WeBuyAndSellJunk Posted November 14, 2016 Share Posted November 14, 2016 3 years exp PC/UC setting. Offer: -New UC facility by hospital in western NC -Mostly coverage at site by APPs, with occasional physician over site. Not rural and several PCPs/specialist in the building -105k, 94k without hitting quality measures, which is mostly finishing charts on time, etc. -187 shifts per year, 10 hrs, ~4/wk, open 7 days a week -7-10% bonus yearly, uncertain pay out structure -Holiday differential at 1.5x base rate -No PTO, states built in to schedule. This may be incorrect and actually accrue at 8 hrs per pay period. Approx 2d per month. -Health insurance $70/m, uncertain plan, likely pretty good -3% retirement match, vested after 1 yr -$2500 CME yearly, DEA & Licensure covered by clinic and not out of CME -Short/Long term disability, life insurance covered - Malpractice needs clarified. I am not worried about this being an issue though. Seems very mediocre to me. I make almost the same base pay hourly at my current job when you consider my PTO. The PTO question is huge and could really change the hourly rate. I told them to nix the lower salary based on quality measures. That especially worries me with this being a new facility. The health insurance would cost me about 500 dollars more per year than my current position. It just seems like a cruddy offer with experience under my belt, the autonomy the new position requires, and addition of weekend/evening shifts to my life. What is an appropriate counter or is this a just walk scenario? If you add 24 PTO days it does seem much better. Thoughts? Link to comment Share on other sites More sharing options...
AbeTheBabe Posted November 15, 2016 Share Posted November 15, 2016 I don't know about the pay in the area, but it doesn't seem like a bad offer at all if you do get the PTO. 187 shifts a year divided by 52 weeks is only 3.6 shift/week. So unless you'll be working an average of less than 4 days and 40 hours a week, there likely is PTO. Figure out what a similar position pays in the area. You can always counter with a higher base salary once you clarify the PTO situation. Also ask about CME days as well. Link to comment Share on other sites More sharing options...
treejay Posted November 15, 2016 Share Posted November 15, 2016 No PTO = No way Link to comment Share on other sites More sharing options...
mgriffiths Posted November 15, 2016 Share Posted November 15, 2016 The lack of PTO is ridiculous, I've said it before in other threads and I'll say it again. I don't understand how people do ED or UC without PTO. I understand you might work less overall hours, but often times the mixture of higher acuity, longer shifts, and weekend/nights means a greater toll. Also, hard to give feedback on the salary, but with 3 years experience I would expect your compensation to be higher. Maybe you live in a low cost of living area, or maybe the shifts won't be too crazy - but I would have still expected it to be higher. Link to comment Share on other sites More sharing options...
Reality Check 2 Posted November 15, 2016 Share Posted November 15, 2016 The EDs and UCs in my area do not offer PTO. The providers are expected to arrange their "required shifts" so that they get the time off they want. It really sucks. Some folks have to work 10 days in a row to get 7 days off - what a waste.10 days at 12 hr shifts is nearly a whole month of work. Add into that - multiple providers - docs and PAs trying to all juggle their "needs and desires" to formulate a 7 day a week 12 hr shift schedule so that everybody gets times off but still works the required shifts. It is not good for patient care - exhausted providers and certainly not good for providers. The human body wasn't designed to do some stuff. I think it sucks from my perspective outside the fish bowl. Link to comment Share on other sites More sharing options...
WeBuyAndSellJunk Posted November 15, 2016 Author Share Posted November 15, 2016 My current schedule includes 3 day weekends and 32 PTO days total, including holidays. It is going to be really difficult for me to justify walking away from that quality of life for this new position. Even with 24 PTO days the difference in days worked is about 10 a year. I am not certain that my evenings and weekends are worth taking up for a difference of 10 days a year. It does work out to about 10 more dollars an hour with the PTO, which is something to consider (i.e. are my evenings and weekends worth 10 dollars an hour). Is 64 an hour a reasonable number for urgent care with experience? Admin time is uncertain also. It is such a difficult decision to make, ugh. I do think it is clear that without the PTO days that this is definitely a no go. Link to comment Share on other sites More sharing options...
AbeTheBabe Posted November 16, 2016 Share Posted November 16, 2016 You get 2 months off a year? Holy shit, I'd never leave that job. Right now I get 3 weeks PTO, 1 week CME, and 7 holidays. Link to comment Share on other sites More sharing options...
WeBuyAndSellJunk Posted November 16, 2016 Author Share Posted November 16, 2016 It is approximately 24 days PTO, which includes normal days off, CME time, and sick time. Then add approx 8 holidays. It really is nice time off, but yours works out to about 27 days PTO in this system. Link to comment Share on other sites More sharing options...
AbeTheBabe Posted November 17, 2016 Share Posted November 17, 2016 Oh I see, then I would have 28 days (16 days PTO a year, not really 3 weeks). Link to comment Share on other sites More sharing options...
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