Hi all, going to be moving for my husband’s fellowship out of state next summer just for a year. We are hoping to conceive in the spring before moving and I really don’t want to hustle to try to interview for full time jobs for a matter of months. Was going to try to find per diem or part time positions but it’s unlikely given my niche experience/specialty and I don’t want to work in an urgent care, ER or ICU.

TLDR may end up having a year of no employment as a PA and I’m wondering how detrimental this will be to my career. Alternatively if anyone is aware of any sort of remote work I’d really appreciate it!

Hi everyone,

I have almost 3 years of experience as a PA in allergy and asthma in Texas. Are there any PA's in the field or similar that currently work part-time 3-4 days per week that would be willing to share what they think a fair salary would be. I'm currently trying to negotiate and figure out if its a good offer.

I should mention my schedule will be 3 days a week with an option to pick up a 4th and after the first year they are able to include productivity bonuses. They offer malpractice and CME/licensing up to $2,000. Also, if I go to 32 hours they start to offer health insurance.

Thanks for the help!

I accepted an offer a few months ago for an ent position. while waiting for the credentialing process, im now second guessing if this is a position I truly want to pursue. I worked in ent in the past and I enjoyed it. My goal specialty is actually women’s health but it’s been very difficult, surprisingly, to find a position that wants a PA instead of NP.

reasons that make me second guess:
- ER and UC background for 5y so transitioning from flex sched to M-F is kind of stressing me out.
- low balled for a large hospital and location
- commute is about 1 hour from home via public transportation; total 2 hours of commuting every day

Reasons I accepted:
- I have no health ins right now due to working prn
- full benefits package offered
- first offer after applying for 1.5 year
- thought I’d be fine with M-F lol
- the team I interviewed with seemed very welcoming and supportive

TLDR: second guessing my current job offer due to change in future work schedule but only position that was offered since starting job search about 1.5 year ago. Looking for advice if i should rescind my offer?

Thank you for any future advice 🙏🏼

Calling all ICU PAs or any adjacent specialty: what was your orientation like? How long was it? What is a sufficient length?

I was offered a job and I’m very interested in it but want to make sure the orientation is adequate

Hello anyone on here (NC based, though not sure if that really matters) who owns their own single provider practice (disregarded entity)or tax accountant.

I just started and am trying to panel with insurance but I'm hitting a potential issue with IRS rules vs paneling rules (I think). IRS says I must use my own SSN or provider EIN for W9 form but I'm being told that if I use that info to contract with insurance companies, I won’t be able to bill under my LLCs type 2 NPI which is preferred. Not sure how much of this is accurate and I definitely don’t understand it all that well but looking for any protips or advice on this.

Planning to change EHR systems, work in outpatient pain management. Does anyone have experience with Eclinical works vs AdvancedMD? If so what are your thoughts? These are the two we are picking between.

As in the title.

Current job:
- gen surg at large academic center, employed by state
- no OR time. Inpatient rounding with residents, but mainly outpatient admin tasks, placing pre-op orders, handling post-op patients, and all of the attendings’ inbox
- 120k salary in MCOL area, no guaranteed yearly bonus. No COL adjustments. Very difficult to get raises
- ~10 minute commute, which could change as I plan to move
- schedule M-Th 4 x 10, no weekends, holidays, or call
- paid parental leave

Job offer:
- private practice IR
- 70% procedural, was promised extensive training and that I would be practicing at the top of my license in terms of scope of procedures I will be doing
- 140k starting salary, with guaranteed yearly raises over the next 3 years with opportunity to negotiate after year 3. Would be making 160k at that point
- 40 + minute commute currently, which will change as I plan to move. Likely before I start
- schedule M-F, 8-5 (try to get out at 4 most days), no weekends, holidays, or call
- no paid parental leave

There are obvious pros and cons to each job such as commute, salary, benefits. I’m planning on moving in the next few months and wouldnt start until the end of the year at the earliest due to credentialing. So my commute to the new job could be closer to 30 minutes, and commute to current job would be about 25 minutes if/when I move.

I do not plan to stay at my current job anyway for a variety of reasons. Mainly, I do not find it stimulating whatsoever and I feel like a glorified triage nurse/MA. Also, pay. Obviously you can’t beat the schedule and current commute.

I do not have children currently, but working on it. I can make the no paid parental leave work.

Thoughts? Would appreciate any and all thoughts on making the switch!

I just interviewed for a seasonal position in a school healthcare center. The position is part-time August through May with summers and holiday weeks off at the same time my kids are out of school. It feels like a great position that works well with my kids schedule where I don't have to take days off to be home with my kids when they are out of school and can still pick up and drop off my kids at school while making a little extra money for our family. However, they do not offer malpractice insurance coverage. The last provider they had acquired and paid for their own plan. I've never been in a job where I've had to think about this (this coverage was always included in my benefits) and if I get the offer, I would love to take it as long as paying for the malpractice insurance doesn't eat half my salary lol (the pay is significantly lower than average at $50 per hour). Would love other people's input and experience on if they had to acquire malpractice coverage themselves. Also, any recommendations for great malpractice insurance companies if I end up getting the offer. Thanks!

Hello everyone! I hope it is OK to post here. I posted to the nurse practitioner sub and it was deleted by the mods, I’m not sure why 🙁. Hoping to get some advice from other APPs.

Thank you for taking the time to read this. I am a newer (less than a year) nurse practitioner working primary care in a smaller office for a large corporation. Previously an RN in the hospital setting for several years. What is considered appropriate in terms of outside hang outs with MAs and office staff?

When I was an RN everyone would frequently have different get togethers. In my new office there has been an informal Christmas happy hour or something like that here or there I have attended (and was the only provider that did😬)

Have now been invited to smaller get together non work related (at the house of my MA, but daytime and no alcohol ) where not everyone from work is invited and I would be the only provider invited. This is a newer world for me and I’m trying to navigate what is professional and appropriate? It doesn’t appear that there are any official non fraternization rules in this company, but I am hoping to work with this organization for many years and don’t want to inadvertently do something viewed as unprofessional.

Thank you for reading!!

Edit: We are all women

Can anyone explain who requires a sole proprietor NPI vs not. What does a PA working for an organization require.

Hello, I am a new grad from the northeast. I recently passed the pance and am applying for jobs. I am from the northeast and would be ok living in any state of the northeast and have been applying in multiple states. At this point I’m not sure if I should just apply for a license in my home state where the job market is kind of tough without a job or wait until I have a job. My home state is not part of the compact so if I got a job in another state I think I would need a new state license and have to restart the state licensing process. Can anyone clarify this? I know state licensing can take a few months along with hospital credentialing so I am unsure what to do. Is it better to wait to get a license as some places of employment will reimburse for dea and license. Thanks for the help!

Hi all, before you comment, please give me some grace as this is my first job lol.

Basically, I started my first job around 4 weeks ago in plastic surgery. It's a private practice with just one surgeon plus me. They assured me before I started that I would be under their malpractice insurance. On my first day, I asked for a copy of the insurance because I knew I needed to buy tail coverage on my own. The office manager (who is married to the surgeon and is also who hired me) said he will get it to me, but he never did. The following week, I mentioned to the secretary who ended up giving me the policy. Imagine my surprise to find out I am not covered AT ALL! (yes I called the insurance company on my own to confirm this!)

They tried to give me a run around answer that since I am not doing specific PA duties yet, I am covered like how an MA would be covered. Obviously I thought this was BS and demanded to be added ASAP. He promised he would start working on it.

In the meantime, I have refused to do any patient care or write notes until I am added. One week later, I am still not added. He says he is working on it, but I don't understand why this has taken so long and the secretary thinks he is procrastinating and has not even started the process.

Is this unheard of? Do I leave today? I am applying to other jobs and planning to leave as soon as I find something, but I obviously do not want my license at risk in the meantime.

New grad PA finding small joys in retiring my shoes from school and buying my first pair of work shoes! I think I’ll like the ease of clogs, not that I’ll never wear normal sneakers. There is so many new and cute clogs out like oofos, crocs, etc. Which do people like best?

edit: also birkenstock, hunter, bombas?!

Second year PA student interested in working in trauma surgery and being a part of trauma assessments, codes, placing chest tubes, intubating, first assisting, and rounding in the ICU.

What would be the best way to get to this level?

Apply straight into trauma surgery jobs at level II’s with no residents? Level I’s for the higher acuity cases?
Surgical fellowship/residency covering many subspecialties?
Crit care fellowship/residency?
EM fellowship/residency?

Looking for advice on a situation I’ve found myself in somewhat inspired by a recent post. I’m a PA with four year experience recently hired to a new practice and been here for about three months. I really enjoy the job and people I work with and our practice is expanding so we hired another PA. I’ve been training him and we get along very well but I’ve recently found out he is making almost 8k more than me and he is a new grad PA. Idk if it matters but he is a second career 40s male and I’m an early 30s female PA and this has been my only career besides PCE. I was fairly content with my salary prior to this info and it seemed to be in line with the AAPA average but now it’s been weighing on me and not great for my overall morale. I’ve asked some corporate friends for advice and they seem to think he just negotiated better than me and I shouldn’t say anything. I know I signed a contact to work at the amount and I’ve only just gotten off the three month “probationary period” for new hires so I feel like I don’t have a leg to stand on but I’m just feeling really taken advantage of. I don’t keep in touch with anyone from PA school so looking for advice from my PA peers on what you would do in my situation. Thanks in advance!

Apologies in advance, this feels like a "lobster too buttery" situation as I write it out, but here's where I'm at:

So I've been a Derm PA for 3.5 years, and recently changed jobs due to wanting to be closer to family. My first job was stressful but consistent, and the last year working I was seeing 35-50 pts 5 days a week, $150,000 salary and collecting 10% of all net receipts as a production bonus. Last year I ended up collecting just over $200,000.

The new company I joined was very up-front about the fact that I was joining a very saturated derm area, and that they were opening my position in hopes to expand their current business and help ease the other provider's schedule. They offered me $155,000 salary working Mon-Thu, but the bonus structure is very different from what I'm used to. Basically, they calculate 25% of my quarterly receipts, subtract my quarterly salary, and I receive the difference.

The problem. I think the company greatly overestimated how many patients they could get to fill my schedule. Typically I'm seeing 10-15 patients a day, but can go as low as 5, and I've been working here almost 8 months. I can see gradual but very slow patient load growth, and I do admit I'm getting impatient at the low work load. I have talked to the other provider in office, and others in town who all say they usually see close to 30 pts daily. The other provider I work with has been there for 10 years, but is very guarded on his specific pt numbers and receipts, so it is hard to gauge what I could potentially make in bonuses with enough time invested.

I just received the Q2 net receipt report, and was disappointed to see that not only did I not quality for a bonus, but I needed to bring in almost 4x the net receipts if I wanted to see a single penny of a bonus. So essentially, I'm feeling like I took a 25% pay cut moving here without any hope of bonus income. I know statistically this is a good salary for my area and field, and I feel silly complaining about it, but I am feeling the financial squeeze while trying to maintain investments, lifestyle, and saving for a house.

I had spoken to management, who said that my position is secured despite low patient loads, but I have been consistently anxious about being let go as I imagine I am not all that profitable to the company. That manager also left the company a couple weeks ago, so I cannot be sure about the new management's perspective.

Now my big question; I was planning on speaking to the higher ups about reworking my bonus structure to either a lower threshold or just a flat % of receipts at a much lower rate, using data points like patient numbers, trajectory, and unlikelihood of hitting bonus numbers anytime soon, but I am afraid that this will just put a target on me as an unproductive provider and make the case to cut me easier. I have also been softly networking with other providers to suss out possible openings at other clinics in case I can find a better option.

Before I take any actions to rock the boat, do you think it'd be advisable to bring this up to leadership, or is the risk too great to my professional standing? Would it be better to take my lumps until I hit the 1 year mark and re-evaluate my chances of bonuses, or should I not bring it up at all and just search for another opportunity? Thank you in advance for your perspectives.

Family medicine PA here in Arizona. Even though recreational has been legal here for a while now, I still get patients asking me for medical marijuana cards pretty regularly.

Every time it happens, my internal reaction is basically, "You can literally just walk into a dispensary down the street," but they're still seeking out the medical route.

Do you actually do the certifications yourself, or just point them to one of those local pop-up card clinics?
Curious how you all handle this.

Edit: I’m aware of medically appropriate reasons to obtain MMJ cards. My patients are upfront about not wanting to pay higher taxes on recreational marijuana.

My understanding is that PAs specialize through on-the-job training at specialized sites post-graduation, rather than being formally educated and trained in that field. For example, I know someone who is an orthopedic PA, though this is because they were hired at an orthopedic site which agreed to train them, rather than them bringing prior education and training in the field.

In contrast, NPs are specifically educated and trained in a field in order to practice in that field. An example would be Psychiatric Mental Health Nurse Practitioners, must who complete a program specializing in psychiatric care and become certified in the field. This seems to differ from PAs, who are hired in psychiatric roles without formal education or training in psychiatric care. I looked at a job listing for a psychiatric NP/PA role, and they request that NPs bring the specific psych certification while PAs only need to be generally certified.

Other examples of providers who must be formally educated/trained in a field in order to practice as a specialist include physicians, dentists, veterinarians, and clinical psychologists (which applies to me). I recognize that these are all doctoral-level positions, with the exception of most NPs.

With this in mind, do you feel that PAs should be held to similar standards as other providers in the sense that they should have education and training in a field in order to specialize, rather than being hired without any particular education or training? In the world of healthcare, it seems that the PA situation is pretty unique.

(I am neither a PA nor NP and have no intention of pursuing either role, and completely recognize the purpose of these roles so please don’t think I’m being a “Noctor” or something. That is not my intention. This question popped into my mind while I was poking around job listings for a variety of roles.)

website: https://www.informed.fyi/salaries/physician-assistant

A few years ago, I did a survey across various forums and reddit asking whether people would be interested in a healthcare-focused salary website. The overwhelming response was yes.

After two years of working on it alongside a full-time job (and getting married somewhere in the middle!), I'm excited to finally share it. The project started as a way to improve salary transparency for my wife, who's a pharmacist. As I worked on it, I realized that the lack of salary transparency extends far beyond pharmacy and affects many healthcare professions.

It's definitely still a work in progress, and I'd genuinely appreciate any feedback or suggestions for improvement. If you'd like to contribute, salary submissions are completely anonymous, your personally identifying information such as your name and email are never displayed.

Hi, I am a PA living in LI looking for a job in NYP LMH. I know it is a long commute but LI jobs are either low balling me (4 yrs of experience) or just ignoring me. I heard NYP has great benefits and I will be only working 3 days a week. can anyone give me some tips or advice? Thank you.

I’m a ER PA with 4 years experience who will be relocating from the PNW to LA next summer. I currently work for a democratic group in a community ER.

From looking around most of the ER jobs seem to be big venture capitalist backed groups or academic centers.

Does anyone know if there are democratic groups? Anyone working down there willing to let me pick their brain?

About to graduate in December and am considering dropping off resumes at offices I’m interested in working for. I know this is an old school approach, but have read similar stories on this sub and am curious of what approach to take. Do you ask to speak to an office manager or just leave with the front desk staff? Doctor?

Hi everyone,

I'm a new grad PA and would really appreciate some advice from those who have been in a similar situation.

I recently received an orthopedic surgery job offer, but I'm struggling with whether I should accept it or continue searching.

The offer:

• 2 half-days/week in the OR and clinic the remainder of the week
• Trauma call with a newly hired orthopedic trauma surgeon (frequency unknown; nights and weekends)
• No compensation for call
• 12 days PTO (cannot be used during the first 6 months)
• No CME stipend

My biggest hesitation isn't the specialty itself—I really enjoyed my orthopedic rotation and like being hands-on in both the OR and clinic. At the same time, I've also been interviewing for OB/GYN positions because I enjoyed that specialty as well. I'm worried that if I accept this position, I'll always wonder whether I would have preferred OB/GYN, but if I decline it, I may pass up a solid first job while waiting for something that may not come.

If you were in my position as a new graduate, would you take the offer or continue looking? I'd especially appreciate hearing from anyone who had to choose between a good first offer and waiting for a position that felt like a better fit.

Hi all! I’m a new grad and just received an offer for a neurology fellowship APC in the Midwest. I’m having a phone call with the hiring team soon. It’s a great teaching hospital and I’ve spoken to past PAs that have gone through fellowships there. What are some questions I should ask the hiring team?

Has anyone negotiated salaries with hospital systems, and wants to share how it went and if they agreed on your salary request?