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    Physician Assistant
  1. "The Physician Assistant is responsible for assisting the Physician in treating patients." Booo. Not what a PA does. But this is fairly typical here in S. Fl. If you think there's room for advancement or it might be a good stepping stone then I wouldn't worry too much about that first offer. I would check to see what sort of educational environment it will be for you though. When you leave in a year (or whatever) you want to be a year better. Not languishing as someone's scribe.
  2. Wow. Not only is this a terrible offer, its a terrible opportunity. As a new grad you should be either seeing a wide range of patients to determine what you want to do long term or have an exceptional offer that you don't want to turn down (which will usually be too good to be true and is.) A physiatrist is not an orthopedic spine specialist. They are pain management who do some invasive procedures and the range of patients and pathology would be very narrow. If you work in spine surgery (as I do) remember that it is one of the higher paying sub-specialties but with no OR or productivity....Sounds like they're playing you. It can be tricky to get a great offer right out of school but there are definitely opportunities which will expand your future satisfaction as well as compensation. What was the formula? 1)Location 2)Specialty 3)Compensation Take 2 out of 3. Simplistic, but not wholly off base.


    It's true that what you can get in salary/bonus/compensation over expense - call it what you will - hinges on your true knowledge of your value as well as the market you're in, competition and negotiation. I tried to start a thread where state specific specialties listed pay, benefits, hours, call to be used as an apples to apples resource when SPs try to tell us what the market is for our services. I'm in ortho spine surgery. At my 1st negotiation with my boss 6 months after starting (a few years ago when about 2 years out of school with limited spine experience) I was working for 90k + "bonus" or 20% of collections over salary which I accepted only to get my foot in the door. When he offered me 5k increase I went and applied for another job and was immediately offered 120k + 20% over salary. I then told my boss, who I actually wanted to stay with, that this was actually the market value for my service at that time. He proceeded to negotiate. He didn't want me to leave any more than I did. You have to know that you're not easily replaceable. If you've spent time in your practice and you are an integral component with training and relationships, etc, you are then valuable. If there are no competitors in your market its obviously harder to find competing offers but you have to show you're serious. I'm reasonably well paid now but I still think I'm being somewhat taken advantage of but incrementally we're closing in on the percentage of my earnings that I think I should keep. I agree with previous perspective that getting paid more just means you're paying your SP less. You pay them. You cost them nothing. That's a valuable relationship. I'd love to see that salary thing take off but, I don't know, everyone's pretty close to the vest about earnings.
  4. Thanks purrpa for contributing. Maybe we can pick up steam with this over time. I agree 100% about the need for balance. I was offered a higher paying position in the same area a couple years ago but I would've been miserable in that practice. There's a lot of dirty practitioners out there and it means the world to be able to look myself in the mirror at night. Of course 200 plus still sounds pretty appealing. Don't know how to get this to catch on. Thoughts?
  5. Sample size is a big problem with this. Which is why it would be great if as PAs we could hook each other up a bit more. I know everyone is very precious about their compensation but as you can see 14 people doesn't give a particularly clear picture. That said, yes I need to get that. My salary with bonus will end up around 127-130k. There is also variation regarding bonus source. I don't do epidural injections in my office for instance and my collections are primarily first assist and office visits. In spine, epidurals can be a big swing in bonus and total salary. As far as why I chose 10% in network vs 20% over salary, I didn't. My employer was pretty intransigent on that point and I was seeing what I thought was a fair bump for that year. Going forward however, the more ammo, the better. That's why the salary info in the report is helpful but those details all make a difference.
  6. So I recently went through a contract negotiation with my boss. I am a surgical spine PA in S. Florida, Palm Beach County area.5 years eperience and I found myself having this surreal conversation regarding my value and compensation re: my collections, hours, performance, etc. and being told over andover again "This is what spine PAs make in Florida." So it occurred to me....What do you say to that? His information was purely anecdotal but so was mine. so I propose as a resource that we have a page here with location/salrary/bonus structure/hours/call, so that we can have a real apples to apples comparisonduring negotiations. Obviously there are many variables that go into what we think is an acceptable salary but it would feel great to be able to say in a contract negotiation, "No, actually 7 other local PAs with similar positions and these responsibilities make xxxxxx." I'll start 117k annual salary, 10% of all IN NETWORK collections including hospital consults (this was as opposed to the originally proposed 20% of total collections above salary) I anticipate this being in the 80-100k (8-10k bonus) range. Although total collections last year between 250 and 300k I work generally M-F fairly normal and somewhat flexible office hours. In the OR 2-3 days a week. 1st call on pager every other week and hospital rounding q4th weekend. 401k, 3% match Individual, not family health, good policy 3 weeks PTO Somewhat nebulous CME policy SOOOOO. I'm not and I don't think anyone else is interested in lots of "You're freaking nuts to work for that. You're a sucker, etc.etc." If this can catch on I'm hoping it gives us a big advantage when employers, particularly in private practices where there is no union scale try to play on our lack of orginization. It could also be really vast and regional which would obviously be the most helpful. The more info, the more power.
  7. I'm wanting to move down to FL from NYC and I'm flummoxed at the paucity of jobs. I'm in general surgery and I started out in ER but there is slim pickins unless you are ortho or vein harvest. Tell me locals, what gives? Are all the SBOs in NY?
  8. Seth,

    Congrats on knocking out your didatic yr.! I'm sure clinicals wont be quite as bad. See in a couple months.



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