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  1. Okay. So I have been having trouble finding a job out of PA school. I graduated in December. I applied to a few residencies and fellowships and made it to the final round of one of the residencies but ultimately was not chosen. (This process took 2.5 months of my life= 1.5 months waiting for the interview and 1 month waiting for the results). So now I am 7 months out of school and without a job. The biggest problem is that I struggle with confidence. I did very well on all my tests in school but I feel like 2 years in school wasn't enough for me to be ready to practice medicine. Unfortunately, all of the fellowships and residences have deadlines that have passed so I am trying to find a job that will be welcoming of a new grad and be training heavy. I have a few interviews/job offers but need some advice of which would be best for me. One job primary care. They will give me 1-2 weeks of shadowing the doctor then 2 months of working in the same clinic with the doctor who I can utilize for questions. After that time I would be solo at one of the clinics. Pay is okay 90k but job is in California which is kind of expensive. One job is Urgent care. Shadowing for maybe 1 month then would be solo "sometimes" at 2 of their locations. But able to call doc at other locations if I have a question. Better pay and benefits than the primary care job. But I have read on the forum that Urgent care may not be the best for a new grad to start in. One jobs is endocrinology (I am scared this may be too specific for my first job and I may not be able to get out of this specialty if I end up not liking it). Any advice of which I should take if offered the position (knowing that I am a new grad who struggles with confidence)? I wish there were more residencies and fellowships for pAs! Thanks!
  2. certified diabetic educator (CDE) certification - lucrative or not? My manager approached me today to excitedly inform me that she suggested me when a diabetes rep came in and mentioned her company will provide free CDE training for a provider in our office. I do really like endocrinology but don't want to work in Endo due to the lower salaries (kind of burnt out right now on long hours and low compensation as it is in family med). I'm trying to read between the lines and see if this is something that would actually benefit me or only benefit the hospital and my workplace. I have a very busy patient schedule and family medicine and work long days and already feel quite underpaid. I like many aspects of family medicine but that one is not one of them. I guess I'm a little bit worried that if I do this training I will have an increased workload but really nothing financially to show for that. Has anyone out there done this? Worth it or not? I kind of feel like this would be something for a nurse and not something that will be financially beneficial for a physician assistant's career. Huge thanks in advance to anyone who can offer some advice or perspective on this.
  3. I'm a recent graduate. I've been at my first job for 3 months. I work in a busy private endocrinology practice. It has been very difficult for me for various reasons. I'm looking for help and advice regarding insulin pump therapy. I've taken over managing type 1 and type 2 diabetics on continuous subcutaneous insulin infusion, and it's been a trial and error, learn-as-I-go experience. I'm frequently uncomfortable with this daily (hourly...) aspect of my job. Are there any PAs out there who weren't naturals at managing pump pts? The PA that trained me (and I learned as much as I could from him before he left) was very knowledgeable and handled pump therapy with great efficiency; I have not mastered this skill at all! I feel and consider myself completely inadequate. I need help, and I've reached out to my SP and the clinical pump support reps that come into the office, but I'm not catching on as quickly as I need to. As a new graduate, I feel I've been given too much autonomy; I have expressed my concerns with my SP, and I am left trying to keep my head above water. I need help. Are there any resources out there for providers regarding management of patients on insulin pump therapy? There is so much I don't know, and I work 50-60 hours a week; I study when I can, but I need direction and resources. Please - pearls, tips, red flags - any input you want to give, I'm listening. I really appreciate any advice. Signed, Discouraged
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