r/DermatologyPA

Might be a stupid post, but I really need some advice.

I’m currently working in a dermatology practice that seems to value monetary gain over patient care. In a 7-hour clinic day, I’m averaging 6–7 patients an hour, which ends up being around 40 patients a day. On top of that, they’ve cut staff support after integrating an AI scribe, so providers are expected to do even more with less help.

The environment has become really discouraging because provider opinions and concerns don’t feel respected. It honestly feels like we’re just pawns in their system rather than clinicians whose judgment matters.

Another major issue is that I essentially do not have a true supervising physician available to me. They hired someone out of state to “supervise” us, but I never have direct contact with this physician, and they’re not readily available because they’re in a completely different time zone. It doesn’t feel safe or supportive at all.

I recently interviewed for another dermatology position back in my hometown. The physician essentially promised me the job, and the practice seems much more supportive — there would actually be supervising physician support, more autonomy, and a much more reasonable patient load (around 20–25 patients a day instead of 40).

The issue is that the official job posting hasn’t opened yet, so they can’t provide me with a formal contract at this time. I do, however, have a meeting scheduled with the hiring team to discuss the contract process and credentialing.

My current employer requires a 60-day notice based on the contract I signed about a year ago, but the contract doesn’t mention any penalties for leaving early. I’m honestly miserable at this job and worried that if I wait too long, I could get burnt out even more.

My biggest concern is that if I give notice too early and something unexpectedly falls through with this new job, I could end up basically unemployed. Nothing so far has suggested that will happen, and everyone has been very reassuring, but realistically anything is possible until a contract is signed.

Would it be unreasonable to give a shorter notice period in this situation? Has anyone else navigated something similar?

Soon to be new grad very much interested in derm. Getting offers in other procedure heavy specialties - Maybe even able to gain some cosmetic experience that could be marketable to a Derm (not Botox or filler etc)

Have interviewed at a very prestigious institution that seems like it would be a great/supportive learning environment(not in Derm). My only real hesitation is location.

If I get an offer, should I take or try to wait it out for a potential derm job?

What are my chances in 1-2 years without derm experience?

Currently been a PA in derm for about 2 years. I’ve recently had the opportunity to learn Botox however after going through the training (which was brief but somewhat helpful) I have decided I am not interested in offering Botox and would like to focus on gen derm. I’m having a hard time with my decision because I feel like it would be nice to offer some aesthetic medicine to my patients and also a good opportunity to make extra money. Anyone with input on their experience with cosmetics? Thanks!

How standard is it in the world of Dermatology for employers to offer tail coverage? I’ve received a preliminary offer which is very promising, but when I asked about tail coverage, they said they do offer it depending on how you leave the practice, and I’m waiting to hear back regarding what those conditions are. For those of you that were offered conditional tail coverage, what were the conditions? Anyone have to get their own policy and if so, what was that process like and how much did it cost?

Won't dox myself here or hire through this platform, but my group is thinking of hiring a part timer. Which are the best avenues to find applicants? I've heard indeed is good, maybe LinkedIn. Is it worth it to pay the fee to view candidates or post on the SDPA as a non member specifically looking to fill a position?

Hi all, I recently moved to MI from CA, and feel like I’m struggling getting my treatment plans approved for anything I used to prescribe without a second thought.

I’m still new to the area, so I know I will get better as I go, but I was hoping someone could provide some tips and tricks on how to best manage the balance between what drugs I want to write and what will be realistically covered by insurance.

It sounds like priority health is a useless insurance to bargain with, and BCBS is also hard to convince. I’m newly credentialed with certain Medicaids so I’m hoping they will be more lenient, but at this point I’m afraid to write things like skyrizi, Zoryve, etc because I’m just waiting for the denial letter.

My employer is leaning heavily into AI for prior auths, so I can’t depend on our MA staff to help there. Help?

Anyone doing surveys to make extra money?
If so- what site recommendations do you have? Also, how much are you typically making?
Plus if there’s any specifics for dermatology.