Switching to a school-based peds job

Has anyone moved from an outpatient pediatric clinic to a school-based clinic? I’m a Pediatric PA who values time to coach parents on asthma plans and feeding, but my current 15-minute slots (4x10s, about 22 kids/day) make it tough; the school-based role offers 30-minute visits, a 7:30–3:30 M–F schedule, and about $8k less — does the deeper parent communication and kid-friendly pace make the pay cut worth it?

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@OP I’d shadow for a half day and ask whether it’s a 10 vs 12‑month contract, how much parent contact happens (phone vs in-person), and if IEP meetings/admin are baked into those 30 minutes. If coaching is your driver, the longer visits plus M–F 7:30–3:30 can be worth the $8k, but you could negotiate CME/PSLF or keep one clinic shift a month to bridge the gap — your 3:35 pm self may thank you. Also clarify whether there’s travel between campuses or Medicaid billing and how that affects your daily count.

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When I moved to a district clinic, the game-changer was negotiating a protected 30‑min parent-call block right after dismissal for asthma/feeding coaching; get it in the offer letter so screenings and pop-up crises don’t cannibalize those visits. @OP would they let you carve out a daily block like that?

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