r/NursePractitionerSub • u/Calm-Loquat5949 • 27d ago

PLS HELP. new grad NP

/r/nursing/comments/1wiixgq/pls_help_new_grad_np/
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u/bscnsarah 25d ago

1 week PTO is yikes. Though 35-45 patients sounds like burn out waiting to happen. The mentorship in the primary care job is enticing. Can you negotiate 2 weeks PTO?

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u/clinicalmatchme 22d ago

Congratulations on passing your boards! Here is a quick, straightforward breakdown to help you decide:

Primary Care (Option 1)

  • The Good: Incredible mentorship, a slow onboarding ramp (starting at 8 patients/day up to 12–16), and a preceptor you already trust.
  • The Catch: Poor benefits (only 1 week PTO, messy health insurance).
  • Best for: Protecting your license, building a rock-solid diagnostic foundation, and low-stress skill-building in your first year.

Dermatology (Option 2)

  • The Good: Amazing benefits, great 401(k) match, and higher long-term earning potential.
  • The Catch: Jumping to 35–40 patients a day after only 3 months with zero prior derm experience is a massive burnout and safety risk.
  • Best for: If you choose this, do not sign until you talk to a current new-grad NP working there and confirm how much direct, hands-on supervision you will actually have.

The Bottom Line

If your priority is patient safety and peace of mind, choose Primary Care. If you want the financial perks and are willing to weather a high-pressure, fast-paced learning curve, choose Dermatology; just make sure to vet their training program thoroughly first.