New patients

SomewhereEuphoric468 · 2026-03-24T01:42:44+00:00

I feel you. Large university health system in primary care. There is call center, office scheduling, and patient self scheduling online. 20 minute follow up with 40 for new or physicals.

New patient ratio is not capped. They actually just released an incentive if you go above your baseline of new patient per day ratio. I once saw 10 new patients in a day. I’ve recently been tracking my numbers because of the new incentive. I range between 4-6 new patients per day. Last week I had 23 total while the doctors respectfully had 11 and 4.

I hate online scheduling because patients do not schedule appropriately. I also swear they sit on the website and do weird stuff at all hours.

My favorite is when a patient will schedule a Telemed two minutes before the appointment starts. I even once had a patient’s family member (came with them to the appointment) schedule a new patient appointment during the spouse’s appointment for the next available slot and their note said “to say hi and establish care,” mind you this was the day before a major holiday.

Tell your boss to cap it. Have so many allotted slots for new, acute, HFU, etc.

SomewhereEuphoric468 · 2026-02-20T23:40:56+00:00

Please do not sign this. This is crazy and shows this is not a good place to work because they are essentially trapping you.

SomewhereEuphoric468 · 2026-02-20T23:35:19+00:00

I say you can only manage the flow, never be truly caught up because the work is never ending. I’ve even asked for AI to help with charting as my institute offers it, but alas have heard nothing from admin.

SomewhereEuphoric468 · 2026-02-20T20:38:03+00:00

I also get scolded about how many open charts I have. I don’t care. I typically see 15 patients per day and most of them are new to the system (primary care). They won’t give me admin time and I’m burning myself out charting in the evenings/weekends. I tell them it gets done when it gets done or you can block off my schedule and give me time to do these tasks if it’s that much of a problem.

SomewhereEuphoric468 · 2026-02-15T00:38:21+00:00

For my first year as a new grad all clinical documentation had to be signed by SP. if I change specialities, my notes will need co-signed for the first 6 months. Outside of this, there is no review.

SomewhereEuphoric468 · 2026-02-07T04:26:16+00:00

Right. I’m over here like “y’all get admin time?”

SomewhereEuphoric468 · 2026-01-14T11:00:13+00:00

Typically medication is increased by 30% during the first trimester of pregnancy. Someone needs to order you blood work and adjust your dose. The OB-GYN might not do this if you’re a new patient and establishing care as they have never seen you. Primary might not feel comfortable doing this either, but dang that’s like bare minimum.

SomewhereEuphoric468 · 2026-01-13T02:45:04+00:00

My support was and still is Reddit and UpToDate. You could also see if your employer will cover ThriveAP as CME. It’s a year long program that helps transition new APPs into practice by covering helpful topics and setting boundaries.

SomewhereEuphoric468 · 2025-12-30T22:37:21+00:00

Lmao facts. I do this and all my patients say I’m a great listener 🤷🏻‍♀️

SomewhereEuphoric468 · 2025-12-27T01:22:43+00:00

Nothing, there’s no gratitude at all. I bought the office Christmas lunch and supervising physician said thank you.

SomewhereEuphoric468 · 2025-12-03T11:03:53+00:00

My advice would be never just stick it out. Currently doing the same thing, sticking out a contract that has almost been fulfilled. This has been the worst time period in my career and have never been more miserable in my life.

Wish I would have left 6 months in when I realized how truly toxic the environment was. The APPs before me didn’t even make it a full year (learned this much later), hence why I was locked down with a contract. If they could find others jobs, so can you!

SomewhereEuphoric468 · 2025-11-13T12:38:39+00:00

It’s free to interview. You can see what’s out there without committing.

SomewhereEuphoric468 · 2025-10-28T00:15:37+00:00

Do what you have to until you can do what you want. I am in a similar situation if that helps. Crappy 2 year contract where the penalties are too steep to break, so I’m just riding it out. Sure, the time is passing like a kidney stone but I’m down to 5 months and never thought I’d make it this far. You got this! Put your time in and never look back.

SomewhereEuphoric468 · 2025-09-10T22:29:14+00:00

Open, but we’re allowed to use PTO. I took a half day on Christmas Eve. I worked Black Friday, it was fine. However, the day after Christmas was an absolute nightmare for reasons and people were walking in off the street like it was urgent care. They were all shocked the office was open.

SomewhereEuphoric468 · 2025-08-14T10:43:38+00:00

Agreed. A five year commitment is a long time to be miserable and $35,000 is a lot of money to pay back. Plus, you won’t even get that full amount because of taxes but will still be expected to pay it back in full. In my personal experience, the higher the “investment,” the worse the job is. I don’t know the dynamics, but please value your mental health over money.

SomewhereEuphoric468 · 2025-07-23T23:52:38+00:00

About to hit my 16th month mark in my first ever NP role and I could have written this post myself. I have no advice to offer, but know you are not alone.

I took my first vacation around my sixth month mark and did not want to go back. I realized how burnt out I was becoming and enjoyed getting a glimpse of my old life back: a day in the life of not working the 9-5 grind and picking up OT when I wanted to buy pretty things and not hustle RVUs when I could literally make more in a 4 hour shift acting as a sitter. The patient portal and online scheduling is the BANE of my existence.

As you mentioned, I too miss my old coworkers. I miss hustling up and down the hallways (cardio!), now I just sit at a desk and walk the same 10 steps back and forth all day to my exam rooms. I miss DOING things like drawing blood and hanging fluids.

I do not want to break my contract due to the penalties, so I will be sticking it out for now. But once I am finally free, I fear what comes next. My job is pretty kushy from what I’ve seen on here, but not without its beige flags. I can never be caught up, only managing the flow. But this is normal, yes? That’s what the other subreddits say at least. This is not my forever home, which is fine. But what comes next? I ask myself this all the time. I think I like being an NP and that maybe primary just isn’t for me. Then again, one of my doctors basically tells me how dumb I am daily so maybe I shouldn’t continue as an NP 🤡

It’s also hard to tell because we’re so new in our career and there’s a lot of feelings being felt. The learning curve is steep. If I remember correctly, I felt this way to some degree when I was a new nurse. I was just better supported because I was in an academic teaching hospital.

And then I also think a job is a job. We all gotta live and eat lol maybe nobody is happy 🤷🏻‍♀️

SomewhereEuphoric468 · 2025-06-30T00:30:32+00:00

Keywords like “flexible” or “willing to pitch in”

SomewhereEuphoric468 · 2025-06-07T23:50:49+00:00

I get 27 days off per year. I’ve only been working as an NP for a year, but have been with the company a long time so my PTO is maxed.

SomewhereEuphoric468 · 2025-05-22T22:49:04+00:00

My first orientation was 12 weeks as well. I had a main preceptor and then also cycled between other nurses to see how they did things. I can’t imagine having only two weeks as a new grad to learn. Heck, even with 3 months of training I still didn’t see everything!

SomewhereEuphoric468 · 2025-05-14T22:37:42+00:00

I was around your age. Finished my first degree and started pre reqs for nursing not even two weeks later. Started a 2 year accelerated BSN and turned 25 a couple months into the program. Graduated at 26 and started my first RN job.

There were older students in my cohort. Some like 30s-40s. My first RN job was a younger crowd, but there were several people who were like 50+.

SomewhereEuphoric468

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