I have been accepted into PA school and am starting to have second thoughts. The initial plan was to graduate and specialize in psychiatry. I have an interest in psychology and neurology. Becoming an MD is out of the question, as I can't move (military family). I have found one accredited Ph.D. distance program in Clinical Psychology. I have considered going that route but am scared I'll regret not going PA. This time last year, I was thrilled to get an interview. Is it normal to have cold feet? Has anyone else made a similar choice? Anyways, thanks for listening.
I was just offered a job as a new grad in psych at a private practice outpatient clinic in the Houston, Tx area. My hours would be 9-6 or (10-6 with no lunch break) Tuesday - Friday and a possible Saturday shift from 9-1 which I am clarifying now as to if this is set in stone or not since it was unclear. They told me I would be shadowing the first two weeks and then after that I will slowly see my own patients while consulting with the doc after each patient. They currently have one NP who they hired as a new grad and trained.
Salary: I told them I was looking for 100k since that is the average for a new grad in Texas and they offered me this breakdown: 92k for years 1-2, 102k for years 3-4, and 113k for years 5-6. Then, a bonus set up like this: starting at 6 months, a quarterly bonus at 65% patient occupancy is a 1k bonus quarterly, at 75% patient occupancy a 1750 bonus quarterly and at 90% occupancy and greater a 3k bonus quarterly. The bonus seems okay but I have no idea how to gauge this since idk if I will even be hitting these numbers as a new grad. They told me the NP currently sees follow ups in 15 min slots or 4 an hour with a break after to chart and that new pt visits are 1 hour. They told me my follow ups would be set for 30 minutes instead of 15 since I am new.
PTO: 7 days first year (this seems very low to me and was also not broken down into CME or sick days so now I have no idea if I even get CME days so that will be in my email back with questions)
Malpractice coverage and 401k with 5% match effective after first year. It was also unclear if the 401k is not effective at ALL until the first year or if just the matching so I will be asking this as well. Need to ask if this includes tail coverage?
Overall, I am happy to have a job offer but wondering if this is a good one. I would like to counter with a base salary of 96-97 possibly since a 1k bonus for three quarters in my first year would put me at the average new grad salary in Texas of 100k. Does this seem unreasonable? I also really don't like how the salary is already structured for the next 6 years and how I do not get a yearly raise to match inflation even. Is this common? What do you all think I should include in my counter? Overall, is this a good offer and would you take it as a new grad? Is it a bad idea for me to counter? Please help!! Thank you!
Edit to add: they do not offer health insurance if this makes a difference. Thank you!
I'm currently in my undergrad program taking my prerequisites for PA school. I plan on graduating in the Spring of 2023 and applying for PA school that same year.
As I begin my PA school research, I keep having self-doubts on my ability to learn the content in PA school, which questions my ability to "make it" as a PA.
While I am doing well in my undergrad/prerequisite courses, I fear I am not genuinely learning the information - just merely memorizing and doing well on exams. My question is: Will I/How badly will I struggle in PA school if I don't remember/didn't efficiently learn the coursework from prerequisites like Biology/A&P/Chemistry?
I do not fear applying for PA school/getting accepted (aware that it may not happen the first time I apply), but my current GPA is 3.8 and I've been working full-time as a medical assistant for 3 years (plenty of PCE, HCE & shadowing). However, I fear getting into PA school and having the feeling of "what did I get myself into". I've had PAs that I work for all tell me that I can do it, but I keep having this lingering self-doubt that my ADHD brain and I will not be able to grasps concepts like others will due to my lack of deep understanding during prerequisites (and just having recently been diagnosed with ADHD & still learning what medication works best for me).
Is this feeling normal?
Thank you to whoever can give me some honest insight!
I am looking for some insight from any PA practicing in outpatient psychiatry, especially is TN or VA
I heard from a colleague that there has been some issue with reimbursement in the outpatient psychiatry realm that is specific to PA services
I wondered if anyone currently practicing in this specialty or anyone with knowledge about the situation could weigh in.
Are PAs reimbursed at the normal rate or at a decreased rate?
Are there discrepancies between reimbursement for medicare/Medicaid and commercial insurers?
Thank you all in advance!