I was hoping to get some opinions on which surgical residencies (in terms of specialty) y'all think provide more independence for a PA? Concerning performing procedures, are cardio PAs doing more autonomous work than ortho PAs, or EM PAs doing more than ortho, etc...?
I have a question about my current gig. I'm so dissatisfied with the degree of my responsibility and my compensation. I work for a large Hospital system in the west providing solo coverage to a low volume, high acuity rural ED. We are at the convergence of 2 major interstates and are a farming community. A recipes for badness in the ED. I completed a post-grad program in EM and am fine covering the ED here. I have 8 years experience and my skills with medical and trauma patients are up to snuff. My medical director who is boarded in EM says that I do a much better job with sick patients than the FP guys/residents who cover shifts here.
The catch is that by working for this health system, my pay is per years of experience (8 years). I get paid what the other PAs with same experience get paid even though at the urban or suburban facilities, they have a physician on site continuously for consults or when the (*&^% hits the fan. This is not the case with me. I'm all alone all the time. Have a general surgeon who is around occasionally and that's it.
I make high 50's/hr, plus benefits, cme, 401k match, pension after 25 years and licensing. I love my job, but its setting me up to either demand more pay/hr or move to a less stressful setting. How would y'all approach this with administration?