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

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 anymore
• Why “just trust me” is not education — in medicine or money
• How using ChatGPT helped remove the emotional labor of writing a hard email
• The striking parallels between financial advising and clinical burnout
• What good financial advisory support should actually look like
• Why understanding fiduciary responsibility matters more than most people realize
• How reclaiming agency in your finances mirrors reclaiming agency in your career

Key takeaways:

• You deserve to understand how your advisor is paid
• Transparency is non-negotiable
• Your advisor should be a teacher and partner
• Your intuition is data — listen to it
• You are allowed to outgrow long-standing relationships

Alignment 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

Work–life balance isn’t a destination — it’s a feeling.

And according to executive life coach Rebecca Olson, that feeling is available to you even in the chaos of practicing medicine and parenting young kids. In this powerful, paradigm-shifting conversation, we unpack why so many clinicians feel overwhelmed, what’s actually happening inside your nervous system, and how to reclaim presence in the moments that matter most.Rebecca works with ambitious working parents — especially women — who want to go all in on their careers without sacrificing the relationships and values that matter most. Her approach blends mindset, emotional regulation, intentional decision-making, and practical tools you can implement immediately.

Inside this episode, we dig into:

✨ What “balance” really is (and why it’s not a time-management problem)

✨ Why your nervous system is running the show (and how to calm it in 30–120 seconds)

✨ The transition that makes or breaks your evenings as a working parent

✨ How to build boundaries that actually hold (even when it feels uncomfortable)

✨ Redefining success after becoming a parent

REBECCA OLSON COACHING https://www.rebeccaolsoncoaching.com/

DAILY KICKSTART RESOURCE https://www.ambitiousandbalanced.com/daily-kickstart

SPONSORS:

CM&F INSURANCE

www.cmfgroup.com/ThePAIsIn

Keywords: work-life balance, clinician burnout, nervous system regulation, emotional regulation tools, boundaries for clinicians, working parent mindset, Rebecca Olson coaching, PA wellness, presence practices, redefining success

This week on The PA Is In, we’re going behind the scenes of my experience with the PANRE-LA, the NCCPA’s longitudinal recertification exam. After recertifying the “old-school” way eight years ago — one long test, one long day, one giant burst of stress — I decided to try something totally different this cycle.

In this episode, I’m sharing why I chose the PANRE-LA, how the experience compares to the traditional PANRE, and what it’s actually like to be four quarters into the eight-quarter process. If you’re approaching your own recertification window — or just curious about how the PANRE-LA works — this is your honest, unfiltered look at the inside of the process.

Inside this episode:

• The biggest differences between the PANRE and the PANRE-LA (and why the 10-year cycle matters)

• Why I originally said no way to the PANRE-LA

• What changed my mind as a practicing PA, parent of five, and business owner

• My real-time lessons learned after completing four quarters

• How to avoid unnecessary stress and set yourself up for success

• Why this exam format better reflects modern clinical practice

• Quarterly deadlines you need to know: March 10, June 10, Sept 10, Dec 10
  

I’m sharing exactly how I schedule my questions, how I use (and don’t overuse) reference materials, what I’ve learned from the questions I missed, and why pacing makes the biggest difference in this process.

Whether you’re a fan of the all-at-once testing experience or you want something more flexible, I hope this episode gives you clarity, peace, and a sense of what’s possible for your own recertification season.

If you’ve taken — or are considering — the PANRE-LA, come tell me about your experience on LinkedIn or Instagram. I’d genuinely love to hear.

SPONSORS

⁠CM&F INSURANCE ⁠

⁠www.cmfgroup.com/ThePAIsIn⁠

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