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New grad hospitalist offer!


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Strictly speaking pay, it's a good offer for a new grad. Where geographically? But anywhere, $600 is pretty good for a 12h shift. What's with the 2h call? If it's because they say your work will be done in 10h and you'll have 2h to chill before next shift comes, plan on working up until next shift shows up. What if you're there for 14 (it happens), do you get paid for it? CME 2000 is good, especially if you get paid days in addition to that.

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This offer is in washington state. The shifts, I was told, are 10hrs (7am to 5pm) and then you are on call (phone primarily) until the night shift comes on at 7pm. They have made it sound like it is quite rare to get stuck at work until the night shift comes on. I beleive there is no extra pay if you work longer since it is pay per shift.

 

Only get 70hrs paid vacation per year, but that's because we'll be getting 26 weeks off a year (7on, 7off schedule)

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so lets do the math

 

basically they are paying you for 7x12x26 as this is what you have laid out (yep I included those two hours at the end of every day)

 

 

You are to WORK 2184 hours a year (remember a 40 hour week is 2080 per year - BUT you would NEVER work 2080 hours as you have time off!)  Don't buy that 26 weeks vacation a year - you are going to work you tail off the weeks you are on and will need 1-2 days to recover afterwards

 

7x26x$600 = $109,200 per year

 

So in reality you are working 2100 hours in the year for $109,200 - as  a new grad this is a very reasonable to excellent offer

 

BUT lets look at the hours actually worked

 

$109,200 / 2100 (hours actually worked - remember I included the 12 hour shift) and this comes out to $52/hour

 

 

 

Now for the contrast

 

Office job

 

40 hour work week, 3 weeks vacation, 1 week CME, two weeks holidays (pretty typical) means you work (52-3-1-2=46 weeks)

BUT get paid for the 6 weeks time off

So the reality is that you are only working 1840 weeks per year

 

 

 

I bring this up as the 7 on / 7 off schedule in my mind is a bit of a scam - is ropes you into working about an extra 250 hours per year and also takes away your 'family time' being nights and weekends for 1/2 the year.  

Be very aware of when the turn over day is, as if it is a Sat night, you basically work every weekend

 

BUT $100+K per year for a new grad is a pretty nice offer, just go into it with your eyes open as this is likely not as good a deal as you think, or as it appears on the surface.... 

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so lets do the math

 

basically they are paying you for 7x12x26 as this is what you have laid out (yep I included those two hours at the end of every day)

 

 

You are to WORK 2184 hours a year (remember a 40 hour week is 2080 per year - BUT you would NEVER work 2080 hours as you have time off!)  Don't buy that 26 weeks vacation a year - you are going to work you tail off the weeks you are on and will need 1-2 days to recover afterwards

 

7x26x$600 = $109,200 per year

 

So in reality you are working 2100 hours in the year for $109,200 - as  a new grad this is a very reasonable to excellent offer

 

BUT lets look at the hours actually worked

 

$109,200 / 2100 (hours actually worked - remember I included the 12 hour shift) and this comes out to $52/hour

 

 

 

Now for the contrast

 

Office job

 

40 hour work week, 3 weeks vacation, 1 week CME, two weeks holidays (pretty typical) means you work (52-3-1-2=46 weeks)

BUT get paid for the 6 weeks time off

So the reality is that you are only working 1840 weeks per year

 

 

 

I bring this up as the 7 on / 7 off schedule in my mind is a bit of a scam - is ropes you into working about an extra 250 hours per year and also takes away your 'family time' being nights and weekends for 1/2 the year.  

Be very aware of when the turn over day is, as if it is a Sat night, you basically work every weekend

 

BUT $100+K per year for a new grad is a pretty nice offer, just go into it with your eyes open as this is likely not as good a deal as you think, or as it appears on the surface.... 

jobs with 6 weeks off are pretty rare....I had one a while ago, but started at 2 weeks and worked my way up to 6 over 10 years. most jobs I know of start with 2-3 weeks of vacation. my current job gives only 2 weeks/yr, BUT it is emergency med and I can flex time AND as a senior PA there I only need to work 80 hrs/mo to keep benefits.

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I have spoken with 5 or 6 hospitalists, both MDs and PAs, and they all love the 7on, 7off schedule. They say it is actually conducive to family time because they get days off during the week which allows them to get home projects done while their spouse and kids are at work and school, opening up time for after work and weekends off to spend with them. This specific group said they are very flexible and can even take a couple hours off during the middle of the day if you want to go see your son's soccer game etc. 

 

Maybe they were just selling me the job so I'd accept, but it seems pretty good to me. You have to work hard and put in lots of hours, but I want/need that as a new grad, especially in an advanced specialty like inpatient medicine.

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jobs with 6 weeks off are pretty rare....I had one a while ago, but started at 2 weeks and worked my way up to 6 over 10 years. most jobs I know of start with 2-3 weeks of vacation. my current job gives only 2 weeks/yr, BUT it is emergency med and I can flex time AND as a senior PA there I only need to work 80 hrs/mo to keep benefits.

 

not just vacation, but the whole total

 

10 days holiday

2-4 weeks vacation

3-5 days CME

1-2 weeks personal

 

I honestly have never had a job with less then 5 weeks PTO in almost 15 years.  

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This hospitalist group has trained new-grads before and have a mentoring program for the first few months. I am more than willing to put in the time inside and outside of work in order to be successful. I'm sure it will be more difficult than I can imagine, but I'm persistent and don't give up easily. The nice thing about a pay per shift model is that the more I work, the more I make.

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not just vacation, but the whole total

 

10 days holiday

2-4 weeks vacation

3-5 days CME

1-2 weeks personal

 

I honestly have never had a job with less then 5 weeks PTO in almost 15 years.  

maybe it's an E coast vs W coast thing. jobs out here just don't offer big PTO benefits. I had a bunch at an HMO job , but that was a union gig. I'm at the em job considered the best in my metro area and we get 2 weeks (14 eight hr days) of combined vacation/pto/sick/cme per year. But as I mentioned above, it's em so I can realistically take off as much time as I want by clumping my shifts at the beginning or end of a month. I usually have 200-300+ hrs in my pto account because I just don't use them. I work my min # required hrs/mo and take a bunch of time off. I'm taking several vacations this yr, going to a major conference, going to Haiti for 2 weeks, etc and may not use any pto at all for this.

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man im getting hosed by academics

 

i get 3 weeks off vacation plus 6 days sick

 

3 days CME

 

 

not so fast

 

 

you get 3 weeks vacation, basically another 2 weeks for sick/cme

then you get the holidays - I am assuming something between 10-13 per year (you don't have classes on holidays right)

 

Then there is the soft times off - when students are on break - that translates into more time...

 

So actually sounds like 3+2+2+?=7+ weeks - 

 

thats not bad....

 

 

people (except those in EM or hospitalist) have to figure in the holidays that you get off - these are a benefit....

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I used to work five 12 hour shifts, then was off for 5 days. I loved the 5 days off, but five 12s in a row SUCKS. I can't imagine 7. That was in ER working 2p-2a/10a-10p, alternating every other time I worked which was rough on my sleep schedule being jacked up too.

 

It sounds like your 7-5 though is a dream job with the pay your going to get. I agree though, your going to work your butt off in a 220 bed hospital.

 

Enjoy! Id say take it!

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