meatheadPA Posted March 5, 2017 Share Posted March 5, 2017 Looking for some advice on first PA job outside Army. I will be transferring the the national guard to finish my 20yrs as well Urgent Care job in Alaska, 13 12hr shift a month. New rural hospital affiliated clinic. I will be doing phleb, labs, helping with xray, hanging my own IVs, drawing/mixing and giving meds etc... We will have an xray tech and 2 MAs, no nursing staff (just like Army) Base: 118,000/yr with an additional 970/shift over the 13/month. 119,800 after first year. Bonus: 10k signing bonus Loan: 5k/yr repayment Med: basic covered, 100/pay period for premium blue cross. No hospital related fees (labs, xray, hospital stay) 401k match up to 3% MalP/tail: Covered Contract Length: 36months CME: 3500, 5 days Professional: 1500 PTO: 120 hours My rebuttal: Im asking for 129,000/yr with 1-2% increase after first year performance eval. Contract length 24/months. My reason will be this will allow myself and the hospital to objectively discuss the performance of the new UC. This is a hospital affiliated UC. Also, because of all the extra duties and location, I feel this job should fall in the upper 75th percentile of the AAPA salary report. Remember, this is AK and COL is HIGH. Does this all seem reasonable? Thanks for the help! Link to comment Share on other sites More sharing options...
crossbone2007 Posted March 5, 2017 Share Posted March 5, 2017 Since you will be doing much of the things of a support staff i think your counter offer is on point, or else they should hire a nurse. Sent from my Nexus 5X using Tapatalk Link to comment Share on other sites More sharing options...
meatheadPA Posted March 5, 2017 Author Share Posted March 5, 2017 Nurses in AK make ALOT too in AK. 30-40hr Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 6, 2017 Moderator Share Posted March 6, 2017 Challenging situation EMD needs to chime in as well but this is my two cents Your filling the roll of a doc - doc's don't work for $120k per year - they need to pay more BUT Your scope of practice and on the job enjoyment might be worth it. COLA is a HUGE deal in AK and the depending on where this is it might be the same as a 80k offer in the lower 48...... need more info - do you have a COLA estimate %?? Link to comment Share on other sites More sharing options...
meatheadPA Posted March 6, 2017 Author Share Posted March 6, 2017 I agree, solo provider coverage. I think the first year-2 years it will be low census until the reputation is out and people know about the clinic. Real nice, modern brand new clinic. I think COL is about on par with seattle,wa. Less for real estate. No state income tax. Job seems like what I do now with more time off and no deployments and out of town/field training. Thanks for the help Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 6, 2017 Moderator Share Posted March 6, 2017 in anchorage?? Link to comment Share on other sites More sharing options...
meatheadPA Posted March 6, 2017 Author Share Posted March 6, 2017 Ya, Seattle real estate is definitely more. Also has high property tax, luxury tax etc... food, gas and utilities is higher here though. Online COL calculator states 5% less here, but I don't know how accurate it is Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 6, 2017 Moderator Share Posted March 6, 2017 Ok So Anchorage UC position Solo coverage (means they are seriously pinching pennies as the clinic get going as ANC is > 250,000 people) I would honestly think you are in a better spot then you think They are just trying to low ball you with the volume issue - and hoping to get you cheap - which you should think long and hard about You are going to fill the slot of a doc You should be paid close to that of a doc - doesn't matter rather you are busy or not - you are still there ready willing and able to work - I would honestly say you need to be in the 150k range for a typical work week Link to comment Share on other sites More sharing options...
meatheadPA Posted March 6, 2017 Author Share Posted March 6, 2017 Are you familiar with Alaska? The location is actually about an hour or 2 from there, but use anchorage because it's such a large state. Pop around 10-20k in the area, but the hospital is in anchorage. It's an outreach UC Link to comment Share on other sites More sharing options...
camoman1234 Posted March 6, 2017 Share Posted March 6, 2017 Low pay, need at least 150K or more, COL is HIGH, you are doing a lot more than most providers. Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 7, 2017 Moderator Share Posted March 7, 2017 Are you familiar with Alaska? The location is actually about an hour or 2 from there, but use anchorage because it's such a large state. Pop around 10-20k in the area, but the hospital is in anchorage. It's an outreach UC lived in ANC for 4 years yup if you are not in ANC then you COLA is a lot higher.... I would say 150k Link to comment Share on other sites More sharing options...
meatheadPA Posted March 7, 2017 Author Share Posted March 7, 2017 Okay, thanks for all the help. I'll see what they come back with. It looks like if I get the desired salary 129-132yr(first 2), 5/k a year loans and the 10k bonus, I will be sitting at about 140/yr for the first 2 years. With a 24month contract, I can renegotiate at that point. I'm thinking for job out of the Army, this should be reasonable and fairly close to the 150k most are recommending. With the potential of 980/shift over 13, I should be able to hit that 150 mark in a year Link to comment Share on other sites More sharing options...
WeBuyAndSellJunk Posted March 14, 2017 Share Posted March 14, 2017 Without addressing the above, the PTO time is pretty limited. 120 hrs is 3 weeks. 1 week for CME. This is going to be an enjoyable, but stressful job. You are going to need extra time to get anywhere from Alaska. You are still working 36 hrs a week and you should be rewarded with PTO that is more consistent with full time work. I understand this may be difficult with solo coverage, but you could use it as a bargaining chip also. Link to comment Share on other sites More sharing options...
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