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!
Hello! I am looking for a preceptor in PA (prefer), MD or NY for my mental health rotation. It's the last one I need before I can graduate! Dates are 2/22/2020 to 3/24/20. My program offers $500 and tons of CME hours. Please let me know if you can help or know anyone who can. I can precept with anyone who works in mental health and writes scripts for psych needs. Feel free to DM me or email me at email@example.com. Thank you!
I have a friend who is a fellow new grad PA, and she is considering a 2-year residency program in psych. She has a passion for psychiatry and could see herself making big differences there, however she is worried that she may begin to forget general medicine if she only works in psych for 2 or 3 years. Her other passion is ortho surgery (and other general surgery). She has also considered pediatrics and inpatient neonatal as other close-2nd choices.
So, I'm wondering if anyone has had to decide between two fairly distinct specialties or switched between the two, years down the road. In particular has anyone here gone from a psych residency program to another specialty (or moonlighted / floated elsewhere)... or any other residency program to something else?
In general, how difficult is it to find a general medicine or even surgery job after working only in psych for a while?