I’m a new grad considering an outpatient PM&R offer in Florida, but I’m hesitant about the long-term growth. The role is mostly going into patient rooms, gathering information, and reporting back to the physician — no procedures and no independent clinic. I’m worried this could make it harder to pivot later, especially into hospital-based roles. I also want to pursue PSLF, but this is a private practice and I have over $200k in loans.

Offer

• Salary: $90k for the first 4 months, then $105k after probation (already negotiated up $5k)
• Schedule: M–F outpatient clinic, no call, nights, or weekends
• PTO: Flexible/routine time off, no cap
• Benefits: Health, dental, vision
  • PPO: ~$171/month or HDHP ~$78/month
  • Dental: ~$40/month
• Malpractice: Covered
• 401k: 100% company match up to 4%, 5-year graded vesting
• Waiting to hear back regarding CME and annual bonuses

I started applying at the end of March, so I know I’m still early in the process. I currently live at home and don’t have major expenses, so I’m trying to decide whether I should take this for experience or hold out for something with better long-term growth and PSLF eligibility. My biggest concern is getting boxed into a limited role early on, especially with more new grads entering the market soon.