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NEW GRAD job offer in ED- is this a fair offer??

Salary new grad emergency medicine north carolina contract negotiation

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Posted 07 October 2016 - 03:48 AM

Hey everyone!


I am a new grad PA-C in North Carolina and I recently received an offer for a full-time emergency department position with a well-respected physician’s group. I would love to get some feedback on the salary and benefits that the group has offered me and input as to whether or not it seems like a fair deal.  Here are the basics of the contract:


§ Moderate annual patient volume, outskirts of large city

§ 12-12hr shifts per month (average), minimum of 144 shifts yearly

§ Annual Salary: $95K ($55/h base) + RVU productivity bonus if exceeds guaranteed base 

o    RVU rate: 4 = $52.50, 5=$57.00, etc

§ Any additional shifts: $55/hr

§ $1,000 CME reimbursement

§ $500 yearly for licenses and dues

§ $2,500 “additional compensation” upon signing contract (with stipulations regarding the many situations they could demand this fee back)

§ Options for medical, eye and dental

§ 401K with 5% matching, after 1 year

§ Malpractice w tail

§ NO PTO – no vacation, sick days, no time off for CME



Is this comparable to other new grad ED offers? To other new grad North Carolina offers? I’ve been able to find some stats from AAPA and NCCPA on the mean salary of emergency med PA’s nationally, the mean salary of North Carolina PAs, and the national mean salary of newly certified PA’s, but nothing specifically on what new grad PA’s in North Carolina going into the emergency department should expect to make. How much weight can be placed on the mean emergency department PA salary when discussing a new grad position?? How much less should a new grad salary be compared to that of the “average” ED PA?


I do know that some of my peers were offered $75/h + full benefits just a year ago as new grads working in a comparable emergency department a few cities away, and some that were offered $60/h as a starting salary when they were new grads more than SEVEN years ago…. It is hard for me to believe that there could be such a large discrepancy between their salaries and the salary offered to me by this reputable physicians group. However, A few of my EM mentors have told me $55/h, even as a new grad, is unreasonable and that no PTO would have been a deal breaker for them. I have politely questioned the ED recruiter about the lack of sick days/PTO in hopes that they might budge, but they do not seem amenable to this. I am willing to work hard to prove my worth and commitment to the organization and I know the job would provide great experience which I am eager to obtain, but I don’t want to be taken advantage of just because I’m a new PA. 


Would anyone mind sharing their thoughts/experiences? Any input would be very much appreciated! Thank you!

#2 mgriffiths


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Posted 08 October 2016 - 12:06 AM

Since no one else has answered, I'll give you something.  You're offer seems in line with a lot of ED offers I've seen on here.  The biggest issue I see with the majority of these offers is the lack of PTO.  It just makes absolutely no sense.  Just because you work 12 hour shifts doesn't mean you work less hours.  Working 40 hours per week is less than 2000 working hours per year (correcting for holidays and PTO).  Your minimum of 144 shifts/year equals 1728 working hours per year.  That is equivalent to 34.5 hours/week.  Full time is generally considered working 32+ hours per week.  To me the lack of PTO is just unacceptable.


Also, the CME is low.  Minimum should be $1500, and really should be at least $2000.  I'm also confused by how the bonus works.  So once you collect $95k you get a bonus on your RVU rate.  That could be very lucrative, and possibly negates my other issue of no increase in hourly rate for extra shifts.

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#3 electric130


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Posted 08 October 2016 - 11:13 PM

I agree the initial base rate they are offering is low.  I briefly did EM more than 10 years ago and started at 50/hr, that was 10 years ago.....  Once you are more comfortable though the RVU bonus could make up for that.  Not sure as I do not have any type of RVU structure to my pay.  

No PTO is also very surprising, I understand you are working shifts, but if you want to take a full week off you have to work a hellish week before or after to make up your time.  I doubt any EM physicians are willing to take a position without PTO.  I am always surprised at what the normal PTO offers are for physicians, seems not unusual for them to be offered 6-8 weeks of PTO a year, and we can't even get half of that, that is just unacceptable. 


I think as a new grad it is just tough, you really need to focus on a good supportive learning environment, once you are a contributing and getting in your groove, which I think takes at least a year then you really have more leverage.  It also depends if you have any other offers to counter with, if you do then I would bring that to the table, if not it may be worth taking the position to get experience if you really want to do EM.

For what it is worth I have practiced in NC for 14 years, overall good place for PAs, I have found that compensation is all over the place.  75 per hour in EM is definately attainable (I am in a specialty and making right around that number plus benefits), but I don't think that is typical for a new grad and something you would need to work up to.

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#4 PA2016!



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Posted 12 October 2016 - 01:07 PM


#5 gm781



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Posted 25 October 2016 - 09:25 PM

Curious about this too.. anyone else have any input?

#6 annikak



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Posted 19 December 2016 - 07:53 PM

I think that may be fair, actually. I have been working for a lot less- although do have PTO.

Where are you in NC?

Also tagged with one or more of these keywords: Salary, new grad, emergency medicine, north carolina, contract negotiation

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