I don't really comfortable speaking this frankly to my colleagues. None of my close friends or family are in the medical field so they don't truly understand. I am still a somewhat new PA and I am already considering a new career path. I went to PA school 2 years after graduating college, so I don't have any experience in any other fields besides healthcare. But I've been having serious thoughts about quitting my job and quitting the medical field altogether. A little background about me, I am in my late 20s and I have been a practicing PA for about 4 years. During this time I have been at the same practice, a specialty and internal medicine office. There are several physicians, but I am employed by one. I see patients in the clinic, in several acute care hospitals, and at nursing homes. Although I like the variety and the types of patients I see are very interesting to me, there are downsides to the job that just become more apparent every day. I work M-F 9-5 and 2 weekends per month. I have to take round at the hospitals and take calls on those 2 weekends, plus take calls 3 weekdays out of the week. I often work 3 weekends a month, and occasionally even 4 when my contract technically says 2.
My supervising physician is retirement age and he refuses to retire and instead delegates more and more tasks to me. For example, sometimes if he is too tired / lazy he will tell the staff to just transfer patient appointments to my schedule. Patients are understandably upset when they made an appointment with the doctor they've known for years and get switched to the schedule of a PA they don't know. I feel like "as the PA", and an employee of the doctor, I pretty much get saddled with all the grunt work and undesirable tasks that he doesn't want to do. I know in other settings PAs are treated with a little more respect and not just given the busy work to do. There are some upsides, I do like my SP, we work well together, and I feel like I can honestly and freely discuss patients with him without judgment. I also know that he may retire in a few years so this job won't be permanent either. I don't know if getting a new job will help.
I applied for two separate jobs that I did not get. One was a family practice M-F with no call/weekends and the other was an allergy practice M-F with no call/weekends. Getting rejected for both of those jobs really discouraged me and made me feel trapped at this job. It won't be easy to find a new position.
I get frustrated with patients too. It just feels like there are so many patients who are med seeking. Some providers in my area were recently sentenced to prison time for overprescribing narcotics. They were reckless with their prescribing and I am quite careful, but the fact that jail time is in the realm of possibility for our profession constantly looms over my head.
Patients also often want to be on disability when they clearly do not need to. There are so many patients wanting DMV disability placards and getting irate when I tell them they don't qualify. In addition, patients whose licenses get revoked want me to sign off on them being safe to drive when there was a clear reason the licenses were revoked. Again, I am on the receiving end of the brunt of their frustration and anger when I say they need a specialist clearance. There is just so much liability in our career field and so much stress involved. Liability is always there medically too. YOUR decision can affect whether a patient LIVES or DIES and it's so much stress that I have actually developed my own health issues secondary to the stress.
I have had a patient stalk me and become obsessed with me. He wrote me unhinged letters and made many calls to the office describing my car, etc. We had to get the police involved and I considered filing a legal restraining order. I know this is possible in any profession, but it feels like healthcare can be personal and intimate and patients can get the wrong idea. I again contemplated quitting the profession at this time.
I have looked into other careers such as being a pharmaceutical representative, working in research, being an accountant, ANYTHING other than this. I have contemplated quitting and just living off my savings until I figure it out. I have talked to some colleagues to an extent, many are much older and have been PAs longer than me. I sometimes question if I'm just being an entitled millennial who wants life-work balance early on in their career until I realize that it's not normal or common to work 24-25 days in a row. It's not normal to only get 4 days off a month (if that. Some days I would get 2 days off a month.) I actually finally told my SP I was considering leaving because I was too burnt out. He trivialized my concerns and said "Why are you burnt out? You're young. I have been doing this for 40 years." Which is true, but this wasn't the life I envisioned for myself. After talking, he did acknowledge my concerns, and he hired an NP who can help me with the workload and guaranteed that I will only have to work the 2 weekends a month as outlined in my contract and I did get a raise. (I still feel like I'm underpaid which is a whole separate story.)
Sorry for the essay, I just really needed somewhere to air out my frustrations with other people in my career field. Thanks in advance for reading.
This is my first post in this forum. So glad I found it! Anyways, I am currently applying to PA programs, and I have a question regarding my patient care experience. I work as a medical technician at a nursing home. Up until this point, I have about 800 hours. However, some of the schools I am applying to require 1000+ hours. I will easily get these hours done by the end of the summer. Should I put my "end date" on the CASPA as (ex) August 31st, 2019? That way, I can approximate the amount of hours I work a week to put myself over 1000 (and so the schools won't immediately throw out my application)!
I have a 4.0 major GPA (Biology) and 3.96 overall GPA, 50+ hours shadowing a PA, 100+ volunteer hours, and scored above the 60th percentile on all sections of my GRE. Do you think this bare minimum of hours will hurt my chances into getting into PA programs? Right now, I am planning on applying to DeSales, Arcadia, Chatham, and Yale (as well as a few others).
Planning to apply to Baylor, UT-San Antonio, and UTMB-Galveston by September. While I do not have direct patient care experience yet, I hope to be hired on for a position soon so I can put on the app that experience will be acquired before enrolled in PA school. I have two positions that I'm interviewing for next week: phlebotomist (3 months paid training included) or tissue recovery technician, which involves removing tissue from donors for transplantation. The hours for the technician position are ideal for my situation right now (nanny). Being a phlebotomist means I will have to drop everything I have going on. Will the technician position be considered novel in any way? Or even be considered direct patient care (this will be mostly with cadavers)? Or should I just go with the safe bet and throw away any semblance of a life I have before PA school?
Okay. So I have been having trouble finding a job out of PA school. I graduated in December. I applied to a few residencies and fellowships and made it to the final round of one of the residencies but ultimately was not chosen. (This process took 2.5 months of my life= 1.5 months waiting for the interview and 1 month waiting for the results).
So now I am 7 months out of school and without a job. The biggest problem is that I struggle with confidence. I did very well on all my tests in school but I feel like 2 years in school wasn't enough for me to be ready to practice medicine. Unfortunately, all of the fellowships and residences have deadlines that have passed so I am trying to find a job that will be welcoming of a new grad and be training heavy.
I have a few interviews/job offers but need some advice of which would be best for me.
One job primary care. They will give me 1-2 weeks of shadowing the doctor then 2 months of working in the same clinic with the doctor who I can utilize for questions. After that time I would be solo at one of the clinics. Pay is okay 90k but job is in California which is kind of expensive.
One job is Urgent care. Shadowing for maybe 1 month then would be solo "sometimes" at 2 of their locations. But able to call doc at other locations if I have a question. Better pay and benefits than the primary care job. But I have read on the forum that Urgent care may not be the best for a new grad to start in.
One jobs is endocrinology (I am scared this may be too specific for my first job and I may not be able to get out of this specialty if I end up not liking it).
Any advice of which I should take if offered the position (knowing that I am a new grad who struggles with confidence)? I wish there were more residencies and fellowships for pAs!
I'm a 2nd-yr PA-C currently stuck in geriatrics but interested in psych. I think my next job would be in psych (in an ideal scenario, as of now). I get a lot of new patients from nursing homes and ALFs that are already on psych medications. I haven't found a good reference guide for psych meds outside of the 1st line SSRI's that are started for depression/anxiety and stuff that I learned in school.
Is there a good source for what meds come after SSRI's? I inherit a lot of patients who are on SNRI's/Anti-psychotics and although I don't manage them (they are often seen by psychiatry), a lot of these people have a hard time being seen by psych because they are few and far between and the wait times to get to their psychiatrists are pretty long. I just want to know why they would take one med over another, like:
for SSRI's: why would you choose celexa vs. lexapro vs. prozac vs. paxil vs. zoloft, etc...
when would you consider an SNRI?
for psychosis: why would you choose zyprexa vs. geodon vs. risperdal
something that would break down basic questions into a quick guide for someone like me who doesn't work in psych would be much appreciated! Medscape & UpToDate are a little to detailed for what I'm looking for, although I read up on those too-- but something more quick and dirty is more appropriate for what i'm looking for