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Everything posted by PACJD

  1. Agree with above. As a new grad you are going to need some extra training/mentoring and not going to be bringing in as much revenue for the practice, so a lighter salary is understandable for the first few years. I would say in around 5 years experience in derm, you should be at or around 160k after bonuses/collections. I am not in derm so idk much about bonus structures, but definitely try and get some info on earning potential from the other PA.
  2. HCE and shadowing look good in my opinion. I would say focus on getting that GPA and GRE up.
  3. PACJD

    Want to quit PA school

    Hmm... seems like you have a lot going on over here. What I can tell you is this... Do you really want to become a PA? Is healthcare something that you actually enjoy? Do you like dealing with patients and learning about medical problems? To what extent of HCE do you have? How much shadowing have you done? You need to analyze if this field is something you want to actually get into, because it is not for everyone. And if you do not enjoy the healthcare field, I also would not recommend going for your RN or RT as well, because both careers also involve extensive training as well. You need to determine, why do you actually want to become a PA? Yes PA education is long, difficult, and stressful. Yes there will be times that you want to give up and cry. But if you want to become a PA, you will have to do whatever it takes to get through it. If you truly want to become a PA, you need to stick with it and change your study habits. You need to find things that help you retain information and do things differently that you normally wouldn't do. Reach out to friends, classmates, faculty, counselors for support. You claim that "you never had been an intense studier." Well hate to break it to you, but this is PA school now, not undergraduate education, and you will need to become an intense studier. Failing a few exams, especially at the beginning, should not make you feel bad. But this should be an eye-opener for you and motivate you to change your habits. YOU NEED TO CHANGE YOUR WAYS TO GET THROUGH SCHOOL. If you analyze your situation and think that you really are not interested in becoming a PA, you really are not interested in medicine or patient care, then look elsewhere. Again, I wouldn't recommend RT or RN. I also wouldn't recommend MBA as MBA programs are fairly difficult as well. Regardless of what you decide, you really need to understand that graduate school is very different from undergrad. You can't cruise through any program without studying hard.
  4. PACJD

    New grad job search

    If you are willing to travel an hour to manhattan you will have plentiful opportunities. I am a preceptor and many of my students who are new grads have been telling me about their job hunt and many of them have multiple offers in the city.
  5. Red flags all over this. Is all of this your wording or is it the wording of the employer? -Bonus "at discretion of CEO" --> so I am guessing you won't get a bonus -Malpractice insurance coverage "consistent with reasonable surgical physician assistant coverage." --> what is reasonable coverage in their minds? -Scheduled to work "up to 5 days a week" -Scheduled to work 5 days "plus more days as agreed by PA and physician as needed" --> so you could be working 5-7 days a wk? hmmm.... -Hours "may or may not extend past 10 hours per day" --> so you could work as little as 5 hours per day or as much as 20 hours -Workload "will not exceed past 80 hours a week" --> i would hope you aren't expected to work 80 hours per week, or 70, or 60 -Call is "rare" --> what is considered rare? once a month? No... Just no...
  6. I agree with above, long shifts and flexible scheduling definitely a major perk in my opinion. I love the fact that I only have to work 3 days a week, leaving me with 4 days to do as i please. In most instances, i can front load 3 days and backload 3 days to have 8 consecutive days off in between to take a vacation where ever i went. Don't even have to touch my PTO. I can say its not for everyone though. Working 12.5 hour shifts can get rough and tiring at times, but if you can do it and your job offers it, i say go for it. I would never be able to go back to the monotony of a 9-5 5 day/wk job.
  7. I work in a relatively large hospital system in a major city in the northeast, where there are several hundred PAs currently working. We are highly utilized across all specialities and generally treated well with competitive salaries, good benefits, significant respect, etc. This morning we received notice by our CEO (who is a former PA) that the salary of all PAs will be going up, effective next pay period. Our hospital uses a pay grade scale, so PAs are now going to be in the same pay grade as the pharmacists and CRNAs. The reasoning for this, as stated in the email, was to compensate for the "progression of the PA profession, OTP influences, and continued expansion of the modern medical approach." Has anyone else had any changes in their hospitals or increases in salary due to OTP? The fact that our CEO is a PA might have had something to do with the push, but it is good to see that hospitals are starting to recognize the progression in our profession. Regardless, I'll enjoy my 17k increase either way...
  8. PACJD

    Family Practice Offer

    solid offer. The counter seems reasonable. Even if they reject the initial offer isn't bad for the midwest.
  9. I agree that it was kinda inconsiderate of them to schedule an interview without asking your availability or preference. In regards to having it at a restaurant, I personally wouldn't look too much into that. I had interviews at restaurants in the past and the docs and PAs really just wanted to get to know me on a personal level since we were going to be working closely together in an outpatient setting. Also the office was very cramped and there wasn't an ample area to conduct the interview comfortably. Yes, the restaurant that I had my interview at was also at a pretty pricey place, but the interviewers would like to make a good impression on you as much as you want to impress them. I agree with above, see if they would be willing to accommodate a date that actually works for you. Sometimes these are only "suggested" dates and a compromise can be made.
  10. Sorry i read your post incorrectly. I thought you were saying that some NP programs require 750 hours, and some PA programs require less than half of that. That would be absurd to be able to graduate with having only 375 clinical hours.
  11. LOL what?! 750 clinical hours?!!!! My program required at least 1750 clinical hours in order to graduate!
  12. I'd say go for the retail job. When I graduated I had a few months gap as well between passing pance and starting the position due to the crazy credentialing process. I worked as a waiter in a pretty busy restaurant and was able to get some cash to hold me through until I started. Was able to pay off my DEA fees (employer did not pay), renew ACLS/BLS, and take care of my car payments for a few months, as well as save up for buying gifts for family/friends for the holidays as well. Most importantly, it was something i could get in and make money right away. Ideally a clinical job would be the best option, but they usually have training periods as well and it would take time to get fully established. If you just want to make some quick cash, retail would be the best option. Also it would be a low stress position to give you time to prep for your PA position, spend time with family/friends, and give you time for yourself to relax.
  13. I know name change has been discussed multiple times in the past with no real progress made. When I first entered practice 10 years ago there were talks of name change, with nothing to show for it. However, I do truly believe the time has come and its on its way. The difference between the past attempts and now is that there is actual movement and a legitimate plan in place, like the establishment of this advisory council. We can't truly know until it actually happens, but in my mind I think in about 3 years we will no longer have to dread having the "assistant" in our profession.
  14. Yea i didn't read that, a year since graduating is a long time. Not trying to sound critical, but was there a reason why you waited that long? Were you looking for jobs only in a specific area or speciality? Because having difficulty in finding a job after a year of looking seems a bit much. Just trying to understand better to offer help ?
  15. Agree. Large teaching hospitals usually have a set training for new grads and new hires, and even after the the training they will make sure you are comfortable and have the proper mentoring. If you really feel that anxious, instead of volunteering or shadowing to gain confidence, I would highly recommend looking into a reputable residency program. It will provide a structured, hands-on training and you will at least get paid a little.
  16. Big hospitals usually understand that new grads are going to require training to some extent. Especially in subspecialties, physicians know that the PA education/training doesn't equate to the knowledge base that they acquired through their residency and years of practice. So if they were to ask you a clinical question, it would be something basic that you should know, not something crazy. Some of my colleagues are in charge of hiring PAs and they do sometimes ask clinical questions just to see the thought process of the candidate. One question that some of them ask is "what labs should you order on a patient with new onset post-op a fib?"
  17. Yea I'm kinda confused, are you actually hired right now or are you shadowing and doing work for free? Does the physician know you are a new grad? Cause at my hospital PAs have a thorough 3-month training with other PAs before they work shifts on their own, and even then it takes months to feel somewhat comfortable. At the same time, it will feel intimidating at first and you do have to muster up some confidence in yourself. Just make sure to find the right balance of knowing things that you know vs. what you don't know to avoid putting the patient's health in jeopardy.
  18. LOL for real. Almost every negative thread started within the last 3 months was started by EMfuturePA. Don't get me wrong, its good to bring out certain topics to make others aware and to change the profession for the better, but if you are going to constantly trash PAs and NPs with falsified information, it might be better for you to not be involved in the profession at all.
  19. PACJD

    PA Perfusionist

    I worked with many perfusionists and became friends with a lot of them. The certification takes around a year to get, but they said it is extremely difficult to find a job and many places will only hire those with experience. There are usually only 3-4 per hospital in hospitals that do CABGs. They do get paid well, 90k-100k in my hospital, and I think the average is more around the realm of 110-120k. As stated above, the job is pretty routine once you know what you are doing, so it isn't too interesting. And the ones in my hospital would constantly get b*tched at by the CT surgeons and I would stand there quietly, feeling bad for them. As they were telling me, the main negative about this job is that it is extremely difficult to find a job. And when you want to leave you really can not, as you are risking finding another position elsewhere.
  20. Like sas5814 said, many new grads have a few gap months after passing PANCE and starting first job. When I graduated years ago, I took the PANCE in June and didn't start working until October/November. Many of my classmates started around September/October since they had jobs lined up before graduation. So, for the most part, there is usually a 2-4 months gap for credentialing and what not. Now i don't know what your case is? Have you been accepted to a residency already and are just waiting to start? Or are you going to wait to apply to a residency in 7-10 months, not knowing if you will actually get accepted yet? Because if you have been accepted to a residency/job and are just waiting for the start date, they will usually give you some material to review on your own time, so it is possible to get a non-clinical job to have some source of income while you wait, and then brush up on some material to keep the knowledge fresh in your mind. However if you are waiting to apply to a residency until next year, it may be wise to first find a position working as a PA somewhere and then apply to the residency when the time comes.
  21. Are you a pre-PA, a PA student, or a PA-C? Cause unless you are a student or practicing PA you can't say our profession. And unless you actually work as a PA you can't really comment on how great it is. How many hospitals have you actually been in to be able to judge? Don't mean to be a jerk, but its definitely variable in the scope of practice of each PA, dependent on speciality, location, and the hospital in general. There are definitely things about the profession that aren't great and needs to be improved. At the end of the day, physicians are physicians and mid-levels are mid-levels. We each have our role. There are perks, benefits, and negatives of each. Do your research and shadow if you can before you make your decision.
  22. PACJD

    PAs Are Sexy

    Hey I mean, it might not mean much to some of you but I'll take it!
  23. Definitely agree with what you have to say. Right now we as PAs are in a good place, in 5 years or so we may not be, so we need to make changes for what is to come. Just for clarification my comments about panicking wasn't directed toward you but others on this thread.
  24. Well said. What people don't understand is that the NP profession are making strides because they have a good political body, they have a good political body because they have the numbers. Additionally, they have a lot of experienced RNs with high stature in their hospital system, who are doing online programs to get their NP, thus when they graduate they may have some room for negotiation when it comes to salary. My mother was an NP, and my aunt and cousin are NPs. They love what they do, but there are definitely downfalls of the profession just like there are downfalls in the PA profession, just like there are downfalls in every profession. I too am all for OTP and name change and I do think changes need to be made within the next 5 years otherwise we are in trouble, but there is no need for the panic at the current moment.

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