Advertise on podcast: The PA Is In | Tracy Bingaman | Physician Assistant/Physician Associate/PA-C/PA-S/PA Student

If you’ve ever thought, “There has to be more than just working more shifts to make more money…” — this episode is going to open your eyes. In this conversation, I sit down with Dr. Christopher Cannell, PA-C, who shares how he transitioned from full-time clinical work into a flexible, high-income career combining academia, consulting, and entrepreneurship. What started as a single opportunity turned into a thriving medical legal consulting business—one that allows him to work less clinically, earn more, and take back control of his time. We break down what medical legal consulting actually looks like, how to get started (even without a doctorate), and why this path might be one of the most aligned, ethical, and financially rewarding ways to use your clinical expertise outside traditional practice. What medical legal consulting actually is (and what you’d do) How expert witness work and case review really get paid Why you don’t need another degree to get started The balance between clinical work and consulting How to build income without burnout or overtime Why networking (not social media) is your biggest growth lever The mindset shift from employee → entrepreneur How this work can actually make you a better clinician Keywords: medical legal consulting for PAs, expert witness physician assistant, PA side hustle ideas, healthcare consulting income, non clinical careers for physician assistants, medical expert witness jobs, PA entrepreneurship, healthcare side income ideas, physician assistant consulting business, legal nurse consultant alternative, make money as a PA outside clinic, clinician entrepreneurship, work from home healthcare jobs, PA career flexibility, burnout alternatives for clinicians, healthcare side gigs high income SPONSORS: PA Moms Women’s Medical Summit https://www.pamoms.com/wms26/ Enter “Tracy Bingaman” for who referred you! LINKS: Chris Cannell APConsultant Website: https://theapcconsultant.mykajabi.com/ Clinician Entrepreneur Collective Waitlist www.tracybingaman.com/waitlist Schedule a call with Tracy https://calendly.com/the-pa-is-in/gen-call

Goals Aren’t Enough—Your Business Needs a Plan You’ve been told to set goals—big ones. Write them down. Visualize them. Work harder toward them. But here’s the problem: most goals are too vague to actually drive action. “Help more people.” “Make a difference.” “Grow the business.” They sound good, but they don’t tell you what to do on a random Tuesday night when you finally sit down to work. And that’s exactly why so many businesses stall. If your business feels busy but not profitable, scattered instead of strategic, or exhausting instead of energizing—it’s not a motivation problem. It’s a clarity problem. Inside this episode, I break down what’s actually missing: a clear, specific, and compelling treatment plan for your business. Because just like in medicine, “feel better soon” isn’t a plan—and it won’t get results. A real business treatment plan creates direction, urgency, and momentum. It helps you stop guessing, stop spinning your wheels, and start making intentional moves that lead to revenue and impact. And the best part? You already know how to do this—you’ve just been applying it to patients instead of your business. Why vague goals quietly kill small businesses The difference between being busy and being profitable How clinicians accidentally “wing it” in business The concept of narrative traction (and why it drives action) Why your business feels scattered, reactive, and draining The 3-part framework for building a business treatment plan: ✔ Three specific economic outcomes ✔ A clear deadline ✔ A compelling reason why it matters Why “impact without revenue is a hobby” How to create urgency that actually moves your business forward A real-life example (yes… including a $430 baseball bat ⚾) Inside the Clinician Entrepreneur Collective, we take your clinical brain and apply it to business—so you can build something that creates income, impact, and freedom. If your business feels like a side hustle you squeeze into the cracks of your life… This is your invitation to do it differently. Join the waitlist: www.tracybingaman.com/waitlistNext cohort starts June 1, 2026 SPONSORS: ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fi SERMO https://app.sermo.com:443/?sermoref=39d97a2c-f699-4f8b-b2f9-1eb131e18c75&utm_campaign=tell-a-friend Keywords: business strategy for clinicians, entrepreneur mindset healthcare providers, clinician entrepreneur collective, how to build a business plan, why small businesses fail cash flow, treatment plan for business growth, storybrand business strategy, how to set measurable goals in business, increase revenue without burnout, side hustle for physician assistants, business clarity for entrepreneurs, mission statement examples business, narrative traction marketing, clinician side income strategies, how to grow a coaching business, sustainable business for healthcare workers

What happens when you leave a stable, six-figure clinical career… to build something of your own? In this episode I sit down with returning guest Kate Johnston—former PA turned full-time coach and entrepreneur—to talk about what it actually looks like to walk away from medicine and build a business from the ground up. And spoiler: it’s not “build it and they will come.”  We dive into the real, unfiltered lessons from Kate’s first years in business—from the identity crisis of no longer being “a PA” to the surprising skills no one tells you you’ll need (hello, marketing and sales). We also talk about: Why changing jobs doesn’t fix burnout (and what actually does) The difference between treating symptoms vs solving root problems (in both healthcare and business) How niching down transformed her business (and why it feels scary but works) The biggest mistake she made when starting—and what she’d do differently Why “protecting your revenue” might be the smartest move you make The mindset shift that helped her reclaim her self-worth outside of medicine Plus, Kate shares how she helps women in healthcare break free from emotional eating and build a healthier relationship with food—without relying on willpower or quick fixes. This episode is for the clinician who’s thinking:  “There has to be another way.” Because there is. But it’s not what Instagram told you. Want Help Building Your Own Income Stream? If you’re sitting there thinking: “Okay… but what would my version of this look like?” I’ve got you. Grab Your Copy of the Side Gig Guide: www.tracybingaman.com/gig SPONSORS: ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fi SERMO https://app.sermo.com:443/?sermoref=39d97a2c-f699-4f8b-b2f9-1eb131e18c75&utm_campaign=tell-a-friend  Keywords: clinician entrepreneurship, PA to entrepreneur transition, starting a coaching business healthcare, emotional eating healthcare workers, burnout and career change PA, side business for clinicians, healthcare career pivot stories, building a coaching business from scratch, mindset for entrepreneurs healthcare, leaving clinical medicine

She didn’t have a business plan.She didn’t have a website.She didn’t even know what a virtual assistant was. But one “yes” turned into a flexible side business bringing in $10–15K/year—while working part-time nights in the ICU and raising a family. After going part-time, Sarah wanted a small income buffer.She tried a few ideas… and then an opportunity landed in her inbox: “Want to be my VA?” She said yes—and figured it out as she went. Now she: Supports entrepreneurs behind the scenes Works ~10–15 hours/month per client Earns ~$10–15K/year Has almost zero overhead You don’t need a perfect plan—just a starting point Your clinical skills translate more than you think Relationships—not sales—build businesses Small side income can create massive flexibility If you’ve ever thought, “There has to be another way…” This episode shows you one. LinkedIn: ⁠Sarah Miller, PA-VA⁠ ⁠https://www.linkedin.com/in/sarah-miller-pa-va/⁠  Website: sjmvirtualsolutions.com Email: [email protected] If you’re sitting there thinking: “Okay… but what would my version of this look like?” I’ve got you. Grab ⁠Your Copy of the Side Gig Guide⁠: ⁠www.tracybingaman.com/gig⁠ SPONSORS: SPONSORS: ⁠ADVANCED PRACTICE PLANNING, LLC⁠: ⁠advancedpracticeplanning.com/fi⁠⁠SERMO⁠ ⁠https://app.sermo.com:443/?sermoref=39d97a2c-f699-4f8b-b2f9-1eb131e18c75&utm_campaign=tell-a-friend⁠ keywords: virtual assistant business for clinicians, side hustles for physician assistants, PA side income ideas, healthcare side hustle from home, virtual assistant income examples, work from home healthcare jobs, clinician entrepreneurship, part time PA income, burnout alternatives for clinicians, make money outside clinical medicine, virtual assistant services for entrepreneurs, remote admin jobs for healthcare workers, flexible side income for busy moms, online business ideas for clinicians, passive income alternatives healthcare

Once upon a time, there was a gold-star-collecting girl who believed hard work guaranteed fulfillment — so she chose medicine. In this deeply personal episode, Tracy Bingaman shares the story behind her burnout, her breaking point, and the decision that changed everything: she didn’t quit medicine — she quit martyrdom. After years of overwork, illness, exhaustion, and people-pleasing inside a system that never loved her back, she chose a different path. One where she practices clinically by choice, not obligation, and built a business that gives her autonomy, flexibility, and impact. If you’ve ever felt trapped in healthcare, questioned your path, or wondered whether there’s another way to serve without sacrificing yourself… This episode is your permission slip. Episode Highlights Why high achievers burn out fastest in healthcare The hidden cost of people-pleasing in medicine The difference between leaving medicine and leaving the system Early warning signs your body is burning out How entrepreneurship creates freedom and impact for clinicians Keywords: physician associate burnout, PA burnout recovery, healthcare burnout story, clinician entrepreneurship, entrepreneur for healthcare providers, how to leave corporate medicine, part time physician associate, women in medicine burnout, burnout and autoimmune disease, healthcare boundaries, RVU culture, doctor burnout, PA career transition, medical entrepreneurship, income streams for clinicians What You’ll Learn in This Episode Why high-achieving clinicians are especially vulnerable to burnout, How corporate medicine subtly reinforces people-pleasing behavior, The difference between quitting medicine and quitting martyrdom, The early warning signs of burnout that most providers ignore, How entrepreneurship can create autonomy, flexibility, and financial margin, Why practicing medicine is one way to serve — not your only way, The mindset shift from RVU-based worth to value-based impact, How to start building something outside the confines of corporate healthcare Core Themes & Topics Physician Associate burnout, Healthcare burnout recovery, Women in medicine, Clinician entrepreneurship, Physician Associate career transitions, Boundaries in medicine, Income diversification for clinicians, Part-time clinical practice, Corporate healthcare reform, Identity beyond medicine

A federal policy change could quietly reshape the future of the Physician Associate profession — and most clinicians don’t even know it’s happening. In this urgent advocacy episode, Tracy sits down with Jen Campbell, PA-C, cardiology PA, PA supervisor, and current president of the Pennsylvania Society of Physician Associates (PSPA), to break down what a proposed Department of Education rule could mean for PA students, future clinicians, and patient access to care. At the center of the issue is a redefinition of what counts as a “professional program.” If PAs are excluded from that definition, graduate loan limits could drop to $25,000 each year and a lifetime cap of $100,000, making PA school financially inaccessible for many students — especially first-generation, rural, and lower-income applicants. This isn’t just a student issue. It’s a workforce issue. A patient care issue. A healthcare access issue. And the most important part?There is still time to act. **Comment period ends on March 2nd** What the proposed federal rule actually says (plain-English breakdown) Why the definition of “professional degree” matters How loan caps could limit access to PA school Who will be most affected — and why that matters for patient care The link between education access and clinician shortages How individual clinicians can influence policy (yes, you) Real steps you can take today to advocate for the profession If fewer students can afford PA school → fewer clinicians graduate → patient access declines. Policies like this don’t just affect training.They shape the future of healthcare delivery. If you only act on one advocacy issue this year — make it this one. Ways to help: Submit a public comment to federal regulators HERE: https://www.regulations.gov/commenton/ED-2025-OPE-0944-0001   Contact your representative or senator using www.5Calls.org  Educate colleagues who haven’t heard about this yet - SHARE this episode widely!  Advocacy doesn’t require a title.It requires a voice. Jen Campbell, PA-C Cardiology Physician Associate PA Supervisor managing 25 APPs across four hospitals President, Pennsylvania Society of Physician Associates (PSPA) Advocate for clinician workforce sustainability and education access Connect with Jen on LinkedIn or through PSPA to learn more about current advocacy initiatives. Physician Associate advocacy, PA student loans, Department of Education rule, graduate loan limits, healthcare workforce shortage, PA school cost, federal loan policy, healthcare legislation, clinician advocacy, PA profession future, PSPA president interview, AAPA advocacy, healthcare access policy, student loan reform healthcare, federal rulemaking healthcare education. You don’t have to be a policy expert to change policy.You just have to speak. What You’ll LearnWhy This Matters📣 Call to Action👩‍⚕️ About Today’s GuestKeywords:Key Takeaways: TAKE ACTION:Head to www.tracybingaman.com/act Advocacy Central at the AAPA https://www.aapa.org/advocacy-central/federal-student-loan-changes/

A newly proposed rule from the U.S. Department of Education could significantly restrict access to federal student loans for Physician Associate (PA) students — threatening the future PA pipeline and patient access to care. In this rapid response episode, Tracy breaks down: What the Department of Education’s proposed rule actually says How changes to federal student loan eligibility could limit PA education access Why fewer PA students = fewer clinicians = longer wait times + more burnout What the American Academy of Physician Associates (AAPA) is doing How YOU can take action in less than 10 minutes This is advocacy in action. And it matters. The Plan: Read the proposed rule + AAPA’s statement: https://www.aapa.org/news-central/2026/01/aapa-statement-on-department-of-educations-proposed-rule-on-federal-student-loans/ AAPA Landing Page: https://www.aapa.org/advocacy-central/federal-student-loan-changes/  Submit a public comment before March 2, 2026: https://www.federalregister.gov/documents/2026/01/30/2026-01912/reimagining-and-improving-student-education  Call your representatives (using the free 5 Calls.org) 5Calls.org Protecting PA education today protects patient care tomorrow. Keywords: Physician Associate advocacy, PA education pipeline, Department of Education rule 2026, federal student loans PA students, AAPA statement January 2026, healthcare workforce crisis, public comment federal register, clinician advocacy, protecting patient access, PA profession future

Insulin Resistance, Fertility, and Taking Your Health Back Insulin resistance doesn’t just affect blood sugar — it impacts hormones, fertility, energy, and long-term health. In this episode, Tracy sits down with PA and women’s health coach Chelsea Hayman to unpack how insulin resistance shows up in real life, why “normal labs” don’t always tell the full story, and what clinicians and patients can do to break the cycle of crashes, cravings, and burnout. They explore fertility struggles, continuous glucose monitors, stress physiology, and practical strategies for stabilizing hormones and blood sugar — without extreme diets or unsustainable routines. Whether you’re supporting patients with PCOS, infertility, fatigue, or metabolic dysfunction — or navigating this yourself — this conversation will change how you think about women’s health. How insulin resistance affects fertility and hormone balanceWhy A1C can be normal — and problems still existThe “protein + fiber first” strategyHow stress worsens blood sugar regulationWhen CGMs can be helpful (even without diabetes)Small, sustainable changes that actually workWhy women must stop putting their health lastTimestamps: [2:30] Meet Chelsea Hayman [3:30] Blood Sugar and Fertility [4:45] Chelsea’s Struggles with Infertility [9:00] Defining Insulin Resistance [11:00] Blood Sugar Control & Fertility Outcomes [13:00] Stress & Hormones [16:00] Implementing Lifestyle Changes [17:00] Choosing a Continuous Glucose Monitor [23:00] How to Plan Your Plate [25:00] Self Care & Meeting Your Own Basic Needs [29:00] Connect with Chelsea & Where to Find Her Connect with Chelsea: Website: www.empowerglucose.com LinkedIn: http://linkedin.com/company/empoweredglucose Social: @empoweredglucose at https://www.instagram.com/empoweredglucose/  Keywords: insulin resistance, blood sugar, hormone imbalance, fertility, infertility, PCOS, continuous glucose monitor, CGM, women’s metabolic health, metabolic health, PA podcast, women’s health, wellness, clinician wellness, hormones, gestational diabetes, insulin resistance SPONSORS: ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fi SIDE GIG GUIDE https://www.tracybingaman.com/gig CONNECT  ⁠FREE 30-MINUTE COACHING CONSULT⁠ ⁠⁠https://calendly.com/the-pa-is-in/gen-call⁠ ⁠  ⁠1-ON-1 NEGOTIATION CONSULT ⁠https://calendly.com/the-pa-is-in/negotiate⁠ ⁠ CONNECT WITH TRACY ⁠LINKEDIN ⁠https://www.linkedin.com/in/tracybingaman/⁠⁠ ⁠INSTAGRAM ⁠https://www.instagram.com/mrstracybingaman/⁠⁠ WEBSITE⁠ ⁠⁠⁠https://www.tracybingaman.com⁠

After 13 years of practicing medicine, I’m not here to pretend I have it all figured out. I am here to share what experience has quietly, steadily taught me. In this episode, I’m reflecting on 13 lessons I’ve learned in my 13 years as a PA—from why people and schedules matter more than specialty, to how burnout isn’t something you beat but something you learn to monitor, to why there is absolutely no award for doing it the hard way. This isn’t a how-to episode or a deep clinical dive. It’s an honest, human reflection on what it takes to build a career in medicine that actually lasts. Consider this an invitation to pause, reflect, and ask yourself: what have I learned in my own years of practice? Inside this episode, we talk about: Why culture, autonomy, and respect matter more than we’re taught How your real legacy lives outside the hospital or clinic Why medicine is an Ironman, not a sprint Burnout as a chronic condition—not a personal failure The power of mentorship, sponsorship, and turning around to help others Negotiation as a skill we were never taught—but desperately need Why part-time practice still counts And the truth about martyrdom (spoiler: there’s no prize) Reflection isn’t indulgent. It’s how we make this work sustainable—for ourselves and for the clinicians coming behind us. SPONSORS:ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fi SERMO https://app.sermo.com:443/?sermoref=39d97a2c-f699-4f8b-b2f9-1eb131e18c75&utm_campaign=tell-a-friend  CONNECT  ⁠FREE 30-MINUTE COACHING CONSULT⁠ ⁠⁠https://calendly.com/the-pa-is-in/gen-call⁠ ⁠  ⁠1-ON-1 NEGOTIATION CONSULT ⁠https://calendly.com/the-pa-is-in/negotiate⁠⁠ CONNECT WITH TRACY 🤝 ⁠LINKEDIN ⁠https://www.linkedin.com/in/tracybingaman/⁠⁠ ⁠INSTAGRAM ⁠https://www.instagram.com/mrstracybingaman/⁠⁠ WEBSITE⁠ ⁠⁠⁠https://www.tracybingaman.com⁠ 🎁 Bonus Freebie: Grab your free guide with 48 healthcare-specific side hustle ideas at 👉 tracybingaman.com/gig Keywords: PA career longevity, lessons from practicing medicine, healthcare burnout recovery, physician associate career advice, sustainable medical careers, clinician burnout prevention, work life balance for PAs, part time medicine, negotiation in healthcare, PA mentorship, healthcare boundaries, career reflection medicine, avoiding burnout in healthcare, clinician identity, long term medical careers, PA professional development

Most clinicians don’t need to work harder to earn more — they need better strategy. In this episode of The PA Is In, Tracy breaks down three proven ways clinicians can increase their income without adding more clinic hours or sacrificing their sanity. Whether you’re stuck with tiny annual raises, feeling underpaid for your productivity, or craving more financial flexibility, this episode gives you practical steps you can take right now. Why negotiating where you already work is one of the most overlooked income strategies How to advocate for higher base pay, clearer bonus metrics, and better schedules When commission-based or productivity pay can work in your favor How to diversify income with side gigs that don’t require more shifts Real-world examples of paid surveys, advisory panels, remote work, and flexible clinical roles Why strategic job changes often lead to the biggest pay jumps — and how to negotiate them properly What to negotiate beyond salary (spoiler: it’s not just money) Free Side Gig Guide (48 ideas for clinicians): www.tracybingaman.com/gig Negotiation Consults: www.tracybingaman.com/negotiation-consult Clinician Income Lab (self-paced negotiation course): www.tracybingaman.com/CIL You don’t have to pick just one strategy. Many clinicians combine all three — negotiating where they are, adding flexible income streams, and making intentional career moves — to build income that actually supports their life. If you found this episode helpful, leave a review and share it with a clinician who needs to hear it. SPONSORS: ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fi SERMO https://app.sermo.com:443/?sermoref=39d97a2c-f699-4f8b-b2f9-1eb131e18c75&utm_campaign=tell-a-friend  CONNECT  ⁠FREE 30-MINUTE COACHING CONSULT⁠ ⁠⁠https://calendly.com/the-pa-is-in/gen-call⁠ ⁠  ⁠1-ON-1 NEGOTIATION CONSULT ⁠https://calendly.com/the-pa-is-in/negotiate⁠⁠ CONNECT WITH TRACY 🤝 ⁠LINKEDIN ⁠https://www.linkedin.com/in/tracybingaman/⁠⁠ ⁠INSTAGRAM ⁠https://www.instagram.com/mrstracybingaman/⁠⁠ WEBSITE⁠ ⁠⁠⁠https://www.tracybingaman.com⁠ 🎁 Bonus Freebie: Grab your free guide with 48 healthcare-specific side hustle ideas at 👉 tracybingaman.com/gig In this episode, you’ll learn:Resources mentioned:Keywords: clinician income strategies, how clinicians earn more money, physician assistant salary negotiation, PA pay raise, clinician negotiation tips, healthcare salary negotiation, side gigs for clinicians, paid medical surveys for clinicians, CERMO surveys, diversify clinician income, clinician side hustle ideas, remote work for healthcare providers, part time clinical work, job change salary increase healthcare, negotiate clinician salary, RVU bonus negotiation, commission based clinician pay, financial flexibility for clinicians, clinician burnout finances

Most PAs don’t wake up one day hating medicine. Instead, they wake up tired. Numb. Disconnected. Still competent. Still caring. Still showing up — but quietly wondering where the spark went. In this episode of The PA Is In, Tracy speaks directly to the clinician who didn’t fall out of love with medicine, but feels weighed down by how it’s practiced today. She reframes burnout as information — not failure — and explains why self-care, PTO, and vacations can help temporarily, but won’t fix a career that’s structurally misaligned with your life. Tracy walks through the invisible work that drains clinicians, how values drift over time, and why so many PAs internalize system-level problems as personal shortcomings. She then offers a grounded, realistic four-step process to help you begin redesigning your career without blowing up your life, quitting tomorrow, or burning bridges. This episode is a reminder that you’re not broken — and that you’re allowed to evolve. You can love medicine and love your life. And you can practice in a way that feels like you again. Mentioned in this episode:Find Your Why by Simon Sinek SPONSORS: ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fi SERMO https://app.sermo.com:443/?sermoref=39d97a2c-f699-4f8b-b2f9-1eb131e18c75&utm_campaign=tell-a-friend  CONNECT  ⁠FREE 30-MINUTE COACHING CONSULT⁠ ⁠⁠https://calendly.com/the-pa-is-in/gen-call⁠ ⁠  ⁠1-ON-1 NEGOTIATION CONSULT ⁠https://calendly.com/the-pa-is-in/negotiate⁠⁠ CONNECT WITH TRACY 🤝 ⁠LINKEDIN ⁠https://www.linkedin.com/in/tracybingaman/⁠⁠ ⁠INSTAGRAM ⁠https://www.instagram.com/mrstracybingaman/⁠⁠ WEBSITE⁠ ⁠⁠⁠https://www.tracybingaman.com⁠ 🎁 Bonus Freebie: Grab your free guide with 48 healthcare-specific side hustle ideas at 👉 tracybingaman.com/gig Keywords: PA burnout recovery, physician associate burnout, loving medicine but burned out, healthcare burnout not personal failure, PA career redesign, values drift in medicine, portfolio career for clinicians, reigniting passion in medicine, sustainable PA careers, clinician burnout coaching

What if the problem isn’t medicine — but the way your career is structured right now? In this episode, Tracy sits down with Annie Wildermuth, PA, leadership consultant, and ICF-certified coach, for a thoughtful, grounded conversation about career pivots, burnout, and how clinicians can make intentional changes without blowing up their lives. Annie shares her own non-linear career journey — from emergency medicine to academia, medical education, leadership development, and coaching — and explains why so many clinicians feel stuck when the “traditional” career path no longer fits. Together, Tracy and Annie unpack why waiting until you’re in crisis to think about career strategy is so common — and how much easier it is to make aligned decisions when you plan ahead. They explore one of the biggest myths in medicine: that non-clinical work is automatically the solution to burnout. Annie offers a refreshingly honest take on whether the grass is really greener, what she misses about patient care, and why values — not job titles — should drive career decisions. You’ll also hear practical guidance on how to: • Identify whether your burnout is about workload, values misalignment, or lack of purpose • Decide if leadership opportunities are worth building where you are — or if it’s time to move on • Make smaller, sustainable changes inside your current role before pursuing a big pivot • Navigate the fear of learning something new (yes, even an entirely new specialty) • Take career transitions one manageable step at a time — without paralysis or perfectionism Annie introduces a powerful framework from Drive — autonomy, mastery, and purpose — and explains how even small shifts in these areas can dramatically improve fulfillment at work. Tracy adds real-world examples from her own coaching clients and personal experience, including why “working less” alone rarely cures burnout. The episode closes with a reminder clinicians need to hear: you don’t need to have everything figured out. Careers evolve. Values change. And choosing a new direction doesn’t mean your previous path was wrong — just that you’ve grown. If you’ve been wondering whether it’s time for a change, this conversation will help you slow down, get clear, and move forward with intention — instead of panic. 🎧 Listen in for reassurance, strategy, and permission to design a career that actually fits your life. Keywords: career pivot for clinicians, PA career change, clinical vs nonclinical jobs, burnout recovery for healthcare workers, physician assistant career strategy, leadership development in healthcare, values based career decisions, career coaching for clinicians, non clinical careers for PAs, healthcare burnout solutions, clinician leadership pathways, medical career transitions, feeling stuck in medicine, autonomy mastery purpose healthcare, career planning for healthcare professionals SPONSORS: ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fi CM&F INSURANCE  www.cmfgroup.com/ThePAIsIn SHOW NOTES: https://tracybingaman.com/pivot CONNECT  ⁠FREE 30-MINUTE COACHING CONSULT⁠ ⁠⁠⁠https://calendly.com/the-pa-is-in/gen-call⁠ ⁠⁠  ⁠1-ON-1 NEGOTIATION CONSULT⁠ ⁠https://calendly.com/the-pa-is-in/negotiate⁠⁠⁠ CONNECT WITH TRACY 🤝 ⁠LINKEDIN⁠ ⁠https://www.linkedin.com/in/tracybingaman/⁠⁠⁠ ⁠INSTAGRAM⁠ ⁠https://www.instagram.com/mrstracybingaman/⁠⁠⁠ WEBSITE⁠ ⁠⁠⁠⁠https://www.tracybingaman.com⁠⁠ 🎁 Bonus Freebie: Grab your free guide with 48 healthcare-specific side hustle ideas at 👉⁠ ⁠⁠tracybingaman.com/gig⁠

January 1st can feel loud. Your social media feed fills up with highlight reels, perfect vacations, big announcements, ambitious income goals, and declarations about how this is the year everything changes. Even when it’s well-intentioned, that constant stream can quietly send the message that you need to be different — more disciplined, more productive, more transformed — to be worthy of the year ahead. In this New Year’s Day episode of The PA Is In, Tracy offers something kinder and steadier. This conversation is a reminder that a new year doesn’t require a new version of you. You can be both a masterpiece and a work in progress at the same time — and that truth is especially important for clinicians who are already giving so much of themselves at work and at home. Tracy walks listeners through a simple reflection exercise designed to help you slow down, take stock, and give yourself credit for what you showed up for over the past year. Instead of focusing on what needs fixing, this episode invites you to recognize your strengths, acknowledge the progress you’ve already made, and notice the growth that may have happened quietly and imperfectly. From there, the focus shifts gently forward. Rather than setting massive resolutions or trying to overhaul your entire life, you’ll be encouraged to choose just one to three areas you want to work on in the coming year — without timelines, pressure, or all-or-nothing thinking. This is about intention, not urgency, and progress that’s sustainable rather than performative. This episode is a soft place to land if January feels overwhelming, competitive, or emotionally noisy. It’s a reminder that real change rarely happens on January 1st. It happens on random Tuesdays, after honest conversations, through small and often unglamorous decisions, and by offering yourself the same compassion you give to your patients and colleagues. If you’re craving a calmer, more grounded start to the year — one that honors who you already are while allowing space for growth — this episode is for you. New year. Same you. And that’s exactly where real change begins. SPONSORS: ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fi SERMO https://app.sermo.com:443/?sermoref=39d97a2c-f699-4f8b-b2f9-1eb131e18c75&utm_campaign=tell-a-friend  Keywords: New Year for clinicians, healthcare burnout recovery, PA career coaching, physician assistant podcast, clinician mindset, strengths-based reflection, healthcare boundaries, work life balance for clinicians, intentional goal setting, burnout prevention, career clarity for PAs, healthcare self compassion, sustainable medical careers, New Year reflection exercise, clinician growth mindset  CONNECT  ⁠FREE 30-MINUTE COACHING CONSULT⁠ ⁠⁠https://calendly.com/the-pa-is-in/gen-call⁠ ⁠  ⁠1-ON-1 NEGOTIATION CONSULT ⁠https://calendly.com/the-pa-is-in/negotiate⁠⁠ CONNECT WITH TRACY 🤝 ⁠LINKEDIN ⁠https://www.linkedin.com/in/tracybingaman/⁠⁠ ⁠INSTAGRAM ⁠https://www.instagram.com/mrstracybingaman/⁠⁠ WEBSITE⁠ ⁠⁠⁠https://www.tracybingaman.com⁠ 🎁 Bonus Freebie: Grab your free guide with 48 healthcare-specific side hustle ideas at 👉 tracybingaman.com/gig

Breaking up is hard — and breaking up with your financial advisor after 10+ years? Still hard. In this episode, Tracy shares a deeply personal (and wildly uncomfortable) story about ending a long-standing relationship with her financial advisor — why it stopped feeling right, how she navigated the guilt and fear, and what ultimately helped her reclaim agency over her money. What started as a financial decision quickly revealed powerful parallels to clinical medicine, career decisions, and the ways clinicians stay too long in professional relationships that quietly stop serving them. This episode is about trusting your gut, demanding transparency, and remembering that you get to decide who walks alongside you — in your finances, your career, and your life. In this episode, you’ll hear: What finally made Tracy realize her advisor relationship wasn’t working anymoreWhy “just trust me” is not education — in medicine or moneyHow using ChatGPT helped remove the emotional labor of writing a hard emailThe striking parallels between financial advising and clinical burnoutWhat good financial advisory support should actually look likeWhy understanding fiduciary responsibility matters more than most people realizeHow reclaiming agency in your finances mirrors reclaiming agency in your careerKey takeaways: You deserve to understand how your advisor is paidTransparency is non-negotiableYour advisor should be a teacher and partnerYour intuition is data — listen to itYou are allowed to outgrow long-standing relationshipsAlignment matters more than familiarity SPONSORS: ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fi CM&F INSURANCE  www.cmfgroup.com/ThePAIsIn 🎧 Listen now and ask yourself: Where am I staying out of comfort instead of alignment? Keywords: financial advisor breakup, switching financial advisors, fiduciary financial advisor, how financial advisors get paid, fee only vs commission advisor, clinician finances, money for physician assistants, trusting your gut in finances, financial education for clinicians, reclaiming agency, burnout and finances, financial planning for PAs, advanced practice provider wealth building, transparency in investing, choosing a financial advisor CONNECT  ⁠FREE 30-MINUTE COACHING CONSULT⁠ ⁠⁠https://calendly.com/the-pa-is-in/gen-call⁠ ⁠  ⁠1-ON-1 NEGOTIATION CONSULT ⁠https://calendly.com/the-pa-is-in/negotiate⁠⁠ CONNECT WITH TRACY 🤝 ⁠LINKEDIN ⁠https://www.linkedin.com/in/tracybingaman/⁠⁠ ⁠INSTAGRAM ⁠https://www.instagram.com/mrstracybingaman/⁠⁠ WEBSITE⁠ ⁠⁠⁠https://www.tracybingaman.com⁠ 🎁 Bonus Freebie: Grab your free guide with 48 healthcare-specific side hustle ideas at 👉 tracybingaman.com/gig

Dave Mittman is back—and we’re talking about what’s next for the PA profession. After 50 years in advocacy and leadership (including serving as AAPA President), Dave breaks down why the “experiment worked,” why PA modernization is the real conversation (not “scope creep”), and what changes are already reshaping our day-to-day practice. We dig into full practice and practice-level decision-making, title change momentum, why self-governance matters (hello, PA boards), and how interstate compacts could transform telemedicine and multi-state work. We also get practical: how you introduce yourself, how your clinic markets you, why your referrals should come back to you, and why the white coat conversation isn’t about vanity—it’s about clarity and credibility. If you’ve ever felt like the profession is evolving faster than your workplace policies… this episode is your roadmap. Here’s what you’ll learn: Why PA “modernization” is bigger than one policy change—and why it’s happening now The shift from legislation-driven rules to practice-level determination of scope and competence Why “scope creep” is a distraction (and what PAs are actually asking for) How title change impacts public understanding—and why waiting for laws may be unnecessary What interstate compacts could unlock for telemedicine, specialty care, and access The professionalism pieces that matter: intros, signage, marketing, referrals, and perception Why advocacy can’t be “someone else’s job” anymoreSPONSORS:  CM&F INSURANCE  www.cmfgroup.com/ThePAIsIn Keywords: PA modernization, physician associate, physician assistant profession future, full practice authority PAs, PA title change, PA board of medicine, PA self-governance, practice-level scope of practice, interstate compact for PAs, PA licensure compact, PA telemedicine multi-state, scope creep AMA, administrative burden PAs, PA advocacy, professional identity in healthcare, PA white coat patient perception, DMSC for PAs, PA doctorate, PA specialty competency, CAQ, PA leadership