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Posts posted by PACJD

  1. One of my former students who just graduated would like some opinions on a position she was just offered:

    General Surgery Floor position (no OR)

    12x 12-hour shifts per month, rotating days and nights (7a-7p or 7p-7a)

    110k base salary

    Overtime shifts (shifts worked above the required 12/month) will be paid as followed: 100/hr for days, 120/hr for nights, 140/hr for weekends (day/night)

    15 days PTO +8 holidays

    401K with employer 5% contribution after 1 year

    CME 2 days + $1250

    Licenses, credentialing, certifications NOT paid for by employer


    • Upvote 1
  2. Idk if this is what you have now, but the 3x12 schedule seems to be treating me well. Scheduling is pretty flexible at my place, I can spread the shifts out and have days off in between to go out during the week, or work consecutive days and have large chunks of days off to go on vacation, short road trips/day trips. My place requires us to work 2-3 weekend shifts so i do have some weekends off.

  3. 20 hours ago, Boatswain2PA said:


    Are you in a vacation area in FL, versus others in more rural?  Is NICU in your area overwhelmed by NPs?  

    If you don't like it, do something to change it (or just accept it).

    Exactly... As you can clearly see, there are very good offers out there as well as many crappy ones... If you aren't happy where you are, do something about it...

  4. 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.

  5. 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. 

    • Like 1
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  6. 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. 

    • Like 1
  7. 4 hours ago, knwandrick said:

    Hello! I'm a new grad and recently received a job offer and contract. I wanted to see what other PAs thought and things I should negotiate since this is my first experience with this.

    Position is with a spine surgery practice in Texas:

    - Salary $90K with yearly bonus "at discretion of CEO." This seems a little low, but hard to negotiate as I have no experience.
    - 2 weeks paid vacation - In my interview they also stated that major holidays were off as well. Need to clarify if these would be paid or not. Is this reasonable time off or too little?
    - 5 days sick leave with doctor's note
    - CME allowance of $2500. They stated in interview that I also would have 5 days for CME, so I need to clarify this with my contract and whether they are paid or not and have this included in writing.
    - Malpractice insurance is provided "consistent with reasonable surgical physician assistant coverage." Obviously need to clarify whether occurrence or claims maid. And tail or not.
    - Individual health insurance covered by employer. Family health insurance covered by employee. I only need coverage for myself, so this sounded like a good deal to me.

    Other than above, I also wanted feedback on my hours. My schedule is described as up to 5 days a week but then later says that 5 days is routine and more days as agreed by PA and physician as needed. Hours may or may not extend past 10 hours per day with workload not to exceed 80 hours a week. There is no mention of call but when discussed they said I should "rarely" be on call. Obviously I'm not trying to get tricked into working 80 hours a week when the job was described as a M-F position. What is the best way to ask that this is clarified and protect myself from being exploited?

    Appreciate all of your feedback! Thank you!

    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...

    • Upvote 1
  8. 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. 

    • Upvote 1
  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. 

    • Like 1
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  10. On 9/22/2018 at 2:01 AM, lemurcatta said:

    Not sure I understand your post. If you’re seeking clarification, then yes, I do know for sure if NP programs requiring 750, and yes, I do know for sure that is less than half of the hours local PA programs require. 

    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.

    • Upvote 1
  11. 14 hours ago, lemurcatta said:

    Yea, actually can the OP post their source?

    I know I jumped on the bandwagon but also whether or not this is true, it doesn’t change the fact that their are NP and DNP programs around me that I know of requiring 750 cinical hours which is around 30-40% of the hours a typical student local PA student gets. 

    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. 

    • Like 4
    • Upvote 2
  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 ?

    • Upvote 1
  15. 3 minutes ago, BayPAC said:

    if you want you hand to be held, go a large, reputable hospital. They won't let you do much at the beginning. Or go for a residency program. Small private practices are usually after $$$ and usually have no time to teach you much. 

    How long ago did you graduate? 


    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. 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. 

  17. 12 minutes ago, Kaepora said:

    You guys, just look at the OPs posting history.  Seems pretty insecure in his/her role of a PA.  Putting down NPs and PAs pretty frequently in their turn.  Don't feed the trolls.

    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.

    • Like 1
  18. 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. 

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