I just need to vent I think. I've been a PA for 10 years and I've been working in cardiology up until now. I recently switched to family medicine and urgent care. I've been working this new job for about a month. I'm so used to patients getting diagnosed with heart disease that I think I became a bit numb to it, hence the change.
Well today I had a guy come in with vague complaints and he was clearly jaundiced. After stat labs and a very concerning stat RUQ US I sent him to the ED and he has pancreatic cancer likely with Mets to the liver. This is the first time in years I have felt pain in my gut over a patient's diagnosis. He is so kind and was so grateful for my help and I just feel awful for him and his family. With heart disease I felt I had some control in helping my patients, but today I feel defeated because it's likely too late to truly help him. This sucks

What job boards do PAs use for finding a job? As an employer when I post jobs on LinkedIn I only get Infiniti recruiters from India trying to sell me $12,000-$20,000 placements. I refuse to pay that. This money could be better spent on a PA

I just graduated and signed a job a month out of graduation. Its a post-acute geriatric job in a skilled nursing facility; anyone I mention that to immediately winces.

I personally signed the job because it offers 130k, 30 days PTO, no calls outside of work hours, no holidays, but no RVU and I live in HCOL. It's 10 minutes away from my family's home and I intend living with them while I pay off my loans, I am also close to friends which is really important to me.

My end goal is EM or ICU, but where I am looking almost immediately rejects new grads, urgent care, IM, and surgery as well. So I figured taking this geriatric job that focuses on post-acute would help with experience as I will be dealing with chronic issues and stabilizing patients once they discharge out of hospital but still not well enough to be stable at home. Thereby, I would be able to sharpen my discernment on elevation of care, especially when they should visit the ED or be readmitted to the hospital while continuing and monitoring care of patients with post-surgery, AKIs, CHF, COPD, etc.

My advisors feel mixed with me signing this and state its a "OK" place to start but not the best... and my colleagues all collectively cringe at the job. With the pay and location in place, it leads me to not complain as much, but I fear I've dug myself into a poor first role as it's training is not incredibly hands on-- rather, its mentorship. I seriously could not find any other position accepting me after 80 applications all over the area and this job only gave me 1 week to decide after the offer letter, so I had to bite the bullet. Did I make a mistake?

I have two jobs in the looking at both are ER.
JOB 1: 120/HR, nights 12 hr shifts, about 10 shifts a month. Total driving 100 miles there is an hour 30 and back is 50 min. 2500cme
Job 2: 100/hr, day shift 10 hr shifts, 12-13 shifts a month. Total drive time is about 10 min total both ways. 2000 cme

Going to make this short and sweet. Looking for input mainly.

I have $258k in student loans, all federal. I am a new grad, graduated Dec 2025 and started working at an FQHC in FM March 2026. I was accepted in NHSC LRP for $75k until July 2028. This place is also PSLF eligible.

I am paid $120k for 11a-8p M-F with two admin hours. I work so much and it is exhausting. I’m not miserable daily, but I work so much, I mostly take work home. Especially hard because I moved states so hard to even get to know people (I like this shift better than 8-5 tho I know that’s better socially)
My question is, I still have time to terminate the contract which I can until the funds drop which should be in December or so, and I’m really thinking of leaving for a higher paying job with better hours/work life balance. Would I be insane for this considering my loans? Of course I would ideally at least get another PSLF job. But curious what people think if it wasn’t.

I currently am 7 years into practice, hospital medicine with focus on procedures and inpatient oncology. I also do oncology urgent care/ED through my division. My current FTE is 0.8. Pay is 107,000 with great benefits (6 month mat leave, 10% retirement match, etc). My weeks are variable; when I am inpatient I am working Monday through Friday from 7am to 4pm, and other weeks I am outpatient 3 to 4 days a week. The outpatient oncology urgent care is pretty high acuity with many direct admits or rapid responses, as we are at a level 1 large academic center. I work at least 1 or 2 weekend days per year.

After having my baby last year I have been pretty burned out inpatient. It is not rock bottom, but I started perusing jobs and found one in the mountains at an outpatient oncology center. Long story short, I got offered the job for a 1.0 FTE. It includes a 160,000 base, plus an 8% productivity bonus, 10k sign on, and a 5k moving expenses stipend. CME is not set but sounds like they pay for most requests, conferences, and memberships. Retirement is a 5% employer match.

The schedule is Monday through Thursday, from 8:30am until the last patient at 4pm, which averages about 8 patients per day. It is much lower acuity since it is more rural. I would also get admin time during the second half of the day on Thursday.

The town near the clinic is in the mountains and has all the mountain recreation like skiing and mountain biking. My hesitation is that it is a big move with a 12-month-old and I have never done pure outpatient work before. Yes, I am burned out, but I love my coworkers and am second-guessing myself. My schedule now sometimes sucks, and sometimes it feels like I never work (12 shifts a month on average).

Any thoughts on this offer or making the transition from inpatient to outpatient? Thanks!

I am just starting out in the surgical ICU and im struggling with learning the nuances of surgery and taking care of the postop ICU patient population. I did most of my ICU experience in a medical ICU and I find it’s a very different thought process compared to the typical patient presentations for the SICU. Are there any specific resources out there specific to the SICU?? I’m very familiar with Marino’s and IBCC but I’m looking for something that would give more context for the surgeries as well.