank you.

I think the future is bright. The market for PAs in this region of the country (New England) is strong. Some major hospital networks seem to prefer NPs while others seem to prefer PAs. I've haven't noticed much of a "turf war" out here. There is generally mutual respect.

If you're getting interviews that is a good sign. You might consider getting an interview coach for a session or two to analyze how you're presenting yourself. Have you reached out through the alumni network of your program?

I have heard ED numbers are down in part due to the rise of urgent care. I haven't personally looked into the data on the topic but it seems plausible.

Our program uses both standardized patients and high-fidelity mannequins. We also record our interactions. They have their uses and are OK for certain instruction, but I'd rather just spend that time in clinic with a real patient. I would advise against making a decision on where to attend school based on their sim lab unless all other aspects are equal. You'll practice most of your physical exam skills on your classmates/roommates/significant other, anyway. Standardized patients aren't cheap.

There was also a section that changed the # of PAs under a physicians license from four to six, so theoretically that should make the market a little more open for PAs, at least in the short term.

I used Pearls and Rosh. Found the PAEA exams to be pretty similar to rosh questions. It's nice to look at the PAEA EOR exam blueprint, but I wouldn't go crazy over it. I always keep a pocket book or two with me on rotation as well. It's more about learning bit by bit as you go. It can be tricky because you'll learn "real world" medicine but you also need to keep on top of "textbook" medicine. Those worlds don't always align. Also, keep in mind the relative % of questions. You'll find you'll get comfortable with what patient population comes through the door at your particular rotation, but don't forget to look up the stuff that doesn't show up on your rotation.

If you're in NY, I'd suggest Maine or Vermont. Lots of autonomy to be had, decent wages, much lower cost of living. Lake Champlain is very nice, and in Maine you could be near the ocean (although you'd need a wetsuit!). I suppose that doesn't help with the snowy winters, though. I'm not very familiar with PA practices laws in NY to make a decent comparison, and most of what I can offer about nearby states is from word of mouth. In the end, as I am sure you are aware, so much is practice/hospital specific.