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Found 16 results

  1. Hi everyone, Someone, somewhere on this forum said this... You can have 2 out of the 3. Dream job(speciality), dream salary and dream location. I am a new grad with an offer in derm, good salary, but the location is rural... I love derm and it’s what I’ve always wanted to go into, but I don’t think I will be happy in a rural area. I also have an offer in family med in a bigger city which I can see myself living in. I love family med as well and I believe it will make me a well-rounded provider. As a new grad, I know it is recommended to start in FM. I don’t know if I am making the right decision walking away from the derm opportunity in the small town. I guess my question is, do you think there will be other derm opportunities in the future? How did you pick your first job? What is your advice and what would you have done differently? Thank you so much.
  2. I'm about 3.5 months away from graduation. Recently, an advisor from our school came to talk to our class about finding our first jobs. He recommended going on LinkedIn, looking up former grads from our program who are employed where we'd like to work, and calling them or sending them emails asking for advice on getting hired, even if we don't know them from Adam. I feel a little weird about doing this, and I want to know what the general consensus is on this one.
  3. Hello! I am a recent PA graduate, just got my certification and state licensure in the last month. I am currently 17 weeks pregnant with my first child, and am looking for my first job out of PA school. My baby will be due in early February, and I'm barely showing now, to the point where it's not noticeable in most clothing. When in the interviewing/ hiring process should I mention my pregnancy? I know that it is not legal for them to ask me, nor am I obligated to disclose this. I have recently done an interview at a large county hospital, and am waiting to hear back on their decision. My plan currently is to disclose my pregnancy after they give me a letter of intention, but before I sign the contract. Some people have told me to wait until I already have signed the contract, but it seems like getting off on the wrong foot to me, as it could be construed as purposefully misleading. My hope is that I can show good faith by disclosing this before both parties sign the contract, but by not telling them during the interview I minimize the risk of me being totally ruled out due to my pregnancy (which I know is not supposed to happen but obviously does). As far as maternity leave, I know that I won't be eligible under FMLA, so I am thinking I may have to use some combination of PTO, short term disability, or just have my husband use his unpaid FMLA time to help while I have to go to work (if I only get a few weeks off). In a month or two, once I start really showing (and if I haven't found a job yet), I think I will realistically have to mention it in an interview, just because it'll be noticeable and kind of an 'elephant in the room.' The only other idea I had was to work locums for 2-3 months before my baby comes, so I could save up some money, and get a permanent job after my baby is a few months old, but I've seen most people have discouraged new grads from locums work. Ultimately, I don't want to make any decisions that could impact my new career long term or jeopardize my license, so I'm now leaning against locums work. Any thoughts from other moms who have been through similar issues would be much appreciated. Thanks!
  4. Hey there, I have been working in an Urgent Care clinic for 2 months now as a PA-C. Just wanted to share my experiences getting started in the field for those interested. Check out my post below: What It's Like to Work as a New Grad PA
  5. I graduated PA school last May and 6 months ago I started "my dream job" - Ortho surgery. I was told it was going to be working 40hrs/week, half clinic half surgery, no call.. it all sounded perfect. Now this is my current reality - I am pushing 6 months at this place, love the field and a couple of coworkers. However the doc that was supposed to be a "super nice teacher" is done with me it seems like. At the current time I am working about 10-12 hours every day and scheduled to start taking calls soon. This amount of time plus the calls arrangement is not what I was told this position would be like during interviewing. That being said, I realize that I am getting so much experience, and being a new grad I can use as much of it as I can get. The major problem is the doc I work closely with. He gets upset with me when I ask him questions or am unsure about something, he was really good about walking me through a lot of stuff for the first few weeks but very early on I was expected to be a fully functional partner. I entered this job with them knowing that I am a new grad. I lack so much experience and despite my success in school this isn't something I learned before or even something I can pick up from a book. There are so many cases and they all can be so vastly different, even if its all shoulders. In my mind I think that patient safety and well being comes first but the doc I work with has been upset for some time as he thinks I am slowing them down. Basically for the last month or so he has been avoiding me as much as she can. I try not to ask him questions and instead go to my other colleagues, but i feel like his attitude isn't fostering a professional relationship between us. I can see that he is not fully wrong in expecting more of me but I don't know why they hired a new grad knowing that it would be very difficult for me to work on par with him within just a few short months. Just a couple of days ago he sat me down to tell me he isn't sure if we are a good fit for each other and that we should both think about that as my 6 month performance evaluation is around the corner. I knew that he has been annoyed with me and mostly sees me as a "kid" but this really took me by surprise. Especially since I asked him no more than a month ago how I could improve or what I am not doing well... to which he responded - "you are doing great". So now I don't know if I will even have a job by the end of April. Has anyone had similar situations? Am I supposed to start applying for other jobs? Do you think that a 6 month employment period will look super bad to new potential employers? I've been thinking about what he said and have come up with a few things I want to talk to him about further. I plan to speak to him again this week and tell him what I plan on doing to better my work flow and increase my knowledge as well as ways in which our relationship could be smoother (aka better communication on his part) but even if he doesn't fire me I don't know how we can come back from this. Sorry for the long post but i just needed to vent a little bit. Thanks for your replies in advance!
  6. hi all im a new grad about 3 months into my job at a family medicine/urgent care clinic I missed a diagnosis of cancer on a chest xray twice. we do our own in house xray imaging and if a patient is feeling SOB or has any warning signs we order and personally interpret an Xray in clinic. Monday of this week a patient came in to ask for a copy of his xray because he was now seeing a specialist for lung cancer they had caught in the ER about a month after a visit with me where I treated it as pneumonia and asked him to follow up if he saw no clinical improvement (documented this). SP looked at the xray and commented it was definitely debatable and I hadnt made a poor decision. Obviously I still felt terrible about this and have vowed to over analyze any abnormality seen on chest xray for as long as i live etc etc. I picked myself up and decided it was a growing pain and to learn from this. Thursday of the same week a different patient came in with a similar story, almost the exact same story. I had seen this patient my 16th day practicing as a PA and had noted an abnormality, began pneumonia treatment etc lost to follow up. However with this patient I did not document that I had asked him to follow up in order to cover my butt - needless to say my SP is now very unhappy and has decided he needs to review all chest xray I order. I understand I am new and fresh out of school and still have a lot to learn, but right now I just feel SO incompetent. Yes I noted abnormalities on the xray, but I treated poorly and now I cant stop thinking about the possibility of being sued for missing these things - i cant imagine having that on my record after only 3 months of working. Though it is kind of embarrassing, I am 100% on board with my SP reviewing all of my xrays as I do not want to harm any patients and I feel like I have done these two patients a horrible injustice. Any thoughts or words of encouragement/advice are appreciated.
  7. Have moved onto my 3rd job offer a as new grad. The only downfall is no health insurance offered since it's a small privately owned newer urgent care. Maybe I can get some experience and take some time before settling into something that checks ALL the boxes? Everything is ok about it: hours, pay, closed holidays, extra flat rate for each shift beyond the 3-12's a week, CME, PTO, malpractice covered. And it's in the area of Florida we've been hoping to relocate to. I feel like it might not be that big of deal to cover my own health insurance (individual plan) for a couple-few years. Knock on wood, I'm healthy and it's solo coverage! Any comments, thoughts on that?
  8. I will be starting my first job in Orthopaedics in a few weeks. I have been doing some of my own prep work these last couple of weeks, but do you have any suggestions of what should be sure to know before I start? I will be specializing in sports medicine. So far I have been reviewing anatomy, my Orthopaedic Surgery Pocketbook, some PANCE review book, and case studies.
  9. There are a few related posts for this topic, but none that really match the advice I am looking for. Please help! I'm less than 7 months into my first job as an Outpatient provider in a very specific sub-specialty. The company I work for requires manager approval for internal transfer prior to 1 year's service, and i signed a 2 year sign-on bonus requiring me to stay within the hospital system (which has many hospitals to chose from, this is not really part of the big issue) However, I am already on a level 7 of 10 pain scale of intolerability with this current position. Plain and simple, I am not meant for outpatient (really thought I was). Half of what I am doing is clerical BS, and the level of back office drama/passive aggressiveness/nit picking among non-clinical staff is staggering and constantly in direct proximity of myself and other providers.... prior auths, calling insurance companies, replying to every single lab result, chasing down results from outside entities, and, at risk of sounding pretentious, other misc. tasks that someone with a GED could perform, i.e. very under-utilized/under-stimulated. Not mentally challenging. I could go on, but I have real reasons to leave. I would LOVE to be in inpatient hospitalist or specialty. However, no jobs available like that right now in the system. question is, how miserable do i have to get to risk asking manager for approval for transfer, considering i find another position to apply to before 1 yr? I am afraid to set a precedent for the rest of my career by having my first job always show as "8-9 months" on my resume....but this year mark is 7 months away! :( I know I am wasting both my and the clinic's time, but i also have gotten literally 50/50 answers from other/older PA's i have asked about this issue please help! PS: advice on how to deal with or approach the above "reasons to leave" as far as non-clinical staff, if i end up riding it out for a year?
  10. I am finishing up my last four rotations and will graduate in May 2017. I will graduate from Nebraska but am moving to Maine this summer. I have no connections to anyone in Maine, so I was wondering when would be a good time to start applying for a position that I could start in August/September? I have my resume written and have explored several job opportunities online that I might consider in Maine from websites like indeed.com. Is applying for a job now too soon? If so, when should I apply?
  11. Sorry if this has been asked but I am wondering when I should start applying for my first job out of school. I will be graduating in March 2017 and plan to take my PANCE on week after school. When should I start putting out my resume? Thanks
  12. What field of medicine, and why'd you leave? Any regrets?
  13. I am a student graduating in December and have begun the job search process. Many positions are available, but I'm finding they're either very rural, temp positions, float positions, or in a subspecialty that would be a poor fit for me after school. I am really interested in family practice or a surgical subspecialty. Today I applied for a job (my first time) that said they would consider new grads, but immediately received an email that I did not have enough experience. This is disheartening and I'm beginning to wonder if perhaps my expectations are too high. Granted, I have just begun the search and have plenty of time. I'm just curious about perspectives from everyone here. Please share as much as you feel comfortable, or PM me if you do not want this public. A few questions: How long did you search before finding positions you were interested in as a new grad? How many times had you been dismissed due to being new? Did you have to broaden your search and apply to positions that weren't necessarily ideal? Were you satisfied with your first position? If you could have a do-over from graduation, what would you have done differently. Thank you in advance. I will keep my chin up and keep applying.
  14. Hello- I am a new graduate looking for my first job. I recently interviewed at a practice comprised of both chiropractors and DOs, who treat personal injury, MVA injury, and workplace injury patients. Almost all of their pts are referred from lawyers. I felt good about the position during the interview, but after talking with my family, I am concerned that I could end up possibly being involved in a shady operation. Does anyone have an opinion or experience with this? The concern was that pts could work with a lawyer and (possibly falsely or manipulatively) claim an injury, which would be evaluated by the medical practice. Then the information gained in the evaluation could be used to fraudulently file claims against insurance companies. I do not want to be involved with fraudulent activity in any way, and especially as a new graduate! Any advice or insight would be appreciated.
  15. I am a new graduate who is being offered a per-diem position to conduct complete physical exams on geriatric patients at their homes to confirm existing diagnoses and report any new. Compensation is $80 per assessment, not sure if malpractice insurance is provided, they expect you to provide your own transportation with some compensation. This being my first potential job, I am very nervous about any possible risks/pitfalls? As a new graduate am I being a fool to seek a job with almost no oversight? thx for any advice and comments :)
  16. Hey all, really looking to hear if my feelings are typical for a new grad or I really am just that unprepared. New grad with first job in rural family practice. Been here for about 2 months now with pt load really picking up. SP in practice site but he is busy and really not too welcoming. I feel unprepared and sometimes not trained well enough to take care of come of the elderly patients with a million different chronic problems going on. I'm very uncomfortable and constantly worrying if I did the right thing. I look up everything I can and ask questions when I'm really doubtful but feel like I should be able to make more confident and competent decisions. I'm really starting to doubt the PA curriculum has trained me to do what I need to for this position....which is act as a fp physician when I have half the training and no experience. I did well in PA school and my boards but real life is just bumming me out. Anyone else have these feelings? How often did you consult with your SP in the beginning? I don't want to get burned out this early. Thanks in advance to anyone that can comment.
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