cushball08 Posted October 2, 2015 Share Posted October 2, 2015 Could really use some guidance here. So I currently work as nocturnal hospitalist at 40 hr with full.benefits including health insurance, 403b plan woth 2 % employment matching, 19 days pto and malpractice with tail. Cme $1500. Annual salary 85k. 7on 7off 12 hr shifts. I am responsible for admits and cross coverage calls. I was a new grad that graduated in 2014. The job is about 45 mins away from my house. I am hospital employed. I have no contract here. I am trying to get off nights.It just isnt for me. So I applied at a local hospital and was offered a hospitalist position on the spot. I have about 11 months of experience. The new position is a swing shift so 11a-11pm 7on/7off at hospital about 30 mins away. They have another hospital about 15 mins from my house that I may work at as well. The position would just be admitting patients from the ed. Pay is 54 hr. So at 168 hrs a month I calculated the annual pay at about 108k. Malpractice with tail included. Health, dental vision included. Cme $1500. Downside is no pto. I am not eligible for 401k benefits for first year of employment which would include employer matching at 6%. The position is with one of the private staffing companies that hospitals hire out to run their.different departments. I would not be a hospital employee. I spoke to the pa the pa that currently works there and she states that she loves it there and has plenty of support from her hospitalist co workers that she can go if she has any questions. She has been there for 5 years. The lack of pto and 401k for one year benefits is non-negotiable. Like most pa students I have graduate loans. The pay raise could really help me knock them out. I really like the pay raise, closer drive and day schedule. I am just hesistant to take the job on the lack of pto and 401k for the first year. Any thoughts? Link to comment Share on other sites More sharing options...
db_pavnp Posted October 2, 2015 Share Posted October 2, 2015 No PTO with 7on/7off is not uncommon and the 2% match at your current job is junk. Link to comment Share on other sites More sharing options...
JohnnyM2 Posted October 3, 2015 Share Posted October 3, 2015 If I understand you correctly, the difference in annual pay is $23,000 in favor of the new job. 20 days of PTO is worth less than $9 K per year at $54 /hrs. Can you get time off without pay? The employer match is a lot better adding $6,480 /yr after the first year. In the old job, the employer match seems to be$1,700/yr. If you consider employer match, the first job seems to be worth $86,700/yr, whereas the second is worth $114,489/yr. I guess I don't get why this is a problem. All other things being equal I would jump at the better than 25% increase. Maybe I misunderstood your post. Link to comment Share on other sites More sharing options...
Moderator ventana Posted October 3, 2015 Moderator Share Posted October 3, 2015 caution around the 26 weeks of work per year if you figure out full time regular employment - 40 hours per wee - with a typical 8 weeks off - that is 1760 per year for # of hours worked - the 7x12x26 is 2184 That means you are working OVER 400 HOURS MORE then you would work on a 40 hour work week AND getting time off in this setting can be REALLY hard as everyone else is likely on the same schedule and who wants to add more hours I think the 7x12 is a reasonable plan if they allow you to build and use PTO - but otherwise it is yet another way the hospitals have figured out a way get more for free..... Link to comment Share on other sites More sharing options...
cinntsp Posted October 4, 2015 Share Posted October 4, 2015 85k for a nocturnist position? Good lord. Get out of there, whether it's to this new job or something else. Zero PTO is not ideal but not that uncommon with hospitalist groups(including the docs). The expectation is that you trade shifts or make up missed shifts. Link to comment Share on other sites More sharing options...
Reality Check 2 Posted October 4, 2015 Share Posted October 4, 2015 The negative aspect of no PTO in a job like that is you end up working 14 days in a row to get 2 weeks off in some cases. Quality of work starts to suffer after even 7 straight days of 12 hours shift - much less 4 or so. It would all depend to me if you could make up days in a 1 day here or there type of setting. I think the 7 on, 7 off is not healthy in the overall. My goal was to work max 3 at 12 hrs in any 7 day period. The UCs in my area require that you work 12 shifts a month or the equivalent of 144 shifts in 12 months. I have seen folks work 5 at 12 in a row to get 10 days off. They are braindead and physically battered by the end of 5 on and the first part of their time off is useless due to exhaustion. No real answers here - just some thoughts on concerns about job performance and family/work balance. I hate to see the whole world go to 24/7 all the time, no breaks, no home quality. It isn't good for human beings in any profession. My very old 2 cents……. Link to comment Share on other sites More sharing options...
cinntsp Posted October 4, 2015 Share Posted October 4, 2015 7 days straight is no big deal. The 7 off is awesome and makes it all worth it. Sent from my Nexus 5 using Tapatalk Link to comment Share on other sites More sharing options...
electric130 Posted October 4, 2015 Share Posted October 4, 2015 I think 7 on 7 off with 12 hour shifts is manageable but this is highly dependent on your home situation. If you are going home to kids, housework, running a house that sort of work schedule sounds completely miserable. I do notice even the hospitalists without kids by their fifth shift they look pretty haggard. At 13 years in to practicing even when my kids are grown I would not want that schedule. However before I had kids and a house to run, and being much younger I could see working this way and enjoying the long stretch off. I was recently asked if I would be interested in covering for an afternoon shift for the hospitalists but I declined as with kids anything but a 9-5 type schedule just doesn't work for me. I have a friend that does hospitalist night shift and with her shift differential I know she is making around 70/hour plus benefits. She is experienced (I think close to five years with them) but even with a year or two of experience 85k is ridiculous to be working a night shift Link to comment Share on other sites More sharing options...
ChathamPA Posted October 4, 2015 Share Posted October 4, 2015 2% employment matching? So bizarre. Anyway, I agree with the consensus above. I am a hospitalist PA doing 7 on 7 off with 12 hrs and I really really love it. It would likely be tough if you have small children to take care of at home though... Link to comment Share on other sites More sharing options...
MT2PA Posted October 5, 2015 Share Posted October 5, 2015 No 401k for the first yr isn't a huge deal, most won't employer match until a year anyway. Start an IRA and bump your personal savings or pay off your loans a little more. Not going to break you in the long run. Link to comment Share on other sites More sharing options...
cushball08 Posted October 13, 2015 Author Share Posted October 13, 2015 Thanks for all of the advice. I ended up taking the job and now in the process of credetialing. Link to comment Share on other sites More sharing options...
bananapeppers Posted October 14, 2015 Share Posted October 14, 2015 Any advice for a new part time hospitalist? Link to comment Share on other sites More sharing options...
kpcglobal Posted October 19, 2015 Share Posted October 19, 2015 Anybody here have 2 years ER or UC? We have opportunities in Southern California for you. $60hr to start, benefits, Malpractice w/Tail, 16 PTO, 3 eight hour days for CME, $2k reimbursement for prof develop., we pay the cost for all credentials. Please pass along, I am trying to help those great PA's that are interested. Also, thank you for what you guys do for us that come into your ER/UC. Link to comment Share on other sites More sharing options...
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