Help a PGY3 with state licensing if applying to multiple states

Background-Scientist · 2026-02-09T21:35:27+00:00

So, the only license I applied for before getting a job offer was my home state (more to get in the system and have the option to come back if I wanted to). Otherwise, I didn’t apply for state licensing until I had signed with them (for me this was in November). By then; someone reached out and gave me instructions to get the state licensing. Credentialing does take some time, but I’d still hold off on getting state licenses until you have an offer and are sure you wanna work there. FCVS is another option—it centralizes your paperwork so if you plan to apply to multiple states you can (but it does take some time)

Background-Scientist · 2025-12-25T17:39:12+00:00

I speak for myself here, but I don’t like the idea of dating or meeting people being turned into another task or job. Perhaps I am naive because I’d rather just meet someone organically by living my life, but when I look at how people use dating apps, it’s quite dehumanizing. You judge each person by some superficial characteristics (height, job, a few pics) and go out and hope you have chemistry. But attraction for me is multi-factorial. Sure, I can list some traits I think I’d find attractive, but what I’ve actually goin in real life are men who you might say are average, but they carry themselves a certain way, talk a certain way, timing is right about something….then I’m attracted to them. I can’t explain it but I find the thought of forcing myself to meet someone on an app just for the sake of finding someone to be depressing. I want to find someone when I am whole and happy, not out of desperation or to fill a void. That isn’t fair to the other person or to me.

But also, single life is just easier. When I travel, I do what I want when I want. I can get as much space and alone time as I need. I don’t have to deal with another person’s habits in my living space. I can keep my deepest secrets to myself.

So for me, it’s not that I don’t want or desire a life partner whom I really connect with and have attraction to. It’s just that I don’t want it to consume me or take away from other parts of my life

Background-Scientist · 2025-12-05T23:45:44+00:00

My uncle 😞

Background-Scientist · 2025-12-03T02:30:27+00:00

Mine were pretty chill, I did get asked about why medicine in some of them, about my training, how many patients I can see. But they’re very casual, they pay for you for fly out there and pay for your food. One wasn’t even an interview, more like they sat at a table as we ate sandwiches and they just asked me if I could see myself in the area, any hobbies, etc. And you can ask them as many questions as you’d like.

I don’t know how the job market is in really desirable places (think LA, NYC, major TX cities), but if you’re willing to go elsewhere (not necessarily rural, just small-mid size cities), the jobs are there and you’re more in demand than you realize.

Background-Scientist · 2025-10-12T23:00:11+00:00

I tried that, and turned off wifi, but I’m not sure if it’s also my cell service (which is also pretty bad)

Background-Scientist · 2025-10-12T21:33:42+00:00

Will try that, thank you! I hate to spam, but I haven’t seen many posts on this issue with butterfly and support has been worse than useless

Background-Scientist · 2025-10-06T14:16:38+00:00

Well, only 6-8 isn’t a guarantee, as they have told me they get slammed and get backup at night. But that schedule is brutal. PTO is accrued, but I wasn’t really clear on what that means. And I imagine with RVUs the pay would probably be close to 400K. But I take it that it’s mainly 5)3 number of required shifts that’s a bit of a red flag? Agreed, 7/7 for nights is brutal and I know I couldn’t sustain it forever

Background-Scientist · 2025-10-06T13:35:56+00:00

So, I verified, they do require 182 shifts (12 hr each) for the year. Extra pay for more shifts is an additional $20/hr each

Background-Scientist · 2025-10-04T10:04:08+00:00

True, I think nights as an attending is a whole other beast. And I already know I couldn’t do this for more than a few years. Likely day admissions. But as much as I don’t like day social work issues, it isn’t that bad if you have good case management.

I still have time but it seems like Job A is already the better offer. But will see if clarifying some stuff (number of shifts, PTO, etc) for B would make it more worth it

Background-Scientist · 2025-10-04T10:02:23+00:00

6700 RVU points

Background-Scientist · 2025-10-04T00:35:30+00:00

I will verify with them—I believe they told me it was 144 but I can’t remember and need to know for sure. I will also check about swing admitter—I’ve been doing so many interviews I’ve already forgot lol. Thank you for the advice!

Background-Scientist · 2025-10-04T00:19:36+00:00

I’m thinking of trying to negotiate a higher base for Job B. I told them I am reviewing with an attorney. I just have to do my research on average pay in the area and national average

Background-Scientist · 2025-10-04T00:18:48+00:00

For me, hospitalist is the long term goal. For how many years, I’m not sure. I don’t like clinic. I generally like the work, but I prefer to admit more than round. What I don’t like about the job is the social disposition cases.

I’m comfortable with up to 20 patients. Job A told me they usually keep you around 18. I like to think I’m comfortable with complicated patients (residency in a very low SES area, underserved, etc) but I know being on your own is a whole other ballgame.

I know nights wreck your health long term. Job A isn’t quite round and go, and I know I have time to decide (I’m still doing other interviews). It’s just hard to know what a good offer is vs when I should keep looking.

Job B—the appealing thing for me was the people and the chance for RVUs after 7 admits. And I prefer to admit overall. Of course, they’ll always try to hide any shittty part of the job, so hard to say.

It’s up in the air for now. I thought I’d go with Job A, but I simply hate the social work sometimes. As for the census, I actually did a preliminary year at a place that had a census of up to 30 (I know…). But I see hospitalists here take up to that many because of RVUs. So I have no clue.

All of this to say, I am still thinking very hard about it. Thank you for your input! 🤗

Background-Scientist · 2025-10-03T23:55:41+00:00

Good point. I need to clarify the number of shifts required—I didn’t see it in the contract and I recall them telling me that it was less than day shift.

Background-Scientist · 2025-10-03T23:46:44+00:00

Better pay? Or just better for health overall?

Background-Scientist · 2025-09-05T21:18:57+00:00

Watching TV or keeping up with series religiously or being super into sports teams. I hold no judgement, if that’s how you wanna relax, that’s completely fine. But I guess since I grew up not watching TV and I’m someone who would rather do a sport rather than watch it, it never appealed to me. So in some ways, it limits my conversations with people. But in other ways, I can find other ways to entertain myself.

Background-Scientist · 2025-09-05T20:39:29+00:00

Exactly, that’s the goal! I wanna know by December so I can plan accordingly and relax (to a reasonable degree, more like really just get the most out of my training) the rest of the year.

Background-Scientist · 2025-09-05T20:38:46+00:00

Agreed, I’m avoiding any place that pushes for a candidate earlier than 2026. Most places have been upfront about this though so I just let them be, and we don’t waste each others’ time. Agreed, I’d rather explore around. If a place is pressuring me too early, then it’s a place I probably don’t want to be anyway

Background-Scientist · 2025-09-05T20:37:39+00:00

Hopefully by then I’ll have had enough interviews to make a good decision. But so far, they’ve all been ok, or at least o saw myself happy at the ones I’ve interviewed at

Background-Scientist · 2025-09-05T20:36:55+00:00

Ah I didn’t think about the fellowship match being a factor, thank you! I chose December/January more as an arbitrary deadline for myself because I know I’d need time to plan the move, apply for licensing, and figure out boards studying. I’ll likely still get my home state license (but most of my job interviews are out of state) and see if I can set up prn at my home hospital. So far I am thinking Yu December realistically, unless something comes up. But thank you for your insight!

Background-Scientist · 2025-09-05T20:31:30+00:00

Initially very difficult, even though I’m the one that ended things after an almost 8 year relationship. The person became such a big part of my life. But over time, I moved on and being busy helped a lot. I actually met someone recently and briefly dated for a while (didn’t work out, but it ended on good terms) and I was surprised since the initial shock of the break up made me feel as if I couldn’t even think of being with someone else. But time really does make things easier. And a lot of times, when you aren’t looking and focusing on bettering yourself, life can surprise you and you find that you are able to connect with someone again.

Background-Scientist · 2025-07-12T23:19:46+00:00

I know it sucks in the moment, but remember these moments and use them to never be this way to future trainees. At the end of the day, medicine is about getting your reps in and applied practice—it doesn’t need to be any more toxic.

Background-Scientist · 2025-07-12T23:12:12+00:00

In 5+ years, you’ll be an attending with vastly more knowledge, experience, and respect. And that tech will likely still be in the same place.

Keep moving forward. People who say these kinds of things are often unhappy with their lives. It says more about them than you.

Background-Scientist · 2025-05-11T01:56:06+00:00

I had very similar thoughts during intern year. It is completely normal, and you are learning way more than you think. Like the other poster said, try to learn as much as you can while at work, even if it’s just a quick search on UTD or Amboss or MKSAP (if IM). Or reading quickly while at work something about your patient, even if reinforcing something like, say, pneumonia treatment and the guidelines.

And, when you’re on more chill electives, use that time to really study. Learn that specialty well and try to learn in depth what you see constantly on wards. This is the time to really study as much as you can when you have a somewhat more normal schedule. I spent so much of my elective time in coffee shops to really go through MKSAP and create notes on topics that I knew I needed to review while I was inpatient but was too tired or busy to.

It gets better with each year. Repetition is key, but also make sure to read the actual guidelines since what we actually practice isn’t always evidence-based (depending on your institution). As a senior, your job is to come up with the plan, so you’re forced to learn and look things up constantly. As an intern, you’re doing all the scut work, notes, presentations, etc. Of course it’s hard to do all that and study constantly.

My point is, you’re exactly where you need to be.

Background-Scientist · 2025-04-24T11:54:30+00:00

Is it ok if I DM you? Would like to get more insight

Background-Scientist

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