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To Do List for Those About to Graduate PA School

If graduation is near, no doubt you are excited and justifiably proud of what you have accomplished. There are a number of things you need to begin thinking about in preparation for seeking a position in clinical practice. Because the process of finding a job can seem overwhelming at first, we have assembled a checklist of some important items to aid you in organizing and being successful in your job application process.

Register to take the PANCE. Don't forget that the NCCPA requires a 7-day waiting period after your reported graduation date (provided by your PA program director) to verify your program completion. If the NCCPA does not receive verification within 72 hours of your originally reported completion date, you will be automatically withdrawn from the exam window. Employers will want to know that you have registered for the PANCE and when they can expect that you will be eligible for a regular license.

Determine which state(s) you think you might want to work in and do research to learn about the specific state laws and temporary licensure requirements for newly-graduated or about-to-graduate physician assistants. Much of this information is available online, and it is important to understand that the 50 states vary considerably in terms of whether they offer a temporary license so you can begin work before your PA certification is finalized, how long it will take for that state to process your temporary license, and what documentation you must submit to that state in order to secure temporary licensing.

Assemble a permanent file for storing all of your professional documents, such as school transcripts, diplomas, specialty exam score reports, references, curriculum vita/resume, professional organization dues/memberships, CME credit information, and special certifications such as CPR, EMT, etc.

Begin exploring job opportunities available through your PA school's placement or alumni office, state PA chapters, professional organization websites and newsletters, PA journal classifieds, local classifieds, and any job postings available on the internet. Medical clinics and hospitals where you did clinical rotations are also good sources for inquiring about job opportunities.

Do research on employment aspects that will come up repeatedly during job interviews so that you will understand what job benefits are typically offered, what's included in a standard job contract, and have relevant questions to ask potential employers about such as PA hospital privileges, whether you will be allowed to write prescriptions, any fees you will be required to pay, and how malpractice coverage works.

Develop your professional CV and a standard cover letter that you can use in applying for positions. Make sure that all documents are grammatical, formatted correctly, and letter-perfect. You may want to show your CV to faculty at your PA school to get their feedback before finalizing it. Store these documents both on paper and electronically.

Consider what professional activities you wish to participate in between graduation and beginning your first job. These might include volunteering at local clinics for the indigent, working with a faculty member on a research project or a presentation, or becoming involved in promoting health-related legislation. Each activity of this nature can be added to your CV, helping you stand out from other applicants, as well as adding to your professional growth.

Schedule a meeting with your PA school's Financial Aid office to review your loans and gain an accurate picture of the payment schedule and when you will be required to begin repaying your student loans. You might also want to ask if they have information about loan forgiveness programs or advice about loan consolidation plans that you should consider.

If you haven't already decided on exactly the factors you value most from a position, it's a good idea to spend some quiet time now thinking about what is essential and what is optional among all the aspects that make up a particular job situation. Some factors to consider include: how diverse a patient mix you want to work with; which type of setting you prefer—whether it be rural or urban, clinic or hospital, relatively closely supervised or more autonomous; and whether there is opportunity to further specialize in specific clinical areas like critical care, family medicine, pediatrics, nephrology, geriatrics, women's health, etc. A wish list of your ideal work situation will be very helpful in determining not only which positions to apply for, but what you must have versus what you are willing to be flexible about in evaluating future job offers.

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