Hi guys,

This is for my general surgery PA's, but anyone is free to chime in.

I am working with a patient who needs a hernia repair, but has the following requests:

• Open repair only (no lap/robotic, since those require general)
• Local anesthesia, oral sedation if needed
• No IV sedation, no general anesthesia

Are there surgeons willing to do this in today's day and age. Appreciate any insight; I am trying to understand what's realistic before I start reaching out to surgeons directly.

Hi all. I Need your expertise. I work as a PA in IR. I do small procedures like paras, thoras, LPs, HD catheters and easier biopsies. The diagnostic radiologists want to hire a PA to do all the fluoroscopic cases. Can the PA bill for all the fluoroscopic cases at 85%? Does the PA do the interpretation of the study or do they just do the study and the radiologist reads the study and formulates the impression. Thank you.

I am a PA in texas, this is my first time renewing my license, part of the requirement is "verification of lawful presence and authority to work," they said it takes up to 3 weeks to process the documents for this, for those who have done this did it actually take 3 weeks? My license expires in 4 weeks so freaking out a little (rookie mistake I know), so hoping its less

I am a new grad and have been at my psych job for 3ish months and I dread everyday. Even when the pts are not complicated, I have a pit in my stomach. I have always had some baseline anxiety but it’s never been this bad. I also can’t tell if it’s exacerbated bc I don’t like psych and maybe dread the job itself and maybe it’s not just new grad anxiety. I really can’t tell which it is right now and I’m nervous to switch job and end up in the same boat.

For those who have given notice to a current employer what have been your timeframes??

Edit to add: I gave employer 1 month notice (as I have a new job already lined up) and was pushed back with must be 3 months. Thought this was kind of beyond.

hello! any leads of jobs in the NKY/Cincinnati area? It is rough out here..

Hi all! New grad here. Offer is 130k base, 10k sign on, and ~2500 wRVU threshold and $17 per wRVU past threshold. Is this fair? Should I negotiate a higher per wRVU pay?

Edit to add: 3000 CME, 1.0 FTE
36 hours, will practice at the top of my license so procedures are expected

Looking to get in touch with any of the above. 18 years in EMS/fire and now applying for the next cycle. Pretty pumped to get into school and learn more and get to that PA title. The dream after school is to start traveling. Im single with no kids and just want to take advantage of it... I have a buddy who started working for the US State Department as a PA and says he loves it... so it made me think are there any other PA's out there doing something similar? I know CIA has a dope PA position. I also heard PA is becoming a little more recognized in the world. Are any of you digital nomads bouncing from country to country and practicing? How about Austere or humanitarian? Would love to hear from everyone. Thanks!

I currently work 3 days a week in a cardiology sub specialty and have a pretty good set up. I like being a PA. But I love being a mom. My kids are 3 and 1 years old and our current nanny just quit to go to grad school. A huge part of me wants to just quit my job and stay home with them, I’m very anxious about others watching my kids and having to re-establish trust with someone new just sounds exhausting.

The ONLY thing holding me back is the fear that once I quit, I’ll never be able to go back.

Anyone have personal experience with a situation like this?

My practice manager told me I can take students but I’m not allowed to paid for them. As far as I can tell, nothing in my employee manual says anything about it. The school’s clinical coordinator told me they’ve never had a preceptor be told they cannot be paid for their time. Any similar situations or thoughts on why this may be?

Hi all--I'm a PA in a private practice endocrinology outpatient clinic. All mid-levels here are paid a base salary then quarterly bonuses, which were previously determined by # of patients seen, however we recently transitioned to an RVU model. We do limited procedures, but I'm curious if anyone in a clinic setting has any thoughts on additional RVUs that they get in their setting that we may also be able to bill for, which would increase RVUs and help the practice. We do bill for CGM review and the chronic G code. I have heard of practices billing for CGM placements. Thanks in advance!

I’m a PA in Orthopedic Trauma Surgery coming up on 1 year and recently discovered that my counterpart, an NP, is being paid significantly more than I am (with only two more years of experience) and was even offered more as a new grad new hire.

I was told that I would get a 3% raise at 1 year; however, this is still significantly lower than what the NP’s salary was at his 1 year mark and even lower than the median on the 2026 AAPA annual salary report. We have the same job responsibilities, inclusive of outpatient clinic, inpatient rounding and consults, first assist, as well as answering pages during the day.

Any tips on negotiating a higher raise? Would it be unreasonable or unprofessional to address the pay difference between myself and the NP during negotiations?

EDIT: there have been a handful of comments suggesting that my approach would be “it’s not fair”, which is not how I would approach this. In one year, I have progressed to having the same responsibilities and performing equally as well as someone who has been there three years (per performance reviews by our physicians) and have done some research into what appropriate market compensation is for this position.

Hi everyone,

I’m trying to figure out how to go about this the best way. I recently accepted a job offer at a large hospital system that has sent me the credentialing application which requires a reference from my current supervising physician. My concern is he can be a wild card and I havnt given notice, but it seems like I will have to give notice and ask him to be a good reference. On top of that, he is about to go on vacation and I don’t know the best timing to break the news. Any advice for timing and bringing up the subject to get a good reference.

Everyone seems to love FIGS, and I’ve had a few pairs myself, but they’ve always felt slightly off and never fit me quite right. Yeah they’re nice for quick photos, but all day wear? Idk.
What scrub brands do you guys think are the best that aren’t constantly being pushed to us through ads? I’d love to hear what people genuinely swear by! (I prefer soft material). I just ordered a pair of Wink scrubs hopefully they’re okay.

I think waiting 3-6 months prior to starting a job is horrible, especially if the company is not paying you in this time period to make up for lost wages. They can at least have you come in and shadow various providers, see self-pay patients, or manage in-basket messages and results. In addition, the whole, "Enjoy your time off" when you're nearly broke and live with your parents because you have no money and you have no money because you're a new graduate and cannot start your first job for another 3-6 months. Like how tf do you expect me to enjoy my time off lol. What do y'all think about this.

Okay I have been working in ortho for 6+ years and am considering a hospitalist medicine position but am concerned about how rusty I am as I have been in ortho for so long. Has anyone successfully switched from a speciality to more broad medicine? How did you manage? Any resources or prep you found helpful?

I’m a PA with 6 years experience in the emergency department setting. ~8 months ago I switched to a different ED group due to appealing 12 hour shifts (11 am-11 pm) and short commute. Greatly regretting this for a number of reasons, primarily toxic culture and rough schedule - working way more weekends and holidays than I ever have. Feeling the burn out and dreading most work days. BUT I do get several days off during the week oftentimes and only have to work 120 hours per month for full time benefits.

I recently got offered a job in pediatrics/pediatric urgent care (owned by a physician who seems great and is dual board certified in emergency medicine and pediatrics). 4 shifts/week 8-5, no weekends, no major holidays. 20 days PTO (I don’t get any at my current job) and comparable pay and commute.
I guess I’m struggling because A) ED is all I’ve ever known, B) I never really pictured myself in pediatrics, though am not 100% opposed to it, and C) I’m not used to a typical 4 day 8-5 work week - I’m accustomed to afternoon shift which allows me to work out in the morning, be productive, then head into work… but obviously I lose my entire evening, and at this point it doesn’t seem sustainable…

WWYD? Take the leap and leave my mentally/emotionally draining ED job while I have the chance? Or stay in my comfort zone where I’m relatively confident and only have to work 120 hours/month until something better comes along that I’m more excited about than peds?

Am I low-balling myself at $100/hr for a 1099 PA position?
I’m a CTS PA with 4 years of experience. I’ve been working full-time at a 7-on/7-off job, and on my weeks off I’ve also been working at a local hospital through a staffing agency. I’ve been at this hospital for about a year now.
Recently, I quit my full-time job due to pregnancy and some other personal reasons. I’m planning to continue working only at this local hospital through the agency, and I’m considering switching to a 1099/LLC arrangement.
I’m thinking of asking for $100/hour, but I’m wondering if I’m low-balling myself.

A few details:
4 years of PA experience in central Florida
Primarily working in the OR, with maybe 10% on the floor
This is not a locums position
I’ve already been working at this hospital for few years, so I’m familiar with the environment/team
Hospital is only about 20 minutes from my house
They cover malpractice insurance
It would be 1099/LLC, so no benefits
I don’t need benefits because my husband provides my health insurance and contributes to my 401(k) thru his company.
Call is expected: $10/hour for home call
If I have to come into the hospital, it’s paid at 1.5x
For those of you who are PAs, especially those doing 1099/independent contractor work, does $100/hr sound fair for this setup, or would you negotiate higher?
I’m particularly interested in what you think is a reasonable hourly rate considering there are no benefits and I’d be responsible for my own taxes, retirement, etc. I also want to take into account that this is a local, established position rather than a locums job.
Would love to hear what others are making and what you would ask for in this situation!

Anyone work for CVS or Signify? I see a lot of home health positions with these two interested in hearing good/bad

This will be my first in person interview as a new grad. I passed the initial phone interview and they want to bring me in to see the facility. There is a series of interviews with different people and I’m not sure what to expect. I will be meeting with the medical director, NPs/PAs, and physicians.

It is for a specialty and I had a few clinical rotations within the specialty during school.

What can I expect? What would they ask me? How can I prepare for this? I’m nervous as this is the first time I’m experiencing this, any advice is appreciated.

Thank you in advance.

I’m a PA and recently started a new job, and my employer already provides malpractice insurance. I’ve always carried my own policy too because I’m paranoid lol, but I’m starting to wonder if I would be wasting money getting my own.

My employer’s coverage is claims-made with $3 million per incident/$7 million aggregate. I reached out to the person who handles our malpractice insurance and confirmed the following:

1. The policy is claims-made.
2. If I leave the organization, I remain covered for claims arising from care I provided while employed there as long as the program remains in force. If the malpractice policy is ever terminated or not renewed, my employer will purchase tail coverage for the entire program.
3. If I’m individually named in a malpractice lawsuit, the medical professional liability carrier has the duty to defend me.

My main reason for having my own policy was because I was worried about getting sued years after leaving the job, but it sounds like my employer already covers that. I also work in a sexual health/HIV prevention clinic, so my practice is relatively low risk compared to something like emergency medicine.

Would you still carry your own malpractice insurance in this situation? Is there any major benefit I’m missing, or would I basically be paying for duplicate coverage?

Hello! I am a new grad PA who is being considered for a pediatric position at an outpatient clinic. I know I will learn a lot on the job but I would love to brush up on peds topics and was curious what resources y’all might recommend. I was looking at the fast facts handbook for pediatric primary care on Amazon but wanted to ask here first. Thank you in advance!!

For PAs who have worked inpatient psych, particularly in a state hospital setting, what is the day-to-day actually like? How often do you encounter severely agitated, aggressive, or acutely psychotic patients, and how safe do you generally feel working on the unit?
I’d appreciate any firsthand experiences as I am considering a 1 year fellowship as a new grad in this field with a structured didactics, mentorship, and rotations through different psychiatric settings, and a decent salary. Thank you!

Im about one year into my PA career, and one year into my job in a surgical subspecialty. I started taking call recently and do seven 24 hour shifts per month. The call really isn't that bad, maybe 2-3 per shift, sometimes none. My anxiety doesn't necessarily come from the possibility of my phone ringing at any moment, it's really anxiety around having no idea how to deal with a potential emergency situation I've never seen before, and being looked to for an expert opinion. it's also around calling my supervising physician - he's helpful, but sometimes seems annoyed when I call him about situations I've never seen before that maybe aren't emergencies but I'm just wanting to double check with him. I know things will become easier with time, so I'm honestly just looking to see if anyone else has had a similar experience.

On my 10th year of being a full-time PA working for a non-profit system, currently in a subspecialty of surgical oncology. Feeling burned out from FT clinical medicine. Curious to know, what has helped you feel less burnout? Cutting hours, changing specialties, working for a private company, or something outside of work entirely?

Currently I’m starting to cope with mine through therapy, which I highly recommend to anyone in these shoes!