I'm a new grad starting out in ambulatory surgery-- I'm super excited because I love being hands on in the operating room. I was just wondering if any of the Surgical PAs could give some insights about ambulatory surgery? The site I'm going to be working at has 12 surgical subspecialities (list below). From what I gathered through the interview process, I'll be able to get experience in all of them. That being said I'm worried about being prepared and knowledgeable for cases. Anyone have any tips of how to study up, or even get more comfortable once starting? I have a little over a month before start date so any resources are welcome. Thanks in advance!
List of subspecialities/ topics to brush up on🤯🥴:
Head and neck surgery
Minimally invasive gynecologic surgery
Sports medicine surgery
Hi guys, I hope to see if I can get any guidance about my current situation.
I am a new-to-practice PA and started my job in CT surgery in February of this year. I graduated in August of last year. I am working in inpatient cardiac surgery and am currently still on orientation, but I am feeling quite overwhelmed and starting to wonder if this is not the right opportunity for me to have taken on as my first job out of school. To provide some background, the team I work on is 95% NPs, 5% PAs. The team is predominantly comprised of NPs that have had years of experience working on either the cardiac surgery floor or in the surgical ICU prior to becoming NPs. There is another new-to-practice PA that came about a year and a half before me, but I am the second new-to-practice PA that they have taken a chance with hiring. There is one other seasoned PA who has prior experience. I say "taken a chance with hiring" because the new-to-practice PA that had come before me was the trailblazer in that my manager was testing the waters to see whether new grads would be able to make it on this floor. PAs are typically in the OR for CT surgery where I work. The new-to-practice PA was on the verge of leaving but was encouraged to stay with the promise of an extension to her length of orientation (from 3 months to 6 months) and with her demanding that changes be made to how orientation for any future new-grad PAs be handled.
I am currently being mentored by the seasoned PA, as well as another seasoned NP. I take three of their patients (typical patient load for a provider is about 😎 and they try to follow behind me so that we can address aspects that I am missing. While there are some opportunities during the day to talk through some topics, oftentimes the rigors and rounding schedules of the floor only allow for us to touch base briefly and intermittently. There are no residents or fellows on the floor, so it is only the team of NPs and PAs that are running the show while the surgeons are in the OR. Because of this set-up, there is very minimal addition of new knowledge within this team. There are no lectures to attend to ensure that we are practicing evidence-based medicine, each surgeon notoriously prefers different styles of practice based on their training and experiences that is un-Google-able, and I feel that my main sources of learning rely on what I can try to teach myself at home and what my mentor can offer in the limited time that we have during the work day for teaching. I feel that being so many months out from graduation, I am trying to find my way to regain and effectively apply all the knowledge I once had from school into my new role as an inpatient provider, while also trying to learn cardiac surgery, a specialty I had been minimally exposed to during school/rotations. I find myself leaving work feeling completely defeated by how inefficient I am with having managed only three patients (though complex patients) that day, with my head feeling full of everything from navigating the EMR system, to putting in orders for medications that I now need to know the dosages and frequencies for, to remembering the information that my mentors had offered me that day, to remembering how to clinically manage patient conditions instead of managing pretend patients that had once been in non-real-life-threatening multiple choice formats, to realizing that not only the surgeons differ in their practices but the NPs and PAs differ as well.
My mentors are frustrated because it seems that I do not remember some topics we discuss, and while I can understand where their frustration is coming from I feel like I am drowning to try to keep up with absorbing all these things that are all new to me. I try to jot down notes whenever they say things, but there is not very much opportunity to ask why certain things are the way they are, nor are there always reasons why they are. Because of this, my memory feels like a "snapshot" memory and I am finding it difficult to then apply what I am being told to another situation that may be similar in the future. While I try to return home with what brain power I have remaining to review what we have gone over, there are ultimately gaps in my knowledge because there may have been aspects that I was not able to jot down quickly enough, or that I maybe didn't understand fully when the factoid was told to me in an isolated incident. I also find myself planning to research a whole laundry list of topics of confusion to find myself going down a deep rabbit hole just to feel like I have grasped the topic, only to find myself not making my way efficiently through my topic list and then returning to work and finding more topics of confusion. In the midst of my mentors' frustrations, it has now reached the point where I am afraid to ask questions because I am afraid that my mentors will say "we've already gone over this" when I truly do not recall it or when I only vaguely remember them saying something about that question but not in an in-depth way. I feel like they think they're being crystal clear and that the things they are telling me should be easy to remember the next time, and I wish I could ask them to be patient with me because it is a lot to digest. My manager's only consolation was "well in your interview you knew that this was not going to be a teaching floor," and I just wish I could find the voice to reply that even though I expected this to be hard, it doesn't make this any easier.
I dread going to work and it's very difficult for me to gauge whether this is simply a new grad experience, or if this is an opportunity that was not meant for me right now when factoring in my new grad status and the resources and environment that I currently have to get my footing as a new grad. My confidence and self esteem are in the dumps because I feel like an idiot that can't remember anything from school, let alone remember anything about CT surgery to make my mentors feel that I am making adequate progress as I approach the end of my third month on orientation. If anyone has any advice, I would greatly appreciate it.
Someone, somewhere on this forum said this... You can have 2 out of the 3. Dream job(speciality), dream salary and dream location.
I am a new grad with an offer in derm, good salary, but the location is rural... I love derm and it’s what I’ve always wanted to go into, but I don’t think I will be happy in a rural area.
I also have an offer in family med in a bigger city which I can see myself living in. I love family med as well and I believe it will make me a well-rounded provider.
As a new grad, I know it is recommended to start in FM. I don’t know if I am making the right decision walking away from the derm opportunity in the small town. I guess my question is, do you think there will be other derm opportunities in the future? How did you pick your first job? What is your advice and what would you have done differently?
Thank you so much.
I'm about 3.5 months away from graduation. Recently, an advisor from our school came to talk to our class about finding our first jobs. He recommended going on LinkedIn, looking up former grads from our program who are employed where we'd like to work, and calling them or sending them emails asking for advice on getting hired, even if we don't know them from Adam. I feel a little weird about doing this, and I want to know what the general consensus is on this one.
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!