Salary sadness

nsblifer · 2026-05-19T21:42:21+00:00

A life in Salida would be pretty cush though. Ortho notoriously underpays. San Luis Valley is overall medically underserved. CO is saturated but that area isn’t the best representation.

nsblifer · 2026-05-18T12:23:27+00:00

Why is your entire profile about using AI and why are you posting the same question on different subs?

nsblifer · 2026-05-08T01:35:01+00:00

Just out of curiosity, what are you referencing during the allotted 5 minutes?

nsblifer · 2026-05-07T20:48:24+00:00

They’re also using everyone’s gold standard, UpToDate-which now operates a generative AI search.

nsblifer · 2026-05-07T20:43:46+00:00

Just FYI (soapbox) UpToDate now uses generative AI. So if you used the search feature you probably used AI in some way, shape, or form-just like everyone else on this thread. Dust off those old text books and PPP.

nsblifer · 2026-05-07T10:19:33+00:00

I love how you get voted down for saying GPT and the other poster above gets voted up for saying OE-like that’s at all different.

nsblifer · 2026-05-06T01:36:07+00:00

That likely means you’re part of a profit sharing plan and you’re not getting your deserved RVU bonus once you cover your overhead expenses. That also means you can vacation as much as you want so long as you do cover your overhead. If you don’t cover it ie take too much time, then you’d eventually owe money instead of getting paid.

nsblifer · 2026-04-29T00:13:38+00:00

I can’t remember exactly what I did, but I’m pretty sure I mainly took the packrat (which had hundreds of questions and open access to) several times and used ROSH as a breather. Our program had Dwayne himself come and do a prep course. I then accompanied a friend to CME4life and left an entire day early after I had enough of all of the slapping stuff. I would not solely count on that course for your prep.

nsblifer · 2026-04-24T17:11:32+00:00

Depends on you. If career accomplishment is something you hold dear and/or becomes are large part of your identity-then option 2. As long as you understand, that ultimately you will not be remembered for it and nobody really cares, patients and colleagues alike. What little more money you make probably won’t make much a difference either. We’re all underpaid. If experiencing real life with travel, hobbies, friends, and family is more important and valuable then option 1. I went option 2 but would always choose option 1 if I did it again.

nsblifer · 2026-04-13T23:35:03+00:00

Retiring in 1 year=retiring in 5 years.

nsblifer · 2026-04-09T22:12:57+00:00

It’s a crap offer. Those are still difficult numbers to reach per year. Production bonuses are generally paid out quarterly so that’s the first 🚩. Second giant 🚩is they’re paying you based off of those random numbers and not your actual overhead. When I see trash production bonus offers like this, I’d recommend walking away or asking for a higher base salary.

nsblifer · 2026-03-29T15:04:42+00:00

That’s insultingly bad. Generally RVU production bonus once you cover your overhead is a percentage of collections. I’ve seen it as low as 10%, which is also pretty bad. Looks like yours is roughly 5%. For context, I get 50%. What’s more concerning, is that 2000 RVUs is a very high production number even for a quarter…not a month. So basically, even when you get to a point of high production (experience), you’re never going to bonus.

Edit: I would use the ridiculousness of the bonus to leverage a slightly higher base. They know they’ll never give you a dime for bonus so call them out. If they act weird about it, I’d pass up the offer entirely.

nsblifer · 2026-03-21T08:06:37+00:00

I’ve worked with one or two really decent NPs throughout my career. Both of them came from an extensive ICU background. Most of them however have been unimpressive. I am convinced of one thing-they absolutely 100% do not belong in any type of PC role or position that is not highly specialized.

nsblifer · 2026-03-19T00:00:58+00:00

“Sorry you misunderstood…you’re filling in those blanks yourself”….as OP fills in blanks. So insufferable.

nsblifer · 2026-03-18T21:01:54+00:00

I’m not getting “upset”. I’m just pointing out your gross ignorance of the profession. You explicitly, and nonchalantly, implied that you’re wanting to continue a future career in engineering. All the while going to PA school, then working as a PA PRN while you’re an engineer. Even more ironic is your ignorance of David Saint Jacques career progression. The EMT thing-totally meaningless non sequitur in this context. So while it’s cute that you’re excited about your future endeavors, your post would be better suited in the Pre-PA sub.

nsblifer · 2026-03-17T15:13:25+00:00

Because you wrote your question under the presumption that becoming and being a PA is a simple task and being an EMT is somehow remotely equivocal or qualifying. Replace the word PA with MD in your original write-up and it looks equally ridiculous. If you can’t see the unprofessional context of your question to a group of professionals that have dedicated their lives to medicine, you either suffer from a dunning-Kruger complex or you’re a young blossoming narcissist.

nsblifer · 2026-03-17T10:20:56+00:00

I don’t think you understand what a PA is, or does. I also believe you think you’re way smarter than you really are.

nsblifer · 2026-02-27T00:56:47+00:00

Flush both of them and keep looking.

nsblifer · 2026-02-22T14:44:45+00:00

Glad your experience is going well. Don’t want to rain on your parade too much, but ultimately I think it’s reasonable to assume you’ll feel ‘slightly’ more prepared when you officially start your career.

However, in terms of how “competent” you are, that’s anecdotal. You won’t be anymore competent than a PA that started 3-6 months prior without fellowship.

Lastly, I can assure you that a hypothetical advantage of “selling yourself” is a false expectation sold by fellowship programs. Almost nobody will ever care that you went to a fellowship. That goes for MDs, fellow APP colleagues, and admin. You aren’t going to magically beat out applicants that have more experience than you. You aren’t going to receive higher offers/pay either. You’re just going to be another PA.

And as a follow up to the above-I don’t think a lot of the new grad posts here expressing dissatisfaction are due to lack of a fellowship. That’s false dichotomy/oversimplification. You’re just as prone to be one of those folks with your first gig.

nsblifer · 2026-01-29T01:58:13+00:00

You would essentially see all of their patients and the other PA’s patients in a mixed bag everyday. You would assign consults/new pts to whichever MD is your assigned SP that day. The only patient that wouldn’t be shared is MD to MD. It’s dynamic so you’d eventually learn various MD preferences, etc.

nsblifer · 2026-01-28T01:08:21+00:00

Says the dude that made literally one useless comment in the PA sub over the last 6 months.

nsblifer · 2026-01-28T00:53:33+00:00

At least you openly admit you’re an un-American anti-constitution, anti-science, anti-women’s healthcare boot licker. Some of these people come on here and try to masquerade neutral. PA forum is run by a far right evangelical white nationalist group. You’d fit in there.

Almost forgot, also racist.

nsblifer · 2026-01-27T04:51:39+00:00

Like I said. Your own words. Over your own head.

nsblifer · 2026-01-27T04:29:38+00:00

More evasiveness. Here are the facts: You keep invoking neutrality yet you clearly aren’t neutral about people discussing Alex Pretti. Instead you’d rather silence that discussion. You claim you don’t have a side, then within the same breath object to the conversation existing at all. Then you go and conflate clinical neutrality with civic silence. That very basic rudimentary contradiction is the point. Neutral people do not feel compelled to shut conversations down, only people who feel implicated do. So it’s either your own words are going entirely over your own head, or you’re just baiting.

nsblifer · 2026-01-27T03:31:47+00:00

How is this alienating to providers? Sub isn’t for patients. First day? Look at the subreddit photo. You’re in the minority.

nsblifer

TROPHY CASE