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  1. Firstly, Ortho can pigeonhole you as a new grad. Think long and hard about limiting your practical knowledge after spending so much time, money and effort learning all that you did this last 2.5 years. Why not spend 6-12 months in UC and then consider a specialty? This will allow you to time things better and not tarnish your current record so much compared to leaving a newly accepted position almost immediately. Secondly, the Ortho dept has already chosen not to accept you as a candidate once. So what's not to say it won't happen again? So as far as investment, they've invested little at this point. A plane ticket is nothing to them, no offense. Furthermore, if they were needing to fill a position quickly, why would it take 3 weeks to get back to you? That doesn't seem to scream "quick" to me, especially for Ortho. To me, this says something more like, "We can't find a better candidate and settled on reaching out to you." Thirdly, the comment about their current PA not working out is a little concerning. Definitely look into that. It doesn't sound like that individual lasted very long if they were the one with experience that they chose over you the first time. Your current position has been supportive and has chosen YOU as their best candidate and best fit, which says a lot. So unless it becomes a negative place to work, I would urge you to reconsider leaving so quickly. Sure, go ahead and interview to see what's up. But Ortho can chew you up and spit you out, so think carefully about leaving a position at 4 days per week (!) in a field that will help cement your training for something else that is heavily surgeon-dependent. Good luck! -Someone who went into Ortho trauma as a new grad, has moved on to a new field, is now having to relearn everything, and has seen many posts about new grads going into Ortho and regretting it.
  2. If you love ortho, then do it. But if not and you end up leaving, it can pigeon hole you. You will find that you will quickly lose a lot of medicine that you just spent so much time and effort learning. Now if you admit and manage your own patients, that will allow you to put your training into practice, which will help. You can also consider doing UC PRN, which can also help you to retain some of your general medical knowledge as well as supplement your income. Congrats and good luck!
  3. Same here. In fact, I gave resumes to each one that I could see myself working with on my last day. Even after I got a job offer, I still kept handing out resumes to keep the networking going (although telling them that I have accepted an offer but I would like to stay in touch). Some preceptors keep files of students and their resumes (two of mine told me they do), and then reach out to those students when they're hiring. In fact, even as a practicing PA now, I have received calls from two preceptors over the years asking if I was in the market. Network network network!
  4. My old PCP was a PA and the reason I became a PA. They were personable, thorough, and pleasant. They moved, unfortunately. Nowadays, I see an APRN who was referred by a family member. She's great; similar to my previous PCP. We usually just end up talking shop. I tried seeing the MD in the same practice when my APRN was unavailable but they were a little stiff and more formal.
  5. I think it really just depends on your situation and previous experiences. Lots of good information above. I started at a private surgical subspecialty practice (Ortho trauma) right out of school in a large metro area without any PA co-workers or mentors. My attending was never paired up with a PA before, so I had to teach them how to work with a PA partner. They were otherwise great mentors and it was nice being paired up. I learned a lot about communication, trust, and self-learning. It was really great for a few years until it wasn't. Now I've moved on to an entirely different surgical subspecialty, CT surgery, but for a big rural hospital. Specializing right out of the gate limited my practice and I lost a lot of skills. However, Ortho trauma exposed me to very sick people as well as very healthy people. I learned a lot about being a medical provider, how to look things up, critical thinking, etc. And now that I've moved on to something that I haven't really been exposed to in a while, it's been kinda fun re-learning. Yeah, a little painful at times I'll admit, but it's nice to feel challenged again. And I really enjoy the small town life, which is a welcome change from the big city. My new job also doesn't have any co-workers and mentors, (I'm the first PA the hospital hired for their revamped program), but the attendings have been very grateful for my joining and open to teaching. I'm comfortable working independently and self-teaching, but something I looked for when interviewing was how involved the attendings were. I wanted to make sure I wouldn't be left high and dry. A place I interviewed at had very tired-looking PAs. They also didn't do much outside of work due to limited time off and seemed cynical. The surgeons also didn't rush to interview me nor did they even wait around for my interview, which said a lot. This was for a very busy large metro private practice. I would've learned a lot and had two mentors who seemed like nice people, but I would've been run into the ground. I would not recommend doing rural right out of the gate unless there is some sort of teaching/support structure in place or if you have a lot of prior HCE. Pay can vary. You will find money anywhere, but look for the good mentoring options first. "Isolation" in a rural setting can be good or bad. Good to allow for lots of time for training and focus, especially for someone like me who's having to learn things all over again. Bad because all work and no play makes John a dull boy. And probably very frustrated and lonely, too. But once again, it kinda just depends on your situation. As a new grad, you need to find a place that will foster your learning style. Also, if you don't have a burning desire to be in a particular speciality, I would go the more general route to help maintain your skills. You can always move around or specialize later once you find something you really like. Good luck!
  6. Be mindful that if you see an EP, you just might get an ablation recommendation similarly to if you see a surgeon, you just might get a surgical recommendation. Haha. But all kidding aside, feel free to get a second opinion if you feel it's necessary. Perhaps follow up with them again and express your concern about timing. Good luck.
  7. I previously worked in a dept for a large hospital system that didn't have me respond to any codes so I did the online cert the last two recerts, which was accepted. However, I recently switched jobs and my new employer (a large community hospital) doesn't recognize online certs.
  8. No, we just used Typhon. It's a pain but helps keep a record of everything that you can then send to credentialing offices. I feel like doing it in an EMR first and then copying/pasting is double duty but just do whatever you need to to keep your data accurate for future reference.
  9. Just an aside, some NP programs do not allow for PA preceptors, only MD, DO or NP.
  10. This. I do my own FMLA/STD forms and personally sign any off-work notes after I review. I don't allow for stamp signatures. Reviewing something before signing should be a given, duh, but I guess some people don't.
  11. The MAs do all of that. If it's something specific, I'll ask them to include that or ask them to open up a text box for me to type it. If they're very busy and I have time, I'll do some of those things. But they know how busy I am so it is assumed that they do everything administrative that they can. I am also disgustingly nice and thankful when it comes to asking them to do something or if they've done something for me. I want them to know how appreciated they are and how grateful I am to have them. Their job can include some very undesirable and thankless tasks, so I try to be as nice as possible in letting them know they are appreciated for the work they do and how much they help me and the team. Even if it's for tasks that they are being paid for, I still say, "Please," "Thank you," and "I really appreciate you doing that. You're the best," while avoiding sounding disingenuous, pedantic, or condescending, of course. Because I really am thankful for having such great help around the office. Maybe you can start off by asking your staff members, "Hey So-And-So, could you do me a big favor? I need help filling out X form. Could you please help by doing Y portion? I would REALLY appreciate that." Speak directly to them, looking them in the eye. This is more genuine than an over-the-shoulder or pass-by request. If I'm interrupting their work, I say, "Sorry for interrupting, but do you have a second?" It's the simple things that really go a long way and they don't add much time. Also, if there's a particularly hard day coming up or if we had a rough day, I'll buy lunch or bring in food (bagels, coffee, etc). My staff is particularly food-driven. Haha
  12. Whoa. Is there a position available to out of state folks as well? Lol
  13. This. And if critical care as an NP isn't for you, consider trauma where you'll have exposure to the OR, critical care, ICU, and procedures.
  14. Like some of the others said, you need to figure out what you want and if it's feasible. But, be sure to evaluate the compensation and benefits (financial, professional, fulfillment, etc) to make sure it all makes up for the additional living expenses and travel time. I am actually in a similar situation. I have accepted a new position 3 hours away. Unfortunately, the shifts are not 12's and cannot be stacked, so I will have to live there for it to make sense. The field is also not easy to get into, but it pays much more with better benefits and cheaper COL. I do have a spouse and so we will have to drive back and forth to visit. Now I'm sure the driving will get old, so it may not be a long-term gig, but it'll get my foot in the door and help us meet our goals. My spouse can also work remotely part of the time so they will stay with me some of the days and then at their work-sponsored condo the other days. As a side note, our goal is financial independence sooner rather than later, so the plan is to rent our primary residence out while living cheaply in my secondary residence. My poor spouse will be a little bit of a gypsy, but they're on board so what the hell. So as you can see, there are many factors at play here, so evaluate your situation to see if it'll work for you.
  15. Thank you for breaking this down.
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