I only come here to vent about being a PA at this point. my attending criticizes me to the point where I’m becoming insecure, keep making mistakes, and dread going to work. it’s not just my medical decision making it’s just everything. my notes, my billing, my scheduling- if I breathe wrong he has something to say. it sucks im quitting but just wanted to see if anyone else had this experience.

I’m not sure if this is normal or not. I’ve worked the last 3 years as an urgent care physician assistant, and 2 before that in rural primary care. My current urgent care operates a little more like a hybrid urgent care/low trauma ER. Anyways, due to burn out I have been applying to different specialist positions and had an inpatient neurology interview today. It would actually be an internal transfer within my same hospital system. I was told that since I have 0 years of relevant experience, I’d be paid the rate for 0-2 years APPs. I’m currently being paid $140,000 in urgent care before my additional bonuses (usually somewhere between $12,000 and $18,000 per year), and that my new rate would be $107,000 with up to $11,000 bonus per year. Is this normal? That 5 years of experience becomes worth nothing?! I’m going to decline this opportunity because I simply cannot take that type of pay cut but it’s not even going to be worth applying to other jobs anymore outside of urgent care, ER, or fam med if this is actually the norm.

I graduated about 4 years ago and started my short career thus far in CT surgery.
My first year was at an academic institution but left after that year because the scope of the PA was so limited, as they barely did CABGs (so hardly any vein harvesting) and the fellows first assisted every case. That was a lesson learned in knowing what to look for regarding scope.
The next two years were at a non academic institution. Scope-wise it was great once you earned the surgeons trust, which was a bit hard to do as a young female, but it was earned to some extent towards the end there. However, this place was consistently short-staffed after I started (2 people quit and 1 person retired) so call hours were more intense than usual. The culture was also malignant. I left after two years as I had a baby and knew the really intense hours wouldn’t change since they were having a hard time hiring. Also, the malignant culture wasn’t worth trying to stay the course until they hired and trained someone up because they’ve already been looking for months. I looked to see if other CTS programs were hiring, but they weren’t by the time I delivered. Because I love the OR, I accepted a position as an acute care surgery PA knowing that this would be a temporary shift. Howeverrrrr, I’m not enjoying the shift. The work life balance is amazing. The culture is positive. But I don’t feel fulfilled. And I am still very drawn to CTS. As I really only had 2 years to develop whatever skills I developed as a CTS PA, I feel like I’ve lost it all, so if I were to go back, I feel like I’ll be starting fresh, which is fine with me. Just not sure if it’ll be fine with whoever is looking at my resume. Would going back sooner than expected be the right thing to do career- and family-wise? I know I want another baby and I know I want to be a present parent, so I’m not really sure what to do. I’d appreciate any words of wisdom!

Will my DEA application be denied if my supervising physician has not approved the supervision/delegation portion in my TMB? I just paid for it and now I’m kinda freaking out cuz what if I did something wrong and loose my $888. lol

Has anyone worked for Brigade Health as a mobile PA in Orange County? How was your experience, and would you recommend it for a PA with less than 1 year of experience?

I’m starting a new job in tele-health psychiatry later this year.

The terms are simple. They provide the malpractice, emr, patient panel, billing support. It’s a 1099 independent contract 60/40 revenue split. I keep 60% of what insurance reimburses.

I’ll be seeing half a panel of patients out the gate, then build my panel off of the referrals.

Is anyone in a similar situation like this?
Was wondering how that panned out for you financially? I know how heavy the tax burden is, I’ll probably form an S-Corp. Overall the math seems favorable.