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Would appreciate any thoughts on this FM contract


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I have just graduated and am considering this FM position in large, urban city in FL. I would appreciate any thoughts/comments.

 

80k/annual (82K in yr 2)

2k potential bonus (if certain documentation measures are met)

2 wk vacation, 1 wk CME ($700)

(no other PTO)

no tail coverage

work M-F 8-5

1:4 call (phone)

 

My biggest concerns at this point are the fact that I would have to relocate to a more expensive city for this job and the fact that if I leave the job and am not covered by a new employer, I will have to pay my own tail which can be a few thousand dollars. Otherwise, the doc is very nice and the it seems like a very supportive environment for new grad. Thanks for any advice!

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If you are going to relocate anyway, why not get out of Florida and make a decent living?  80k in urban south florida isn't much.  Though that is about the average for a new graduate there.  With the saturation I would not be surprised to see new grad salaries get driven into the 60s.  

 

If you must stay in Flowpayida, more details please...

 

do you want FM?  What are your other offers?  It's all about the fit and training for a new graduate...what are the expectations, how many patients to see each day?  What are the hours?  Are you expected to stay after close to do charts?

 

Get another week vacation in lieu of negotiating salary.  Get some of your license fees paid too.

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Thanks for the quick reply. I would consider moving in the future but for now am looking to stay close to home, which this job would provide. I do enjoy FM and IM so that is a good fit. Doc stated I will work my way up to seeing about  20-25 ppd, but my understanding is that this won't be until we are both more comfortable with my level of training. Hours are 8-5 and, I didn't ask specifically but I think I would be expected to stay until charts are done. Licenses are covered by employer, as well. I am considering asking for an increase in base salary to be closer to the 50th% for new grads in FL according to aapa salary report, which is about 85k, as this would help ease my moving concerns and allow me to save if I needed to cover my own tail insurance in the future. Thanks, again

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80k/annual -- Meh, a little low. Need to know about cost of living raises or profit sharing, reconciliation of billing


 


2k potential bonus - FOR what? how often?


 


2 wk vacation, 1 wk CME ($700) - vacation days - not weeks - if you work a 5 day week then do you get 10 days off or 12? Does it go up over time? One week CME time is better than what I get but the CME budget is LAME. Bare minimum is $1500 per year - use it or lose it.


 


(no other PTO) - sick time? Holidays???


 


no tail coverage - MASSIVE DEAL BREAKER. Florida is a high litigation state and investigation for medicare fraud. Tail coverage or nothing.


 


work M-F - Exact hours? Lunch, doors closed? phones off?


 


1:4 call (phone) - compensation, comp time? Seriously - don't do things for free. I have and it is not a good precedent.


 


Just thoughts from someone who has been there/done that. Ask lots of questions.


 


You need quarterly billing statements clearly showing what you billed, what was collected and then calculate your value to the practice.


 


You cannot live on $80K forever and not well in Florida. There has to be expansion and growth. It needs to be outlined. 


 


Do they pay your license, DEA, state association, AAPA, NCCPA or does that come out of CME? Be very very specific and get numbers to counter with - look up the costs or call. 


 


What is your schedule mask? How many patients per day expected? Time slots? I have 10 minute and 20 minute appts and they SUCK. If a geriatric population you will accomplish NOTHING in 10 minutes and not so much in 20 some days. 


 


What is the walk in policy? If you are expected to see 25+ patients per day - the pay is unbelievably LOW. 


 


Need more info.................


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Thanks for the replies.

 

So it's a 2yr contract, salary will increase to 82k year 2, the 2k bonus is given if certain documentation measures are met, licenses and dues covered (after I asked for it).

 

I think ppd will be closer to low 20's on average, based on how much current PA sees.

 

Any sick leave gets deducted from 10 days vacation.

 

Doc mentioned that no provider gets compensated for call, which is another reason I am considering asking for a higher base salary.

 

They also said that in most cases your new employer covers tail insurance for your past practice, but in the case that they don't, I would have to pay for it, so I think I will ask to speak to the insurance company to get a more accurate idea of the price for tail coverage.

 

I've had a few other offers that were more low-ball and rejecting them were clear no-brainers so I just want to make sure I don't jump the gun and sign on to the first thing that sounds decent if it isn't actually a good deal.

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Sorry this offer stinks

 

20 ppd 5 days a week is 100 patients a week

 

If they get $50 per patient you are making 5000 for the practice every week

 

Doc the math. They are shanking you.....

 

As for little CME $$ and no med mal - just shows they do not value you....

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Sorry this offer stinks

 

 

I agree.  I came back to point out that the job is in south florida and that's about the average offer as far as pay goes.  

 

However, the non-pay end of it does pretty much stink, as my colleagues have pointed out above.   But again, welcome to south florida.

 

I wouldn't work like that for another $40k, even as a new graduate.  Well, maybe.

 

Being close to "home" isn't useful if you don't have time because you are working on charts for free all weekend, on call, or you hate your job.  Unless you have small babies or elderly parents you are watching closely, maybe it's time to make your own "home" somewhere you can make a decent living at a job that values you.  

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