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Hello all,

I am a PA switching from a surgical specialty to emergency medicine ( in PA). I have been practicing for about 3 years. I am expected to start my new position mid January. We are sending my new supervising physician agreement in this week (end of October). I was wondering how long it typically takes for the state to approve the agreement? I am worried that I will not be able to start on time. Also the hospital I work at drops your pay 'two tiers' when you switch specialties within the network. I was wondering if this is common or if anyone else has had a similar experience. Also any tips for switching specialties would be appreciated..

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