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Yet another NEW GRAD derm offer-Need advice!!


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Hey all, 

 

I was just offered a derm position in central CA, and would love to get some feedback. I'll outline the contents of the offer:

 

-$80,000 salary with 5% bonus on anything greater than $300,000. However, I won't see any of the bonus until after 1.5 years of working. The doc pays the bonus as a lump sum at the end of the calendar year. Since I won't be starting till May, I don't get any bonus until my first full year of working. 

 

-Benefits: I would get 50% health care coverage for myself, but no coverage for my wife and son. Malpractice with tail coverage is taken care of by the practice. 

 

-3 days for CME and $2000/year stipend for CME/travel expenses

 

-All fees associated with practicing are covered by the clinic (DEA, licensing, etc)

 

-PTO was not outlined in the contract

 

-Schedule: Monday-Friday 8-5. The MAs do most of the charting to make pt interaction more efficient. 

 

-6 paid holidays

 

-5 year contract since doc wants to ensure longevity with the practice. I understand his logic here, but the long contract still makes me nervous. 

 

The doc has stated that even though I am starting at a low compensation, after 1.5 years I will be up and running full-steam and will be much more beneficial to the practice. At this point, he's willing to renegotiate my salary. Do you think that is reasonable? I'm just nervous since the specifics of all of this seem vague and I'll be tied up for 5 years. 

 

Your feedback would be greatly appreciated!

 

 

 

The doc has stated that even though I am starting at a low compensation, after 1.5 years I will be up and running full-steam and will be much more beneficial to the practice. At this point, he's willing to renegotiate my salary. 

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Salary is low for derm, i would have set raises built intothe contract. The bonus is pretty pitiful to be honest given the already low salary. Should be more like20-30% of what you bring in over 300k. Try for 5 days for cme. Get clarity on PTO for sure. Health insurance isnt great, especially if you will have to pay for your families out of pocket.

 

I'd counter with a higher salary or higher bonus, guaranteed raise structure given you meet some performance standards that you both agree on, 5 days cme, 3 weeks PTO (min) plus the holidays. Definitely wouldnt ever sign something for 5 years, and if you do make sure the penalty is spelled out if either party breaks the contract prior to that.

 

Also no mention of retirement plan?

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This has BAD written all over it my friend.

 

Derm at 80K? bad (though if you're a new grad it is kinda okay, but the remaining of the offer stinks)

 

5% bonus? bad ... and you won't see it AFTER 1.5 year? BAD. plus, how will you know what you bring in? are you gonna get a report?

 

Half Health coverage? BAD, real BAD ( too bad for your wife and kid(s) they cannot get sick for FIVE YEARS, unless your wife's job provides health insurance)

 

PTO is a mystery? Fish smelling BAD

 

"5 year contract since doc wants to ensure longevity with the practice. I understand his logic here" There is NOTHING to understand here. This is something I would be VERY VERY careful with. Do you know how long that is? I have never heard of a contract this long! 2 max 3 yr.

Plus what happens if,  heaven forbids, you don't like the job/ you change your mind/ you don't like your peers/SP or life events shows up unannounced that you have to move? will you OWE HIM MONEY?

 

are you a new grad?

 

look, I don't know you, I don't know your SP, but I do know based on your offer that you ain't getting a fair deal out of this. you and your family deserve better.

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  • 2 weeks later...

Update: I turned down the position three times. The first two times, he wanted me to tell him exactly what it would take to get me to commit to their clinic. I eventually laid everything out that I wanted and thought was fair, and he said that they weren't able to offer those things. Oh well! I just accepted another job in EM to gain some good experience. Maybe derm will be on the horizon some day! Thanks everyone, again. 

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