I'm graduating PA school tomorrow and taking my PANCE in a week (wooooo!). I'm highly motivated to pursue a career in emergency medicine, particularly rural EM, and interviewed at multiple programs this summer. Unfortunately, I did not get into a program that felt like the right fit for my goals, so I've decided to reapply to more of the quality programs with open applications this fall. Most of these residencies don't start until late next spring or summer. Here's the issue: that would leave me with a minimum 7 month gap in employment, and up to 10 or 11 months, before starting a residency. That's terrifying! As far as I can tell, here are my only options, none feeling all that great:
1. Find a non-clinical job to fill the time/money gap. I have a job offer with an EMR implementation & consulting company that is OK with my timeline, but I fear I would lose so much knowledge if I'm not actually practicing what I've learned these last two years. Also, this might reflect poorly on my applications this fall.
2. Locum tenens work, ideally in urgent care or EM, but may have to do family med for a bit. I'm not really comfortable with this, as I've read on here that locums might be a pretty terrible idea for a new grad. The last thing I want to do is be in an unsafe environment, but somehow this feels like the better option.
3. Take an urgent care or EM job, not disclosing my plans to leave (who would hire me otherwise?). This feels dishonest and I'm least comfortable with this idea. I think it'd be terribly rude to leave any clinic/ED in such a short period when they've put in the effort to train a new grad. Am I off base with that? I could also work somewhere for a few years then reapply, but we all know how life goes; I'd rather do the hard work now before family/house payment/etc are deterrents.
I'm really stuck on this and hoping that the experienced crowd here could impart some wisdom in my process. I'd really appreciate any advice!
I will be starting PA school in January and was looking for guidance about what path I should take to achieve my goals. If I could start over I might have chosen a different route to get to this point but I graduated with a Bachelors of Biology from Ohio State, went on to gain my patient care experience as a CNA, and applied for PA school. I really want to do something with babies so I am looking at Women's Health/OBGYN.
What is the best path to take to get a job working closely with delivery and babies? I know PA's are up and coming and at least in NC are not often hired in most fields working with infants. Finding a Neonatal PA job is like finding a needle in a haystack. Heck even a neonatal PA residency is few and far between. And I am considering labor and delivery but after working nights in the hospital, I like more of the clinic setting. Plus I have never shadowed in L&D so I am not sure what the job specifically entails from the provider standpoint. So that left me considering a Women's Health Clinic. I shadowed a PA in one of these clinics and I loved it but after some research it does not seem there is much opportunity in clinics for OBGYN PA's and most clinics prefer NP's.
So I wanted to ask some PAs who are currently out in the workforce and have wanted to work with newborns what their experience was like, how they found the position, and what they did to get there. What would be the best way to make myself competitive for an OBGYN PA provider position and what is the best way to find job openings in that field? Should I seek out an OBGYN residency after school or should I focus on real world job experience doing something that maybe doesn't interest me as much to gain work experience? Are there other possible careers I am forgetting about that will allow me to practice as a PA and work with infants/delivery?
I am also strongly considering pediatrics as another option which seems to be much more readily available to PAs but I have always been fascinated with the reproductive system so I appreciate the gynecological portion of women's health as much as I love obstetrics. Any advice would be greatly appreciated! I do not want to end up in the same position I did immediately after college where think about what I should have done differently if I could start over. I want to do it right the first time so I do not struggle to get into a field I love because I don't have a crucial experience in my toolbox.
Any help is greatly appreciated!
I’ve been having some discussions about doing a CCM residency at my institution after completing my residency. Everyone seems interested in me doing it. A few things would have to be altered such as my current residency would have to be extended 4 months (for a total of 22 months) to coincide with the start of the fellowship, which they also seem interest in doing. In exchange I would also get more elective time. I’d prefer this over doing locums so it would be a simple transition, but isn’t necessary. The CCM residency is a year long and pays about 7-10k more than I make now (which isn’t much lol), so in total I’ll have done just shy of 3 years post grad training. The talks are going that I would eventually split my time between CCM and EM like the docs with 6 shifts per month in the ED and 1 week per month in the unit. It would be more for management of the various ICU patients (rotate through Cvicu, micu, snicu, picu, and other areas) as I’ve already learned the majority of the procedures, though I would learn bronscopy and percutaneous trachs.
Pros: I think it would just be cool to be, I think, the first formally dual trained EM-CCM and truly fellowship trained PA.
it would be nice to have the variety of working CCM and EM.
I have more GI bill to use to supplement my income, which pay about 1900 per month.
it would help with my PSLF. The less I’m paid the less I pay them, and finding a non-profit to work for in EM with all the groups is hard.
maybe could led to some consultancy work establishing residencies elsewhere? Or maybe speaking/lecturing/podcasts for EMRAP?
another year putting off settling down, renting a so so house,
thoughts? Should I just go straight to work? Am I overinflating the pros?
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!