caligurl2000 Posted October 28, 2016 Share Posted October 28, 2016 Informally was given job offer for inpatient IM position as a new grad. The weird part is that they said I'd work 40 hrs a week, and be eventually expected to see 20pts a day between 3 hospitals within a 5 mi radius, and they will pay roughly $20-30 per patient (depending on the type of service rendered). So $20x20 pts=$400 a day = $2000 a week = $96,000 annually. They said later on i should be making $2500 a week after being trained --> $120,000 But isn't 20 pts a day a ton?? esp for a new grad. I think i'd feel more comfortable with a min base salary if there isn't that 20 pt load. Otherwise, seems like a very fostering, learning environment for a new grad. I'd obviously start out shadowing and slowly pick up duties from the start..mentioned my pay would be different during that training period. Mentioned full benefits, malpractice, and such..didn't go into many details since it was just the initial interview. Any thoughts on the production based pay style? Feels strange to me. I mean it works great for them on the business end in their favor. Note: I would be their first PA filling this role. They said that hospital credentialing also takes couple months so prior to that I would be seeing patients at nursing homes.. Link to comment Share on other sites More sharing options...
cushball08 Posted October 28, 2016 Share Posted October 28, 2016 So you'll be rounding it sounds like. I work in hospital medicine now. 20 a day is rough even for docs. My current practice I'll round on 10-16 pts a day depending on the cenus. This seems like a alot of work especially new grad since you'll be expected to drive between 3 hospitals. Link to comment Share on other sites More sharing options...
tunafish Posted October 31, 2016 Share Posted October 31, 2016 Informally was given job offer for inpatient IM position as a new grad. The weird part is that they said I'd work 40 hrs a week, and be eventually expected to see 20pts a day between 3 hospitals within a 5 mi radius, and they will pay roughly $20-30 per patient (depending on the type of service rendered). So $20x20 pts=$400 a day = $2000 a week = $96,000 annually. They said later on i should be making $2500 a week after being trained --> $120,000 But isn't 20 pts a day a ton?? esp for a new grad. I think i'd feel more comfortable with a min base salary if there isn't that 20 pt load. Otherwise, seems like a very fostering, learning environment for a new grad. I'd obviously start out shadowing and slowly pick up duties from the start..mentioned my pay would be different during that training period. Mentioned full benefits, malpractice, and such..didn't go into many details since it was just the initial interview. Any thoughts on the production based pay style? Feels strange to me. I mean it works great for them on the business end in their favor. Note: I would be their first PA filling this role. They said that hospital credentialing also takes couple months so prior to that I would be seeing patients at nursing homes.. This is pure nuts. Did you have IM inpatient rotation??? Hospitals are full of sick people, not sick are going home. Multiple problems. imagine 90 year old with pneumonia, DM, no kidneys left, chronic infection, chronic pain syndrome or 75yo grandma with CHF, pulmonary edema and urosepsis or stage IV cancer post salvage chemo...it is no joke, now imagine 20 of these daily in 3 different places. I bet they expect you to MANAGE them, not just see them and document. It is not a job for a new grad in my humble opinion... If you like IM your best bet is to start with night coverage and admission consults in ED/direct admissions Link to comment Share on other sites More sharing options...
mgriffiths Posted October 31, 2016 Share Posted October 31, 2016 It is not a job for a new grad in my humble opinion... If you like IM your best bet is to start with night coverage and admission consults in ED/direct admissions I would argue that any IM job that requires 20 patients/day at 3 different hospitals is no no job for any provider. Absolutely ridiculous if you are truly managing these patients. As for starting in IM, I have multiple classmates going into IM as they begin their careers - but they also will receive extensive training with continued support as they become more autonomous. That is definitely needed. Link to comment Share on other sites More sharing options...
electric130 Posted October 31, 2016 Share Posted October 31, 2016 This sounds like a no lose situation for the employer but very bad for you as a provider. Agree with above, for a new grad 20 inpatients is pure ridiculous. In my area I think most of the experienced hospitalist PAs are only responsible for 10-15 a day at one facility. These are PAs with at least 3 years hospital experience. Hospital patients are very complex, awesome way to learn a whole lot, but you have to be supported by your MD and have realistic expectations. Link to comment Share on other sites More sharing options...
loliz Posted November 1, 2016 Share Posted November 1, 2016 There is no way to have 100 patient encounters in a hospital setting in 40 hours. Just say no. If all you had to do was "see" the patient, sure it would be easy. But in actuality, you are managing multiple acute and chronic issues, coordinating with consult services that may not be on the same schedule as you, making sure your orders are carried out by nursing staff, rechecking labs, making sure the patient responded to a treatment, getting them to procedures, convincing consult service that they need said procedure... and getting PT on board, making sure DMEs are delivered, setting up dispo. And more. That's just what immediately popped into mind. The only thing I can think of where this might be near feasible, is if the patients are actually on a different primary team and you are just acting as consult for maybe 1 issue (like adjusting insulin for a surgical patient). PS Can all new grads please refuse to work at less than their salary to start? Sure-- a raise in 6 month is nice, but you should not be working as a PA and being paid as a tech or nurse or admin or someone who does not have a medical license Link to comment Share on other sites More sharing options...
FB123 Posted November 2, 2016 Share Posted November 2, 2016 Informally was given job offer for inpatient IM position as a new grad. The weird part is that they said I'd work 40 hrs a week, and be eventually expected to see 20pts a day between 3 hospitals within a 5 mi radius, and they will pay roughly $20-30 per patient (depending on the type of service rendered). So $20x20 pts=$400 a day = $2000 a week = $96,000 annually. They said later on i should be making $2500 a week after being trained --> $120,000 considering state and federal Cali taxes, 96K quickly drops to 80K take home. Worth 100 patients a week? Link to comment Share on other sites More sharing options...
FSUnoles Posted November 3, 2016 Share Posted November 3, 2016 predatory offer. keep looking i see more and more of these offers lately as numbers are crunched into what we can generate institutions and docs are getting more greedy Link to comment Share on other sites More sharing options...
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