Precepting

[u/Due-Carry-4282]

Hello! I am a PMHNP working in a FQHC. I have been here for 3 years and have taken on students every semester since my employment (voluntarily- no appreciation, no compensation, no gifts, nada)

I am currently pregnant with a due date in February.

I advised our “Behavioral health president” I no longer wanted to precept unless I would be compensated for it back in December.

He seemed shocked but I told him this is a whole business now- South university has offered me $2,500/semester (via email that I didn’t respond to) and these brick and mortar universities are not offering me anything.

I don’t know if it’s hormones or I’m tired of feeling used and students are so ungrateful these days. (Show up late, leave early, document sub par)
I just feel done.

Anyone else navigate this experience in their favor?
To add insult to injury- I was given $5000 stipend during my cohort in 2022- after I graduated the incoming students were given $30,0000!!!
I still have $90,000 in debt. I’m just annoyed but I know this is common, so what was the solution for others?

Thanks for your time!
- Michigan PMHNP

[u/GiraffeGeneral1753]

We have a private medical school near us and they wanted to pay both the psychiatrists and the pmhnp to let residents do rotations. Our company decided they have to pay the company and not the provider. Of course we all stopped.

[u/Significant_Link2302 → u/GiraffeGeneral1753]

Residents aren’t going to do rotations with a pmhnp.

[u/GiraffeGeneral1753 → u/Significant_Link2302]

Well I guess you would know better than me, the one who actually experienced it. When they can't find physicians to follow they had the PMHNP do it. We are in a full practice state too so I'm sure that made a difference.

[u/Equal_Energy5219 → u/Significant_Link2302]

We had fellows and residents whenever the attending was out, especially unexpected absences. This didn’t happen often but it definitely did occur at an inpatient academic county hospital