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MrsPA2u

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About MrsPA2u

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    Physician Assistant

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  1. Thank you so much for even taking the time to respond! It seems like Most members just view the post without commenting which isn't helpful at all. I truly appreciate your input!
  2. 2016-2017-Original agreement as a 1st Year new Grad Derm PA: 100k straight salary (no bonus)- general derm only 4 weeks PTO 5 additional CME days (PTO) $2500 Annual CME allowance All licensing/membership dues/supplies/may practice insurance covered in full no healthcare/dental (although covered in full by spouse) no 401k/retirement plan 2018 renegotiation pending- $110,500k base with 10% bonus after 300k in collections (this seems terrible) "will" transition into surgical excisions and cosmetics (lasers, injectibles) 6 weeks PTO 5 additional CME days (PTO) $3000 Annual CME allowance All licensing/membership dues/supplies/may practice insurance covered in full Will implement 401k/retirement plan (although no matching)
  3. 2016-2017-Original agreement as a 1st Year new Grad Derm PA: 100k straight salary (no bonus)- general derm only 4 weeks PTO 5 additional CME days (PTO) $2500 Annual CME allowance All licensing/membership dues/supplies/mal practice insurance covered in full no healthcare/dental (although covered in full by spouse) no 401k/retirement plan No maternity leave (although all female staff except the SP) 2018 renegotiation pending- $110,500k base with 10% bonus after 300k in collections (this seems terrible) "will" now transition into surgical excisions and cosmetics (lasers, injectibles) 6 weeks PTO 5 additional CME days (PTO) $3000 Annual CME allowance All licensing/membership dues/supplies/mal practice insurance covered in full "Will" implement 401k/retirement plan, which is currently in the works (although no matching offered) open to a maternity leave option (although specific terms not discussed) Any feedback would be much appreciated. No signatures have been exchanged therefore nothing is set in stone. So negotiation of terms is still subject to change. Thanks for your time!
  4. Thanks so much for the feedback thus far. I failed to mention that I am paid base salary + percentage (which is how most Dermatology PA salaries are structured). Hence the reason why I feel I need to know my billings and collections summary.
  5. My message to my SP and HR: "As I approach my 1 year Anniversary mark, I am curious to see how much I've grown thus far. I've read that a great way to measure my development is by tracking my level of productivity. Many of my peers, particularly in Dermatology report receiving either monthly or quarterly summaries of this information directly from thier Supervising Physicians or from HR. I am also aware that EMA (our EMR system) is cabable of providing this data as long as I am allowed access (I am currently restricted). As a new grad, it would be nice to know how financially productive (if at all) I've been. Would you mind providing me with this summary report OR lifting my restrictions via Mod medicine so that the analytics are readily accessible?" Here's the response: "You are valued member of my team. You have full access to your patient counts. It has not been nor have I worked in a practice where standard business practice to share financials with a new provider. Your patient counts and how many weeks out a provider is booking are key metrics to any providers success." My reaction Prepare to leave after 1 year is reached and join a practice that "values" me enough to make sharing my billings and collections data "standard business practice".
  6. Run as fast as you can and don't look back!! new grad Derm PA here (my 1 year anniversary with the practice will be in a few months) my package isn't the BEST but it was a reasonable starting point -102,500 (straight salary, no productive bonus but I plan to negotiate that at my 1 year mark) -830-430 M-Th 8-12 on Fri -2500 cme With 5 paid days off to attend conferences, courses etc) - 15 Days PTO - 5 sick days - All major holidays off (plus half days off the days before thanksgiving/Christmas/New Years eve and an additional day off after said holiday) -no call/nights/weekends - no health insurance, medical or dental (but I'm married and spouse covers this in full) -no 401k/profit sharing (also requesting at anniversary mark) 20-30 patients a day mainly gen Derm for now
  7. I know I'm late but thanks so much for your reply! Your feedback was truly helpful. I realized my post was a bit misleading as I failed to mention that I was originally templated to see no more than about 10-12 patients a day at 30min intervals post 90 day training period over an 8hr day. (I also used to be a Medical/Surgical Derm MA x 5yrs pre PA school--so Derm is familiar territory for me) Since that last post, I am now averaging about 16-22 patients per day mostly at 15min intervals with some 30min interval exceptions (although SP is now pushing for at least 25 per day--and I've still only been with the practice less than a yr) my follow up questions are: how did you determine the "$60/patient" price point? And if I were to ask for an incentive bonus, what would be a reasonable asking price?
  8. Here's the update (and ongoing issue). My supervising physician and I quote is "not a fan of shave biopsies" and as it stands requests that his mid levels avoid them entirely (his reasoning was "I personally don't like them"). He doesn't even want them being offered as an option that exists. His personal preference are punch biopsies or full excisions. So, his protocol essentially is, all pigmended lesions need to be automatically scheduled for full excision to be performed by him and anything else can be sampled by me via punch biopsy. This problem is...his surgical outcomes are quite unsightly and more often than not, the "lesion of concern" ends up being benign. Quick side note: I am the ONLY full time provider (M-F 830-4pm) in my office. My SP comes in once a month for surgical cases only. The main issue(s) that arise are the constant complaints I get from patients during follow up regarding the cosmetic outcome of the post surgical scarring on a lesion that is ultimately proven to be benign. I am the one spending countless moments listening to unsatisfied patients, reviewing wound care, injecting hypertrophic scars with Kenalog, or addressing other problems since I'm the sole provider on site at all times. My alternative to this have been shave biopsies. This allows for smaller sample size to be taken, which results to a less visible scar that typically heals flush with the skin. I use a dermablade so I am able to get adequate margins at the time of biopsy and the path reports confirms free margins more often than not. Then on those instances when margins aren't free, they then get scheduled for an excision with my SP to remove any remaining atypical cells. SOOOOOOO MANY PATIENTS have expressed satisfaction with this approach. However, I am now faced with the decision of defying the requests of my SP or choosing what's best for the patient. Unfortunately the obvious answer isn't so obvious, help!
  9. As a new grad I think this offer is pretty solid. The only additional I would ask for is 2k for CME. After 1 year, you will no longer be classified as "new grad" and can therefore revisit the salary with bonus compenstion structure which is common among most DERM practices. Congrats on the offer nevertheless!
  10. What is the standard across the board when a patient presents with a clinically suspicious PIGMENTED LESION (whether macular or papular)? Should a biopsy be performed first to confirm its pathology OR should pigmented lesions be fully excised PERIOD without need for an initial biopsy?
  11. I am a new Derm PA and I have just completed my 90 day mark. My transition has ran quite smoothly thus far and I am now seeing patients on my own (30 min intervals for now). Although I am pretty comfortable going at this pace, my supervising physician has been trying to convince me to start seeing patients every 15mins now. Just curious, how many patients do you guys see a day? How long was your inital training period before you were allowed to see your own patients? Is 3 months for a new grad unreasonable to start seeing patients every 15 minutes? I feel like maybe I should be offered an incentive bonus of some sort. The question that follows however is...how much and how would I determine that amount?
  12. Hello, I am a Derm PA and I have just completed my 90 day mark. My transition has ran quite smoothly thus far and I am now seeing patients on my own (30 min intervals for now). Although I am pretty comfortable going at this pace, my supervising physician has been trying to convince me to start seeing patients every 15mins now. Just curious, how many patients do you guys see a day? How long was your inital training period before you were allowed to see your own patients? Is 3 months for a new grad unreasonable to start seeing patients every 15 minutes? I feel like maybe I should be offered an incentive bonus of some sort. The question that follows however is...how much and how would I determine that amount?
  13. You should absolutely counter. You've worked hard to get to the salary you have presently and based on what you described in your post, you've gained a lot of valuable experience over the past two years under what seems like very challenging circumstances. Therefore, you'd be a great addition to the new position with what you bring to the table. Sell yourself and be confident in your worth. At the very least you should counter with the average between what you make now and what they are offering. I'm a true new grad (as of May 2016) and I've turned down plenty of offers below 90k, (although my field differs from yours) Just my 2 cents...do what's best for you in the end...
  14. I wouldn't accept it but if you're married maybe you can be covered under spouses insurance? You still need malpractice coverage and CME, licensing coverage at the very least.... Otherwise, RUN!
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