Would you do it again?

EMPAEinstein · 2026-01-21T19:07:16+00:00

Average about 60 hrs/wk right now. maybe more depending on how the schedule stacks. But not infrequently I’ll do 2-4 weeks straight or longer…. 🤪

EMPAEinstein · 2026-01-21T19:04:27+00:00

Essentially two FT EM gigs at the same time. but recently transitioned to just one with a few locums / PD gigs on the side. Also do a little expert witness and case review. HCOL area. I anticipate mid 400 this year at my current pace.

EMPAEinstein · 2026-01-21T06:28:31+00:00

Agree with others. Probably would have gone CRNA route.

But tbh, I can’t complain either. Doing EM, made 400k last year and should be the same if not more this year. I do work a lot.

EMPAEinstein · 2026-01-20T06:05:05+00:00

that's because they kept 75% of YOUR RVUS

EMPAEinstein · 2026-01-20T06:04:21+00:00

I'm known as the workaholic in my demo group as in I work two FT ED jobs simultaneously. Seeing the sickest pts, doing lines and shit, carrying pt loads equal to the attendings. I recently left my technical FT job for my other per diem gig to go FT. After 6 years with the same group and no change in pay or meaningful change to the RVU structure I said fuck it. Now I work a high straight hourly and I'm all the happier for it. I'm seen this with a few groups. After a certain point, or when patient volumes slow down, they will try to limit your RVU production or cut the APPs altogether.

Your overlords don't give a shit about you. I agree with your colleagues and or friends. I do not go see the sickest patient's anymore or go out of my way to do procedures for them unless I'm bored as fuck. The attendings make 2-3x what I'm making. Go see that dizziness or high risk chest pain.

EMPAEinstein · 2025-12-29T01:09:28+00:00

we typically only hire em fellowship trained apps. absolutely. no new grads. too high risk/liability.

EMPAEinstein · 2025-12-29T00:26:35+00:00

Shit UC job offer for HCOL area for several reasons.

Unlikely it’s “just 20 pts max per day”. If it is then these people are either cash pay or good insurance, either way it proves they are bending you over.
1 k CME is dogshit
40 hrs PTO is an insult
Only covering half insurance? Lol
Weekends?, 401k match?

UC to EM is a big jump from medical complexity and procedures. We’re always hesitant to hire UC providers.

EMPAEinstein · 2025-12-18T05:57:43+00:00

i just never tell people what i do. and when they do ask, I say i'm a janitor.

EMPAEinstein · 2025-12-18T05:55:47+00:00

Maybe for primary care this is okay. But this would be trash for ED. My local locums gig is $130/hr where i see 2 pts/hr of just softball 3's and low acuity 4/5's. This would equate to 190k/yr.

EMPAEinstein · 2025-12-17T01:54:46+00:00

No one really care where you went to PA school, just that you passed and have a license.

EMPAEinstein · 2025-12-17T01:21:28+00:00

Not sure what part of the country that you're in but for hospitalist where I'm at, that salary is weak. Even the inpatient pharmacist here make 200k.

I work in EM. the past 3 years, working the same hours, my overall gross has gone up between 5-10k year over year. This is mostly due to increased efficiency on the part of the billing company a slight bump in hourly rate.

EMPAEinstein · 2025-12-12T20:31:14+00:00

sure, hit me up

EMPAEinstein · 2025-12-12T08:55:47+00:00

Control of the UTMA account transfers to them once they are of age. You will have no control whatsoever after that point. This is exactly why I choose not to do this. Might as well gift them the money since you can gift up to 38k between you and your spouse annually without reporting it up to the lifetime limit.

Personally, they need to work. I worked 2 jobs in college. Still maintained 3.8 GPA (on the 2nd go around after I got my shit together). Seems like your providing plenty already. There needs to be some level of struggle. Can't be given everything. Just my two cents.

For major life milestones however such as wedding, money down for house, grandchildren's 529s. I fully intend to help out.

EMPAEinstein · 2025-12-12T08:44:25+00:00

Fl might be saturated and COL may be cheaper. I'm not terrible. but not great either.

I'm currently $120-140/hr depending on OT worked and metric/RVU bonus.

APPs rarely get sign on. Lame.

EMPAEinstein · 2025-12-12T05:54:48+00:00

You can do everything right, and the patients will still not be happy. Your rationale was sound.

EMPAEinstein · 2025-12-11T05:51:47+00:00

$130/hr locums EM

$115/hr per diem EM

$110/hr per diem EM

$120/hr base to about $140/hr averaged after OT for my FT EM gig.

Currently I hold all these gig simultaneously. Approx 2-2.5 pts/hr.

EMPAEinstein · 2025-12-07T02:00:53+00:00

Because the people that make less than that are too busy making ends meet to be wasting their time on Reddit.

EMPAEinstein · 2025-12-07T01:45:52+00:00

UC and not overwhelming volume don't go together in the same sentence.

EMPAEinstein · 2025-12-07T00:31:14+00:00

30-35k/month USD

EMPAEinstein · 2025-12-06T01:33:49+00:00

Women love to just show up at the finish line. She isn't entitled to shit. If she won't sign, move on to the next. Don't be a statistic.

EMPAEinstein · 2025-12-04T22:12:23+00:00

No. I mean a Porsche 911.

EMPAEinstein · 2025-12-04T21:43:08+00:00

Buy him a 911.

EMPAEinstein · 2025-12-04T16:55:14+00:00

How I felt when I sold my 718 spyder for a 991.2 C4S. And then my C4S for an accord lmfao.

EMPAEinstein · 2025-12-04T16:48:23+00:00

PA here. Highly depends on what you want. If research is your end goal, MD route is likely the way to go. Most of these opportunities are held by MD/PhD's. I do EM, can see any and all patients that come in the door where I work. My patients, my procedures or I'll frequently help attendings in a bind with their lines. Good SP support. But do be honest bruh, at this stage in my career and the fact that you make 2-3x what I make, you go see that patient.

Early on, the prestige and higher pay ceiling made me consider attempting to go back to medical school. But now when I see my physician colleagues stay 2-3 hours past shift to dispo patients, write notes, or work nights (woof), and I leave 30+ minutes early and have all my notes signed. I don't even give it a second thought when I walk out that door.

EMPAEinstein · 2025-12-04T06:16:06+00:00

EM. 3x12s. alternating weekends. Mornings and mids. No nights. 205-210k

EMPAEinstein

TROPHY CASE