Im currently working at a small non-teaching VA medical center in the Midwest and this is my first job out of residency. I didnt do a VA residency. I think my VA is very unique and doesn’t function like most of the VAs we hear on here or see during externships. For example, they allow me to fit in any surgeries throughout the week. My schedule is Monday to Friday with no calls at all. The surgical PAs will see our patients after hours or on wkds if needed. If I have a clinic pt that needs a toe amp, I’ll admit and schedule the sx during my one hour lunch break the next day. I do everything from wounds, nails, hammertoes, ankle fx to TTC fusion. I love doing nails and calluses.. it’s low stress.. I don’t enjoy dealing with surgical patients on a daily basis. I now realize what a pain doing surgery can be and dealing with post op pain and swelling. Even a simple hammertoe surgery post op can be frustrating. To be honest… I like rearfoot cases more than toes!!! I think this VA specifically is well rounded from that standpoint. Are there any VAs out there like this or is this rare? The downside of VA is that your patients are mostly men and old. Underlying mental illnesses. Many of them have chronic foot issues with multiple problems making it so difficult to diagnosis. A lot of them aren’t healthy or compliant to undergo surgery but the best thing about the VA is that you can order shoes, custom inserts, prothestics on anyone and never have to deal with insurance. I can order MRI, EMG, ABIs etc and not worry if or when they’ll get it done. I havent had any issues with upper management. The VA is very strict when it comes to putting in orders for everything and having everything documented which isn’t really a bad thing I must say. Oh and another downside is that I’m in the Midwest… not in the most exciting area either. So, here’s my experience so far working at a VA… ask me anything!