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Hospitalist position - help & moonlighting clause?


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Can anyone offer a quick opinion on this.  For a new grad and they have worked with new grads before.  Location is TX, not rural.

 

1:2 weekend coverage (mon/fri off).  Normal shift ~18 pts and weekend shift ~25.  Hospital rounding between 3 facilities a day, small amount of out-pt work, have to drive between facilities during the day (all are 5-10m drive).  100k base, 8k bonus after 1 yr, 3k relocation.  2 week pto, standard 30/70 health care, 2-3k cme without additional time off for cme.  Two 3 hr ER call in evenings alongside doc with compensation.  No overnight, swing shift, no procedures.

 

Thoughts?  There is also a clause that does not allow moonlighting.  I am going to ask them to remove this because it doesn't make sense to me.  It seems like a good first job.  I am just looking for some reassurance since this will be my first time signing a binding contract and it has all the standard if you quit, pay a fee, etc so I have to get all my ducks in a row now.

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sounds like small town living where you become an intergral part of the system. not bad, but might be a lot

 

 

1:2 weekend coverage (mon/fri off).  Normal shift ~18 pts and weekend shift ~25.  Hospital rounding between 3 facilities a day)They need to pay you mileage or provide a car - do not be variable on this point), small amount of out-pt work,(When do you do this on top of 18 patients a day????) have to drive between facilities during the day (all are 5-10m drive).  100k base, 8k bonus after 1 yr, 3k relocation.  2 week pto(WOW that stinks....  no way for anything less then 3 weeks PTO and a FULL week CME time), standard 30/70 health care(for whole family? - if just single that stinks), 2-3k cme without additional time off for cme(nope - would demand a week off - it only benefits them to have you taking more CME).  Two 3 hr ER call in evenings alongside doc with compensation. (per week, per month?) (this is $65/hour min for a rate so add it in)   No overnight, swing shift, no procedures  (at 18 patients a day, and drive time and ER call - you will be working nights and weekends just to stay caught up, but you will be doing it for FREE)!!!!.

 

Thoughts?  There is also a clause that does not allow moonlighting. (Total BS - if they don't want you to moonlight then they have to offer you unlimited hours (not forced OT) and pay you for them when YOU want to work.  They buy your services for 40 hours a week, not 24x7 - your time off is your time off.) I am going to ask them to remove this because it doesn't make sense to me.  It seems like a good first job.  I am just looking for some reassurance since this will be my first time signing a binding contract and it has all the standard if you quit, pay a fee, etc so I have to get all my ducks in a row now.

 

 

 

Sounds like a LOT of work for even and established proficient PA - as a new grad - 18 patients a day is unreasonable for hospitalist IMHO - these are sick people you really don't know how to do you job right now.......  way to high expectations for a new grad!  

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Thanks for the feedback.  They do not reimburse milage.  Yes PTO is horrible and no other alloted time for CME so yeah... basically very little time off.  They told me first 3 months will be very rough but then most ppl even new grads are doing 7-5 day.  ER call is 3 hrs twice a month. 

 

The out pt pt's are included in the 16-18 pts per day.

 

There is a clause that basically if you quit you pay a penalty of 2500 and reloc bonus and recruiter fee.  So basically you are obligated for the year.  IDK, what do you guys think?  They want me to sign by Fri.  I emailed them back with some concerns but didn't think to bring up asking for CME time off or milage reimbursement.  I have spoken with some PAs who all have encouraged but agree the PTO stinks.  I had a couple friends read over the thing about the fee and they thought it looked standard.  Help!  Thanks again and a quick reply would be very appreciated!!!

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Personally...

I wouldn't want to work for any entity that even considered suggesting:

 

'you can only make the money we say you can.'

 

Which is basically what's being said with the "no moonlighting" clause.

Cause as long as YOU provide full disclosure of your activities and aren't moonlighting under their med-mal policy... it really isn't their place to try to restrict it.

 

I HATE it when folks try to dictate what someone does with the time the dictator isn't paying for...!!!
The audacity evokes snarkiness and disinterest in that place of employ.

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I have spoken with some PAs who all have encouraged but agree the PTO stinks.  I had a couple friends read over the thing about the fee and they thought it looked standard.

 

Were any of these friends lawyers?  If not, get a lawyer to look it over.

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Depends how desperate for a job you are.

 

I would say no cme time and no mileage is a deal breaker

 

I would not sign anything that restricts my ability to moonlight EVER

 

I would not sign to pay them $$$$ if you leave and certainly NOT an unknown recruiter amount. NO WAY. You are the one uprooting your life to take the job. They made th choice to hit a recruiter. Think about it They own you 100% with such a one sided contract. What type of contract would a horrible employer come up with after hiring and loosing a number of PAs? One just like this. Huge red flags.

 

 

I really think you Need an attny to advised you. You might be signing a contract with a 25,000! Cancelation fee (recruiters are not cheap) but this employer sure seems so

 

 

I would propose a valid solid reasonable professionally written counter offer. Heck give a little on the hourly rate (it is hourly right!) and address the issues above.

 

Just my 2 cents.

 

 

 

Again don't get to hung up on $$$ you need a mentor, but don't sign a lopsided contract.

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Thanks very much for all the advice everyone. I asked them to take out the moonlighting clause but they said no because they want me to focus on this job and not be tired etc. also they mentioned at one point that they had issues with one or two new hires not wanting to work hard enough. I am sort of putting the big picture together now and a bit concerned. I have an outpt offer to fall back on and don't take my boards for three more weeks so there are other options for me.

 

I am thinking of asking them for another week or two to consider the offer. I am not taking boards til mid August so shouldn't slow down credentialing. If they won't give me the extra time then maybe that is a sign that they are being shady?? Thoughts , advice?

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They're limiting your ability to work another job and make a living....red flag.  The reason is because other hires in the past have not wanted to work hard enough?   double...no, triple red flag.  That's a laughable reason and makes no sense to me.  I'd be very wary.  I don't see how taking a hard line on this is going to encourage any employee to work harder. I think they're trying to sucker you in by what appears to be a decent salary and bonus hoping you will overlook some really important aspects of the offer IMHO.  

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Yeah I just am not sure. I was told also that this can be standard for a contract. I'd hate to be paranoid and lose out on a good opportunity but I also don't want to be stuck in a job that I am over worked right off the bat. I guess is there anyone that WOULD want this offer and I'm just being paranoid or just too many red flags ?

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 I asked them to take out the moonlighting clause but they said no because they want me to focus on this job and not be tired etc.

 

 

Hahaa... that's some funny ish right there...

 

Paternalism much...???

 

They want to make sure you are well rested...??? Make sure you get enough sleep...?

 

Hahhaahaaaahhaaaa... LMAO here.

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