rosanicole Posted March 14, 2017 Share Posted March 14, 2017 Hi everyone, I've been offered a hospitalist position in California and I'm having trouble making a decision. It would be 7on/7off, 7-4pm or 8-5pm, 12-19 patients max for $120,000/yr. $2000 CME, 3 sick days, dental/medical and malpractice. No vacation as you are off every other week. Keep in mind that I have 17 years experience in hospital medicine and I already make $122,000/yr now. They are also hiring 2 other mid-level practitioners with less experience at the same salary. Link to comment Share on other sites More sharing options...
WeBuyAndSellJunk Posted March 14, 2017 Share Posted March 14, 2017 Mas dinero. Link to comment Share on other sites More sharing options...
qmoney22 Posted March 14, 2017 Share Posted March 14, 2017 You should counter at 140K-150K. 17 years of experience? You would be a great asset to their hospital, especially if they are bringing in other less experienced mid-level practitioners at the same salary. I would position it as "I believe my experience could help the others on boarding/ get trained quickly..."etc. 3 Sick days is pretty low. Could you trade shifts if you needed more days off? Link to comment Share on other sites More sharing options...
rosanicole Posted March 15, 2017 Author Share Posted March 15, 2017 Hi qmoney22, We would be able to trade days if we wanted to. We would be paired with another mid-level who would work opposite myself. If I wanted to go on a two week vacation, then I would work 2 weeks straight as long as the other person is willing to do the same. Or I could pay them to work my week. Link to comment Share on other sites More sharing options...
rosanicole Posted March 15, 2017 Author Share Posted March 15, 2017 Mas dinero. Cuanto dinero printer2100??? Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 15, 2017 Moderator Share Posted March 15, 2017 Horrible offer!! I did the math on a previous post These 7/7 schedules with out PTO pretty much just stink I would counter with 150k (a doc will cost them 250-300k and yet you function as one with your years experience) and 4 weeks vacation, and $3000 CME You can not compare yourself to a doc directly with HR - they will just throw back at you that you are not a doc. So you have to figure a way to work this in.. Also, don't justify your salary requirements - just state them and if they want to hire you this is what it will cost. Period If you try to support your position you give them ways to try to talk you down Good luck and keep us posted Link to comment Share on other sites More sharing options...
south Posted March 15, 2017 Share Posted March 15, 2017 "there's no need for PTO, since you have weekends off (TWO WHOLE DAYS) and can just trade them and work 2 weeks in a row if you want"...said nobody ever. These no PTO offers can seriously eat my shorts. I'm willing to bet the docs don't get zero PTO. Frankly, you are worth way more than they are willing to pay. Do what you want, but throwing away 17 years experience isn't in my vocabulary. Not a serious offer. I agree with above - counter north of 140k and 2-3 weeks PTO. Short days for a 7 on 7 off. 7 x 9 hours = 63 hours in a 2-week (14-day) pay period. 63 x 26 pay periods = 1638 hours / year. (If you take 365 and / 2 x 9 hours you also get 1638.) 122k / 1638 = 74.48/hr Link to comment Share on other sites More sharing options...
Croooz Posted March 16, 2017 Share Posted March 16, 2017 Not sure if this frame of reference helps or not. Physician friend makes $3000/day working as locum tenems for one week every month. Same patient load you're describing, so he's at $21k/week or $252k for 12 weeks of work... Based on that they are getting you for a steal... New grad this would be a good deal for but with 17 years experience they are undervaluing you. Heck they know it because they offered the same to the other PAs with less experience. Link to comment Share on other sites More sharing options...
WeBuyAndSellJunk Posted March 17, 2017 Share Posted March 17, 2017 I agree with the others Rosa. With your experience, the knowledge that they will be paying new graduates the same amount, and your patient load, I assume, being equal to the physician's patient load, you need paid better. You will be doing a lot more than your load with 2 new graduates also. Not only having to prop up their patient base, but you will be doing a lot of teaching too, I expect. The position itself sounds pretty good actually. I think the 7 on and 7 off is reasonable with a large enough group, especially considering that you only have 8 or 9 hour days. That makes the hourly rate, as shown above, pretty good and a ballpark estimate is around $68-70/hr for a 40 hr work equivalent. The "PTO" equivalent of a 40 hr work week is actually really good too. 2080 hrs / yr for 40 hour work week. 1638 hrs / yr for your proposed schedule. The difference is your effective PTO. With my hours worked and my current PTO, I average about 1632 hrs / yr if I take all of my PTO. I also almost always exceed my 36 hours weekly for which I am paid. The difference between your role and mine, as listed above, is about 35k per year. I might take it :) You should still garner more pay though and the deal only gets better if it goes up. I would maybe bargain for some actual scheduled PTO days for CME. Link to comment Share on other sites More sharing options...
cushball08 Posted March 18, 2017 Share Posted March 18, 2017 I think this is a reasonable offer considering the shifts are only 9 hours rather than the standard 12 hours. The pay is only 120k because you're only working 63 hours in a 2 week period. Not sure what the other benefits but this sounds like a solid offer at least pay wise considering you are working banker hours doing hospital medicine. Just as someone else pointed you're going to make $73 an hour. I also work as a hospitalist but my shifts are 12 hours long for $70 an hour. Link to comment Share on other sites More sharing options...
south Posted March 18, 2017 Share Posted March 18, 2017 Ehhhh.....I guess I do see the point. Maybe there's a middle ground here. At least 10 days. I VERY much doubt that your potential physician colleagues are no PTO and have to trade around. Edit: more money though, don't take a pay cut. although...with a week on/off you could pick up some PRN somewhere... kinda more interesting given the short days... Link to comment Share on other sites More sharing options...
greenmood Posted March 18, 2017 Share Posted March 18, 2017 The only thing that stops my calling bullshit on this offer is the 8 hour days. My math says that's only 1456 hours per year. If that includes no call and no nights, ehhh.... I work 12s with weekends and nights and have good PTO/CME; even if I took all of it every year I would still be at something like 1800 hours for the year. You should definitely counter asking for more money. With your experience that number is crazy. I'd also ask for maybe two weeks of PTO. You would have to ask specifically how that would work with the structure of your schedule - if there is only one person working your opposite schedule, bad feelings can develop quickly when you take PTO. Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 18, 2017 Moderator Share Posted March 18, 2017 Humm didn't catch the 8 hours days.... that does change it a bit Is it really an 8 hour day - or is that what they "say" 1450 hours $120,000/year $82.75/hour Compared to a reasonable full time offer $120,000 4 weeks vacation 14 holidays 1 week CME 2 weeks sick/personal This is 8 weeks off (and this is a generous estimate) So this means 44 weeks of work for $120,000 per year 1760 hours actually worked is $68.19 per hour and every weekend off So the 7 on 7 off is about $14/hour more then the same cash offer for a traditional work week BUT you really should be at or above $150,000 for a traditional work week (IMHO) and this is therefor $85.22 per hour - which is pretty close to your offered hourly. If you want a traditional work week - look somewhere else or demand a higher rate for the 7on 7off schedule - as you will work 26 weekends per year (yuck from my perspective) If you are content to have 26 weeks a year off - which is really a gross misstatement as you work 7 days straight - then look at the offer I would counter with an offer of $150,000 for their schedule an see where the chips fall - you are still far cheaper then a doc..... Link to comment Share on other sites More sharing options...
rosanicole Posted March 25, 2017 Author Share Posted March 25, 2017 Thank you to everyone who replied!!! I made a counteroffer but they would not budge on the salary. I declined the position as it would be a pay cut to go to a job in an area where the cost of living is higher; effectively leaving me with a net pay that would not go as far as it does in my current city (NYC...unbelievable!). Again...thank you!! I'll keep looking!! Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 25, 2017 Moderator Share Posted March 25, 2017 You could contact them in a few weeks expressing your continued interest and inquiring rather they have had any further thoughts on salary. Very reasonable to do.... Think about this - two PA's would replace two docs They are saving likely about $600,000 in expenses - yet trying to pay you only $120,000 per year... yeah no thanks.... Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.