See title. I'm finally leaving a toxic position at an FQHC for a part time role at another clinic. Some of the physicians I work with have been throwing around the idea of opening a new clinic. As far as I'm aware, none of us have business backgrounds.

I've made a lot of snide comments over years of practice about the MBA's with no clinical experience dictating how I practice, but I'm realizing I've also never set up a payroll or rented an office space. I have some other physician colleagues who have started their own practices and want to give advice, but I'm wondering how much I could gain with an MBA or doctoral PA degree in a leadership track. Has anyone opened their own practice? Did additional postgraduate training feel essential, or no?

EDIT: his Instagram page is @wilson_invests

Anyone here personally in, or know someone in Wilson’s mentorship program?
I was close to applying but I’m just too skeptical and hesitant as he charges $10k.
It sounds like he helps you find a better job and connects you to his personal investment sources… but is not a CPA and doesn’t have any finance degree.
I know he posts all his client stories on his Instagram but wondering if anyone has heard anything about this mentorship.

I’ve been working in emergency medicine for over 15 years, split between two hospital systems. I love my job but my husband also works in the ER, so since having kids the schedule has become untenable for childcare. So for the first time since 2011, I started perusing the job market, and wow….60-70% of the outpatient jobs in my area are listed as NP only. I’ve been looking in psych, palliative, rehab, and maybe sleep medicine. I know that many physicians prefer to work with PAs in general, but it seems like physicians are doing less and less of the hiring. During my rehab interview, I was told by the doc that the job was mine, but a few weeks later I got an email that administration would not approve the hire because I was a PA (they instead hired a new grad NP from an online program). It made me wonder what we should do to address this, as PAs. I’m not sure what we can do about it, other than lobbying to be independent practitioners ourselves, but I don’t think PAs as a group really want that. Since I’ve been out of the job market for so long, I wanted to post on here to see what experience others have had in job hunting over the past few years. Are we getting pushed out?

Hello, Physician Associates!
I have a background in anthropology with an interest in how emerging technologies are shaping healthcare. I am conducting a brief questionnaire to better understand how artificial intelligence (AI) is influencing interactions between patients and healthcare providers.

1. Have patients ever mentioned using AI (e.g., ChatGPT) before, during, or after an appointment? If so, how often?

2. How do patients typically use AI in relation to their healthcare?

3. How has patients’ use of AI changed your conversations during appointments?

4. Have patients requested additional tests, treatments, or referrals based on AI-generated information? Can you describe an example?

5. How do you respond when AI-generated information differs from your clinical judgment?

6. In your experience, has AI improved or hindered patient understanding of their health? Why?

7. What challenges have you encountered when patients rely on AI for medical information?

8.If AI healthcare tools were redesigned, what features would better support both patients and healthcare providers?

Thank you for participating!

I’m an PA in Denver. In general Denver job market is not great. Healthcare included. I was helping my new grad friend through interviews and she finally got a decent Primary care offer for 115k. I told her to counter offer. She was really nervous but agreed to do it and got another 5k onto her salary. New grads, hold out for the better offers and ALWAYS COUNTER! Worst case scenario they say no as long as you do it professionally.

I accepted my first job as a new graduate in a specialty knowing there would be a steep learning curve. I never expected to know everything after training, and I was fully prepared to continue learning independently outside of work.
What I wasn’t prepared for was essentially being expected to practice with almost no formal training.

When I interviewed, I was honest that I had completed an elective in the specialty and had prior experience working in the field before PA school. I think that experience led the practice to assume I required very little onboarding.
Instead, my “training” consisted of a few days learning the EMR and observing clinic before I was expected to begin seeing patients independently. There was no structured education, no discussion of diagnostic approaches, no review of common conditions, and very little direct supervision.

There are also aspects of the clinical workflow that have made me question whether the standard of care aligns with what I was taught. Without getting into identifying details, there are diagnostic tools and examination practices that I expected to be routine but are not used in this practice. As a new graduate, that’s left me second-guessing both my own knowledge and what I’m seeing every day.

I’m honestly becoming increasingly anxious because I want to provide safe, evidence-based care, but I don’t feel like I’ve been given the support to do that.

Has anyone else started found themselves in a situation like this? How did you handle it?

Hi all,

I’ve been a PA in emergency medicine for about 1 year now. Prior to this I was an ED RN in the same hospital system for about 5 years. I was recently asked if I would like to train a couple new grad PAs that have just started with our group and I agreed. Our group does a tiered approach where everyone starts in the fast track area of the department (urgent care things) and you progress to higher acuity based on experience.

I’ve trained many new grad nurses in the emergency department but training a new PA is very different. I want to do a good job and make this as seamless for them as possible. I did not have the best first few shifts when I started a year ago and that was really discouraging at the time. Basically I would like any advice on being a good trainer and things that you liked or disliked during your training (bonus points if it’s in the ER).

Hey all, waiting to start my job after graduation and definitely underestimated how much money I would need and how long credentialing would take. I’m in a tiny rural area (I.e no uber, no DoorDash), any online temp jobs people took while waiting to start work?

I’m a new-grad PA in Raleigh with a written offer from a nice private orthopedic total-joint practice. Compensation is around $115k. The role includes clinic and OR time, and the surgeon says he wants willing to train me, but it is a high-volume practice with expectations for productivity and I would eventually work fairly independently rather than as part of a large APP team. I don't know if the onboarding seems a bit rushed with the previous PA leaving soon.

The offer expires before a second round interview I have next week for an inpatient orthopedic role at a large nonprofit hospital system. That position would include consults, rounding, trauma, procedures, OR first-assisting, and working alongside multiple APPs. Compensation may be is around 120k, and the hospital job would qualify for PSLF, which is important because I have substantial federal student loans.

The hospital role sounds more aligned with the team-based environment with a standard 6 month training period, but it is only an interview, not an offer yet. I asked the private practice for a short extension since they only gave me 2 days to decide

If they refuse to extend the deadline, would you:

1. Accept the private-practice offer and still attend the hospital interview?
2. Decline the offer and take the chance on the hospital position?
3. Accept the private-practice role and withdraw from the other process?
4. Should I leverage the private practice off with the hospital or not mention it?

For PAs who have worked in both settings, how much did having a larger APP team and more structured onboarding matter during your first year? What red flags or questions should I focus on before choosing?

Curious if there are any legitimate survey or medical research opportunities I'm not aware of that are being utilized by other colleagues. Currently, my only regularly paying opportunities come from screening into M3 Global Research studies and weekly participation in the Healthcasts discussion threads. I tried Enos but could not be verified for whatever reason. Also joined Sermos but there are never any surveys available to me. Can we get an updated thread of active and worthwhile sites going? Anything helps to chip away at these loans.

M3 Global Research: https://aff.m3globalresearch.com/bdd1d48a/9bc19f5dee38f752

Healthcasts: https://www.healthcasts.com/signup?referral_code=REF1811529621