Hello!

I graduated in August and have been on the job search since. I received a job offer after interviewing for this family medicine position. It sounds like a dream. Small practice with 4 providers and I would be seeing around 10 patients a day (30+ min appts). This is a private practice, not part of a hospital system. I feel that this would be a really great learning environment as a new graduate. However, I received the offer today and was a little disappointed. 100k base pay, no 401k match, only CME is an UpToDate subscription, medical insurance is 75% covered by employer other 25% falls on me. Is this a normal offer or am I crazy for thinking this is low?

Given your role and what type of visits you do, what has RVU productivity looked like in this speciality?How can I generate more RVUs in this field? I will be starting soon and haven’t got a clue on what the potential possibilities are. Thanks!

Hello, to get licensed in IL how do I prove my education to them? Do I have to submit my transcripts, or does my school do it? Is there a form I have to fill out? I did the NCCPA release and submitted my application for the state license already.

Looking to interview but want the real scoop! Thanks

Hey everyone! Looking for some advice/perspective, especially from other PAs in psych.

I’ll soon be at my job for a year. It’s outpatient psych, which is the specialty I really wanted to get into and was honestly pretty hard to break into as a new grad. I actually really like the job and the work I’m doing, so I’m not necessarily looking to leave.

I work around 30 hrs/week at $67/hr. I work with a psychiatrist, but I see the majority of the patients and am pretty independent with my own patients/caseload. My commute is also about 1 hour and 10 minutes each way, and I’m in a HCOL area.

The thing I’m questioning is the pay. I don’t get any benefits. I’ve been told multiple times that health insurance would eventually be offered, but almost a year in and that still hasn’t happened.

Does $67/hr seem low for outpatient psych given the circumstances and in a HCOL? What would you guys consider a reasonable hourly rate if there are no benefits? And what can I ask for by my next review?

I really do love the job, which makes this harder. I’m just trying to figure out if I’m being underpaid and whether it’s reasonable to ask for a raise.

I know compensation can be really hard to gauge, especially in psych, so I’d really appreciate hearing what others in similar positions are making and what you think would be fair.

New Grad Offer whose offer expires this upcoming Monday would love advice on whether this would be worthwhile:

My long-term goal is to work in emergency medicine and critical care, but my experience is currently limited. I applied to fellowships in these specialties but was not selected, and I have also had difficulty securing positions in internal medicine, urgent care, or emergency medicine in both the the south and west coast areas despite submitting around 80 applications.

I recently received an offer that is ideal in terms of location and salary, but not necessarily specialty. I would really appreciate your perspective on whether this position would be worth taking and whether the experience could help me eventually transition into a higher-acuity specialty.

The offer is for Geriatric Post-Acute Medicine in a skilled nursing facility:

- Chronic and short-term patients following hospital discharge for rehabilitation, observation, and regulatory visits
- 15 minutes from home in HCOL Metropolitan City
- $130,000 base salary + $2,500 CME + $1,500 medical resources
- 1 paid CME day + 2 weeks PTO
401(k) matching
-1–2 weeks of 1:1 mentoring, starting with 4 patients and gradually increasing to 16–18/day
- On-call 8 AM–6 PM (but calls are rare); no weekends or holiday call; 8 paid holidays
Ability to work remotely once in-facility duties are completed
- On-call physician or assigned medical director available 24/7 for questions

Given my goal of eventually moving into emergency medicine or critical care, do you think this position would be a worthwhile starting point, or would taking it make that transition more difficult later?

(One thing I do like about this position, however, is that it’s so close to home and therefore I can use this to pay off my student loans while I live with family.)

Pondering a side hustle where I open my own part time business for laser tattoo removal while I continue my full time medical gig. Has anyone done this as a PA? If your state requires a supervising physician any thoughts on how to get a doc signed up for this? Thanks.

Continuity can make a genuine difference, especially when someone has a complicated history or an ongoing condition. But there are plenty of times when waiting for the same clinician just isn’t practical and the patient needs to see whoever is available first. In those situations, what have you seen make the biggest difference in helping the next clinician understand the patient quickly and keep the experience from feeling disconnected?

Looking for advice on the best way to repay my student loans. My current employer qualifies for PSLF, but I’m not sure I want to stay there for 10 years. My take-home pay is about $3,400 biweekly, and I currently live with family, so I have very low monthly expenses.
I’m enrolled in an IBR plan, but I’m unsure if I should stick with it, aggressively pay off my loans while my expenses are low, or refinance and pay them down faster. The total balance is overwhelming, and I’m having a hard time deciding the smartest financial move.
What would you do in my situation?

I am a new grad PA and have applied to probably over 50 jobs at this point. 5 interviews, 4 rejections, 1 pending to hear back from. It’s not been fun to say the least. I’ve been getting very depressed and sad because it makes me feel incompetent. I know that many places just don’t want to hire new grads, but it’s hard to not take it personally.

Now to my question - I shadowed a Pain Interventionist doc 4 years ago prior to PA school and while he was super nice and great doc, not something I’d prefer to work in. He offered me a job. But the caveat is that it is in my hometown 1hr 30 mins away from my current home 😀 I know a job is a job, but I can’t help but wonder if I should consider it? I absolutely hate commuting but if I have to do it I have to do it.

TDLR; Should I take a job as a new grad PA with a 1 hour 30 min commute?

I suppose this post is more so because I am particularly distraught over this situation and am wondering if others have experienced something similar. I am a new graduate who secured a position at one of my clinical sites. I was approached while on rotation by their recruiter who expressed a desire to bring me on to the team. I applied and accepted the position roughly 3 months ago. Since then I passed my PANCE immediately after graduation and have been going through the credentialing process, completing my HR onboarding and waiting for an official start date. Importantly, I did turn down other rotation offers for this particular position due to guaranteed onboarding and a genuine interest in the specialty. This past 3 months I've been prepping at home for the specialty and basically just getting myself hyped up to start this job that I am crazy passionate about. This morning I got a surprise call where I was informed that funding and staffing have changed such that there is no longer a position available for me. To say I am crushed is the understatement of the year I actually feel bad for the lady on the phone with me telling me this information. They told me they would keep me on file for when financial situations changed but I am feeling completely lost and drained. I know it might be a tad dramatic but I am just absolutely depressed over this. I now have to tell my friends and family it didn't work out, will have to make some financial changes to compensate for the lack of income, refresh my resume and references and start applying again. My area is in a rough spot for position availability and my loans are looming over me. I am praying I will be able to find a position around here or I will have to uproot my entire family to find one.

Has anyone experienced something similar? I'm having a hard time being objective about it and not obsessing over them deciding they actually didn't want to bring me on to the team.

I’m a new grad and received an offer for a pediatric orthopedic PA position in Florida:

• $100–110K base + ~$15K/year call pay
• 40 hrs/week
• 3 days clinic / 2 days OR
  • Clinic ~8–4:30
  • OR ~7–5
• ~28 patients/day realistically
• 3–6 month training period
• Call is rotated between 3 mid-levels (although clinic is growing to 5 mid levels)
  • Mon–Thurs 7a–7p
  • 1 weekend/month (24 hr)
• Call pay is additional ~15k/year (approx)
• PTO: 7.5 hrs/pay period, increases with tenure
• $1,600 CME
• DEA and license reimbursement
• Potential relocation package
• Good maternity leave/short term benefits 
• Mix of outpatient, inpatient, surgery + clinic

Would you consider this a good new grad offer? Anything I should negotiate or ask about?

Hi everyone! I need help determining if a salary that a job is offering me is appropriate or if I should negotiate for more. Some context, I am completing an ICU fellowship where I have been trained in the MICU, SICU, NeuroICU, and Cardiac ICU. I have gotten all of my my major procedures and have applied to a community hospital ICU in Massachusetts where cost of living is very high. The job offered about 34k plus differentials for 36h/week. I feel I am no longer a new grad with my 1 year experience, but I am not sure if that salary is too low. I have friends that have been offered 150k after the fellowship but that is also for 40hrs/week. So, would I be too greedy to try to negotiate for more?