1. PAs see 13-15 patients per shift, it is not safe and leaves you absolutely exhausted
2. No matter how long you’ve been a PA your starting salary is the same as a new grad
3. No annual raises
4. NO PTO. I missed a week of work for health reasons and didn’t get paid. NOT OK.
5. Local sites are so far removed from the larger organization it’s isolating
6. Local site management has very little training on how to lead teams. For example: no scheduled reviews to check in about reaching goals or expectations. Zero positive reinforcement. If you make a mistake, you will then be micromanaged until they forget about you.
7. The company applauds and rewards providers who do ACP conversations. A few employees figured out that everyone they do these they earn an extra $13-$14. Some people do them when, in my opinion, they are not appropriate & frankly uncomfortable for patients in order to earn money (and the company at large is unintentionally reinforcing this). Borderline unethical.
8. Sign on bonus’ are handed out on a whim, one PA will get half what another got in matter of weeks.
9. Some contracts are two years and some are three. NO standardization and inequality between people with the same job.