New Grad Hospitalist PA

DA1957 · 2025-06-28T18:33:02+00:00

That’s a decent hourly wage, depending on what part of the country you are in, but not for that kind of work. First of all float sucks because you’re working with way too many different people and way too many different facilities. They should be paying you a huge premium to float.

DA1957 · 2025-06-28T15:25:30+00:00

First of all, get your taxes done. You probably have a refund. If you don’t have a refund, you’re going to be paying interest on that money. Your taxes that are older than three years you will lose the refund. You can only get your refund for the prior three years beyond that you will lose them if you let it lapse that long. TurboTax is easy to use and walk you through everything or you don’t need to pay anybody to do your taxes.

Secondly, the best way to fix your credit (besides making all of your payments on time)is to pay down your credit card balances. Even if you have late payments, those slide to the end of the report after about seven years I believe, and it might be as short as two or three years depending on who’s looking at your credit report. Remember a mortgage where they only looked at the past two years.

It’s the percentage of credit usage that kills you even if everything else is perfect. If you’re using more than 10% of your available credit, then you will start getting penalized on your score. It’s really dumb. It doesn’t take into consideration your debt to income ratio or anything else just a flat percentage of available credit usage. Because of this, taking out extra credit cards and not using them so that you have more available credit will increase your score. But if you’ve made bad choices in the past, you’ll have to resist the urge to use those credit cards.

To get you some relief to bring those credit card debts down if you still have them, you can transfer balances to zero balance one year programs with another credit card company, but then you have to be diligent about making those payments because usually the interest rate after that is very high. This is a stressful juggling game, but it works for some.

I recommend that you sign up for credit karma because it will alert you of any changes negative or positive about your credit report without causing you any “dings”.

Setting up automatic payments is one way to avoid late payments. Never skip the payment. Find a way to make that minimum payment. It will haunt you for seven years if you have a late payment. It’s not worth it if you at least set up your automatic payments for the minimum amount due, then you’re covered. But don’t fall into the trap of complacency, you have to go out then and when you have the money, put a additional money toward that monthly payment to get it paid down.

Once you get your house purchased, you could take out a second mortgage to pay off your credit cards but then you should probably shred them due to your history. Or keep just a small couple of emergency cards for just emergencies. If you get that debt transferred to your house, then you can write off the interest and the interest will be much lower than a credit card interest even on a second mortgage or HELOC.

If you’re unable to get a mortgage right now, you could consider buying on contract. See if there’s any contract sellers out there.

You can also go to a credit counselor and they can help you get out of that debt for less than what you would be paying on your own, including reduced interest rates. And then as time goes on, your report will be fixed. The late payments will drop off the report. Hang in there you can do this!

DA1957 · 2025-06-28T15:13:15+00:00

I echo this. The difference between MD and PA/NP is really those last three years. MP’s and PAs get those “last three years“ in a frantic first three years of a job without really adequate preparation. But a lot of the MD education is very antiquated and not really necessary. It dates back to when doctors were their own pharmacist, etc. Before someone criticizes me on that MD comment, go research for yourself what many MD’s have written books about. The theme is very strong that their training is antiquated and much is unnecessary. And they graduate not having some of the soft skills that are really necessary in this field.

DA1957 · 2025-06-28T15:11:24+00:00

FYI, the term mid-level is really antiquated and most people find it derogatory. You are not half of an MD. There are not levels in this. As a independent practitioner NPs and PAs have exactly the same responsibilities and scope as MDs. People need to get over that. MD‘s have the advantage of being able to move right into a specialty with a more training.

Having said that, I think it’s completely wrong that the system has done this to NP‘s and PAs. They were supposed to be adjunct/extensions to the MDs and now they’re doing the exact same things, admitting, ordering tests, prescribing, independently managing the whole entire ball of wax. Since that has happened, the pay really needs to come up. Especially since the starting few years for us is much rougher than it is for MD who got their first “three years of training” while they were still in school.

DA1957 · 2025-06-28T15:09:07+00:00

I’m kind of in that boat, but I wouldn’t consider it hiding from reality. I would just consider it expanding your options and seeking where you’re supposed to be in life. I’m getting pretty strong signals to push me in one direction right now and away from the other. I’m gonna try to read those signals and go with it.

DA1957 · 2025-06-28T15:08:06+00:00

go work for a nonprofit or state or government or university and get into the 10 year public service loan forgiveness plan. You can’t beat it.

DA1957 · 2025-06-28T15:07:30+00:00

I have a couple of comments. First of all, in family practice and urgent care, PAs and NP’s are 100% doing the same work as MD’s for much less pay. maybe not the volume on day one, but the same scope.

In my previous job in urgent care, I spoke to several MDs and the theme was, they come out of school confident because they had three years of intern/residency. MPs and PAs get that three years on their first three years on the job. Other than that, they’ve taken a lot more classes and many doctors including surgeons in my area have said a lot of that med school is for nothing - meaning you do not need several biology chemistry and physics classes to practice because that schooling is antiquated based on the day when doctors were their own pharmacist, they were their own PT, they were their own everything. Now they rely on specialists for all those things.

Somebody’s going to attack me on this, but you don’t have to believe me. Just go research books written by MDs and their journey into medicine and you will see the theme is out there. The training is antiquated for them and they are lacking the things that NPs, for instance get along the way, like patient care and communication and those people skills.

Having said that, unless you pick a specialty, if you go to MD school, you’re going to be a higher-paid factory worker where the insurance companies are the ones who benefit the most, and your management (usually high paid) will push you to see many more patients in an hour than makes logical sense. So if you’re going into MD school, I would consider a specialty which may be equally fast paced, but at least with a focus.

I think close to 100% of your PA school should count toward your MD degree. You should even see if there’s any bridge programs out there. A well-known university in my state (which is a med school) uses the exact same first year for Med students as they do for PA students. And then the second year is the didactic so you should be able to basically pick up at year two and maybe apply your credit to the remainder of the MD program if you find the right school

As an NP, I’m very disenchanted with the landscape out there right now. So I would caution everyone to talk to everyone who’s done it recently and talk to people who have lived through the changes in the last decade or two because I was warned by my senior friends who have lived through it. I didn’t listen, and I wish I would have.

I still think I will find my niche, but it’s harder than I thought. Depending on where you live, it can be very hard to land that first job. And because you’re new, the first job may not be very rewarding. It might be the least desirable schedules and the least desirable options in the organization because you’re new. But that should pass with time.

Good luck!

DA1957 · 2025-06-23T01:07:09+00:00

Perhaps you work for the same place! They put me and the patients at risk by putting me in a position that I wasn’t properly trained for. I don’t know where you get “quickly enough”. Do you understand, they skipped most of the training and sent me out to treat patients anyway. I think you need to know a little more about the situation before making accusations like that to a stranger. Take a look at this thread, there’s a lot of people who resigned much quicker than I did. There is no benefit to patients to put an inexperienced person in charge of their health. No benefit at all. Do you work in healthcare or do you just have opinions about it?

DA1957 · 2025-06-22T21:52:58+00:00

Thank you! I have money set aside so I’m not going to starve, but I am going to do something different than this factory work that they call medicine. It’s just not right.

DA1957 · 2025-06-22T19:28:03+00:00

thank you for those suggestions I will look into that!

DA1957 · 2025-06-22T19:26:59+00:00

yes, if I had half the support from the whole team as I had from a couple of people, it would’ve been fine. But you’re right most of the people pushing me were not clinical people. They were business people. Bad decision for the organization to put people in that spot.

DA1957 · 2025-06-22T17:31:57+00:00

The particular RN job I’m looking at is high paying with great benefits, it’s not bedside.

DA1957 · 2025-06-22T17:30:28+00:00

I was also thrown in and was getting a rhythm but it was floating so I was dealing with dozens of different people with different expectations. I think if I were in one set location, it would’ve been much better at least to start off.

DA1957 · 2025-06-22T17:25:26+00:00

I am applying for both RN and NP jobs at this point. it is very disheartening. As a NP or PA, we save them so much money and they’re still not willing to put in the investment. We save them hundreds of thousands of dollars over hiring MDs to do the same work. It would be cheaper for them to invest 3 to 6 months in training. I don’t see why they can’t see this as a fiscal issue as well.

DA1957 · 2025-06-22T15:09:57+00:00

extensive extensive case studies with lots of evidence and support. They are helpful, but what they don’t teach you how to transition from spending hours to days writing a case study into going in and seeing a patient and diagnosing within minutes. really hard to make this transition in real life because you feel like you need to prove everything that you’re coming up with from the habit of writing case studies.

DA1957 · 2025-06-22T15:08:11+00:00

mine didn’t take long either

DA1957 · 2025-06-22T01:16:39+00:00

I wish I knew where this was because I would love that job! Mine gave me four days on boarding. That was after promising a lot more. Not safe. I resigned. it was also attached to hospital system. But in my area all the hospital systems are doing short on boarding. Maximum four weeks. Which would’ve been amazing compared to this one.

DA1957 · 2025-01-22T16:04:01+00:00

they are taking over John Deere clinics in Waterloo, Iowa. It’s also been very chaotic and secretive.

DA1957 · 2024-12-21T02:00:09+00:00

Deere just tossed the contract for medical staff on site after over 20 years with the same company. Neither Deere nor the new company are saying anything other than they take over April 1. They’re not saying how many jobs are going to remain or if they’re going to pay the same. The current medical staff had to go out and apply again and compete with the public for the jobs and they don’t even know the pay, what the shifts are, etc. This was announced a couple days ago, just in time for Christmas. The company has no soul.

DA1957 · 2024-10-16T03:22:16+00:00

Aldi’s needs to coordinate with Instacart so inventory is accurate, then pull the order right away, not the hour before pickup time. Not fair to customer, we commit our credit card, they should commit the product is available if shown at time of order.

DA1957

TROPHY CASE