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So was just recently offered a position with another GI group.

I have 13 years experience, 10 years in GI

Hours are 8-5, last patient is scheduled at 4, so would probably be out by 4:30.  I will be working three 8 hour days, so will be paid for 24 hours a week.  Patients scheduled usually three per hour. Most PAs there are seeing 20 patients a day.   I am booked every 15 minutes currently so this will be a welcome change. 

 

Base salary for full time is 92500, so comes out to 45/hour since I am part time.

Their bonus structure is collections minus my upfront costs, (salary, cme, 401k money,) then 50% of whatever is left over.  I was told most PAs bring in around 30k.  If I am conservative and say 20k, that would bump up my hourly rate to 60/hour, close to what I am making now.

 

401k 6% of salary profit sharing

3 weeks pto

1 week cme

2000 for cme

all licenses paid for

 

This office is about 15 minutes from my house, my current office can take over an hour, sometimes more with terrible traffic.

I really think this is a good offer, but want to see what everyone thinks.  We are going to have to figure out our finances a bit since my base pay right now is much higher but bonus is lower, thankfully we save quite a bit each month so will probably put that on hold and then dump all of my bonus into savings when that comes around.  That is the only part that I am not crazy about, but I know that I can be very productive and easily see 20 patients a day and will probably do really well with this pay structure. 

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don't count on a bonus as income. if the group does poorly your bonus can be zero or close to it. it's happened to me. $19,000 one quarter, $240 the next. same # of pts, same # of shifts. I assume the bonus will be zero. if it's substantial, great. if it's pathetic, I go out to dinner with the wife.

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I actually negotiated the 3 days a week.  The initial position was full time.  He did mention that I could add days if I wanted so that is always an option.  I have tried to keep my schedule at three days while I am in the thick of parenting and my husband still has 5 years of active duty time.

 

As far as the bonus I completely agree with you EMEDPA, it makes me nervous that I will be making so much less without the bonus.  I am going to try to negotiate a little higher base rate.  I did speak with one of the PAs that has been there for a long time.  He said he interviewed at pretty much all of the GI groups in our area and their group was the best for compensation.  He also had over 5 years of experience in GI when he came on board so he is very experienced as well. 

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Since you will be part time and it looks like they are not offering any health insurance ( I assume you are covered under your husband's) then you should be able to negotiate a higher hourly rate.  Did they actually quote you an hourly rate or are you just estimating what you think it will be? 

 

Get the specifics on the rate before signing a contract..  It sounds like you could have a nice opportunity, especially as it will help you with work, life and parenting balance.  $45 seems low to me, especially for a seasoned GI PA. 

 

The plus is that the are giving you CME, pto, etc. even tho you will be part-time.  

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  • 2 weeks later...

Ok I'm starting to get a little confused here. I work as an MA for a GI, but what I do is, call the patient to the room, get the vitals and histories, report to the MD, and then act as scribe for him (we type) and d/c pt. We see close to 40 a day, but pushed to see 50 and even 60. I'm applying this cycle for PA school and what I'm told is seeing 60-65 patients a day is normal. But I'm reading on here people saying 20 is enough. Is this really what the patient load is supposed to be like as a PA?

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Ok I'm starting to get a little confused here. I work as an MA for a GI, but what I do is, call the patient to the room, get the vitals and histories, report to the MD, and then act as scribe for him (we type) and d/c pt. We see close to 40 a day, but pushed to see 50 and even 60. I'm applying this cycle for PA school and what I'm told is seeing 60-65 patients a day is normal. But I'm reading on here people saying 20 is enough. Is this really what the patient load is supposed to be like as a PA?

 

Seeing 65 patients per day is not normal for anyone and is potentially dangerous.

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It is not logical nor sound medicine to see anywhere near 60 patients in an 8 or even 10 hour day.

That sounds like the Russian assembly line cataract surgeons who might not even wash their hands between patients.

I would not want to be a patient of that kind of practice either.

My thought would be to consider the integrity of being associated with a practice that pushes that kind of agenda.

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The current practice I work for the MD would likely see close to 40 per day, but he scopes in the morning.  He typically will see 20 in an afternoon.  However, he does no charting while he is seeing patients and does that later.  I usually see between 20-30 in a 7 hour time period and do all of my charting usually right after seeing the patient. 

I was dictating my charts a day or two after seeing patients and I found my charting was not as thorough as it should be and truthfully most people forget details that could be important if you wait that long.  I agree with above, 50-60 patients a day is insane.  I am completely burned out on shuffling patients through like cattle, it is soul sucking and exhausting.  Do not get sucked into that type of practice.  I have had to put my foot down and demand that my schedule be capped at 28 patients.  I had one day I saw 35 patients in 7 hours, not realistic or sustainable. 

normalnancy I think part of why he can be so efficient is because he has you to scribe for him, even with that though I think more than 40 patients per day is unrealistic. 

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