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Found 9 results

  1. 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!
  2. I have ~5 years of experience. This offer is from a big hospital with a well integrated PA practice, in a moderate cost-of-living area. - Salary 125K. - 12 hour shifts with 1:3 weekends and 1:4 nights. Required to work 2 federal holidays per year. Shift differential amounts to ~5K per year by my calculation. - 403b with 2% match. - Pension (!) vested at 3 years of service. - Health insurance 80/20 until out of pocket max. Vision and dental through reimbursement account that is pretty generously funded, IMO. FSA and dependent care accounts available. - 22 days PTO, includes sick time. - 4K dedicated CME funds, plus 5 days CME time separate from PTO. Unclear about malpractice coverage. I'm pretty pleased with the offer since it's a step up from my current salary and the benefits seem good but I would welcome outside perspectives. This is the first time I've ever come across someplace still offering a pension, so I don't know how to look at that. The way the nights and weekends are structured seems like a lot of work but I don't know if it's worth arguing about with the salary being what it is. I was also told that a lot of the PAs in the group prefer weekends and nights and are often wanting to trade for them (no guarantees, of course).
  3. Hello, I recently graduated from a PA program and am wanting to work as a hospitalist PA. However, I am running into some obstacles and am hoping you all can give me some guidance. Here's the story: 1) I have no experience (many hospitals seem to prefer hiring acute care NPs, or they want at least a year of experience in INPATIENT medicine, so I can't even go work primary care for a year to get experience. Also I didn't do any elective rotations in hospitalist medicine because I didn't figure out that's what I wanted to do until after my electives were already chosen. I do try to play up my inpatient rotation as much as possible but 6 weeks experience only goes so far.) 2) I have no connections. Because I went to school on the east coast and always planned on returning to the west coast I didn't do much networking (I know, dumb move. Live and learn). And because I worked in health education before PA school none of the contacts that I do have have any connections to inpatient medicine. Also I don't particularly want to stay in the state I am living in so that further narrows contacts. 3) There don't seem to be many hospitalist PA jobs? I am not sure if this is true or not but it seems like at least in the areas I am looking there aren't that many. I am willing to relocate within the western US so I figured there would be more opportunities but I am just not coming across many. Is hospitalist a pretty niche area? If I am trying to catch a unicorn then maybe I will refocus my efforts. A few additional questions- If I can't get a hospitalist position what other inpatient opportunities should I look for? (SICU and MICU tend to require even more experience so that's probably not an option either. I could do surgery but I feel like it would be crappy to do that for a year just to get experience so I could move on to what I really want to do). Are there any buzzwords or anything I should be using to improve my CV? I always write individualized cover letters and do well with the few initial phone interviews with hospital recruiters that I get but then it seems to stall when they pass my info on to the supervising physicians. Any other thoughts or suggestions would be very much appreciated. Thank you!
  4. Hi there, I was offered a Hospitalist position with a private medical group where I would work 5 days a week with rounding starting at 7 am and "leaving whenever I am finished with seeing my patients". I may leave early and finish charting at home as long as I am done seeing my patients. If I work weekends (average of 1-2 weekends per month), then I get two days off during the weekday. The hospital is a level 2 trauma teaching hospital. Compensation is 102k/year. The expected goal is to see an average of 20-25 patients per working day. Is that too much of a work load for an ~ 8 hour shift, M-F? PAs at the hospital (level 1 trauma) where I rotated as a student saw approximately 12-15 patients per 12 hours shift so I am worried that I will be burnt out with 20-25 patients in an 8 hour shift. Does the fact that it is a level 2 trauma hospital make a significant difference? Is the compensation fair? If 20-25 is too much, how do I bring this up to the physicians without sounding as if I am trying to take short cuts and be perceived as "not motivated to work hard". Those who are practicing as a PA hospitalist, please help!
  5. Hi everyone, I am starting my first job out of school in June. Seeing as though I graduated in December I am a bit worried over this large gap I will have from school and work. Further, I do not feel as though my IM rotation gave me an accurate taste of what work in IM will consist of. Can some of you guys suggest good reading for me to do over these next 2.5 months to best prepare me? Preferably books or video sources that go through the "bread and butter" of IM. Thanks a lot! Any other tips at all would be helpful
  6. Hi, I'm a pre-PA student and I'm trying to get an idea of the different specialties PA's operate in and find one that may peak my interest. Though PA school is still a ways away and choosing a specialty to begin with is even further, I want to begin at least learning the most popular specialties and what they do. One specialty I've seen a little bit of info about is hospitalist medicine. Technically speaking, I've seen it referred to as inpatient care. Now don't jump all over me saying I don't know what I'm talking about and that I should reconsider my career choice, because I don't know what I'm talking about haha, that's why I'm here :) But from what I've read about inpatient care as a PA specialty is that you deal with patients admitted to the hospital and examine them, order tests, diagnose, perform some of the more routine procedures that physicians need not be present for, treat patients (providing it is a relatively simple illness requiring a relatively simple treatment), write prescriptions (again, provided they aren't real risky prescriptions. In which case the supervising physician should be consulted), and some more. Is there any truth to this? Is this typical of what an inpatient care PA would do on a daily basis? If not, can someone give me a description of what they do do? What does a normal day look like? If there is a specialty that's closer to that description? That job description sounds like what I am interested in so I don't know if maybe there is some other specialty that is closer to that description. I've heard of specialties like primary care and general practitioner, both of which sound like pretty broad specialties that would deal with patients suffering various illnesses. Maybe I'm thinking of one of those, or one of those would be a better match to the description above and be of more interest to me. Thanks!
  7. Hi all, I'm a current student, and was just offered a position at a teaching institution in the midwest as a hospitalist PA. I hope to get some feedback from those of you who are more experienced than I. I think most of these offers I read about on the forum are great because they are all more money than I could have ever dreamed someone would pay me. I've outlined the major details of the position below. What am I forgetting to think about? Seems like a great package to me, but wanted to run it by some more eyes first. Schedule 7 days on/7 days off. No extra CME or personal PTO as I'd have 26 weeks off in the year. PA group creates own schedules and everyone can claim 3 weeks to have off each 6 months. Take admissions until 4:00 on 6 days/week, until 7:00 on the other day. Rotate through an evening shift taking calls on all pts + any new admissions from 4:00pm until midnight. Money $90k salary $10k signing bonus to cover PANCE, DEA, licensure, etc. $15k relocation (not sure if this is up front lump sum or reimbursed based on services needed) $2250 CME each year, can rollover one year. Unsure if DEA, licenses, recertification, etc are covered on ongoing basis. Will follow up on this. 401K - 1:1 matching for first 4%. 50% matching for next 1%. 100% vested immediately Retirement fund - they contribute 5-10% of my salary based on hospital financials annually. Health insurance would cost me $65/month for single coverage. $1000 deductible. 20% copay. Dental - $10-$20/month - covers all standard/preventative exams Environment Had a chance to spend several weeks with them on rotation and I left with the impression it would be a very good learning environment. Theres a few teams, each with a doc and a PA, who are there at the same time. They're not looking to plug a hole in their staff and it seems like a very supportive environment. Docs are happy to provide mentoring and guidance when you need it and let you manage patients when you are comfortable doing so. Other annual review for salary increase asked me to sign a non-compete - don't know details of it yet I am very excited about the offer and as of now intend to work for this hospital, but like I said earlier, wanted to get an idea of things to look further into. Thanks for your feedback!
  8. Can anyone elaborate on the role of a Peds Hospitalist PA? What are their responsibilities? How is they pay and schedule? How many MDs do they typically work with? What is the typical pt population (diagnosis-wise)? Do they typically deal strictly with Gen Peds kids or pts from all specialties? I really love Peds Cardiology (there's something about those tiny HLHS kids that gets to me) but I don't really want to narrow my skills down so specifically in case I change my mind in 5 years. Plus I want to eventually work as a medical missionary so I want a broad base of knowledge, skills, and practice. Thanks!
  9. I'm a new PA grad with a couple of offers out there and I'm having trouble following my gut vs being realistic about the $100k in debt I've accumulated, and the Uncle Sam gravy train of student loans has long since dried up in my job hunt. The benefits between the two offers are very comparable in terms of health insurance, CME, PTO, 401k, moving expenses, etc. The first one is a hospitalist position, which is my dream job. Team seems awesome. They have a set 90 day training period with a list of topics to be covered and checked off on. I will be able to attend the resident conferences and case discussions. Schedule is M-F 8-5, 1:3 weekends with 2 days of comp time following a weekend worked. Only issue is that things have been pretty slow with getting the offer after the interview, paperwork, etc. I could see it being 2-3 months before I could start, and they have only offered me $75k as a starting salary. The team didn't have much to do with this, it was just some HR person who calculates the offer based on my experience (which they are counting as none although I did work as a CNA inpatient for 2 years and in home health for 2 years). Probably not much room to budge since it is a large organization and it's not the team making the call. I inquired a little further and HR estimated a 3% salary raise annually. There is also no contract obligating me to x years of service. The second offer is a fast care/family med float position. I'm not above fast care, I think it would be good initial experience, but I also really like to be challenged and work things up. There is a high potential that I could move on to a 100% family med position relatively quickly, and I do really like the counseling and continuity aspects of primary care. They also seem like a great team to work with.They have offered me $85k base salary plus RVU incentives. They are also a lower-scoring HPSA so there is potential for NHSC loan repayment. They are willing to move things along quickly for me and I could probably start in a month or so. Contract will be for a year. Is the $75k salary offered for the PA hospitalist position as a new grad on par with everyone else's experiences out there? I do feel that it is a little low compared to the AAPA salary report numbers, but I do understand there will be a significant investment on their part in my education and training until I'm up to speed. However, it would take me 5 years of working there just to get up to the $85k that the fast care/PC position is offering me. Any words of wisdom?
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