u/IllustriousPickle639

Ortho trauma vs ER job

Currently being considered for two jobs. One job is for ortho trauma at a highly known world renowned trauma center. It’s mostly inpatient with directing care from admission to discharge. I think the experience is great for personal career growth. I am very procedural-loving and I know this likely won’t have much of that that I’m aware of. But maybe one day I could work my way up to trauma surgery in that center. The pay is less than the ER. Day shift. It’s also an academic center.

The ER would be in a fast track area but is also an academic trauma center with some ability to work in the main ER occasionally. Procedures would be average and nothing high level for example sutures, I&D, etc. but it would be nice because I could eventually bridge to a different hospital where they have less fast track for PAs. I do like their onboarding process it’s very thorough. Pay and benefits are great and my lifestyle wouldn’t have to change much. I’m also paying student loans.

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u/IllustriousPickle639 — 10 days ago

Hello, 31F PA in urgent care for 4.5 years. I recently have acquired an interview next week for an ER job. I make about $170k in urgent care (36 hrs/wk) and ER would be 160k. Urgent care job is very hard commute with lots of traffic and I live pretty far (65-75 min commute most mornings w traffic). ER would pay about $160k and commute is 30 mins no traffic. However also has rotating nights. I think they said about 140 hrs/month.

My question is should I give the proper notice for urgent care? They require 4 months. Urgent care hours would be 30/week starting next fall if I stayed and I don’t see any hope for transfer. I’ve been on waitlists awhile. Is the drop in commute worth the extra hours at the ER? And would they be open to 4 month ahead of time start date. I also believe I’d be getting back that time since I’ll be driving less.

I don’t want to lose the job bc they’re not willing to wait. Not sure the industry standard for credentialing. Also I don’t want to regret my decision and not be able to fall back to urgent care in the future. I’ve exhausted urgent care and want to move forward with my career into other specialties. Thanks for any advice!

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u/IllustriousPickle639 — 22 days ago