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Stephgriffin6 how are you liking PP? I'm considering applying

I think planned parenthood would be much more interesting. I dont know about PP, but minute clinic makes you do EVERYTHING yourself- your the Np, MA, cashier, stocker etc. i bet MC pays better but I think PP would be more rewarding and interesting. I also live and work in san diego. You could try Scripps health express, they are hiring and take new grads.

I agree. i had several clinicals at places where the wife was the office manager- always a toxic environment. I have yet to see it work out well. I was one of the deal breakers for me when i was looking for work. i'd keep looking if I were you. Or you could talk to the office staff when you interview and see what they think about it/how it works (or doesn't work) there.

I was very nervous too when i first started, but I had a wonderfully supportive doc that I worked for and a nice patient population with 2 great MA's. I was completely set up for success and yet every day still stressed me a little. You constantly see new things in primary care (at least I did) but knowing that you have support (a doctor who welcomes your questions and gives you support on whichever correct way you choose to treat a disease, an MA who is experienced, and a great online tool like UpToDate to reference while in the room with the patient) makes ALL the difference in the world. Wait for a job like that- seek that out even if you have to make some sacrifices for it because it preserves your sanity. I regret leaving that job SO much just because I wanted to live in a different part of the country and I can't find anything like it here. I took a laptop in the room with me and while the pt was talking would look up (in UpToDate) anything i needed to know about what they were telling me. I spent so many hours in uptodate that UpToDate actually cut me off, thinking i was sharing my subscription- i had to call them to tell them, no I'm just new lol ?

I can understand where you're coming from; all I can say is that if I had to be paid the same to be an RN or an NP I'd choose NP a thousand times over! Not saying you should settle for less money, because NP's bring in revenue which we should be appropriately compensated for but please don't think you made the wrong decision unless it was solely money based... I love being an NP, I hope you will too. Oh and another thing, the preceptor shortage is a problem everywhere but doesn't reflect on the overpopulation of NPs it's just that most providers don't precept and new grads obviously cannot precept. It took me 3 months after I graduated to find a job ( I was very picky and only wanted private practice). Good luck :)

Definitely private practice!! I love the autonomy! The fact that they ask my opinion and im treated like a partner in some ways. I can have whatever I want in the office, just ask my MA to order it. The staff is friendly; we are like a family. I'm moving to a big hospital system solely because I want to live in a certain city and it's all I could find for now. The credentialing and EVERYTHING paperwork wise was done for me by the office manager at the private practice whereas with this big hospital I have to do EVERYTHING and it's A LOT; it's stressful! The pay and PTO may not be as great in private as it is with a large company but I'd gladly give that up for an enjoyable work environment. Hope this helps!

Yes I am an FNP. I don't know anyone who works in Hampton/ VA beach area but my guess would be 90k starting. It's a cheap area to live compared to NOVa so that salary may not be bad giving cost of living? 95k is poor for the DC area because rent is around 2k for a 1 bed. A doc explained that the DC area pays low for some reason but I can't quiet remember - has something to do with an agreement with the hospitals or something I think (?)... I was working out in Aldie as a new grad for the same price, half the cost of living, when I accepted the job near DC i didn't get a pay increase but I needed to be closer to the city and to have health insurance. I should also mention as a new grad do not factor in bonus pay (incentive for seeing more pt in a day) because you won't be able to hit that until at least a year, you're slow as a new grad and that is completely ok. So if they tell you "oh if you see more than 15 pt a day we will give you $1000 more per month- don't even consider it as part of what you'll be paid- you won't quality for it for a while. I def wouldn't accept less than 90k ANYwhere in the US! And ALWAYS ALWAYS try to negotiate- they offer lower because they expect you to!!

One year experience 95K in northern VA, offered 85 and negotiated up. Standard benefits. First job was also northern VA but a little further west (45 mi west of DC) and was offered 95k w/no benefits. In La Mesa, Ca was offered 105 w/excellent benefits but have to work weekends, evenings and holidays- salary was non-negotiable. All jobs are full time primary care.

My office manager told me shes getting a stamp with my signature, but I'm not sure why. She says she has one of the doctor's "for contracts" but I don't sign any contracts and all my prescriptions are electronic. I guess I'm questioning her motive and if she does order it, I feel that I should be the one to keep it, not her. I'm not sure how to approach this because it screams "I don't trust you"..... and it's right, I don't trust her -or anyone with my signature. How do I say no thanks .... or that I want to be the one to keep it (then who knows if there's an extra)... am I being paranoid? Thoughts? Experiences with this? Something I'm missing?

⬆️^^ this, SoundOfMusic, is exactly what I'm referring to; I feel like I kept seeing this in various different practices and I'm already not looking forward to having to deal with it

I'm a new grad NP and through my clinicals I've encountered that most NP's don't like the office manager (mainly, I think because these are non clinical personnel trying to tell clinicians how to do their job so they can collect more money). I had a preliminary interview with an office I'm considering (and have been invited to interview at formally but it's far away and hence expensive) but I found the office manager to be a snob and I really didn't like her personality. She also seemed too bossy all the while trying so hard to say she was really casual- it was bizarre. I don't know how to interpret this. Should I let this possibility go away based on my impression of her- how big of a role would she have in my life if I took this job? Any thoughts? Thanks :)

If you work in the pediatric ER you'll get both peds and psych patients (usually adolescent), though ER nurses don't have too much contact with them- we just draw their labs and get them a sitter. You never have to work in med/surg first for any job. That's a myth!! That being said if you go straight into psych it's gonna be hard to go back to anything medical one day because you won't remember much or have any skills, you'd be lucky if they even let you start somewhere as a "new grad." If you like peds (I'm a peds nurse) then start there (on whatever speciality interests you). If youre sure you you only want to do psych then the benefit of that is there are tons of jobs and it's the highest paying nursing job out there! And if you become a psych NP someday you'll make great money!

Just FYI it took 6 months to get my California RN license .... so start early if that's where you want to end up.

I agree 100%!

That's a really good point that the billing is the same. Thanks for your advice. It makes me mad when employers offer us such a low amount, and even more upset when others are willing to take. It undermines us all.