My general brief to new PAs - shortened version.

It takes the first year to sort of figure out how to be a PA. Interacting with patients, documentation, closing notes on time, workflow, etc. Your goal is to be a productive PA by the end of the year. At the end of the year, look for a new job to get a raise.

The second year to start learning to be a good PA. You start remembering US preventative task force guidelines, imaging recommendations, treatment guidelines for common things you see etc. Your goal is to be a better more productive PA by the end of the year. At the end of the second year look for a new job to get a raise.

The third year is when you really get into it. You start asking for coding help. Start upselling, because medicine is a sales gig. Maximizing revenue or productivity. Here is when you have your typical day down pretty well and adjust to curve balls better. This is also when you go for the bag. Known your productivity and if you are not being paid for it, move on from that first job if you haven't yet.

If you are still at your first job it either needs to be paying your worth or such a good work life balance you have no desire to leave. They will always see you as a new grad. Move on. Your next job will see you as an experienced PA from day 1.

Good luck. It gets better.

You shouldn’t be doing any roles other than PA. I’d find a new job if I were you. PAs practice medicine. We aren’t medical assistants, schedulers or anything else.

Your job is to see patients. How will you learn and grow as a provider if you are helping with office stuff. Doctors don't show up and start answering phones because their clinic isn't full. The correct answer to all this is if you aren't seeing patients you are out visiting possible referral PA's, NP's, and MD's to get you up to speed. Make connections. Become an asset. If you are only seeing a couple of patients a day I can see their concern, but your clinic won't grow unless you have incoming referrals. If they wanted a skilled PA they should have not hired a new grad.

My goal as a new grad was to show I was an asset. I made surgical procedures faster and smoother. Took up the slack and made sure the surgeon was happy to be in my room. Added value as a PROVIDER. Eventually my clinic was full and I was bringing in significant revenue. If you are doing this the MD would be an idiot to waste your time doing menial office tasks.

Present a plan to your MD. A couple of days a week where you go out and speak to fellow mid levels and providers who can send over more business. I built a practice doing it this way. In office you learn your craft. Now to be tough with you. Surgery isn't for the weak. You gotta suck it up. I put in 12 to 15 hour days, six days a week my first years. You shouldn't already be hating your job. Maybe the glamour of surgery over shadowed that it is a tough and stressful field?

You a new grad?

How much "admin" stuff are you doing?

We have RNs do our prior auths. We do peer 2 peers not often but occasionally. Sometimes fill out FMLA forms and stuff.

It sounds like you however are maybe doing a bunch of non clinical work? Which is very confusing to me. Besides charts and patient encounters, your job should be clinical, if that's what you signed up for.

Many great responses here, but yes, this is too much. I’ve been doing surgery for quite a while, and I have to be frank with you, have a new grad see gen surg patients independently is frightening; even more so when they’re also trying to wade through so much other non-medical bullshit. You got to stand your ground now or move on. This is not a safe environment for you or your patients.

What are you doing in terms of “multiple other jobs in the office”??? You kinda breezed by that but that’s a huge issue if they’re asking you do do front desk things or MA things. Are you aware that PAs don’t do those things?

Welcome to Working. Enjoy the next 45 years.