The PA Is In | Tracy Bingaman | Physician Assistant/Physician Associate/PA-C/PA-S/PA Student

Tracy Bingaman, PA-C | The Money PA | Physician Assistant | Physician Associate

We are redefining success as a Physician Associate & answering your questions: How do I find work-life balance as a PA? How can I increase my income as a Physician Assistant? Am I ready to change specialities? How can I chart less? How do I land a raise? Is a career in medicine sustainable for me? Can I keep working in a healthcare system that doesn't value me? Helping clinicians to create better balance in their lives, cultivate career sustainability, you'll learn how to earn more money, increase your energy, take back your time and build a life where you love. PA podcast PA-C PA-S

  1. 368: [BIZ] Why Your Business Feels Busy But Isn’t Making Money (And How to Fix It)

    3 DAYS AGO

    368: [BIZ] Why Your Business Feels Busy But Isn’t Making Money (And How to Fix It)

    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

    25 min
  2. 367: [BIZ] She Left Medicine to Build a Coaching Business—Here’s What Happened Next

    2 APR

    367: [BIZ] She Left Medicine to Build a Coaching Business—Here’s What Happened Next

    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

    44 min
  3. 366: [BIZ] The Most Underrated Side Hustle for Clinicians (ZERO Overhead, Immediate Profit!)

    26 MAR

    366: [BIZ] The Most Underrated Side Hustle for Clinicians (ZERO Overhead, Immediate Profit!)

    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: sjmvirtualsolutions@gmail.com 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

    1 hr
  4. 365: [STORY] A Girl Who Collected Gold Stars — Burned Out in Healthcare and Learned to Stop, Drop & Roll

    2 MAR

    365: [STORY] A Girl Who Collected Gold Stars — Burned Out in Healthcare and Learned to Stop, Drop & Roll

    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

    9 min
  5. 364: [URGENT] Proposed Federal Rule Could Block PA Students From Student Loans — Here’s What To Do

    20 FEB

    364: [URGENT] Proposed Federal Rule Could Block PA Students From Student Loans — Here’s What To Do

    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/

    13 min
  6. 363: [ADVOCACY] What the Department of Education Rule Means for PAs, Patients & the Future of Healthcare

    12 FEB

    363: [ADVOCACY] What the Department of Education Rule Means for PAs, Patients & the Future of Healthcare

    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

    17 min
  7. 362: [LIFE] Insulin Resistance, Fertility & Blood Sugar — What Every Clinician Should Know

    5 FEB

    362: [LIFE] Insulin Resistance, Fertility & Blood Sugar — What Every Clinician Should Know

    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

    31 min
  8. 361: [WORK] 13 Years In – What Medicine Has Taught Me (The Honest Version)

    29 JAN

    361: [WORK] 13 Years In – What Medicine Has Taught Me (The Honest Version)

    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

    13 min

About

We are redefining success as a Physician Associate & answering your questions: How do I find work-life balance as a PA? How can I increase my income as a Physician Assistant? Am I ready to change specialities? How can I chart less? How do I land a raise? Is a career in medicine sustainable for me? Can I keep working in a healthcare system that doesn't value me? Helping clinicians to create better balance in their lives, cultivate career sustainability, you'll learn how to earn more money, increase your energy, take back your time and build a life where you love. PA podcast PA-C PA-S

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