I have been an FNP for 2 years part time. I LOVE my job. Its super flexible, and I have 3 small children, 4,3, and 5 months. I work outpatient internal medicine. I see about 11-14 pts who are scheduled between 830-1130.
I "hi-jack" apppointments as I like to describe it. Pts think they are seeing my doc, then I walk in. She only mainly does Physicals, and I do mainly sick visits and followups. I am paid hourly-50$. I clock in and out. I want to ask for a raise but I don't know if it will ruin the relationship I have with my doc. I do about 1-2hrs of work off the clock. Charting, etc. I like to go home/gym- leave the office and work. I have no PTO but I can go on vacay whenever.
My doc also actually reviews most of the labwork, and sends to me a few a week. Even though I see a ton if her pts. (She sees maybe 5-8 physicals per morning) that is alot, I know. My husband gets mad that i work at home sometimes for free, so he has been bugging me about this.
Has anyone asked for a raise for a job they loved and wanted to keep? How has it affected their relationships? I really love it, but in about 5-7 years, I want to move to a large hospital for larger benefits, and pay, but not right now.
My next problem is that I don't think I am smart enough. I ask TONS of questions and I "bother" my doc alot. She has never said that- but I FEEL it. Not to mention, our pts full wait time in the office is sometimes an hour even more. They hate it and so does my doc. I think alot because sometimes I don't know all the answers. I worry ALOT.
Example- saw a cat bite, severe pain, put her on Keflex over the phone then switched to Augmentin bc that is the recommended- i saw her about 2 days after she called bc she had no transportation. I also ordered an X ray bc I was SUPER worried about more sever cellulitis I couldn't see. I spent a long time pondering and went with the X ray- SUPER GLAD THIS IS ANONYMOUS. I couldnt bother my doc for something so "simple". I was worried for my patient and that I might miss an osteo!
Thus is mainly an adult gerontological practice- there are no kids. I don't know if I should pursue an AGNP or an AGACNP now or wait till I plan to move jobs. I don't know if I just keep doing CEs and CEs if that is enough. What do you do? Sometimes I over worry because she is a BIT of a micromanager and questions my diagnoses. She also sometimes sees the pts I "cant" handle- which I hate and she does come up with different diagnoses. She has 28yrs exp as an internal med doc and was also once a medical director. I REALLY respect her, but I don't know how to become better and which path to follow.... go to school, CEs only?? What to do...
