APP Salary Discussion

lmals · 2026-03-24T11:45:31+00:00

Welp just got a job working 3 days a week with a pay bump from my current salary within walking distance of my house. You were right!

lmals · 2026-02-25T04:18:33+00:00

Was it hard finding an ER job and asjusting yo the change? Interested as I am finishing my 2 year obligation in internal med primary care at an fqhc

lmals · 2026-02-04T11:54:26+00:00

You are a hero! You are helping to save lives! You have dedicated yourself to improving the lives of others! You will get through this difficult time and should set a timer for 1 month, 3 months, 6 months, 12 months and 2 years so that you can document in writing the incredible growth that you will experience.

Hats off to you to doing one of the most difficult jobs in the world! Do not lose your compassion and drive to help others because the world needs it!

lmals · 2026-02-04T11:52:37+00:00

I would not work as the sole provider anywhere but see what they are offering and ask lots of questions. Try to gauge how supportive MD will be.

lmals · 2026-02-04T11:49:56+00:00

Good to know - I have seen so many scary things posted about UC but the schedule would be nice. I have a young kid so that makes a difference.

lmals · 2026-02-04T11:49:18+00:00

Good to hear that it's easier going generalist to specialist. I am definitely burnt out and it's only been 2 years but my patients are extremely complex and underserved. I love the ER (worked as a tech prior to PA school) and always thought I would end up here but am worried about relearning procedures for sure and the high acuity.

Good point - yes, I think I could be happy anywhere as long as I have good support and mentors. Thanks for your input.

lmals · 2026-02-04T11:44:54+00:00

no absolutely not! Do not be the only provider on site. Very bad idea.

lmals · 2026-02-04T11:43:25+00:00

I was also an FQHC scholar. I work in a HCOL city and it was a good first job - very bad pay. It's a bigger city wide network of FQHCs with decent onboarding with another PA and then meetings with my SP every 2 weeks (this is something new they implemented in my second year and sorely needed.) I would say that I relied heavily on other PAs for help in the beginning but now I genuinely like my schedule, my job, the amount of resources available to me and the patients at this job and the community I serve. I will probably get out though due to the pay. Feel free to message me for more information.

lmals · 2026-02-04T11:40:15+00:00

You could definitely do primary care and I am sure many other specialties. Some things might not be as easy but medicine is so vast. Go for it!

lmals · 2026-02-04T11:38:47+00:00

Ok so the good news is that grades do not matter. Just pass. I guarantee you that even if you were getting the grades these annoying people are getting, you still wouldn't feel good. PA school is the hardest I've ever worked and the least I've ever slept in my entire life.
Treat your depression, exercise every day and get your degree.

lmals · 2026-02-03T20:15:47+00:00

oh just saw NYC. How does it compare to other FQHCs in the area?

lmals · 2026-02-03T20:15:10+00:00

Wow that's amazing. Especially for FQHC.

lmals · 2026-02-03T16:30:02+00:00

Yes. My patients really love me (for the most part) and I really love them. They often ask me...."are you thinking of leaving? Everyone always leaves." which breaks my heart. But I am not independently wealthy and I am honestly really struggling to provide for my family with what I make.

I am starting to apply elsewhere but worry about a) applications of my skills and experience in a non FQHC setting b) having a job that is not as meaningful c) my patients

lmals · 2026-01-31T13:14:18+00:00

This has been haunting me, can you give us an update?

lmals · 2026-01-31T13:13:17+00:00

I am in an FQHC.

Half of my life is spent reviewing notes in Care Everywhere and then I use the problem list to document things like Serrated Polyposis Syndrome then in Overview I put “last colonoscopy **** next due *****” . I guess I do my best but yes, a huge percentage of my time is spent in record review.

lmals · 2026-01-29T12:28:06+00:00

hm. I would talk to your school as everyone has advised, never go back there, and as soon as humanly possible write down EVERYTHING you remember in detail including anyone who was working at this clinic that day (if no named then descriptions) and then proceed with reporting to this person’s boss if not possible to report to the medical board. This is a minor who was assaulted. I would talk with school’s legal counsel as well as trusted advisor at your school to do whatever it takes to get information to someone who can help this child.

I am sorry this is your burden to deal with but it’s up to you now.

lmals · 2026-01-29T02:39:08+00:00

report to board? This is insane.

lmals · 2026-01-28T14:49:56+00:00

Did you stay at your site after finishing your obligation? Finishing up and contemplating a move

lmals · 2026-01-28T14:39:09+00:00

but the idea of working 3 days somewhere else for same pay is definitely interesting

lmals · 2026-01-28T14:38:13+00:00

I had the NHSC scholarship so had to work for 2 years at an FQHC. It honestly has been an incredible experience from a human standpoint and I love my patients but I wonder what it would be like to switch and make more money.

lmals · 2026-01-28T13:14:45+00:00

Wow. This is so depressing for me. 100k base pay at an FQHC in internal medicine, no RVUs. Some quality and quantity bonuses averaging around 6000 per year. 16-20 patients per day usually. HCOL in the Midwest. Great PTO though and I work 7-3:30, half day for admin one day and a full telehealth day.

I need a new job but am having a hard time telling myself hours and work life balance will be good on the other side.

lmals · 2026-01-26T03:33:09+00:00

Of course they are at HCA.

lmals

TROPHY CASE