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Getting a job in NYC, hard or easy coming from out of state?


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Hi,

I am from florida and I was recently accepted into stony brook in NY and University of Florida and I am having a hard time deciding where I want to go. I liked UF's pa program more especially since it went there for undergrad but I love NYC! I would like to eventually live in Manhattan for a few years and work in emergency med but I have been told that if you go to a school out of state then you can not do clinical rotations at a hospital in NYC as a PA student since many of the hospitals are contracted with the NY pa schools. Is this true? If so, wouldn't it make it difficult to find a job in NYC since many PAs find jobs through their rotations.

 

Also, do hospitals/practices in NYC have a tendency to offer jobs to PAs that went to NY schools? Since I am not from NY I do not know how good of a school stony brook is. I have been told it is well know in NY but from my understanding it is not well known in the southern states regardless of its ranking (13th). I would like to eventually move around the country and I am not sure which school holds a better reputation, UF with an all around great reputation, or stony brook known in NY for its PA school.

 

Any insight would be VERY much appreciated!

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Hi Stefaniel,

 

I'm going to Stony Brook next summer and I'm from Long Island. From what I understand there are so many schools in the NYC/LI area that its difficult enough for the ones here to find clinical sites for their students. From talking with current PAs and advisors at some programs in the area, it does sound like a lot of the hospitals around here hire grads from affiliated programs. I've been told that Montefiore and Beth Israel exclusively hire Stony Brook grads (and they have been doing this since the program began roughly 40 years ago). North Shore/LIJ is one of the largest hospital systems in the area and is looking to develop into the city and is also a Stony Brook clinical affiliate. It may be difficult to find jobs at the other big hospitals in the city because they are all directly affiliated with a program (except for NYU Langone). Cornell has NY Presbyterian, Sloan Kettering and I believe Hospital for Special Surgery. Pace has Lenox Hill, CCNY has Harlem Hospital and SUNY Downstate has Downstate MC in Brooklyn. It's not that getting a job at any of these places is out of the question, but I would think it would be more difficult.

 

All in all regardless of which program you choose, you'll get a great education. If there's any reason Stony Brook wouldn't be well known outside of here I would guess it's because a lot of their graduates stay in the area after they finish school. I can tell you that if you have any doubts about Stony Brook, that it truly is a great program and a great university.

 

Maybe I'll see you in June?

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In the end your employers around the country probably won't care where you went to school.  They care if you are a competent PA and are a lifelong learner. 

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Hi Stefaniel,

 

I'm going to Stony Brook next summer and I'm from Long Island. From what I understand there are so many schools in the NYC/LI area that its difficult enough for the ones here to find clinical sites for their students. From talking with current PAs and advisors at some programs in the area, it does sound like a lot of the hospitals around here hire grads from affiliated programs. I've been told that Montefiore and Beth Israel exclusively hire Stony Brook grads (and they have been doing this since the program began roughly 40 years ago). North Shore/LIJ is one of the largest hospital systems in the area and is looking to develop into the city and is also a Stony Brook clinical affiliate. It may be difficult to find jobs at the other big hospitals in the city because they are all directly affiliated with a program (except for NYU Langone). Cornell has NY Presbyterian, Sloan Kettering and I believe Hospital for Special Surgery. Pace has Lenox Hill, CCNY has Harlem Hospital and SUNY Downstate has Downstate MC in Brooklyn. It's not that getting a job at any of these places is out of the question, but I would think it would be more difficult.

 

All in all regardless of which program you choose, you'll get a great education. If there's any reason Stony Brook wouldn't be well known outside of here I would guess it's because a lot of their graduates stay in the area after they finish school. I can tell you that if you have any doubts about Stony Brook, that it truly is a great program and a great university.

 

Maybe I'll see you in June?

Thank you so much for your feedback! I appreciate the depth of information! You mentioned NYU langone is not affiliated with any schools. Do they not accept any students at all for rotations?

Do you happen to know if many of the rotations at SB are closer to the city or in the city, besides the 3 locations you mentioned. Are the rotations mostly at hospitals or a good mix of hospitals and practices? It was very difficult to get a good grasp on the school after only being there for 3 or so hours. Especially since I am not from the area.

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if you want to work in nyc train in nyc.

also SB is likely a better program overall as well....

Thanks for your insight! You mentioned SB is likely a better program. Do you happen to know why they are ranked highly? Also, SB allows 1 elective for rotations with 11 overall rotations and UF has 2 electives totaling 12 rotations. How important is it to have an extra rotation?

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SB has been around much longer and has a long hx of educating PAs. UF is a newer program in a state that doesn't really like PAs.

# of rotations is not important as length of rotations and variety within a rotation(can you do peds surgery or trauma surgery for surgery, etc). some places do 4 weeks, some do ten so you need to compare # of weeks not # of rotations.

my program did 8 total with (6 X 5 weeks) + (2 X 12 weeks) for 54 weeks total. many today do 12 x 4 weeks or 10 x 5 weeks.

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Thank you so much for your feedback! I appreciate the depth of information! You mentioned NYU langone is not affiliated with any schools. Do they not accept any students at all for rotations?

Do you happen to know if many of the rotations at SB are closer to the city or in the city, besides the 3 locations you mentioned. Are the rotations mostly at hospitals or a good mix of hospitals and practices? It was very difficult to get a good grasp on the school after only being there for 3 or so hours. Especially since I am not from the area.

 

You're welcome! I'm actually not sure if NYU has any affiliations. Considering they offer degrees for every other spectrum of health care, I'm surprised they don't have their own program. 

From talking to the current first years, it sounds like a most of the sites are in NYC, but some are on LI. I don't know how they choose who goes where. They did say that most people end up moving to Queens, which is about an hour drive west of SB, before clinicals begin because it's easier to get to most of the sites. It also sounds like they have a good mix of hospital and smaller clinical settings.

Bes of luck with your decision!

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I may be biased (SB alum), but if you have any interest in working in the NY metropolitan area I'd go with Stony Brook.  The program has national recognition for quality, and it's reputation in NY is even stronger.  When I was a PA student on rotations I had multiple preceptors tell me that they would only hire new grads from Stony Brook and not the other programs in the area.  You also have the benefit of a large group of alumni to network with when looking for that first job.  There a numerous clinical sites to choose from in the program; I ended up living in Western Nassau County during clinical year and did multiple rotations in NYC.  The rotations led to several job offers, and I ended up taking a per-diem job in an ED in the city (I'd already taken a full-time job outside of the city).

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Will put my two cents in....having worked in Emergency Medicine in Manhattan for 25 years as well as in PA education....

Stony Brook has an excellent reputation. They require many hours of patient care experience and this is reflected for the most part, in their students. They are out on LI and would imagine that many if their rotations are on LI and in Queens. There are other programs in NY....LIU, Touro, Pace, to name a few. They do rotations throughout Manhattan and the other boros.

 

If you want to work in NY ( great idea)you should go to school in NY. Many jobs are obtained by word of mouth and during rotations.

There are lots of ER jobs in NY....not sure how all of them feel about new grads....you might consider a residency.....

I used to hire new grads but generally they were ones I had as students

 

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Thanks for your insight! You mentioned SB is likely a better program. Do you happen to know why they are ranked highly? Also, SB allows 1 elective for rotations with 11 overall rotations and UF has 2 electives totaling 12 rotations. How important is it to have an extra rotation?

Just an aside- I wouldn't put too much stock in the ranking system.  From my understanding it's done pretty off the cuff and isn't very accurate- outside of a particular school's faculty and prospective students I don't think anyone is even aware that PA schools are ranked.   Echo what is mentioned above- look for quality of rotation sites and ability to network.

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--I do not pay much attention to school rankings, but I do pay attention to the quality of a program. Stony brook is a quality program and a degree from that health sciences school is worth something. There are several NY region programs that are known to produce less qualified students and I am sure some employers are aware of this.

 

--Someone above stated NYC Is a great place to work. I am not sure I agree. It is a SATURDATED market for medicine .... There are numerous PA schools throughout the city and PAs unfortunately do not have the best reputation because of some of these programs.  PAs tend to make a bit less in NY than other similar cities , and the cost of living is quite high. You could not raise a family and live in Manhattan on a NYC PA Salary. I am sure if this is where you want to be it will work out at the end of the day. However, it will not be as easy as other regions. And with all these increased PA and NP program who knows what will happen.

 

-NYU loves creating degrees and charging big money. Please do not give NYU any more ideas for creating degrees. We already have ENOUGH PA schools in NY region. Preceptor sites are becoming poorer and poorer, and harder and harder to come by.

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NYC is probably the best place to learn medicine do to the "melting pot" of people. It is also, as stated above, not the best place to work. NYU is not PA friendly. they prefer NP over PA and utilize PAs as slaves in their hospital system IMHO.

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I am from the region btw. Stony Brook University is about 1 hour 45 minutes from NYC midtown by train. Driving a bit less provided NO TRAFFIC which is rare. Chances are you are not going to want to do many rotations in NYC if you have a apartment/home close to SBU campus.

 

Yes NYC has a lot of hospitals .... a lot of sick people ... a lot of technology ..... but sometimes that creates a very crowded environment ... crowded in terms of people involved (specialists, resident, intern, student, shadow lurkers, pharma) and crowded in terms of tests ordered and not always the preferred way to train. Nice to have a mix of environments. I studied at a large academic hospital and some of the best education happened in the outer clinics where a clinician shows me an exam technique and explained medicine in a conversation.

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I am from the region btw. Stony Brook University is about 1 hour 45 minutes from NYC midtown by train. Driving a bit less provided NO TRAFFIC which is rare. Chances are you are not going to want to do many rotations in NYC if you have a apartment/home close to SBU campus.

 

Yes NYC has a lot of hospitals .... a lot of sick people ... a lot of technology ..... but sometimes that creates a very crowded environment ... crowded in terms of people involved (specialists, resident, intern, student, shadow lurkers, pharma) and crowded in terms of tests ordered and not always the preferred way to train. Nice to have a mix of environments. I studied at a large academic hospital and some of the best education happened in the outer clinics where a clinician shows me an exam technique and explained medicine in a conversation.

not everyone needs their handheld, some people just need exposure to a greater variety of disease presentations and different diagnostic/therapeutic techniques. I stand by my original statement. PS. stonybrook is not a part of NYC. it is long island

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