What is the process of creating a clinical site or at least an affiliation with a doctor or organization for one student to do a rotation at? I have been desperately trying to get clinical rotations in CA, my home, while I am currently out of state. I have situational depression and I know that being able to do rotations back at home would help immensely with my focus, happiness, and health, but my school won't budge in helping me. Their reasoning was that it's too much work for them to make affiliations with new sites. I have found doctors willing to take me in for rotations though, so the only thing left would be the paperwork which I thought was in large part filled out by the preceptor. Does anyone know anything about this, and if so, could you please help me understand?
Hi! I'm new to the forum and wanted to ask some career advice from all the pros out there.
I will graduate in 6 weeks and have been lucky enough to receive two job offers in a pretty rural area. However, I'm really struggling between the two. I've made a pros/cons list and still haven't come to any conclusion. One is my ideal speciality (peds ortho) while the other is in a speciality I've never wanted to work in but seems to offer a fantastic work environment, SP, and more money. I was approached by the physician for this job and considered it as jobs are somewhat scarce in my area. I would love some insight on what has provided you with the most happiness in your career. Was it work environment, a speciality you're passionate about, salary or lifestyle? I am married with a 9 year old too so lifestyle kinda automatically factors in for me.
I will list a summary of the two and appreciate any advice on the offers!
1) Ob/Gyn private practice with first assist duties at his private surgery center and hospital for deliveries/sections
94K base salary with bonus of 10% on anything I bill over $52250 per quarter Contracted-60 days notice required for both parties; can break contract for any reason Noncompete for 1 year in that county only (not the county I live in) and that speciality only Mon-Thurs (4 10 hr shifts = just 40 hrs a week) Typical week for him includes 65 patients a day, 8 deliveries a week, and 6-8 surgeries a week I will have to build my own patient schedule as he has never had a PA only PA students (little concerned he has never had a PA and in his mid 60's) 3 weeks PTO, 1 week CME 2500 CME (includes fees, dues, licensure) Malpractice with tail coverage included Pays for my health insurance (family coverage is available but extra) No 401K offered Gave no reference to evals/raises/increase structure but when asked stated we could discuss them anytime I desired No call SP says he has no expectations for me and will fully train me; I can begin seeing patients when I feel ready as early or late as I am comfortable with Moonlighting ok, doesn't need approval 2) Peds Ortho with travel for large multispeciality practice; typically 5 clinic days/2-3 OR mornings with first assist duties
90K base salary with statement of "bonus may be given by SP physician and will vary" (got a flat "no" when I countered with 94 to try to make it equal to my prev offer) Starting pay of $15 an hour until I have licensure (they stated temp licensure would suffice) NO contract-letter of intent only and states "may be terminated at will" at bottom (I used to work for this company and never had any issues before but this bothers me) NO noncompete Mon-Fri with no definitive schedule; M, W, TR are OR mornings and clinic the other times Multiple locations each day with lunch used to travel to a different office His current PA said she was "happy" with her hours and only offered that they varied with two "long days" a week I'm estimating at least 55 hrs a week with drive time 2 weeks PTO, 1 week sick, 1 week CME $2500 CME (includes fees, dues, licensure); must be paid back if I leave within 1 year of them paying for it Malpractice with tail coverage included Stated his patient load and surgery schedule varied by season (busier when kids are in school and playing sports and when deductibles are met) Health insurance begins after 90 days; I am responsible for the cost and that was not provided 401K with 4% matching Ignored my question about raises/eval when I asked in email I have since found out the company states they are on a salary freeze which began 4 years ago when I worked there! Call (two types: phone post ops and level 1 trauma hospital call 1-2 times a month); gave no clear layout for this or how this factored in to pay; there is nothing about this in the "letter of intent" Option to work UC once I am trained (stated this would be an extra hourly rate but did not state how much and said this could be discussed later if I was interested) He covers 8 locations and I would be responsible for half of them once fully trained...so lots of travel Mileage reimbursed at .52 to any location outside of my home facility Monthly cellphone stipend of $100 PA friendly company-facility has multiple (55+) PAs and frequently hires new grads so I'm assuming he understands the training process States he is willing to train me and also has a PA to train with that has been with him for a 1 year (last one was there 6 years before moving out of state) I've always wanted to do peds ortho so that excites me, but I was a little disheartened by the immediate "no" to my counter offer and the lack of structure in their letter of intent. I had to press for the benefits to be sent as it simply stated eligible for benefits and PTO. It's kind of like pulling teeth to get information that seems like it should be included without question. Also, the bolded statement saying they could "fire me at will" requiring my signature makes me uneasy as a new grad. The lack of job schedule and description is somewhat worrisome too. I would love to have a little bit of heads up on my schedule as I have a family and a 9 year old. Maybe this is common for ortho though?? Sounds like they plan to work me to as much as possible for little as possible. Should I just accept this if this is my dream speciality, do my time as a new grad, and bolt once I've gained experience? Also, is this offer even fair? Does this offer seem sketchy or am I being paranoid?
Women's health has NEVER been a field I've had any interest in, but the SP seems amazing! I've heard that's so important for new grads. Plus, he has been waiting on me to finish to school saying he felt like I was the perfect fit for his office and practice. Four 10 hr shifts is also nice for my family. His offer was more structured, clear and reasonable. He originally offered 88 and then fully accepted my counter offer stating he wanted me to feel I was an equal in his practice should I decide to take the position. I feel like if I go down the Women's Health road, it will be harder for me to transition to any other speciality.
Ok. I've rambled long enough. Thank you in advance!
Starting a post for the 2018-2019 cycle for Cal Baptist University's PA program! Good luck everyone!
I graduated PA school last May and 6 months ago I started "my dream job" - Ortho surgery. I was told it was going to be working 40hrs/week, half clinic half surgery, no call.. it all sounded perfect. Now this is my current reality - I am pushing 6 months at this place, love the field and a couple of coworkers. However the doc that was supposed to be a "super nice teacher" is done with me it seems like. At the current time I am working about 10-12 hours every day and scheduled to start taking calls soon. This amount of time plus the calls arrangement is not what I was told this position would be like during interviewing. That being said, I realize that I am getting so much experience, and being a new grad I can use as much of it as I can get. The major problem is the doc I work closely with. He gets upset with me when I ask him questions or am unsure about something, he was really good about walking me through a lot of stuff for the first few weeks but very early on I was expected to be a fully functional partner. I entered this job with them knowing that I am a new grad. I lack so much experience and despite my success in school this isn't something I learned before or even something I can pick up from a book. There are so many cases and they all can be so vastly different, even if its all shoulders. In my mind I think that patient safety and well being comes first but the doc I work with has been upset for some time as he thinks I am slowing them down. Basically for the last month or so he has been avoiding me as much as she can. I try not to ask him questions and instead go to my other colleagues, but i feel like his attitude isn't fostering a professional relationship between us. I can see that he is not fully wrong in expecting more of me but I don't know why they hired a new grad knowing that it would be very difficult for me to work on par with him within just a few short months. Just a couple of days ago he sat me down to tell me he isn't sure if we are a good fit for each other and that we should both think about that as my 6 month performance evaluation is around the corner. I knew that he has been annoyed with me and mostly sees me as a "kid" but this really took me by surprise. Especially since I asked him no more than a month ago how I could improve or what I am not doing well... to which he responded - "you are doing great". So now I don't know if I will even have a job by the end of April. Has anyone had similar situations? Am I supposed to start applying for other jobs? Do you think that a 6 month employment period will look super bad to new potential employers? I've been thinking about what he said and have come up with a few things I want to talk to him about further. I plan to speak to him again this week and tell him what I plan on doing to better my work flow and increase my knowledge as well as ways in which our relationship could be smoother (aka better communication on his part) but even if he doesn't fire me I don't know how we can come back from this. Sorry for the long post but i just needed to vent a little bit.
Thanks for your replies in advance!