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.
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!
Curious if anyone had recommendations for useful gastroenterology books, as I will begin working in an inpatient & outpatient setting in 2 weeks. I would like to study the "basics" so the practice doesn't instantly regret hiring me ;) Any recommendations (or even advice) is greatly appreciated! Thanks!
(P.S. -- yes, I did see that the same question was posted in 2011. Though, would like to see if people have different ideas 7 years later!)
Hey all, would appreciate your inputs- thoughts, questions, concerns welcomed. Thanks!
Rural midwest FQHC, 4 or 5 day work week. Low COL area.
85k base (nonnegotiable, increase to 90k after 2 yrs, no productivity) 10k student loan reimbursement Retirement 1% match, w/ potential 1% extra dependent on overall practice productivity Health benefits req. ~$30-100 monthly contribution a little over 7 weeks accrued PTO yearly (includes everything- vaca, holidays if scheduled, sick, cme) 3k CME Natl and state professional assoc fees, license, PANCE paid for, won't say no to others within reason. (Uptodate incl) malpractice with tail incl. but I need to spend more time understanding the actual coverage
Has anyone transitioned to primary care from a specialty? I'm a relatively new grad that has about 2 yrs of experience, all primary care jobs. I've always wondered what it would be like to be in a specialty. I'm feeling the burnout already and mostly from the charting. I've had 2 different primary care jobs and the charting is pretty heavy in both. I'm pretty quick about typing and charting too and I still don't see how it can get any faster than it already is for me.
More importantly, is the stress level at a specialty any lower, especially considering the fact that your visits are more focused in one area? Between taking everything into consideration, along with walk-ins/sick visits, new patient visits, annual visits-- primary care can give someone an ulcer just thinking about the workflow.