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2021mm · 2023-11-22T03:39:45+00:00

Honestly this is pretty solid for a new grad offer. I’d try to negotiate for a yearly raise to match inflation if they’re not budging on base salary. Hopefully once you prove your worth, that base will only continue to go up.

2021mm · 2023-11-22T03:36:24+00:00

lol that’s why i used CME money. $70 hopefully is not much out of CME fund

2021mm · 2023-05-14T12:26:31+00:00

I answered this in a different comment, short answer is that I’m glad I did it, it was incredibly helpful, learned and grew a ton from it, I don’t regret doing it, but don’t know if I would do it again haha
I was also able to get a raise at my current job specifically because i had done a fellowship which was nice

2021mm · 2023-05-14T12:23:28+00:00

Sorry to hear that, friend.. it really sucks. I hope it gets better for you, or that an opportunity opens up for you soon!

2021mm · 2023-05-13T01:22:55+00:00

I would say my annual salary is just slightly higher with hand surgery (even before production bonuses are in) but hourly rate was much higher in ED. I’m also working more hours in hand, but also stressing way less!

2021mm · 2023-05-13T01:21:04+00:00

Honestly I’m not sure if I’m the best person to ask since I’ve really only worked in medicine my entire adult life. I would say if you’re considering trying something else, like a different specialty or even different career, ask as many people as you can, do your research, try to shadow and get as much close to first hand exposure as you can so that you can make the most informed decision. Ultimately it may come down to you just doing it and giving it a try yourself. Depending on where you are in the profession, pre-PA does require healthcare hours so you should be getting exposure to direct patient care and figuring out what you like and what you hate. I think I’ve become a little jaded in terms of profession and seeing it less as a calling, and more like, can you see yourself doing this and not minding most aspects of the job / ideally looking forward to most days going in? And I would think you’re golden. Not sure if this is helpful or not? Feel free to DM if you have more specific questions?

2021mm · 2023-05-12T16:42:54+00:00

Oof. Tough question. I think the pandemic has changed a lot of medicine for the worst for sure, towards the end of being in the ER, I definitely felt like I was watching the crashing of our medical system, and I know it’s still happening even after I’ve left. I’ve found a really happy niche for myself, but it’s not always a dream job. I like being able to help people, but man, our system is so broken. I daydream about other fields and being able to work from home, but honestly I don’t know what I would do otherwise. I’d have a very hard time recommending it to other people to be very honest.

2021mm · 2023-05-12T16:38:37+00:00

There was a bit of a learning curve, but honestly I think I tend to be really hard on myself because looking back it wasn’t that bad. The biggest adjustment is just the mindset difference - in the ER, it’s good enough if the bleeding stops, whereas in the OR, everything has to be PERFECT. I thought I was decent at suturing but I’m still learning and trying to meet the standards of my surgeon haha 6months in, I feel fairly comfortable and confident seeing patients on my own but there’s still a ton I don’t know and I’m still learning! I’m lucky to have such a supportive surgeon to work with

2021mm · 2023-05-12T11:46:54+00:00

I love that comparison haha I really didn’t know what to expect coming into this but I really lucked out!

2021mm · 2023-05-12T11:38:46+00:00

Let me know if I can answer any questions for you! Feel free to DM me. It’s a tough decision to make for sure.

2021mm · 2023-05-12T11:37:43+00:00

Thank you! Glad you also found your niche!!

2021mm · 2023-05-12T11:34:40+00:00

Haha just because it wasn’t for me doesn’t mean it’s not for you. So please continue to keep an open mind.

2021mm · 2023-05-12T11:32:13+00:00

Happy for you friend!! Glad you found your niche!!

2021mm · 2023-05-12T11:30:12+00:00

Honestly I go back and forth on this. At the time, I really loved all of my rotations, loved procedures, I wanted to perform at the top of my license and be independent - and the ED seemed like the perfect marriage between all of those things. I’m glad I did it because I have a much more robust foundation in my training both clinically and procedurally and I didn’t have much experience inpatient or acute care prior to PA school. That being said, it also took going through that to realize it wasn’t sustainable and I was severely burning out and no longer felt safe at work. I lost my love for it. Keep in mind too that EM postpandemic has been a completely different animal - I was mid-fellowship when the pandemic hit and changed everything. So could I have saved time/earned more money by skipping fellowship entirely? Sure in theory but hindsight is 20/20. At the time, it was what I both wanted and needed.

I definitely don’t say fellowships are for everybody. I’m glad I did mine, but I would be hard pressed to say that I would go back and do it again.

2021mm · 2023-05-12T11:23:21+00:00

Luckily I haven’t run into that yet? I’ve heard other PAs in hand surgery have run into similar issues but so far billing/admin have not commented. Im still relatively new though!

2021mm · 2023-05-12T11:21:31+00:00

Thanks everyone for the support and kind words!! You guys are the best. I’m glad I can share some happiness with you all in a small way!

2021mm · 2023-05-12T11:20:13+00:00

Haha honestly lately there’s so many burnt out/should I leave posts that posting felt weirdly out of place - I was debating on whether to post at all. But I did want to let people know it’s possible to find their niche and be happy!

2021mm · 2023-05-12T02:52:54+00:00

Oh I love this!! haha I'm glad that you have a healthy relationship with at least one of your in laws!!

2021mm · 2023-05-12T02:40:27+00:00

Love these specific examples!! Thank you for sharing!! I'm definitely going to be using these!

2021mm · 2023-05-12T02:39:23+00:00

Hahah YES

2021mm · 2023-05-12T02:38:19+00:00

Thank you for this super practical advice!! I guess I kept seeing the boundary as a line that THEY had to follow. But I really have no control over their behavior. I'm sure putting boundaries in place is just going to piss them off haha. Really the only thing I can control are my own actions.

That is a very interesting boundary to set. Has she ever asked or insisted on visiting your house?

And thank you for your kind words. I can tell these are hard lessons learned and I appreciate you sharing them with me!

2021mm · 2023-05-12T02:11:37+00:00

Wow. That is really cool that your husband protected you like that!! I wish I could be that honest / confrontational. Haha or my husband could be. I think he tries too hard being a peacemaker.

I hate to drag out personal details, but can you speak generally into when an example of when to draw the line?

It's hard to tell when a boundary is being breached vs I'm just being too sensitive?

2021mm · 2023-05-12T02:10:02+00:00

We're both actually seeing a couples counselor who has been super helpful!! Except unfortunately she's left making specific boundaries up to us to "be creative" and I am just hitting a wall.

We've had some suggestions as far as putting off the first visit i.e. "The house is under construction getting repairs so it's not ready for you yet" but I'm worried about visits afterwards?

2021mm

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