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Oregon primary/urgent care: new PA position


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Hi,

I'll be graduating PA school in a week and have a full-time job lined up already in primary care.  I've just been offered a part-time moonlighting position, working for a solo family medicine doc who has had NPs working with her in the past, but never a PA.  It's one day/week.  The practice is in a wealthy suburb of Portland, OR and serves a fairly wealthy clientele.  

 

I just got off the phone with the office manager and he was asking me about how much he should put in the offer.  I told him that I needed to do a little more research and get back to him.  I just looked at the AAPA salary report, and the only section they have about part-time work includes all areas of medicine, nothing specific to primary care.  The 50th percentile is $48.50/hour.  I would also need to find out how much a malpractice insurance policy would cost me to work there, which would be a factor in the equation.

 

Any ideas or tips for how much I should ask for?

 

Thanks!

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they should cover the malpractice policy. if they don't, that's a deal breaker. a policy for a new grad would be over 1000/yr for primary care, more in a specialty. I have never heard of a part time job requiring the provider to pay for this.

I think I know basically where this job is and the typical going rate in the area is $55-65/hr for experienced folks so $ 48-50/hr as a new grad for per diem with no benefits would be very reasonable. PM me if you want.

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http://www.cmfgroup.com/coverages/aapa-endorsed-physician-assistant-moonlighting-physician-assistant-new-to-practice-pa-medical-malpractice-insurance/aapa-new-to-practice-pas

 

New grad malpractice via AAPA's official provider...$300 first year, $750 second, and $2500 third.  If for some reason they don't want to provide you malpractice through their own insurer then get it in the contract for them to pay the cost of you carrying this policy.

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http://www.cmfgroup.com/coverages/aapa-endorsed-physician-assistant-moonlighting-physician-assistant-new-to-practice-pa-medical-malpractice-insurance/aapa-new-to-practice-pas

 

New grad malpractice via AAPA's official provider...$300 first year, $750 second, and $2500 third.  If for some reason they don't want to provide you malpractice through their own insurer then get it in the contract for them to pay the cost of you carrying this policy.

that's for primary care. for em or urgent care the rate after 6 years is > 6000 dollars/year when it transitions to the regular schedule.

once again, from where I stand malpractice has to be paid by the employer(or they reimburse me for this expense). if you pay it consider you are actually making 2-3 dollars less/hr than the negotiated rate....

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An urgent care center nearby that was set to open back in May that I had spoken with was placing the cost of $1/3 million coverage upon the employee (in contract that I never signed).  Hourly rate was $55/hr as a part-time contractor (not "employee").  They still haven't opened the doors.

with your experience anything less than 65/hr is an insult....our local urgent care centers pay folks 60- 65/hr as new grads...and include malpractice.

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In early 2000 years, as I recall, EMEDPA, my pay at the one ER we worked out averaged (with production) about $74/hr and at the other we were salaried from $68 to $72. My last ER job in 2010 was over $70. I guess I'm spoiled but I wouldn't work an ER for under $70 or an UCC for under $65.

 

 

Sent from my iPhone using Tapatalk

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An urgent care center nearby that was set to open back in May that I had spoken with was placing the cost of $1/3 million coverage upon the employee (in contract that I never signed).  Hourly rate was $55/hr as a part-time contractor (not "employee").  They still haven't opened the doors.

 

 

1099 status does not work with PAs in an urgent care center

 

They are exposing themselves to a big liability if they get caught - and they do audit the 1099 employer!

 

You really don't have much liability as a 1099 - most the fines go and penalty goes against the employer

 

BUT it is more important rather they are going to support and mentor you

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Thanks for all the advice!  When I spoke with the office manager today, he didn't really give me a formal offer.  It's kind of a weird situation in that the doc and the office manager are acquaintances of mine, so that makes it a little different of a dynamic than trying to negotiate with someone you don't know at all.  I honestly don't feel like it would be a bad situation, but I want to make sure that they don't take advantage of me because I know them, and that I get what's fair.

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In early 2000 years, as I recall, EMEDPA, my pay at the one ER we worked out averaged (with production) about $74/hr

 

Sent from my iPhone using Tapatalk

last year PAs in the same group averaged around 90/hr, unfortunately most folks only worked 2/3rd the hrs they did when you were there because most of the shifts (except my night shift) are much shorter now. shifts used to all be 10 hrs. now many are 7-8.

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