u/Sea-Meringue9016

I got a new grad PA offer in outpatient pain management and would love some outside opinions. I have 2 other interviews pending, but I likely won’t hear back before my decision deadline (< 1 week), so I need to decide soon.

JOB DETAILS

• Specialty/Setting: Pain Management (Outpatient)
• Salary: $120K (salaried) — planning to negotiate to $125K–$130K
• Bonus: Listed on job posting as performance-based, but they said it’s not currently in place and they weren’t of that
  • However, they seemed open to future incentive ideas
• Commute: Rotating 2–3 sites/week (all ~20–45 min apart)
• Schedule: Monday–Friday, 8AM – 5PM (1 hour lunch)
• Other: NO nights / NO weekends / NO call
• Location: MCOL area

PATIENT LOAD

• Expected: ~28 patients/day
• Realistic avg.: 20–22/day (due to cancellations/no-shows)
• Range: Some days could see ~18, some days could be full 28 (variable)

BENEFITS

• PTO: 5 weeks total (vacation + sick + CME combined)
• Holidays: 6 paid holidays (~6+ weeks total time off combined)
• CME / DEA / State License Reimbursement: $500 yearly allowance 👎 (flexible use)
• 401k: 3.5% match ; starts after 1 year and is fully vested
• Health / Dental / Vision: Offered
• Malpractice Insurance: Occurrence-based (this is best and no tail coverage needed)
• Tuition Reimbursement: Not discussed

TRAINING / ONBOARDING

• 3-month ramp-up (flexible)
• Start with 2 weeks shadowing → gradual patient increase according to how I feel 
• Very supportive onboarding + flexibility based on comfort level
• Can start as soon as I want—no need to wait 3–4 months for credentialing (paid full rate during the non-credentialing period)
• Physicians are collaborative and open to input
• Strong and supportive system

OTHER DETAILS

• Non-compete: 8-mile radius (pain management only; other specialties are fine)
• No admin time, but providers say they very rarely take work home 
• 1–3 year contract required with 90-day notice required from either side if leaving or not renewing
• Employer is pretty open and basically said if I’m serious and “my heart is truly in pain management,” and there’s anything in the contract I want changed, I should bring it up—they’re willing to negotiate, which I thought was interesting.
• Very low additional allowance (main reason I’m planning to negotiate salary)

Overall, feels like a solid new grad pain offer!!!

What are your thoughts on this offer, and would you accept it?

I got a new grad PA offer and would love get your guys opinions. I have 2 other interviews pending, but I likely won’t hear back before my decision deadline (< 1 week), so I need to decide soon. 

Job Details

Specialty/Setting: Pain Management (Outpatient)

Salary: $120K (salaried) — planning to negotiate to $125K–$130K

Bonus: Listed on job posting as performance-based, but they said it’s not currently in place and they weren’t of that 

— However, they seemed open to future incentive ideas
Commute: Rotating 2–3 sites/week (all ~20–45 min apart)
Schedule: Monday–Friday, 8AM – 5PM (1 hour lunch)

Other: NO nights / NO weekends / NO call

Location: MCOL area

Patient Load

• Expected: ~28 patients/day
• Realistic avg.: 20–22/day (due to cancellations/no-shows)
• Range: Some days could see ~18, some days could be full 28 (variable)

Benefits

PTO: 5 weeks total (vacation + sick + CME combined)
Holidays: 6 paid holidays (~6+ weeks total time off combined)
CME / DEA / State License Reimbursement: $500 yearly allowance 👎 (flexible use)
401k: 3.5% match ; starts after 1 year and is fully vested
Health / Dental / Vision: Offered
Malpractice Insurance: Occurrence-based (this is best and no tail coverage needed)
Tuition Reimbursement: Not discussed

Training / Onboarding

• 3-month ramp-up (flexible)
• Start with 2 weeks shadowing → gradual patient increase according to how I feel 
• Very supportive onboarding + flexibility based on comfort level
• Can start as soon as I want—no need to wait 3–4 months for credentialing (paid full rate during the non-credentialing period)
• Physicians are collaborative and open to input
• Strong and supportive system

Other Details

• Non-compete: 8-mile radius (pain management only; other specialties are fine)
• No admin time, but providers say they very rarely take work home 
• 1–3 year contract required with 90-day notice required from either side if leaving or not renewing
• Employer is pretty open and basically said if I’m serious and “my heart is truly in pain management,” and there’s anything in the contract I want changed, I should bring it up—they’re willing to negotiate, which I thought was interesting.
• Very low additional allowance (main reason I’m planning to negotiate salary)

Overall, feels like a solid new grad pain offer, especially for lifestyle (no call, structured training, decent PTO). 

What are your thoughts on this offer, and would you accept it?

Hey everyone,

I graduated about 8 months ago and have been applying everywhere with little luck. I’ve had multiple interviews, but keep getting ghosted or just hear nothing back at all.

It’s honestly starting to feel really defeating. Every day I wake up hoping for a positive email… and it’s just silence.

Is anyone else in the same boat? If you’ve been through this, how did you push through or finally land something?

Any advice would really help right now. Thank you 🤍