“The recruiters filling your PA roles have never done the job. I have — for over 20 years.”
Pharaoh Sargent, PA-C practiced across the emergency department, operating room, ambulatory care, and inpatient settings in the New York City metro area for more than two decades before founding PA Staffing Solutions.
He founded the firm on a simple premise: the person evaluating a clinician for a role should have held that role themselves.
Every setting taught a different lesson about what makes an advanced practice provider succeed — or quietly fail — in a role.
Undifferentiated patients, compressed decision windows, and no option to defer. The ED is where clinical judgment is either present or it isn't.
First-assist work runs on anticipation, not instruction. A surgeon three hours into a case needs a PA who already knows what comes next.
Clinic changes the unit of work from the episode to the relationship. Volume matters, but so does whether a patient comes back.
Managing an inpatient service means owning a list, a team, and the handoffs between them. It is the closest clinical work gets to running an operation.
Clinical hiring goes wrong in predictable ways, and the people running it usually cannot see it, because they have never done the job they are hiring for.
Being recruited as a PA means fielding roles from people who cannot answer a clinical question about the job they are selling. The mismatch is not malice — it is that they have no way to tell a good fit from a bad one.
On the hiring side the same gap shows up as wasted weeks. Résumés arrive pre-screened by someone who screened for the wrong things, and the clinical filtering still lands on the people who already have a full schedule.
Twenty minutes, no rate card pitch. Whether you are hiring or looking, you will be speaking with someone who has done the job.