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I considered a residency. But, then I had the opportunity to speak with HR departments in 3 different hospitals as to the benefits. Basically there's a pay scale for PA's. With no experience you start at the bottom of the scale. With a lot of experience or a residency under your belt, you start higher up on the scale. Regardless, the scale is only so large and therefore with a residency you hit the max cap quicker. Benefits??? You hit the cap in 2 years instead of 3 years. I'm not going to deny the fantastic, dedicated, individual experience one would receive in a residency, but if your goal is to use a residency to get ahead in the payroll side.....it's not worth the time or energy.

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I'm not sure anyone would use the residency to get ahead on the payscale. What would be the reasoning for that? You're already taking a half salary pay cut for a year. As a new PA with little medical experience (I was a CNA for two years), the main reason I am doing a residency is to increase my medical experience so that my application is more competitive than other new grads as well as those who have been practicing less than 3 years. Also, my specialty requires a residency if I want to compete for jobs with NNPs. If you're doing a residency for a pay increase then you're doing residency wrong.

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We live in a world where more training and experience makes you more competitive and eligible for more responsibility and pay. There is nothing wrong with that. If you reach a hospital's salary cap, you can look for a job elsewhere that pays more. Hospitals are bureaucracies and are heavily regulated. In the REAL private sector, you can get a job that pays bonuses for productivity and, with the right training and experience, that can become very lucrative. When everyone else seems to care about nothing BUT money ( notice how you are taxed, fee'd and nickel and dimed to death), why should health care providers eschew money as though it were a bad thing. Those who have the time and can afford the low pay to do a year of residency should think of it as an investment in their future.

 

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