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  1. Hey everyone, New grad PA here and I have a couple interviews with the department of surgery at Jersey City Medical Center. I was wondering if anyone has any insight into the work environment/culture and pay at this hospital or within the RWJ Barnabas health system as a whole. Thanks in advance!
  2. I recently interviewed and was offered a position in Family Medicine. I spoke with the recruiter today who said that a 'letter of intent' would be sent to me as well as a sample contract, but the organization does not allow for an actual contract to be signed until after I graduate and am certified. Is this normal? It seems like a huge red flag since the 'letter of intent' is generally not a legally binding agreement.
  3. Resale CME4LIFE PANCE/PANRE Board Review 16 DVD Set!!! Includes: Dermatology Infectious Disease Musculoskeletal Psychiatry Reproductive and Genitourinary Radiology EKG Intrepretation Bugs and Drugs Pharmacology Gastrointestinal/Nutritional Hematology Neurology Cardiology Pulmonary EENT Endocrine This DVD Set was vital for me to pass the PANRE, I work in Dermatology, it was a good refresher and passed the PANRE with flying colors thanks to this series. I passed the boards with this series in May 2016. Value: $400 Resale $300
  4. Hello all, Long time reader, first time posting. I recently secured a job at a vascular surgery practice working with 2 different surgeons. The job includes working in all clinical settings (OR, inpatient, ICU, and clinic), but I am especially excited to be in the OR. My start date is at the end of August so I will have some down time before my first day. I was wondering if anyone had any recommendations as to how I can prepare so I can put my best foot forward when I start. Books, online material, videos etc. (I am open to anything really). I do understand that the first year, as a new graduate, can be tough especially starting off in a surgical specialty. Any and all advice is greatly appreciated!
  5. Hey everyone, I graduate tomorrow and take the PANCE at the end of this month. Assuming I pass, I'll have 01 June - 31 December, 2021 free to spend back home in California. I start my residency Jan, 2022 in Houston. I'm going to spend the first month of my free-time enjoying life and focusing all my attention on my family. After that, I know I'm going to be itching to do something. I understand that due to my residency start date, finding any work will be difficult. I talked to a few preceptors and one preceptor mentioned to go get my DOT Certification and go work at an urgent care and do DOT physicals. Is this realistic with the short time I'll have (5 months)? Another provider mentioned COVID clinics. Is this also realistic? In addition to the two options mentioned above, are there any other "job" options for someone in my situation? I am open to anything. After taking the PANCE I'm sure I'll be super motivated to work and learn new things. I just want to do something and make some money while I wait for my residency to start. Any information will be greatly appreciated. Thanks!
  6. Hello everyone, I am currently in the process of applying to cardiology jobs. I'm finishing up school in NC and applying out here as well, but ideally I'd like to end up back home in the Seattle/Tacoma area after graduating. I do have a few leads, including an initial call with a recruiter for one of the larger hospital systems later this week, but I am wondering if there are any cardiology PAs here practicing in the Seattle/Tacoma area who would be willing to share any insight about salary, the different hospital systems, current job market, etc.
  7. I am a new grad PA practicing for about 4 months. I work in occ med/urgent care. Without getting into specifics. A patient had and intraarticular finger fracture. I treated/ splinted conservatively and referred the patient stat to a hand specialist on the date of injury, who did not get seen until 2 months after her date of injury, due to WC insurance. The patient was unable to have surgery due to the timing of being seen by the surgeon. The patient will have permanent and stationary deficits and need future medical care for possible joint fusion. The patient is currently undergoing PT. Not only did I do a disservice to the patient as far as ensuring timely care, but the referral department did as well. How do I manage this going further? Obviously try to regain as close to normal function prior to the patients injury. I am learning from this experience when referring, especially with intraarticular fractures. I feel like this is my first error in patient care that has affected the patients condition and has directly impacted the patients quality of life and functionality. How should I proceed? Any recommendations? Not looking for validation nor looking for critique (no more than I am already giving myself). Need suggestions on how to proceed further in my attitude and semi guilt with this case. Thank you in advance.
  8. Hi everyone! I’m a new grad PA who just graduated a couple months ago and I’m primarily interested in GI, Family, or Hospital Medicine. A PA who I used to shadow in Thoracic Surgery reached out to me and asked for my resume and I thought, what the hell, I’ll give it a shot and see what this job is about. I just had an interview for this Thoracic surgery job and the team is willing to give me great training as a new grad. It seems great, but I’m not crazy about surgery and don’t have much procedure experience. They haven’t given me an offer yet, but I’m concerned that I won’t know what to do if they do. Should I hold out and see if I get an opportunity in specialty that I really want? Part of me worries that if I turn this down another opportunity won’t come along...as I’ve already applied to about 15 different places the past month but haven’t heard anything back. Also how long is appropriate time to ask for before accepting an offer?
  9. Hi everyone, In my myriad Google searches, I seem to have found the answer, but I want to confirm this before I play the waiting game. I have applied for state licensure in CA, but I am still waiting on approval. Can I apply for my DEA before the license comes through? The answer seems to be no, that I must be fully licensed before I even begin my application for a DEA. Anyone have any light to shed on this? Any way for me to speed up the waiting game? Thanks much!
  10. Hi everyone! I am a graduating PA and am currently looking for outpatient jobs, particularly in primary care. From what I have heard and seen, many primary care clinics are going through hiring freezes, and the few positions I have seen have required 2-5 years of experience. I have applied to them anyway in case they take a look at my CV and consider me, but they have either not contacted me or told me that I do not have enough experience. I had a good first and second interview for an endocrine PA position. I do like endocrine, however I believe at least 90% of my time will involve working only on diabetes management. If I am offered this position--or if I am offered a position in another specialty that I do not see myself in long-term--should I take it to get experience (and a paycheck)? Should I wait it out hoping for a primary care position? If I take a specialty position will I be less desirable as a future applicant for primary care positions? The job market is difficult, generally, for any new grads, but the pandemic seems to have made things a bit harder as well.
  11. New grad dermatology offer in the Northern Virginia area. Solo MD practice with 4 PAs (1 is leaving and another is leaving in a few months). Only the MD has an MA who brings back pts, scribes and assists with procedures. No Mohs in office. PAs see approximately 15 pts per day at 30 minute intervals - bring pts back to rooms, turnover rooms, perform beta-hcgs without assistance. Location, providers and support staff are great - shadowed with the practice following interview. Offered a 1-year contract for $48/hr, 36 hours/wk, work 8AM - 5 PM (1 hr for lunch flexing every other Friday), no weekends or holidays, no call. Paid bi-weekly. Compensation while training will be $25/hr for the first 4-weeks of employment, increasing to $30 thereafter (no longer than 12 weeks) with a retention bonus after 1-year to compensate for pay-cut during training period. Productivity bonus begins after 1-year of employment: annual bonus of 5% of the aggregate amount in excess of 3x calculated annual salary. PTO - 83.2 hours (2 weeks) covers vacation, sick leave, CME travel; increases to 3 weeks after 1-year Annual stipend - $1,000 covers licensure, CME (to include travel and lodging expenses), uniforms, dues, books. 401k - dollar for dollar matching up to 4% Malpractice insurance - provided but no details written in the contract; verbally told that there is no tail coverage but did not seem to know if policy was claims made vs occurrence. No dental, health, vision. Currently covered under spouse's plan. Restrictions: no moon-lighting, 2-year non-compete with other derm offices within a 20 mile radius. Offered Urgent Care position at $58/hr, ~32-36 hrs/wk to include two Fridays and one-two weekends a month. 2 months training at full pay. Non-training shifts will be from 2 PM -10 PM; working with another PA/NP in house at all times - can work solo after 1 year. Paid time and a half for holidays worked. No call. Salary growth of 3-6% annually plus RVU bonus. PTO - 84 hrs; plus 3 months maternity leave through disability CME $1500 401K - 100% vested after 1 year, 3-6% match after 1 year Profit sharing - 1500 hours (not really sure what this means...need to do some research) Malpractice insurance - occurrence policy. No tail coverage. Health insurance provided. Licensure fees, membership dues covered. I like both practices and need some feedback. I like staying busy, doing procedures and developing relationships with patients. I do no like the UC hours to include shift time, weekends and holidays - spouse works 9AM-5PM and want to have more time together. Derm location is closer to home, less charting, predictable schedule. I want to renegotiate the derm offer to match the hourly compensation of the UC offer - hoping to get at least $53/hr, ask for 20% rather than 5% annual bonus with a goal stipend of $2500. Any tips of advice of any sort would be greatly appreciated. Thank you.
  12. Here are the details of my offer. There really wasn’t much to it and I have no idea where to start with negotiations and what I need to bring up. My concern is that the salary is a little on the low side. Any advice or thoughts would be appreciated! Details include: 92k salary 24 days PTO 5 days CME 2k CME
  13. Hi, I am a third year pa student & graduate in May 2020 (3 more months!) I just got my first job offer, which also happens to be my dream job, and I’m very excited about it. I want to share the good news with family and friends on social media, but I want to do it tastefully and with proper etiquette. What is safe/not safe to say publicly?
  14. Hi everyone, I am graduating from my program next month, and have an offer from a cardiology office in Lakeland, FL. I have received the contract to review and would like some thoughts about the terms of this 1 year contract: salary - 90K for 1st year with the potential for incentive bonus benefits starting after 90 days of employment 1-2 years of employment - 2 weeks PTO, 3-4 years of service = 3 weeks paid time off per year 4+ years of service = 4 weeks paid time off per year $1,500 CME allowance with an additional week off for CME The downside: No tail coverage provided 12 month non-compete including a 12 mile radius from any of their offices (they have several), but I am under the understanding it is just related to other cardiology practices. Thoughts?
  15. Hello All, I'm curious if anyone has recommendations for a question bank to help learn critical care medicine? I'm a relatively new PA (graduated in May 2018) and have been practicing in critical care for about a year now. I work in a 26 bed mixed ICU at a community hospital. I've been reading the Washington Manual of Critical Care, Marino's ICU Book, and Up-to-Date. I've also done the Critical Care board review course offered by the SCCM. I'd like to find a question bank that I can use to test my critical care knowledge as well as general adult medical knowledge. I used ROSH review to study for the PANCE and really liked it. I used the app on my phone and was able to answer questions throughout the day and found it easy to answer a few questions here and there without having to dedicate exclusive study time. I'd like to find something with an equivalent ease of use but ROSH doesn't have any questions geared specifically towards CCM. ROSH does have IM and EM question banks consisting of ~ 1000 questions geared towards residents which I've considered as an option. ROSH also has the NCCPA Hospital Medicine CAQ question bank for Hospitalist PAs that I've considered. Additionally, it seems that CHEST SEEK Critical Care Medicine and the SCCM Self-Assessment Multiprofessional Critical Care are used frequently by CCM fellows who are studying for the CCM Boards. I fear that these latter resources may be too dense for my understanding at this point. So... My hope is that someone out there has some insight into these (and other) question bank resources and can help guide my decision before dropping hundreds of dollars. I appreciate any help or suggestions.
  16. Hi there! I am a new graduate that recently accepted a general surgery job from a local metro hospital. I will have the opportunity to perform a lot of procedures and with time a lot of autonomy. I am excited, but I am also aware of all that I don't know and still have a lot to learn. Is there any advice or textbooks any of you could give? I was a scrub tech for years before attending PA school, so the OR life is like home to me.
  17. Hi Everyone! New grad currently negotiating part-time PA position in Family Practice. I've done clinical rotations and scribed at a Family Practice office in NYC and will be working part-time until I start a Residency program in the fall. Trying to figure out what I should expect in a part-time contract if anything in terms of benefits, PTO, CME, etc. Also, trying to discern if it is in my best interest to be a part-time employee or 1099. Thanks in advance!
  18. Hello all, Recent new graduate here. I just received an offer from a small private, moderately paced urgent care/primary care office and I have a few questions about some items in my contract. Not sure if the items are reasonable for PAs in my area and looking to get some feedbacks from actual PAs in practice rather than just my parents. Here are a few details of my contract: - 18 month contract with required 90 days written notice of termination - 96K salary with bump after completing "training CME" courses paid for by the practice. 17 weeks to complete the courses and salary will increase to 101K - Productivity bonuses based on wRVUs and charts completed and coded within 48 hours - PTO accrued based on time worked. Begin accruing PTO 1 month after completing 90 day introductory period. PTO is to be used for PERSONAL DAYS, SICK DAYS, and VACATION time. (contract states that in first 0-3 years I can accumulate up to 100 hrs/2.5 weeks PTO) - Non-compete clause during employment and 12 months after termination. Cannot engage in primary, multi-specialty, urgent care offering similar services within a 2 mile radius of any clinics. (This can be kind of limiting for me due to the central location of the clinics in the city - I am considering a negotiation for this to be removed or possibly brought down to 1 mile) - Still need clarification of type of malpractice insurance, but it is offered. (Not sure if I will require tail coverage yet but will be finding out) - Multiple Heath insurance policies available but not covered 100% by practice. Most expensive policy will cost $162 Bi-weekly for employee coverage (No additional spouse or family coverage) Additionally, I have a few concerns about orientation and training on site. Currently, both clinics have single provider coverage with experienced NPs. Will be asking tomorrow about my expectations for providing single-provider coverage and working on my own. Was told by employed NP that the providers at both clinics are in constant communication via phone and text. Also assures me that the Medical Director is often on site and always quickly answers phone calls and texts. Medical director seems very eager to teach but I still have concerns about his expectations for me as a new grad due to his experience with mainly experienced NPs. ALSO, the salary is VERY tempting and I don't want to be blinded.. Thank you all for any help or feedback you can give!
  19. I will graduate in December, and I've just been offered an Urgent Care position in a busy UC clinic in the Midwest. The clinic is based in a growing metro area and after one year I will be expected to see 25+ patients daily. The clinic is comprised primarily of PAs and NPs with at least one physician staffed at each clinic location. 4 to 6 month training period depending on comfort level. 0.9 FTE at 50/hr 3, 12 hour shifts/week and working every 4th weekend. 1.5x OT differential 401k but not matched until one year of service. After one year, employer will contribute 50% of each dollar up to 2% of annual pay. Match is then 100% vested at that time 26 days PTO, unsure about rolling over into the following year $2500/yr for CME. Employer covers DEA/licensing $3500 moving allowance Good health insurance with dental and vision Malpractice with tail 2 year noncompete at any other urgent care within 5 miles of "home" location (there is opportunity outside a 5 mile radius, so I'm not terribly concerned with this) Xray, lab on site No production bonus Does this look like a solid offer? I would like there to be a productivity bonus, but its not a deal-breaker. I want to ask for 1.0 FTE for the extra assistance in paying back student loans also. Would it be unreasonable to ask for a sign on bonus as well? Thank you in advance!
  20. Hi, I graduated in december 2018, passed the boards, got my license, but have been struggling to find a job as a new grad. Everyone wants at least 2 years experience, no matter big name or no name or wants an NP. Now 6 months out of school with loans about to kick in I'm getting discouraged, but have too much of a debt burden to move out of state. The gap since graduation has started to come up in interviews as well and I anticipate it will only get worse. Any tips or leads? I've contacted old precptors, have an updated linkedin account and actively apply daily, but just curious if there are any other strategies people used as a recent grad. Thank you!
  21. This topic has been touched on, but I was wondering if Critical Care PAs could weigh in for new grads on starting in the specialty versus practicing internal medicine first. Everyone comes into the field with different backgrounds and capabilities, so there is no "yes or no" answer, but opinions would be appreciated. I am considering applying for a CCM fellowship right out of school.
  22. Hello all, I will be graduating from a PA program in western Ohio in about a month. I'm relocating to Pittsburgh after taking boards, and I was hoping for some advice regarding job searching and best places to work. My research has shown that the local job market is pretty saturated and salaries are low, especially through UPMC. I was wondering if anyone familiar with the area has recommendations of outlying towns and hospitals that could provide better job opportunities.
  23. Hey guys! My husband is in the Navy and he JUST got orders to Mississippi for March 2020. I also JUST got a new job where we are located at right now. I’m also a new grad PA, so I plan on doing the long distance thing for several months (ugh) so that I can say that I’ve got a year of experience on my resume. Can anyone tell me what the job market is like in Mississippi (specifically Gulfport/Biloxi)? Is the job market better in Alabama? Should I focus on getting my license there instead, or Mississippi? It’s an hour drive to Mobile. What’s the licensing process like for Mississippi? I heard the medical board has to interview you. What is that like? thank you!
  24. Hello All, I am a new grad PA-C in Pennsylvania. Currently waiting to start my job in critical care medicine at a large academic medical center. I have worked in EMS for the last 9 years as an EMT-B with an ALS service. I have submitted an application through my regional EMS council to have my pre-hospital certification changed from EMT-B to PHPE (Pre-Hospital Physician Extender for those not familiar). The final step is to challenge the NREMT-P written exam. Has anyone else challenged this exam? How would you rate the difficulty given your education as a physician assistant? I'm not worried about taking this exam.... should I be?
  25. Monday to Friday 9-5. No weekends. But I’ve shadowed on Monday and they usually stay late. When the doctor is there the work seems very secretarial. Calling about results a lot of the time from what I’ve seen. There’s a PA there that’s been there for 3 years and even she seems to spend most of the time at the computer. But I will get to do joint injections and the standard pain management stuff. Benefits: 80k + 10k signing bonus (repaid in full if I leave within two years) Insurances Full Licensing, DEA, and credentialing; Full $750 CME 2 weeks paid for vacation and sick leave 1 week paid for CME Malpractice Covered with No tail (but tail seems to be required) 2 Year, 15 mile non-compete (they have 3 offices) Oh and they want me to start as an MA at $16/hr while my licensing is going through. Pretty bad huh?
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