Week 5

You are now trying to figure out what the hell you want to do if you can't be a PA. I must attach the following caveat; I can only express options I am familiar with because of my particular background. When I went to PA School I had a background in chemistry. I had classmates with degrees varying from biology and radiology to latin. Needless to say I have no clue what the person with a latin degree was doing before hand. I can however suggest new pathways for folks with a science background. I went to PA school about 3 weeks after defending my master's in biochemistry. I lived in the Raleigh-Durham-Chapel Hill "triangle" in North Carolina so surely I'd be a shoe in for a management position in one of the many pharma and analytical science companies  in RTP right? I mean, I was this (fingers are really close together) to practicing medicine.

This over inflated sense of self was abruptly ruptured when I realized I wasn't even getting interviews. I had actually started applying to jobs a few months before being escorted out of the Duke facility. I was not literally escorted out but you get my point. Any who, I realized about this time that I wasn't even going to get the back up to my dream job. I mean….WTF?!?!?!

Rx:

Begin exploring your other opportunities. If you have a science degree these are some ways to get your foot in the door and other job possibilities that require a science degree but aren't exact what you might have thought!

Science:
Volunteer in an academic lab
Google your local university's biology, chemistry, biochem, departments and look at the PIs (principle investigators). Cast a super wide net because these guys are super busy. Offering a free set of hands can be beneficial to you and them. I know folks who started as volunteers and eventually landed permanent positions. Plus, this can get you experience! Turns out the only way for anyone to care that your resume is in their inbox is if you have experience of some sort. The PIs email is usually available on the departmental page. Let them know the extent of your schooling, what about their research interests you (do a little bit of clicking around on their lab page) and include a CV or resume that includes what scientific skills you have from undergrad or previous experience.

Volunteering in this setting is much easier to get into than in an Industry lab especially if you don't have any connections. Plus this can help you earn a recommendation or really great reference.

Academic positions (individual contributor) 
These positions are often posted on an individual lab's site but you will need to do the formal application process for the university. Usually the university's main page, under employment. ITs a pain in the ass and you have to register but these are good jobs so it can be worth the effort. They don't pay as well as Industry but the depending on the culture of the lab, this can be a pretty sweet gig. My lab start time in grad school wasn't really tracked but my boss usually got in around 10AM.  There is a TON of flexibility if you want to take classes and go to the gym mid-day, stuff like that. I should stress that this is a lab culture dependent type of thing. I've also known PIs who don't allow people to check their personal email at work so, be sure to feel this out in an interview.

Laboratory Management
Pretty similar but with waaay more responsibility than the individual contributor. Might pay a little more but this will be good experience for you if you want to eventually go into industry. Academic jobs don't pay great but, the quality of life often can't be beat!

Labcorp
These labs are located all over the country as they assess specimens from various hospitals and clinics. This could be a particularly good fit if you have a background in pathology or microbiology or have experience with applicable techniques. Again, volunteering in an academic lab can benefit these endeavors.

Hospital labs
Very similar to the Labcorp deal. Usually apply through a  centralized portal. Some of these labs may require specific pathology certifications.

Corporate level analytical labs
This would be like AAI Pharma and Catalent. These companies are often looking for entry-level chemists and might be a good place to start a great career in industry! I had an interview with an analytical company and totally bombed it.

Side note: You won't die if you bomb an interview and don't get a job. Matter of fact, this could very much benefit you by learning what NOT to do!

Big Pharma
Not to state the obvious but if you can get your foot in the door here, you are all kinds of set! Apply, apply, apply!

You could always continue working in your field of certification or doing whatever you did to get your contact hours. However, with these jobs you will likely hit a ceiling since you don't have the additional medical training. These types of jobs include positions as a CNA, EMT, Nurse (duh), ED Technician, Medical Assistant, etc.

Then there are some less obvious choices that also require or prefer a science degree but are not science.

Regulatory Affairs
These positions are in every regulated industry. Medical device companies, pharmaceutical companies, Food manufacturers, Clinical Research Organizations, if it's regulated you should try to get your foot in the door. These jobs involve ensuring compliance with current standards, regulations and guidances from various competent authorities depending on the countries your product is being sold in. This is actually what I do for a living now.

Project Management 
These jobs require excellent time management, organization and team coercion, I mean team management skills. These positions are available in many industries. This is a lot of what it sounds like, set up timelines, ensuring various members of your team are meeting their timelines for deliverables.

CRO Positions: The companies you will need to look for are called Clinical Research Organizations (CROs) and they are EVERYWHERE. Companies contract out their clinical trials to these organizations.

Clinical Research Associate
Having a science degree can be of benefit in this field. Be sure to express your interest in clinical research. This job requires a LOT of travel but can be lucrative and rewarding. CRAs travel to sites and ensure that investigation product is getting where it needs to be and that the sites are doing their part and being compliant with the trial. CRAs also play a role in getting a site up and running.

Data Management
This is another CRO position. These folks help store and manage the data being collected as part of these trials. These folks ensure that data is entered appropriately into the appropriate database for tracking.

Teaching
Unfortunately, this is the least lucrative option you have. You can often teach at a school if you are working on a teaching degree or certification. This can vary state to state and I really only suggest this if it's truly your passion because the money might not be worth it otherwise.

If anything else comes to me, I will be sure to post. Give serious consideration to new career paths. Success doesn't always mean become the most prestigious thing you can think of. A lot of these jobs offer room for growth and some can make higher salaries with 9 to 5 schedule which you wouldn't have in the medical field. You just have to get your foot in the door and apply the same work ethic that got you into grad school into your job and you will be successful. It won't happen over night or in two years like becoming a PA would have but there is no ceiling on how high you can climb up a corporate ladder if you learn how to network and do your job well.

Week 4

Congrats! You are a month out from your last day of school! Hopefully you are on the market looking for your next career and/or something to do until you figure out what that might look like. This is totally fine and remember, it will get better. You made it through four whole weeks at this point! Odds are classmates are now too busy to reach out to see how you are. This does not mean they don't care, they are just trying to stay afloat. Remember, you are free now. This should be refreshing to you. You know what it used to be like. You get to go to work (hopefully a part time distraction for now) or work on your resume and job applications until your family/partner/roommate is home and the day is over. Even if you have kids and a partner they are all you have to worry about at the end of the day. No homework. Isn't this nice?

Now for the tough stuff….Student debt is going to rear its ugly head in then next few months (6 months to be exact, well 5 now). You have got to really focus on firing up your resume and finding something stable. Don't panic, so long as you are proactive with your lenders you'll be okay. If you get the notice that they want money and it's way more than you can afford, be very upfront. Do NOT wait for them to come to you looking for the money. That can ruin your credit and become a serious pain in the ass. If you are proactive, you can research income-based repayment schedules, negotiate with your lender. But as painful as it is, you will have to pay back every stupid cent. This is where looking back on it now, I see that being "invited to pursue other career opportunities" in April of my first year truly was a blessing. I have just under half the debt of the rest of my colleagues which made the loan payments a bit less awful. Again, you still have time to get a stable job and get in the swing of it. You looked good enough on paper to get into grad school, you will find a job.

Be prepared: By now you have transitioned into being white-hot, seething with anger over this. Not going to lie, there are people who are AWFUL and will make TERRIBLE clinicians still in your program. This was an expensive pain in the ass road to a dead end. But, things your life does not depend on becoming a PA or a MD. You are disappointed in yourself and that is totally understandable. A number of things lead to this but its going to be fine. I promise.

Rx:
Hustle up on the part-time gig if you don't have one. Again, doesn't have to be your dream job, just some income and a reason to get out of bed. Be certain it isn't a job that will interfere with your capabilities to make it to interviews for real jobs. Start really considering your next step. I don't recommend more school but you have to find your own path. By now you probably hate all of the assholes still in the program. The people who are the worst that are still there, the people that patients HATED are still there and yes, one day will practice medicine. You get one calendar year to hate these people. No more that 5 minutes per day is to allocated to hating them. The rest of the time, you need to focus on your next step. Spend much more time than this and you will become bitter and a lot less fun to be around. Don't hate your friends who are still in the program. Long term, you will be happy for not shutting the ones you really grew to like and care about. Remember, nothing about this process is permanent.