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  1. Passing this along if anyone is interested: Well established Three Provider Pediatric Practice(Pediatrics for You), located in Kennewick, WA is looking for a certified mid-level provider to assist in a modern state of the art, outpatient clinic. FRESH GRADUATES WELCOME! POSITION AVAILABLE EARLY 2023. Close Mentoring is our Forte. Lucrative compensation with excellent benefits, 401 K Plan and Profit Sharing, Pension Plan, Paid Malpractice and CME, Health Insurance, Professional Dues and Generous Vacation. Relocation Assistance and Productivity Bonus available. Work M-F, 8-5. No Hospital Work. The Practice is owned by Shakti K Matta, MD with more than 25 years of experience in Pediatric Care. The Practice provides comprehensive care to children from newborns to 18 years of age with focus on accessible, quality and personalized care. Practice is community oriented and trains a wide variety of medical students from various universities. Community is family oriented and economically stable with affordable housing and mild climate. Please Visit www.pediatricsforyou.com for more information. CV and Cover Letter Should be emailedto: drsmatta@gmail.com
  2. Hey everyone! I am slowly coming up on my 1st year in family med as a new grad. I wanted to get your thoughts on what I should negotiate I work in Maryland Mon-Fri from 8-5 which does not include a 1 hr lunch. no admin time. I see about 17-21 patients a day. I also speak Spanish to about half of my patients. well known in the office for seeing a full schedule earlier than normal as a new grad. I am pretty happy with the staff and flow of the office. My benefits currently: - 110k salary, 10 days PTO, 7 paid holidays, 2 days CME, 1k CME, 5k signing bonus. - 401k 3% matching, health, dental, vision, life insurance, malpractice claims made, tail insurance. - 4 month notice, non compete clause 7 miles x 12 months. Thanks again!
  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. Hi there, I am currently a student on my surgery rotation and have been precepted by a surgeon whom I used to work with before PA school. My preceptor has been actively seeking a PA for a while and it seems like the hospital is finally approving the position. I am meeting someone to discuss specific for the role and a quasi-interview soon and would love some input. What would be a reasonable salary (for both part time and full time) for a plastics PA who does a little bit of clinic hours (debridement's and follow ups), inpatient rounding, and being first assist in the OR? Would really appreciate any advice moving forward as a new grad seeking their first job. THANKS
  5. 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.
  6. 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.
  7. 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!
  8. Hello! I am a new grad graduation 6/2022, super interested in working EM. I have an offer that seems reasonable, but would love input. - $57/hr for 6 months orientation, 130-150 hours/month, FT benefits start at 108 hrs/month. - $65/hr starting month 7; RVUs additional per hour and bonuses additional. -medical, dental, life insurance, malpractice with tail coverage -10% employer 401k contribution starting after 3 months. -$4500 business expense/cme budget year 1, $2500 following years. I believe licensing is responsibility of employee. - Aim for providers to average 2.2 patients/hour after orientation. APPs and docs evenly see fast track and higher acuity. No solo coverage, always doc on site and see level 1 acuity together or docs see level 1. They sound very supportive, but want PAs to function to top of license with procedures, see acuity etc. I would like feedback about how reasonable this pace is. -** $10,000 fee if leave before 2 year anniversary for any reason. Exact wording if if employee ceases FT employment before 2 year anniversary. I assume this means is terminated or chooses to leave. This is an EM physician owned hiring group. The culture seems good. They have a structured orientation and continued training for APPs. Love the supportive culture from experienced APPs and docs with emphasis on functioning to top of license with support. Training for intubation, LP, running codes etc. but no solo coverage for APPs. This is midwestern small city. Pay is significantly higher than other opportunities I have seen. This area can also be difficult to find new grad EM job. -I honestly plan to accept. Just want to make sure the $10,000 fee for leaving prior to 2 years isn’t completely ridiculous and seeing 2.2 pt/hr is reasonably attainable. Thank you!
  9. I am a new grad who passed my boards 01/14/2022 and submitted my indiana license information the same day that I received my passing results. I have not heard ANYTHING from them. I have yet to even receive a confirmation email. Anyone have any advice or in the process of obtaining an Indiana license? Thanks!
  10. 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.
  11. 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!
  12. 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
  13. 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!
  14. 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!
  15. 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.
  16. 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.
  17. 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?
  18. 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!
  19. 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.
  20. 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.
  21. 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
  22. 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?
  23. 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?
  24. 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.
  25. 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.
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