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Found 15 results

  1. Hello PA friends! I have an upcoming interview.... my very first one!!... and they were kind enough to send me the contract in advance. Reading through it I see an early termination clause in which I would be asked to pay FIFTY THOUSAND DOLLARS if I were to leave before the end of three years. I love longevity, but this is my first job out of PA school( and I don't graduate until December), and I don't have $50 much less $50,000. So that's a no. And there's not even a commensurate level of sign on bonuses (clearly no one is giving me 50k to sign on or any sign on bonus for that matter) and even if I figure that this is associated with the costs of having me as an employee like perhaps the total cost of three years worth of health insurance plus CME is 21k (no idea what it costs to add me to malpractice but I truly hope its not 29 Grand but who knows).... bottom line I don't know where this random 50k come from but still, no. Also, I have an illness that is currently controlled but that I worry about and so I really don't want to be bound to pay this especially if I can't work for some reason..... and of course I don't want to disclose this information and screw myself out of a job. But, can all this sad cluster be worked around? My gut reaction is: 1. go to this interview and see if it's even worth the fuss of steps below 2. get a lawyer to review this contract if the place seems on the up and up 3. reach out and see if they are willing to drop this clause. Are the steps above reasonable, is there another route you suggest, or is this whole thing just one huge red flashing sign screaming at me to not bother? Thanks in advance for your help!!
  2. i am coming up on contract negotiations. Most likely I plan on staying. I have been here for 5 years and really like it, mainly because of who I work for/with. Something that would help me progress financially would be paying down student loans. I am already at a high salary and get some bonuses. The only thing I could think of that would improve the money situation would be some sort of loan repayment. Ideally, tax free for me and clinic, money goes directly to loan, lowers principle and overall cost of loan, and I still write off loan interest. I do understand there are some tax codes against this but it is changing. (https://www.congress.gov/bill/115th-congress/house-bill/108/text) I have run into another option through https://studentloangenius.com/. Does anyone have experience with them? Any other creative options to minimize tax implications but still drive money to loans? I would even accept slight decrease in salary for larger amount to loans IF there were also tax benefits.
  3. Anyone help me out with this informal offer 115k for new grad increases to 125 after second year Work only Saturday and Sunday for the year. I would have to see all new consults at two hospitals that are 15 mins apart. No consults still get paid/ 20 consults no change in pay. Volume varies but its all psych consults in the medical hospital. I have never seen more than 8 in one day between both as far as new consults. We didn't talk about vacation. I was thinking of asking for 8 total days of vacation. So a random Saturday or Sunday I needed off. No help as a new grad. No mentorship because I will be basically autonomous. The job is basically to make the physicians life easier so they don't have to round on the weekend. They said 1000 for CME and they pay for all credentialing and licensing etc
  4. I have a new job offer that asks for 120 days notice before resignation. Their reasoning was "I have found 90 days in the past did not give us adequate time to find a suitable replacement". I feel like 90 is more the standard and is quite reasonable. Has anyone agreed to a notice of more than 90 days? Thanks for the input!
  5. Hi all, I've been working as a general medical provider for a state psychiatric hospital for about one year. I'm leaving my current position at the end of June, but will be staying on PRN. It's just not a good fit for me professionally to remain here full-time. I was offered a hospitalist job today at a 590-bed Level I Trauma and Stroke center. They are building a 42-bed observational unit which will open January 2018, and this unit will be the main focus of my position once it opens. Until then, I will work at the regional sister hospital (which is 20 miles away) rounding on all units. Here are the particulars: Things I'm OK with... - $100,000 base salary. - 1 year contract renewed annually. - Quarterly performance bonus, not to exceed $25,000/year. - Bonus based upon the following metrics: # of patient encounters, quality of work, timely completion of notes (w/in 24 hours), and peer reviews. - Malpractice dues paid by employer. - 180 10-hour shifts per year, divided into 7on/7off schedule (7:30AM-5:30PM). - 30-day termination of employment required by both parties (unless something illegal/unethical occurs, etc). Things I'm not OK with... - REQUIRED to see minimum of 15 patients per shift. - 401k/profit sharing, medical/dental benefits available, but no mention of what the match is, the cost, or anything else for that matter. - They will pay my state and organizational licensing dues only. All other CME expenses are to be paid by me. - Tail coverage required, and paid for by me. - Required days of call and carrying pager, but no mention of how often or whether it's paid or not (verbally she told me it would be paid, but it's not written in this contract). - Apparently if I have to file an employment lawsuit or if they have to file a lawsuit against me, I have to pay THEIR legal fees as well as my own. - Not really OK with a maximum yearly bonus amount either, but it's better than no bonus... - The vague parameters of this entire contract... I am so disappointed with this. I used to work for an employment lawyer years ago, so I'm going to see if she will review this for me and help with a counter. But, how do you all think I should counter based on your experiences? I'm going to put this in the PA Professional Folder as well, in hopes of catching a few more people who can assist. Thanks!
  6. Hello everyone, Due to the fact that I am a new graduate ( as of August ) I felt the pressure to take one of the first jobs that I was offered. At the time it was the only offer on the table, and I felt overwhelming stress of securing employment. Although it was not my dream job, I signed the contract on Sept 30th. I am scheduled to start this new job on or around December 14th depending on when hospital credentialing goes through. Today, I received my dream job offer. It has better pay & better hours. I have been given an amazing opportunity as a new graduate and do not want to pass this offer up..... however, I have already signed the contract to the other job. So my question is, I am a wrong for backing out of my original job offer (which I have yet to start) & take my dream job? The contract I signed is a one year contract commitment. The wording in the contract states the following " Subject to Non-Physician Provider’s satisfaction of the Prerequisites set forth in Section 1, the term of this Agreement shall commence on December 14, 2016, or such other date as approved by Company (the “Effective Date”) and shall remain in full force and effect thereafter for an initial term of one (1) year (“Initial Term”) " There is no other date that is called "Effective Date" other than December 14th, 2016. However, the contract was signed on September 30th, 2016. Does anyone have an input on this? My thoughts are that I should be able to get out of the contract without penalty since I have yet to start the job. Appreciate all advice and input.
  7. Hey all! I am getting ready to interview for a dermatology "residency" position at a very large and expanding dermatology clinic with offices that serve almost the entire state I live in. After requesting the interview with me, the company sent me a very simplistic form of the terms of the contract for residency prior to interviewing. Holy crap, it is a DOOZY. So, without further ado... 4 Year MINIMUM contract. 1st yr: "fellowship pay" = $30,000/yr 2nd-4th yrs: $90,000 + 25% production bonus above $400,000 in collections $2000 CME Licensing fees/textbooks/equipment paid Full benefits (paid? not paid? not sure.) Covered malpractice w/ tail. No mention of PTO or vacation days. 3 Year RESTRICTIVE COVENANT for 30 mile radius of all clinics this practice owns (not just the one you worked in). Thus, you are basically barred from employment unless you leave this area for good. Or, it's a $100,000 buyout. I'm PRETTY CERTAIN RCs are not enforceable, especially without a partnership agreement. There you have it, folks. I haven't canceled the interview yet, because my curiosity is piqued to hear their logic behind this befuddling term sheet. But I'm certainly not signing up for anything remotely close to that.
  8. Hi everyone, I need some help/perspective on my situation. I'm currently making 88k annually as a cardiology PA at a major hospital system in NYC. I get 4 weeks PTO (inclusive of sick and holiday time), 1 week CME (in addition to $800), full health benefits, 403b (employee funded) and pension-like program (employer funded). I've been there one year (received a 3% raise since I started) and was a new grad when I was hired. It's my understanding a 3% raise is standard every year for my department. Am I getting the shaft with this position?! So many of my colleagues complain about not making enough money and many have stated their friends (who are also PAs) got jobs right out of school with starting salaries in the low 90s (comparable specialties). I went to a decent school and had a 3.5 GPA with great hands-on experience during my rotations and didn't get one offer in the 90s - in fact, almost every interview I went on I was told outright "NON NEGOTIABLE" for new grads. So my question again is, am I getting the shaft? Am I being too kind and accepting? Am I somehow not aware of my worth/value as a PA? I thought 88/yr was acceptable for 1 year of experience, but so many of the PAs where I work (most have <2 years exp) are leaving for "better paying jobs." Should I be demanding more? Please help.
  9. I started practicing 2 years ago as a PA in an Ortho-Spine practice, my responsibilities including First assist 2.5 days/week, rounding, clinic 2.5 days/week, rare call, rare weekends, also administrative tasks such as compiling surgical outcomes, assisting the training of staff, implementing new policies and procedures with staff etc. I was't excited about my initial salary and benefits but I have really enjoyed the work. I have gotten significant raises over the past couple of years but during my last raise/review there were interesting comments about decreasing my rate of salary growth which i thought strange as I am still below what I assumed most other PA's in my field are making.. My major issue is this: I feel like i am always being told what other PA's in Florida make in my field and a lot of what i research seems different than what I am told. There have been a few threads from Spine PA's on the forum and I wanted to create a general discussion among other PA's in my field so we can communicate with each other about what the "going rate" is. I started at 80k, I am currently at 100k with guaranteed 5k annual bonus. I only get 10 days PTO, Holidays, and 5 CME days with professional fees paid. (no sick time) I am told Laser spine institute PA's make 95k, (What I have read online is 105k with 4 weeks PTO including CME) I am told other local practices which do similar work make between 115-120's with a few PA's in the area at 150k, and 1 up to 180k (which they feel is extreme) They did not comment on what the other benefits these PA's have as far as PTO and Bonus' I also work part time in the ED on my free weekends when I have available time where I am paid $60/hr. I calculate my current full time position makes $42 or less base on the hours I work per week. So Fellow PA's please help enlighten me on what our "going rate" is?
  10. Hi all. Wanted to run contract negotiation by you all and get some advice. I have been a graduate for 5 years. I have worked in a PMR practice the entire time since graduation in NC. My duties consist of 1.on call weekends covering inpatients in our rehab center, and telephone call for our skilled nursing facilities on that weekend. 2. Weekday clinic hours where I see an average of 20 patients, and do imaging guided procedures and of course order spinal procedures for our 3 docs (2 of which are owners of the practice, other doc is employee like me). 3. Inpatient rehab consults which I do M-F and of course the weekends I'm on call. My contract recently expired and we are in the process of renegotiating. I was earning 91K as base with Qrtly bonus. I get heath, malpractice insurance through practice. I did have 401k match but owners did away with it given cost issues earlier this year. Apparently my MA's salary is considered to be part of the cost factor to keep me and she is paid off my revenue. Bonuses have not been what I consider great giving how many people I see, what I do and am able to do in the office, and the amount of work I put in. We had a part time PA who is leaving for maternity leave and will not be returning. I offered to extend office hours to compensate for her loss, as a good faith offer during negotiation. I also requested an RVU based salary/bonus structure. The RVU system was shot down. Any ideas? They would be appreciated.
  11. Hi all. I'm newly certified, in the middle of contract negotiations and would greatly appreciate some input/advise to a few questions I had about some items in this contract. 1. Is it the general consensus that PAs do not pay ANY part of malpractice insurance and is considered a normal business expense for the hiring physician(s)? In my current contract, the hiring company states they will pay the liability coverage during my term of employment but upon termination, I would be required to purchase tail coverage for "an unlimited reporting period covering PA and [provider] for professional liability from and after the date of PA's termination or lapse professional liability coverage..." 2. They have a 3 mile, 1 yr restrictive covenant upon termination. Is that typical/reasonable and should I request that be struck from the contract? 3. Currently my CME (employer paid) is lumped into my total PTO bank, which includes vacation, sick, and holidays as well. Should I request CME to be excluded from the PTO bank as it's techinically time I'm putting in to benefit the company (even though I'm out of the office)? Total bank is 26 days/yr. 4. Basically states no moonlighting allowed. Reasonable? Not really a big deal for me. This is a full-time position. 5. They provide medical, dental, etc (after 30 days) and 401k (after 1 year). Pay is fair for new grad (i.e. 90's). No call, no rounds. 60 day notice (PA and employer) for termination. Much thanks in advance!
  12. What are the duties of the SP ? I will be starting a house calls practice. Want to know how to approach Docs - I will be "partnering with them" as a business but they will be contracting with me as i will be an IC LLC service in seeing their Medicare Home Bound patients. Where do I find this information - what is the official entity that regulates and has the rules written - were are those rules outlined? State Board of Physicians? Is it in the Delegation agreement?
  13. In starting out with my house calls practice... i want to propose retaining my patients if i move on from the service contract with the DOC I'm in a service contract with...good idea? Is this a routine thing? House Calls still feels like the wild west ! What are the rules? So, I was about to send this to a potential service partner: "I have just left a contract that rendered me to having to say, “No, I cannot care for you any longer”. These patients are reporting to me now, that they are not being follow-up with and this makes me very uncomfortable. In preventing this from happening in the future, I want to be able to have my own service. With this service, I would carry the patients who choose to follow me and attach to whom my next Physician/partner will be. So, in going forward, I will need to be able to know that those patients whom I care for have “patient choice” to follow me if they so choose; if I ever leave our partnership." but felt i should run this past the experts...you guys who are already successful PAs in business! Thanks tons
  14. Hi, I'm about to be a new grad (no prior medical experience but with great academic record); am curious about the following (see questions below) all feedback/insight/comments/curse words are welcomed! 1. what I can really expect as starting salary in internal medicine? (nyc hospital based, three 12's, no call, some weekends, does it matter if it's nights vs days?) i haven't seen or heard of anything higher than 85k and i'm starting to wonder if i would be low-balling myself 2. how much can a new grad (again, with no prior medical experience) successfully negotiate with hospitals who advertise a new hire flat rate? 3. what's the typical yearly bonus most nyc hospitals (city and private) are offering? thanks in advance!
  15. Thought I found an exciting job opportunity: favorite specialty, close to home. However I got hesitant after the initial interview because the job description sounds vague to me. I was told I will be the only PA of the private practice working with several physicians; primarily make rounds in the hospital and see clinic patients but will be asked to do whatever is needed. I further inquired any on-call or weekend schedule and the answer is duties as directed by physician. I am not sure what does this mean? Occasional or pretty often? I still want to ask them the clarify this issue but on the other side I am afraid to lose a possible good opportunity by doing this. How should I approach them appropriately without annoying them?