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  1. I have a friend who is a fellow new grad PA, and she is considering a 2-year residency program in psych. She has a passion for psychiatry and could see herself making big differences there, however she is worried that she may begin to forget general medicine if she only works in psych for 2 or 3 years. Her other passion is ortho surgery (and other general surgery). She has also considered pediatrics and inpatient neonatal as other close-2nd choices. So, I'm wondering if anyone has had to decide between two fairly distinct specialties or switched between the two, years down the road. In particular has anyone here gone from a psych residency program to another specialty (or moonlighted / floated elsewhere)... or any other residency program to something else? In general, how difficult is it to find a general medicine or even surgery job after working only in psych for a while?
  2. Hello all, I am a PA switching from a surgical specialty to emergency medicine ( in PA). I have been practicing for about 3 years. I am expected to start my new position mid January. We are sending my new supervising physician agreement in this week (end of October). I was wondering how long it typically takes for the state to approve the agreement? I am worried that I will not be able to start on time. Also the hospital I work at drops your pay 'two tiers' when you switch specialties within the network. I was wondering if this is common or if anyone else has had a similar experience. Also any tips for switching specialties would be appreciated..
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