I'm just gonna say that California is in its own special bubble in regards to hospital pay and attitude towards residency. I'm not demeaning it; on the contrary, it's very nice and good for ya'll and it totally makes sense especially considering cost of living. But it really isn't the same situation most other places.
You really need to find a better source of information, cause I'm finding more and more information from your posts that are either false or half-truths. In Georgia, pharmacists on average (even hospital ones) make more than PAs. I'm not going to go out of my way to prove that with examples, but it's a fairly easily verifiable fact. You can probably check on the PA forums here. Of course, there are always exceptions depending on the type of work they each do and possible specializations. In that regard, PA does have more routes of upward mobility and salary increases, but I get the impression that you're not too interested in surgery or doing more years of school than you already have/need to. In pharmacy, it's mostly just side-grades unless you choose to go into administration. In regards to benefits/PTO, I was under the impression that these were institution specific rather than job specific. Even if that's not the case for all hospitals, I started off at 4.5 weeks, but I'm EXTREMELY skeptical that PAs start at more than 5 weeks off.
As an aside, if you work as a PA in an inpatient setting AND make the upper end of money, you're going to encounter poop, pee, vomit, or blood. I guarantee it. What are you going to do, diagnose from outside the room?
Second, there are, as of yet or at least that I know of, no official or accredited PGY3s that exist. You can check the ASHP online residency direction. It may come in the future, but right now it's just an idea among a select few people. At this point, PGY-2 is not mandatory for the majority of clinical jobs. Only specialized fields such as Oncology or Transplant would require them. I won't deny though that it will be difficult to obtain a hospital job without either a) extended experience or b)a PGY1 though it is still possible. This is as true now as it was when I said the same thing to you about the hospitals in your area some years ago. The only major difference between now and then is that retail positions have closed up as well, but you don't seem to be as concerned about retail.
You keep mentioning that pharmacy school will take longer than PA. While true, pharmacy does take 4 years + 1 possible residency and PA takes 2.5 + 1 possible residency, you neglect to mention that most pharmacy schools only require 2 years of pre-requisites while PA schools require a bachelor's (at least all the school in GA anyway). Probably irrelevant to your case, but the distinction should be made.
Finally, you may not think your city is considered a major city, but it is for Georgia. Go ahead and google it. There's a reason why your area is saturating.
The thing about becoming a PA is that even though there is a wide disparity of individual jobs (with some being more/less pleasant than others), incomes, benefits packages, etc. in the PA profession, the one undeniable advantage that field has is its job market. Even if their job market becomes saturated at some point, there is still plenty of time for someone like me to go to school, graduate, and find a job here. BTW, you're right that most (all?) PA schools require applicants to have a bachelor's degree, but like you said, that doesn't matter for someone in my situation. On the other hand, not only is the job market officially saturated here currently, but it can/will only get worse in the future.
BTW, on the topic of my area getting saturated (I would appreciate it if you wouldn't mention the name of the city/town), it sounds like you're familiar with whatever "the situation" is here; I'm assuming you've talked to pharmacists and DMs who have confirmed to you that this town really is saturated (just so I know it's not just me having an inaccurate perception)? If so, what actually happened... was the c/o 2016 really just the graduating class that pushed the job market over the edge in all but the most miserable of southeast GA towns?
That is exactly why I'm looking to do something else. If a crappy area like where I'm from has officially become saturated, imagine how bad things will be in 3+ more years. Whenever I do job searches on websites like Indeed.com, the only places in GA/AL that have any job openings are middle-of-nowhere places like Waycross, Moultrie, Anniston (AL), Brewton (AL), etc. I absolutely could NOT imagine spending even a year or two living in one of those towns, and if that's the case, then I need to do something else now instead of delaying making the switch, graduating from pharmacy school, realizing I'll have to move to Waycross or Moultrie to get a job, and THEN applying to PA school after I have accumulated another $100k+ in loans.
In response to your statement about me not being as concerned about the retail job market here getting full -- I actually started out wanting to work as a retail pharmacist for one of the "good" chains (e.g., Publix, Walmart), but as I learned more about the increasingly stringent requirements associated with becoming a hospital pharmacist, the (perceived) excessiveness of it all has just provoked me to comment more frequently on the process of becoming a hospital pharmacist. At the same time and like you said, the retail job market is now 100% saturated and will only get worse, so it has all become literally a moot point.
Edited to add: This is what I mean when I said in a previous post that as I spend more and more time in pharmacy school, I'm having an increasingly harder time finding the motivation to study and do well. Over the last few months, whenever I study for a test, I find myself asking, what am I doing it all for? The P2/P3 classes are going to be extremely difficult, and yet, what kind of ROI am I going to get from all this effort, time, and money spent? A job that I'll have to move to rural southern GA/AL, the midwest, or Yuma, AZ to get? If I'm going to put in serious effort for something, it's got to be for something more than that.
***I just remembered that we previously discussed the hospital job market in my area via PM, so now I recall that you are well aware of the situation in my area regarding the residency programs and how they accept an excessive number of applicants (12-15 per year). Ironically, it was actually the DOP of this particular hospital who told me that they flat-out don't hire non-residency trained pharmacists, even if they worked there as techs/interns, and who also told me to do PA school, nuclear med tech school, or virtually anything else besides pharmacy. Everyone thinks I'm exaggerating and being melodramatic, but I'm not making anything up; the situation really does suck.
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