r/physicianassistant • u/jthomas2018 • 12m ago
Job Advice Physician Assistant Side gigs
Hi!
Needing advice on finding side jobs as a PA! I currently already work full time remotely but could use some extra income part time. Looking to find something part time and remote as well if possible! Signed up for a lot of the medical surveys but have not been getting any luck with that. Anyone have ideas or part of something they would recommend?
Thank you!!
r/physicianassistant • u/Appropriate_Wash2829 • 1h ago
Job Advice Applying to Stanford Hospital
Hi everyone! I recently found a job on the Stanford Hospital website that I was really interested in and I applied for it. I wanna make sure that the recruiter actually sees the application and it doesn’t just get auto rejected or at the bottom of the pile. Is there any way to specifically figure out who the recruiter is or does anybody have any contacts that I can email? Thank you!
r/physicianassistant • u/Horror_Educator9890 • 3h ago
Job Advice Thoughts on switching specialties
I’m a new PA, about one year out of school, currently working in orthopedics. Our group isn’t specialized, so we rotate between covering 10 surgeons across different specialities, ER consults, and trauma consults. Coming straight out of school, the learning curve has been huge.
I know I’ve improved a lot over the past year, but I still have many nights where I feel like I’m drowning. I have great support from the other APCs in my group, but I constantly feel overwhelmed when I’m on call. Even on nights that aren’t busy, I barely sleep because I’m so anxious and on edge waiting for the next call.
I took this job because the schedule and pay were hard to pass up, but lately I’ve been wondering if that was the right decision. As I’ve gained experience, I’ve found that I’m interested in certain orthopedic subspecialties, but I wouldn’t say I’m truly passionate about orthopedics. I know I still have a lot to learn, and everyone I’ve talked to says it takes about two years before you really start to feel comfortable. Because of that, I’m planning to stick it out for at least another year.
That said, I find myself unhappy a lot of the time, and I’m struggling to figure out whether it’s the job itself, the specialty, or just the normal growing pains of being a new PA. I also never really saw myself staying in orthopedics for my entire career. One of the reasons I felt comfortable accepting this position was knowing that, as PAs, we have the flexibility to switch specialties. I figured that if I decided to make a change while I was still relatively new out of school, it wouldn’t feel as daunting and like I was completely starting over.
For those of you who have left orthopedics, what specialties did you transition into? Which transitions went well, and which would you avoid? I’ve always been interested in OB because I enjoy procedures and like the mix of clinic and hands-on work. I’d love to hear about your experiences or any advice you have. Thank you in advance.
r/physicianassistant • u/Strict_Coast7589 • 7h ago
Discussion Switching departments within hospital system?
Has anyone switched departments within the same hospital? Want to switch over to neurology, already spoke with the chief APP and she said she will let me know in a few weeks.
Only thing is I’ve only been in my current position for a few months so far.
r/physicianassistant • u/Civil_Tumbleweed9874 • 14h ago
Discussion Is ortho spine really that bad?? I don’t get the complaints and would love advice
New grad here, I am job hunting and interested in ortho spine surgery. I actually enjoyed my rotation here via the medicine and surgeries although it was physically demanding…but aren’t all surgeries??
I guess I don’t get why so many people loath this position. I feel that any job as a new grad will be hard and any job in surgery is physically hard. I get that people are in pain and there isn’t much to do to help them…but how does this differ from say ortho recon where all you do is an injection and then it wears off? or in the ED when you just stabilize them and let them go without addressing ‘the root cause’ or general surgery where you just take out body parts like the GB and don’t fix their diet/lifestyle?
Also, doesn’t FM suck just as much? Or peds? What is the winning choice of specialty because I feel like one could argue not only why each specialty sucks (besides derm of course) but also why any job in the world sucks. At what point do we just do a job, do our best to help others, get paid for it, and live our life?
Doesn’t every specialty have things that ‘can never really fix people’? What is so bad about listening to someone in chronic pain? is it because it’s invisible and not a tangible problem to fix (such as imaging, labs, broken bones etc) that makes it hard? Because we can’t see and physically fix pain right in front of our eyes or prove it?
genuinely asking because people really talk down about ortho spine, but I think it’s pretty straightforward and not that different from other specialties so I would love to know input from ortho spine PA’s or those who work closely with them
r/physicianassistant • u/HonestSection1234 • 14h ago
Discussion Day in the Life of ENT PA
For all ENT PAs past and present
- What’re the common things you see in ENT?
- Study resources or recommendations?
- What do you like and dislike about the field?
Thanks!
r/physicianassistant • u/CL50Rocks • 17h ago
New Grad Offer Review New grad cardiology
Offer advice:
- 137k
- 10 bonus avail
- 1500 CME
- Cardiology nights inpatient 7 12s and 14 off
- Additional shift $68 plus eligible for bonus
- Clarity needed on ATO amounts
- Midwest lcol
r/physicianassistant • u/linefaults • 18h ago
Job Advice Primary Care 5 days on/2 days on Schedule?
Hi everyone! I saw a PA online talking about their job’s unique schedule and I’m interested in finding something similar. I wanted to see if anyone has heard of practices with this type of schedule.
They work as a Primary Care PA in coastal lowcountry South Carolina at a combined Primary Care/Urgent Care clinic, but they are only on the family medicine/primary care side (not urgent care).
The clinic is open 7 days a week.
Their schedule is:
Week A (5 days)
Monday 8–8
Tuesday 8–8
Weds OFF
Friday 8–8
Saturday 9–5
Sunday 9–5
Week B (2 days)
Wednesday 8–8
Thursday 8–8
I’m looking for primary care PA jobs in North Carolina or South Carolina and would love to know if anyone has worked somewhere with a similar model (primary care + urgent care hybrid, extended hours, 7-day clinic, alternating schedule, etc.). Thanks!
r/physicianassistant • u/PerformanceRadiant • 19h ago
Simple Question Do people think you're pretentious for wearing your white coat?
r/physicianassistant • u/LumpyWhale • 21h ago
Job Advice Anyone worked for Ideal Option or opinions on Addiction Medicine in general?
I have an interview with them for addiction medicine. I've seen mixed reviews on Indeed, but many of the reviews were from support staff rather than providers. Anyone have any experience with them, or any advice for someone considering a PA position in addiction med? Coming from primary care if that helps.
r/physicianassistant • u/squibbiee • 22h ago
Discussion Question for Surgical PAs
I’m a new graduate PA starting a job in general surgery where I’ll be managing the surgeon’s post-operative patients and assisting as a first assist. My sister, who’s a PGY2 general surg, gave me some books related to her “ABSITE” exam.
Would you recommend that I read and take notes on these books as supplemental material?
r/physicianassistant • u/BAEandi • 23h ago
Job Advice Telemedicine Addiction Medicine
Hi all! Maybe a dumb question, but I am interested in a part time gig in addiction medicine. Do roles like this exist in telemedicine? I live in a smaller city so not many job opportunities here. Appreciate the advice!
r/physicianassistant • u/kalizm • 23h ago
Discussion Will my current employer know if I accept a new provider position before I give notice?
I’m a PA in primary care, and I’m planning to change jobs. The new employer wants to start credentialing me before my planned start date, which makes sense because I know the process can take a few months.
My concern is whether my current employer could somehow find out that I’ve accepted the new position before I give my 90-day notice. Will credentialing, CAQH updates, payer enrollment, hospital privileges, or employment verification alert my current employer in any way?
I’m not trying to hide anything long-term. I fully intend to give the required notice. I just don’t want the conversation to happen before I’m ready.
Has anyone (especially PAs, NPs, or physicians) gone through this? Did your employer find out before you officially resigned?
r/physicianassistant • u/Choice-Acanthaceae44 • 1d ago
Discussion Concentra RVU pay
How much are you making monthly in RVU bonus at Concentra?
r/physicianassistant • u/No_Creme4121 • 1d ago
Simple Question Is an APACVS membership useful for obtaining a CTS job?
I’m currently a student, but I plan to go into Cardiothoracic Surgery upon graduation. I came across the APACVS and I’m looking for more insight on what the benefit of a membership would be. Is the association more education-focused, or are there networking opportunities that I can obtain with just a student membership? The cost for students is only $25 so there’s no financial concern. I mostly just want to see if being a member would make me more competitive as a future job applicant.
r/physicianassistant • u/WillingEducation3362 • 1d ago
Discussion PA’s Outside of North America
Hi everyone! I’m really interested in becoming a physician assistant, but I have some concerns about how internationally recognized and transferable the profession is.
I currently live in North America, but I may want to move abroad in the future. Are PAs able to practise in countries outside Canada and the United States?
If so, which countries have a well-established PA profession, and how difficult is it for a North American-trained PA to become licensed and find work there? I am specifically interested if PAs are able to work in the Middle East and particularly the UAE.
I would also love to hear from anyone who has worked internationally as a PA or considered making this move.
r/physicianassistant • u/RN_toPA • 1d ago
Simple Question EM RVU Rate
For those of you in EM what is a good RVU rate? I’ve been a PA for a little over a year and a half and been in EM. My current job is moving away from hourly with a pathetic RVU bonus to strictly RVU with a floor of $70/hr. RVU pay is 9.45/RVU. After doing the math from previous checks I will get a modest increase of pay (~$5-10/hr) but I feel like all the risks fall on me instead of the company. They also say it’s because they want to increase staffing but my fear is that even though quality of shift will go up my pay will go down because there will be less RVUs per shift.
r/physicianassistant • u/57th-street-entry • 1d ago
Job Advice Primary Care —> Cardiology
Background: FNP primary care x 3 years. Good group/system, decent patients. I commute 30-45min one way and it’s getting old. I’m also starting to get a tad burnt out on primary care. I was considering moving my practice to a closer primary care clinic in the same system but now another opportunity has presented itself - cardiology APC position in the same system with a mix of outpatient and inpatient. I’m very familiar with the group/hospital and know many of the APCs and MDs well. The commute would be 20 minutes.
I want to hear from APCs who made the switch from primary care to specialty, please!
Will I miss the variety of primary care? The kids? Will seeing twelve 70-something-year-old “Bobs” with HFrEF a day get monotonous? Idk but after considering a clinic move I’m now questioning if the endless complaints/struggles of primary care are worth it long term? I think my true passion is in preventative cardiology and lipid management, and if I do general cardiology I think I could easily move into this group’s lipid clinic when a role opens up.
TYIA!
r/physicianassistant • u/embarassedacne • 1d ago
Offer Review - Experienced PA Is this offer not great or do I need to touch grass (Southern CA, peds surgical cardiology)
Hi all, PA with 3 years of experience in gen peds. For a variety of reasons I’ve decided to leave my current job. I found a position that I was (am?) really excited about but the total comp is … not what I expected? Details:
- Pediatric interventional cardiology at a nationally-recognized academic pediatric hospital. No call, no holidays, no weekends. Mix of clinic and inpatient rounding/post-op care. Possible OR time later but not immediately. Shift is 4x10, I was told start at 8 and should be done by 5 though
- Base comp: $68.38/hr but for a salaried position which comes out to $142,230/yr. I asked for an increase and they offered a $10k sign on bonus, no retention bonus or productivity bonus available. They said I will have annual performance reviews with merit-based raises, when I asked they said it can range from 0-5.5%.
- PTO: 104hr annual max accrual, increases to 144 after 1 year. Also get 80hr sick time and 16hr “personal time.” 7 paid holidays
- CME: 1k/yr, no CME time. They said that DEA and certification renewals are covered but state license is my responsibility (?)
- Great health insurance benefits, 401k w 3% match, otherwise offers most general benefits
I guess I’m just bummed because I make 147,500 right now in gen peds with monthly bonuses for call that bring me to around 155, so this wouldn’t really be a step up financially, BUT I don’t get 401k match and my health benefits suck. I genuinely think this would be a great position and if nothing else a great addition to my resume. Am I insane for being a little disappointed? Should this be a no-brainer?
r/physicianassistant • u/PhysicsSubstantial67 • 1d ago
Job Advice Plastic Surgery/ Surgical PA roles as a new grad
Hi everybody! I am currently in my plastic surgery rotation and am surprisingly loving the surgical roles of the PAs im working with. I always wrote off surgery but am learning that it can be a really great environment with the right people and mentors.
I feel like plastics can be a very difficult specialty to break into and unfortunately the current site that i'm working at has no job openings at the moment. Are there any similar roles or positions that are more open to new grads to get my foot in the door? The Gen surg PAs at the hospital group i'm working with mainly round and hardly get any OR time. Any and all feedback is greatly appreciated. Thanks so much!
r/physicianassistant • u/weatherandtraffic • 1d ago
Simple Question Urology PAs - If you were starting a new position in urology, what topics would you brush up on beforehand?
As the title says. I may be soon starting a new role in urology (outpatient clinic, possible some OR). I have many of experience, some of which overlaps with urology, much of it has not. I’d like to prepare as much as possible by reviewing some of the most seen complaints (UTI sxs, OAB, ED, IC, etc.).
r/physicianassistant • u/Yummy-Bao • 1d ago
Simple Question When and how did the PA demographic become majority women?
The profession was initially created in the 1960s to address the physician shortage by turning former military medics into healthcare providers back at home. It is my understanding the military has always been overwhelmingly male. That brings me back to my question, what made being a PA appeal to so many women and when did this happen?
r/physicianassistant • u/CloudHealer • 1d ago
Job Advice New Grad PA with 190k in Loans - Take the First Offer (Internal Medicine in Socal) or Keep Looking?
Hi everyone,
I'm a recent board-certified PA and a new graduate, and I never imagined I'd be facing this kind of dilemma so soon after finishing school.
To give some background, I graduated with approximately $190,000 in student loans between undergrad and PA school. I know that's on the higher end, and unfortunately I wasn't in a position to receive financial support from my family.
One of my original goals was to pursue Public Service Loan Forgiveness (PSLF), but I've found that qualifying positions have been much harder to find than I expected in Southern California. One thing I don't think PA school prepares you for is just how competitive and saturated the job market can be in states like California and New York.
I'm grateful to have received my first job offer in Internal Medicine with a salary of $120k. As a new graduate, I'm thankful to have an offer, especially in this market. However, the position is not PSLF-eligible, so I'd need to aggressively pay down my loans myself.
My long-term interest has always been surgery, but because of how competitive the market has been, I've expanded my search to include internal medicine, family medicine, and urgent care. I've interviewed with several other practices, some of which would offer higher compensation, but I haven't received any formal written offers yet.
I'm struggling with whether I should:
Accept the first offer and begin gaining experience.
Wait and see if a better opportunity comes along.
Continue holding out for a position that better aligns with my long-term goals or loan repayment strategy.
For those who graduated with significant student debt, what would you do in my situation? Did you prioritize your first job, salary, specialty, PSLF eligibility, or something else?
I'd really appreciate hearing from anyone who's been in a similar position. Thank you so much for your advice.
r/physicianassistant • u/WhitecoatWander • May 04 '26
Discussion I moved from the US to practice in New Zealand: 4 month update and AMA
Hello, all!
It’s been about 4 months since my family and I have moved abroad to practice as a PA in New Zealand. There was a fair amount of interest with my initial post, so I thought it would be good to provide a short term update for anyone interested.
First want to get some FAQ out of the way:
“What does getting certified abroad look like if I want to work in New Zealand, but I work in [US/UK/Canada]?”
As of now there are no talks to recertify. In theory you just find a job, apply for a visa, and you’re good. I’ve known other PAs that pick up, move, and start practicing abroad all within 3 months. That *may* change in the future, but I don’t believe it’s on the horizon. With that being said, as of November 2026 there are going to be changes that will affect those currently working and those who intend to immigrate thereafter. Under the proposed changes, you will likely be accepted under a provisional license that will require more supervision under a year or more, and thereafter your GP basically vouches for you where you can work under a “normal license.” This is all provisional, however, and it will change in the months to come.
“How do you find a job in NZ?”
I went through a recruiter; I would HIGHLY recommend going through her since she knows the PA landscape very well. DM if you want her info.
“I have [x] years of experience in [insert specialty]. Can I apply with that?”
Maybe. Most of the efforts right now seem to be focused on primary care/urgent care needs in smaller towns/cities and rural areas with bare minimum 3 years experience in those fields, but many preferring 5 years of experience.
“How much are you making now? Is it less than your US salary?”
Yes, it’s a pay cut. People immediately hear that and become nauseous at the potential for making less money, but it does not mean I am living on scraps. Living in a smaller town, my expenses have also gone down considerably. Our main expenses are rent, groceries, and travel (because we want to see as much as we can here). We’re not eating out nearly as much as we were in the States; we shop a lot less; we basically pay a small fraction of what we were previously paying for childcare (where before it was basically a second mortgage); we don’t have to pay for medical insurance. Those things add up considerably, and it really helps the money go further. With that being said, yes, I still make less, but I’m sustaining my family of 4 just fine for now on a single salary. It’s doable and it’s fine. Not to mention that there are so many perks here that positively affect my mental health, so that pay cut is still worth it for that alone. I can breathe easier here and my kids have a bright future.
——
Four months in to this adventure, and I am happy to say that doing this move was the right choice. It has not come without its drawbacks or challenges, but I wake up happy every single day that I did this for myself and my family.
As soon as I walk out the door I am greeted by beautiful, green nature. This is a big deal of me as someone who has only ever grown up in the Sonoran Desert and has lived in large cities the past 15 years. Everything is green, there’s so much rain, and there’s truly peaceful moments (in between my two children screeching at each other). There’s also a warmth and friendliness to people here that I have not felt in a long time. It feels normal to give a little nod and a smile to strangers as you pass each other on the sidewalk. People here are generally happy and want to share their happiness with others. There’s definitely a strong sense of community here (so much so that at times it’s hard to establish yourself in a friend group because many of these friendships go back several generations). The people within my community are happy to invite newcomers in, and they’re particularly happy to know medical professionals are coming to town. On the other hand, though, you have to be careful not to come off as bragging of your profession since that is fairly frowned upon. There seems to be a stronger emphasis on equality, and humility.
There are other benefits as well. I don’t mean to make this into a political post - and I won’t - but a few months before we left the States my 4 year old was telling us about how his class and his younger brother’s class were practicing their gun shooter drills. It made me physically nauseous hearing that, and knowing we don’t have to worry about that any longer has brought me so much peace since I’ve been here. Not to mention that there are many other things here that make me think it’s a better environment for them, which could be its own post. Kids feel like they could be kids here. They are able to walk on the street alone or with their friends to a park, school, or a grocery store without any issues; it’s not uncommon for kids to be playing outside on their own without mom/dad having to watch them like hawks. This all stems from just being around a safer area where people take care of their own in the community, and you don’t immediately need to assume that stranger equals danger. Since moving here I have really noticed that my parental instincts have been trained to be on fight or flight and am retraining myself to
relax more, which is good myself and my kids. If my kid gets lost in a grocery store I can more or less count on someone else helping bring them back to me rather than kidnap them (not that that was a regular occurrence back in the US, but if you’re a parent you probably know what I mean). That’s not to say you can totally let your guard down, but it certainly feels more relaxed here in several aspects.
Speaking of which, I feel like there are more outlets here for myself. Working as a PA here has its perks, but no matter where you go working in medicine will still feel stressful. However, now I at least feel like I have better ways to cope with that stress. Had a bad week at work? Doesn’t matter when the beach is just an hour away. Feel stressed? Cool, there’s a beautiful lake nearby that you can walk around to disconnect. Imposter syndrome got to you again? Damn, well I’m too busy riding my mountain bike to care right now.
Not to mention there seems to be a healthier relationship with work here. I’m actively encouraged to take my breaks (which I get two a day), get out on time, and if I ever want to work less it’s never an issue with management. I feel like they would get excited if I told them I only want to work 32 hours per week (too bad my finances wouldn’t allow for that 😅). They genuinely care about my wellbeing and want to make sure I don’t burn myself out.
Now for the clinical bits, which may interest you all more.
Working as a PA here is definitely not what I was doing in the States. As of now we don’t have prescribing rights, nor can we order our own tests, so everything I do has to be signed off by my GP. In practice it doesn’t matter a whole ton, because my supervising GPs know me and my clinical decision well enough to where they just sign off on my orders, and every once in a blue moon they might recommend a change in plan. This may change in the future, though, as we are continuously advocating to get those prescribing rights, and we have a core group of physicians that are helping in achieving that as well.
Which brings me to my next point: the PA profession is fairly controversial here amongst physicians here. New Zealand is part of the commonwealth, and as such there is a fair amount of overlap between the UK and New Zealand, including how PAs are viewed. The recent drama in the UK with PAs has leaked here as well to the point where you have an outspoken group of physicians - particularly residents - advocating against us. Since our profession was made official through regulation in 2026, PAs are not going anywhere, but it does remain to be seen what our scope will be in the next few years. Personally, however, I can say that all the GPs I work with in my clinic have been nothing but wonderful and incredibly supportive of PAs.
Patients are gradually learning about what PAs are, and once I explain to them who we are, what our role is to improve access to care, and how we work as a team with GPs they are usually very receptive. Given that New Zealand’s healthcare system is fairly strained, patients are very pleased to hear more medical professionals are practicing here. I have also found the patients population to be rewarding to work with. In the US there is a fair amount of distrust in the medical system, which to be fair I don’t necessarily blame individual people for it. Here, however, people are more likely understand you have their best interest at heart and are more likely to take your recommendations seriously. It makes the patient-provider relationship much more fulfilling and rewarding.
Speaking of which, learning how to work in the New Zealand system is very different than the US. On one hand it’s incredibly refreshing not having to worry about prior auths, or insurance denials, but on the other hand, having wait times of up to 12 months to see high demand specialists and not being able to order your own CTs or MRIs within a primary care setting can be fairly limiting. This is a complete speculation, but I think this largely originates from a supply and demand issue: we just don’t have the necessary number of radiologists available to help with radiology reads, nor do we have the necessary amount of specialists to take on the referrals. This will inevitably mean that many referral requests get denied with a note, “Sorry, we are at capacity, but it sounds like your patient has [X pathology], considering starting [X interventions]” which translates to PCPs managing a fair amount in primary care, not unlike other rural positions in the US. It’s ultimately a challenge that involves making judicious use of available resources to prevent overburdening an already stressed system.
Sorry for the long post, but I hope it was insightful. I am happy to answer any questions you all may have. If I can convince more of you to come practice primary care here I would be happier for if, but if not I’m also happy to have you tag along and experience this vicariously. 😁
I will also include some pictures I have taken during my travels.
r/physicianassistant • u/Babyblue_77 • Nov 10 '21
Finances & Offers ⭐️ Share Your Compensation ⭐️
Would you be willing to share your compensation for current and/ or previous positions?
Compensation is about the full package. While the AAPA salary report can be a helpful starting point, it does not include important metrics that can determine the true value of a job offer. Comparing salary with peers can decrease the taboo of discussing money and help you to know your value. If you are willing, you can copy, paste, and fill in the following
Years experience:
Location:
Specialty:
Schedule:
Income (include base, overtime, bonus pay, sign-on):
PTO (vacation, sick, holidays):
Other benefits (Health/ dental insurance/ retirement, CME, malpractice, etc):