Oofta—so much energy invested with this job search…
Had the blessing of being very *as needed* with my home-clinic (where I’ve been for more than a decade) over the last couple of years, having stepped away from my regular permanent position with them, to uncrispy myself from community health clinic burnout. At some point (thankfully, beau’s workplace offers domestic partner coverage for health insurance…and beau has appreciated having me as an interactive partner with a soul agsin, vs the catatonic zombie I tend to be, when come home after a clinic day…)—alas—I mustly return to an adult work schedule/salary…per retirement pending in the next decade (and knock on wood, continuing to provide competent patient care…)—
—This definitely has been an interesting journey, whence I’d committed to a serious application search over the 4-5 months. The American healthcare system is so broken right now—I mean, since I’ve been in this game from the early 2000s, I’ve actually never known it to not be broken—that said, the job search is fcucked-up these days. The shift away from brick-and-mortar quality education, to a saturation of pop-up overnight NursePractitioner programs, followed by a similar trend in PhysicisnAssistant programs—has not helped this scenario. Top this with every large hospital group/clinic utilizing a screening online portal, into which you dump work history, without ever knowing if it’s a person reviewing vs an algorithm weeding you out—or simply ignoring your submission—and it’s all so very weird…
—Anyway, I’m strange bird as an RN who went the PA route over the NP route (note: I love the NPs with whom I’ve been honored to work over the years—knowledgeable, collegiate, and committed—as we’re all sharing the same ropes in providing patient care to underserved populations…they’re also, old-school, brick and mortar grads…with their own critiques on the current quality of NP programs, and graduates matriculating…to be fair, there are a lotta mid-career PAs who’ve been practicing for over a decade, with their own critiques toward the quality of recent PA grads as well…). The RN has definitely provided some laterality in roles, I don’t believe would have been open to me without it, despite the Masters degree as a PA-C. I ve been able to dip in public health a bit, while retaining my clinical role as a provider.
—Oddly, this had led to the contemplation of a dual position, the contract offer of which, I’m reviewing over The Weekend, before sending off the (likely) acceptance. It’s a fair deal, mostly, realizing that the world of Community Health Clinics, are now largely modeled on corporate structures of staffing/hierarchy/delegation of roles within an organization…it is what it is—and frankly, my patient facing time is split to 20hrs/week (the other role, administrative—covering infection prevention).
—Can someone tell me why it always feels like you’re about to sell your soul to the devil though, even when it’s a fairly solid seeming offer…? It’s a Libra-neurodivergent thing…I swear…
Rant done—I’ve been grateful to have finally gotten bites though, via interviews, etc—after 4 months of this process. And that’s with over a decade as an experienced (and—far as I know—competent—provider) primary care provider, pretty autonomous with chronically (sometimes acute) complex patients…I’ll say, the application process was NOT like this back in the early 2010s…
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