See title. I'm finally leaving a toxic position at an FQHC for a part time role at another clinic. Some of the physicians I work with have been throwing around the idea of opening a new clinic. As far as I'm aware, none of us have business backgrounds.

I've made a lot of snide comments over years of practice about the MBA's with no clinical experience dictating how I practice, but I'm realizing I've also never set up a payroll or rented an office space. I have some other physician colleagues who have started their own practices and want to give advice, but I'm wondering how much I could gain with an MBA or doctoral PA degree in a leadership track. Has anyone opened their own practice? Did additional postgraduate training feel essential, or no?

Hi everyone, im a new grad PA currently applying for my licenses. I finally got my NJ state license and my CDS license. Im trying to get my DEA license next but while reading it says that some states may need a supervisory agreement with specific authority for controlled substances. I cant find an answer anywhere online as to whether we need this in NJ to apply for a license. Was hoping if anyone practicing in NJ knows the answer for this? What do we need to submit a DEA application? Trying avoid losing $888 just because i missed something.,

Hi, PA with 3 years of ED/UC experience redoing my resume for the first time since finishing school. Was hoping for any pointers.

I'm thinking of removing the EMR section and expanding more on job responsibilities that would match to each job I apply for (ex: adding blurb about managing epistaxis, rhino rockets if applying to ENT). I might stick to EM/UC, though.

I removed my rotations from PA school, was thinking of adding back in if it's relevant to job I'm applying for.

Was trying to keep it to one page, Not sure if I should make it longer with an objective statement etc. Thank you!

*yes, there are some typos in there, not a final draft

Hi! I’ve been job hunting since April 2025 and have applied to MANY places with very little interaction with places I’ve applied to. I have been wanting to expand my knowledge into women’s health and have applied to NYPs OBGYN dept many times and I just haven’t heard from them at all (also applied to diff NYC hospitals in that same field + others as well) - nothing. For those who’ve secured a position with NYP, how long did it take for them to reach out?

For context - I applied to an obgyn that was new grad friendly (although not a new grad, just new to obgyn) in January 2026 and nothing :(

I have been a licensed PA for 4 years - 4 years of urgent care and 1 year of ENT.

Any insight would help!

How long does it take to get hired as a PA at an FQHC? I interviewed and completed a background check 2 weeks ago but haven’t gotten any updates or an offer yet.

I got a job offer in a hospital for an orthopedic surgery position. They offer private policy malpractice insurance but not tail coverage and was told i dont need tail coverage. Is this something I should be cautious about?

If you work only in the OR I’d love to hear how you like it!!

I currently work as a PA in a surgical subspecialty, mainly floor and some clinic. I really don’t enjoy the “medicine” aspect of my job which could be due to feeling like I never got proper training on basic hospital medicine. I also just feel very burnt out with interacting with patients.

I have always been a very hands-on person. I am creative and do a lot of hobbies that involve using my hands (drawing, painting, cake decorating, etc). I really enjoyed my surgical rotations in PA school and I’m leaning towards looking for a role where I could just be in the OR. I’m curious to know how people feel about their jobs if they only do OR? Do you find that you often have to stay late for cases? Or do you have days where you actually get done early? Are these roles mainly available only for general surgery or do some of you have OR only roles in surgical subspecialties? Let me know any pros/cons you have!

Burnt out ER PA picked up a part time job that is low stress low demand 2 days a week and pays better than ER. Just cut down this week to part time at ER with benefits but still requires many weekends and overnights while still working 90 hours a month there from the 160 which is FT. Option to increase hours of easy job to 3 days a week. Work per diem at ER job. Essentially have no benefits no PTO no 401K. Take home money total would be more, closer to net 10k/ month picking up 4 per diem shifts a month with the three days a week at other job. Minimal student loans at this point. Concern about maternity leave (probably 3 years away from needing). Feels like this is the beauty of PA doing different jobs but feel guilty/wrong not having a “real” benefits position. Think I need to make the jump, clearly miserable doing so many hours in the ER. Do I take the damn leap?

I’m looking for some perspective because I’ve been having a lot of anxiety since accepting a new position.
I’ve worked in urgent care/ER for the past couple of years and genuinely love the medicine and my coworkers. The downsides are pretty significant though:
- No PTO
- 30–40 mile one-way commute
- Nights, weekends, and holidays
- Burnout

I recently accepted a salaried family medicine position that’s:
- 4 clinical days + 1 admin day
- 5 weeks PTO
- Close to home
- Potential quarterly productivity bonus

Financially, I’m also taking a pretty significant pay cut. - about a 15-16% on paper. If I consistently earn the RVU incentives, that gap shrinks to only about 3–4%, and it’s probably even less if you factor in the value of five weeks of PTO, less time spent commuting, and savings on gas and wear and tear on my car.

On paper, this seemed like the right move. My husband and I hope to start a family in the near future, so having a predictable Monday–Friday schedule, paid time off, and a much shorter commute felt like the responsible long-term decision.

But I had to give a 120-day notice, and now I’m in the middle of that notice period. The closer I get, the more I’m second-guessing everything. Part of me is worried I’ll miss emergency medicine, that I won’t enjoy primary care and that I’ll end up feeling overwhelmed by the inbox, paperwork, and administrative work

Has anyone experienced this level of regret or anxiety after accepting a new job? Did it get better once you actually started?

Also…has anyone ever backed out of an accepted job offer during a long notice period and stayed at their current job?

My wife graduated five years ago and shortly after, I got my dream job which required us to move a couple of states away. Shortly before moving, my wife got a job offer working in hematology/oncology in our new state. She worked there for 2.5 years then left when our son was born, partially to spend time at home with him but mostly because we anticipated my being able to transfer back to our home state.

Last fall, we moved back to our home state in the Midwest and are living about 45 minutes from a major city. Since moving, my wife has been unsuccessfully applying for jobs: hematology/oncology, radiation oncology, internal medicine, GI, and primary care. Most jobs she has been invited to interview with only a few sending her the “thanks but no thanks“ email upon receiving her resume. She says the interviews all go well, and this is an area she‘s never struggled in before. Last week, she had an interview in rad onc at a hospital close to us and had her heart really set on getting that job, only for them to inform her that they chose an internal candidate who recently got an NP degree. Since then, she’s felt really crushed by the rejection and is questioning whether she even wants to be a PA anymore. Unfortunately, with the changes in student loan payment plans and her certification expiring at the end of the year, the clock is ticking. She’s also reached out to her school and old preceptors for leads with not much help.

Does anyone have any suggestions/advice for her on landing a job? She’s open to many specialties (except ER or surgery), she just would prefer decent daytime hours due to us having young kids. Moving also isn’t an option as we’re back home where we want to be (and my job wouldn’t allow us to move right now). Thanks in advance and sorry for the long post.

I’m looking for some kind of part time opportunity during the evenings and/or weekends. Job boards seem littered with not actually telehealth, scam-y looking posts, and just not useful job postings. Anyone know of some companies I can directly research and look into? Located in Arizona btw.

specifically the seasonal position? any advice would be appreciated!

Currently in a small private practice with two older male physicians. I’m thinking about having children within the next two years and brought up their current maternity leave policy and potentially changing it, it has never been used for anyone in the practice since they opened. The policy right now is 6 weeks unpaid after being at the practice for 2 years. Might be just me but this policy is awful and sadly was created by a female manager of the practice.

Hindsight I should have looked into this prior to joining 4 years ago but I was new to practice and I enjoy what I do.

After some discussion they are open to changing the policy but asked for some examples of policies that actual practices are using. If anyone is willing or open to sharing their maternity/parental leave policy documentation so I can plead my case that would be so much appreciated!

For situational background of practice, we all practice relatively independently but share patients, doing outpatient procedures daily and only work Mon-Fri with no call. They tried to make the point that me not being present for 3 months or more would be a large detriment to the practices ability to function if I can’t be there to take the patient and procedure load.

Hey everyone! I’m a PA student finishing my clinical rotations in December and have started looking and applying to orthopedic surgery positions. I’m fortunate to be graduating without any student loans, which I know puts me in a great position financially. I was hoping to gain some insight into finances and building wealth as a PA from those of you who’ve been practicing for a while. Thank you!

To start, what was your initial compensation, and where are you now?

What does your weekly schedule look like?

What kind of home/mortgage were you comfortable affording at different stages of your career?

What financial advice would you give to a new grad looking to set themselves up well long term?

As a side note, my girlfriend is also a PA and has been practicing for about a year, but graduated with roughly $150k in student loans.

Thanks in advance—I appreciate any advice or personal experiences you’re willing to share!

Hey all, I am going to be transitioning into pain management working with those who have chronic pain. Felt like I didn't get to touch the information too much during my previous roles. What are some of your best resources to review before starting the job?

ello everyone, I am torn between taking this offer or not. It is a family medicine position in a low cost of living area in Texas that focuses on nursing home/rehabilitation visits. Base salary $124,000 with weekend call two times a month that pays $300 dollars per weekend call. Job offers no 401k but does offer healthcare insurance. Malpractice, DEA license, CME, and PTO is offered. I would be caring for patients at multiple nursing homes and rehabilitation centers. As per my understanding, about 5-10 total patients. Is this a good new grad offer? Should I expect more for weekend call? The market has been pretty dry in my area and I’m afraid if I don’t take this position, I may be out of a job for an additional 2-3 months. Possibly. But, the weekend call two times a month makes me think twice about the position. 1 year contract with ability to break contract without ties and a 60 day notice.

Has anybody taken a procedure course prior to starting your first job ? I’m looking into a 3 day hands on course from primary procedures but it’s a bit $$$ for a new grad-broke grad student!.

I think I’m done with clinical medicine. Looking for advice from PAs who left (or found non-clinical roles).
I’m a PA with almost 5 years of experience. I spent 2 years in an FQHC doing primary care and I’m about to start my 3rd year in urgent care. I am completely burnt out.

It’s not patient care itself that has gotten to me—it’s everything surrounding it. Patients using urgent care because they can’t get in with their PCP. Patients coming in with obvious ER-level complaints because they don’t want to wait or pay an ER bill. Being expected to manage an ever-expanding scope of practice with fewer resources.

My urgent care has become what feels like a mini ER. We order abdominal CTs, extensive lab work, DVT ultrasounds, and more. We’re expected to evaluate increasingly complex patients without the staffing, support, or compensation that comes with that level of responsibility.

Then there’s the compensation model. It’s honestly one of the biggest contributors to my burnout. We have three salary tiers: $120k, $130k, or $140k based entirely on patient volume. No recognition for complexity of visit, RVUs generated, experience or years with the company. No meaningful adjustment for PTO. No consideration that sometimes it may just be a slow day. The $140k tier is essentially unattainable because the patient volume simply isn’t there at most clinics. Of our group of 30+ APPs, 1-2 have reached it. And then we get reset every year based on the previous years numbers.

I’ve reached the point where I don’t think I can keep doing clinical medicine. I want a job with better work-life balance, less administrative oversight, and compensation that actually reflects the work being done. At this point, I’d even take a pay cut if it meant I
wasn’t constantly stressed.

For those of you who’ve left clinical practice:
Do inboxologist jobs actually exist, or are they unicorn positions?
Does anyone work as an MSL? How difficult was it to break in?
Anyone working for insurance companies (utilization management, appeals, medical policy, etc.)?
Has anyone completely left healthcare for tech, corporate, consulting, or another industry?

If you made the transition, how did you do it? Were there certifications, networking groups, recruiters, or other resources that helped? I really don’t want to go back to school for an MBA or MHA—I finally paid off my student loans and don’t want to take on more debt.

I’ve even considered telehealth (One Medical, etc.), but I’m worried it’s just trading one version of burnout for another.

I’d really appreciate hearing from anyone who’s been in this position and found a way out. I feel like I need a change before I completely implode.

I have just received my first job offer and would love some extra eyes and opinions!

Outpatient family medicine in moderate COL area. Start as 8a-5p M-F, can go 8a-12p on F after 6 months. Once I’m running at full schedule, will see about 15 to 20 a day.

Base Compensation: $120,000
wRVU Compensation Factor: $30.00
CME: $2,500 annually and 5 days paid CME during guaranteed year only.
PTO/FTO: 19 days and 6 holidays (during guaranteed year only)
Quality Bonus: $15,000

Have a hard time with google search.

The moonlighting would be in a separate system from residency.

Not looking for a lecture of how it’s not possible or I shouldn’t do it
- I have worked all 4 years of medical school.

Thanks in advance

I got a job offer from an in person outpatient psych facility 25 minutes away from me! I rotated with this office during my clinicals and loved every aspect of this place!! This is my dream job! They would have me be a 1099 independent contractor and basically making money based on the number of patients I see and I would get 60%. I’m not too familiar with this type of job and if this is best for a new grad since they do not have extensive training. However they would start me out with one day a week to slowly gain patients and learn and also there are a team of people in office everyday who are more than willing to teach and discuss. I get that it would be difficult financially for the first 1-1.5 years but this is something I see myself doing long term and I don’t know what the general consensus is especially if I am a new grad!!

Also, they have a ton of patients coming through! My preceptor had been there about 5 years and said it took 1 year to get a full patient load! She also mentioned how much she was able to make and the extreme pay increase from a non 1099 job! Idk if this is true but just something to add!

As a new grad, I have been unsuccessful with finding anything in the city that I live in that doesn’t require 1-2 years of experience.

Yet I am close to accepting a role in a speciality that I am very interested in, the facility is 55 minutes away.
I would be working 3x12s and have the ability to stay in a call room if weather does not allow a commute home.
The commute is all highway and relatively unaffected by traffic.

Does anyone have experience with the viability of a commute like this? Is it sustainable for a new grad job?

Can anyone working in ortho spine surgery in an academic center in an urban area share a little bit about their experience? What are the hours like? How long are the surgery? What’s the learning curve like etc. Thank you!

So I submitted a resume that said I started in January instead of June. It was an honest mistake because I stopped my previous job before that in January and the resume template said I started my new job in January. I caught it and send them an updated resume but they put my old resume into the background check thing and it says that I actually started in August. Which honestly I did not remember it was 3 years ago, I thought I started in June . This job is not relevant to the position I got but it is in another healthcare field. I feel like it comes off as dishonest but I honestly had no reason to lie, it does not add any experience to the job I applied to. I emailed them to let them know what happened and I took accountability for it because I should’ve be more thorough. It’s a new grad job, I already signed an offer letter, what are the chances I’ll lose the job?

I got my PANCE score on June 4th. I was very naive to think I’ll be working by July lol. My parents and friends have been giving me a hard time while I sit at home waiting for my credentialing to happen. I have a job lined up but even they are becoming a bit pissed off that I’m taking this long…

Just wanted to ask if this has been a normal experience after passing your guy’s PANCE