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  1. How is the search going Surgery PA? I’m in this boat as well. Trying to decide MBA or doctorate. I’d like to be marketable outside of medicine while maintaining my clinical side. Tough call!
  2. Roseville in the house! Love placer county and the proximity to Tahoe, SF, etc. This is definitely the sweet spot IMO. Good pay and not Bay Area COL.
  3. Agree with the folks that don’t want to kill themselves making a buck. I was fortunate to get my dream gig. 120-126 hrs / month (14ish 9 hour shifts) and make about $170k/yr in EM. Full benefit employee. I discovered I like having more days off a month than I am required to work. I live well below my means, and have no desire to work more just to make more money. I take pride when my friends ask me “man, do you ever work?!”
  4. I think I asked “what do you love most about the PA profession?” Make it a conversation, engage them with follow questions to what they’re saying in the moment. I knew one of my interviewers was prior military so I went that route with him “where were you stationed?” Etc. Sent from my iPhone using Tapatalk
  5. Absolutely possible. You just need to be licensed in the state you want to practice. I know multiple PAs that work across state lines, but carry state board licenses for each state. Sent from my iPhone using Tapatalk
  6. ^This all day. I did 4 years of ER, then went Primary Care for about 6 months (Shutters in agaony) before jumping back to (a different) ER. Full-time gig is At an ED w/ separate UC facility. We split time between both UC and ED which is nice. The UC has access to all the imaging and labs of the ED. I do this 130-140 hrs/month, 22 patient cap. My separate UC job is 2-3 days a month, (20-30/hr’s) and pays almost as much as my FT job per hour (low $80/hr) and is FQHC. I see max 20-25, most is about 15-20. (And I’m keeping this location all to myself because I don’t want any of you taking my job!) I see myself doing this for many years, as the work is manageable, and both places have a “cap” on how many patients we see per shift (I know, craziness right?). I’ve found that I enjoy my days at work more, and am fine not seeing “super sick” people and all the stress that comes with it. But I agree with what’s been said, having ED experience is crucial in UC so you can recognize sick/not sick. I think it all depends on the type of UC. Sadly, many are all about the numbers at the expense of the Medical provider’s sanity.
  7. Fellow Boglehead for the win! I could say that Bogles book really shaped my investing philosophy.
  8. DONT stretch it out. If its 10 years, pay it off. Make sure you’re contributing to your 401k to get the match (and Roth IRA if you’re able). If the interest is reasonable, you’ll come out ahead with a shorter loan term. Get aggressive and get out of debt. I paid mine off by year 3 (granted I didn’t have what others have) but it was a great weight lifted. Yes you may feel like you’re “scraping” by, but you need to delay your gratification a few more years and get out of debt.
  9. I’m confused: you want to end your career in ED/UC/FM and want to know what position will be more helpful to reach that goal? In my experience (and this is totally anecdotal) but the surgical PAs who I’ve worked with in the ER are usually very uncomfortable with anything but the Softball appy/Chole, lacs and I&Ds. So far 3 of 3 have gone back to surgery.
  10. I think the basis of FIRE is good (frugality, hypersaving, etc) but personally I don’t want to live in a tiny home with no electricity just so I can blog all day lol. Good on you for already having a plan to pay off your loans after school. Just remember, don’t fall victim to lifestyle creep. Avoid the brand new car after graduation! And definitely get your employer match even when paying off the loans, it’s a 100% return on investment.
  11. I agree with Ramsey on “starting out” principles (attack debt, emergency savings, etc). However I think his target audience is a little different than me. I personally fund all my regular purchases through my airline credit card and get free flights for vacations. I don’t carry a balance and pay it off bi-weekly. I don’t spend frivolously on credit and have the discipline to use it as a tool for my benefit. It’s like a machete, if used correctly is great, but it can also hurt you bad if used improperly! I also have more “opportunity cost” in funding retirement rather than plunking it all down on my 3.25% fixed mortgage. That being said I do plan to have that paid off before the full term is up. I’m a fan of Brian Preston (the money guy show podcast) as they have a very good order of financial operations that I subscribe to.
  12. Agree 100%. Different upbringings perhaps. I too grew up in a low income household and a “waste not, want not” mentality. I also view social security as mere icing on the cake if it’s atill around when I retire, not calculated into my retirement. congrats on the student loan pay down! I got rid of mine, and it was a huge weight lifted. I just hate seeing colleagues not capitalize on the opportunity they’ve been given in terms of personal finance, as if it’s some taboo topic not to be discussed.
  13. All of the above, then get serious about paying off all your debt immediately upon being hired (and get your employer retirement match). If credit cards are a problem and you can’t pay them off every month, hide them or get rid of them. Avoid income creep when you start working.
  14. Greetings all, I was having a discussion with a PA colleague the other day about retirement, and it sparked an interesting thought. I was listening to a Podcast (the money guy show) and he asked if I was contributing to my 401k. I said of course (I max it out on top of 7% match) along with Spousal Roth IRA and my own Roth IRA. He quipped something like “I should probably get on that. If I could only get paid more.” Turns out he’s not doing any retirement and we’re the same age, same time in the profession (approx 5 years) and make about the same ($170k/yr). But, he drives a brand new luxury vehicle ($800/month) , I drive an old paid for Honda (hey it’s practical!) I’m curious, which camp do you fall into? I consider myself frugal, and save about 20% of my income in retirement (buy and hold no-load low cost index funds, etc). Is this a “PA epidemic” so to speak? Meaning, are we shooting ourselves in the foot by not teaching basic financial skills and/or what options we have out there? Whether it be part of the PA school curriculum or otherwise. I am on track for a multi-million dollar portfolio, I enjoy life, eat out and vacation 2-3 times a year, etc. At what point do we sit down and mentor each other, the next generation, or at least talk about finances? I understand there are many views, and “it’s not about the money” in this profession, but I’m sorry I don’t want to work until I’m 90. Just curious if this is an anomaly or widespread “hyper-consumerism” issue that The Millionaire Next Door book talks about. Regards, C2PA
  15. Not at all. We all make over 150k easily, doing 130-140 hrs a month. The problem is RNs and the California RN union have positioned themselves into making NorCal a Mecca for RN salaries. People literally fly in from out of state, work their shifts and fly home. Sent from my iPhone using Tapatalk
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