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Found 13 results

  1. Hello! I was just offered a job as a new grad in psych at a private practice outpatient clinic in the Houston, Tx area. My hours would be 9-6 or (10-6 with no lunch break) Tuesday - Friday and a possible Saturday shift from 9-1 which I am clarifying now as to if this is set in stone or not since it was unclear. They told me I would be shadowing the first two weeks and then after that I will slowly see my own patients while consulting with the doc after each patient. They currently have one NP who they hired as a new grad and trained. Salary: I told them I was looking for 100k since that is the average for a new grad in Texas and they offered me this breakdown: 92k for years 1-2, 102k for years 3-4, and 113k for years 5-6. Then, a bonus set up like this: starting at 6 months, a quarterly bonus at 65% patient occupancy is a 1k bonus quarterly, at 75% patient occupancy a 1750 bonus quarterly and at 90% occupancy and greater a 3k bonus quarterly. The bonus seems okay but I have no idea how to gauge this since idk if I will even be hitting these numbers as a new grad. They told me the NP currently sees follow ups in 15 min slots or 4 an hour with a break after to chart and that new pt visits are 1 hour. They told me my follow ups would be set for 30 minutes instead of 15 since I am new. CME: 1500 PTO: 7 days first year (this seems very low to me and was also not broken down into CME or sick days so now I have no idea if I even get CME days so that will be in my email back with questions) Malpractice coverage and 401k with 5% match effective after first year. It was also unclear if the 401k is not effective at ALL until the first year or if just the matching so I will be asking this as well. Need to ask if this includes tail coverage? Overall, I am happy to have a job offer but wondering if this is a good one. I would like to counter with a base salary of 96-97 possibly since a 1k bonus for three quarters in my first year would put me at the average new grad salary in Texas of 100k. Does this seem unreasonable? I also really don't like how the salary is already structured for the next 6 years and how I do not get a yearly raise to match inflation even. Is this common? What do you all think I should include in my counter? Overall, is this a good offer and would you take it as a new grad? Is it a bad idea for me to counter? Please help!! Thank you! Edit to add: they do not offer health insurance if this makes a difference. Thank you!
  2. Here are the details of my offer. There really wasn’t much to it and I have no idea where to start with negotiations and what I need to bring up. My concern is that the salary is a little on the low side. Any advice or thoughts would be appreciated! Details include: 92k salary 24 days PTO 5 days CME 2k CME
  3. 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!
  4. Hey yall, Im facing a bit of a dilemma. I got a new grad offer for a Surgical Position that is offering me the package below in NYC 105K Base Salary 10% Night differential 20 PTO days, 8 paid holidays, unlimited sick time, 12 weeks of paid salary for sick leave 8-10% Increase every year Health package as well The reason I am conflicted is id like to make a counter offer for more but dont know how to go about it. A friend of mine got a similar deal but 5K more out east without negotiating in the same system. How should I go about negotiating it? What are some tips you can provide to get it higher salary or a better benefits package. Why would would there be a discrepancy between both?
  5. Hi everyone, I have been offered a job running a clinic and want to get some feedback on the offer. I have one year experience in a busy ER. I would be running the clinic by myself, and there would be a 2-4 month "mini fellowship" where I would be traveling to their different clinics for one-on-one training and examinations, etc. Here is the offer: Mon-Fri 8-5 Training Pay $75000 (pro-rated for the 2-4 month training) Base pay which starts immediately after training- $140k Bonus Structure paid quarterly: 20% of collections greater than $35k per quarter. (I wouldn't likely start hitting this bonus in the first year because this is a new clinic which needs to be built up) 15 days PTO plus holidays 5 days CME with no allowance 100% health coverage for me. I pay to add my family members. Potential for partnership down the road. I'd love some feedback, please! I am a little nervous to leave a stable position, but I know derm positions are hard to come by without experience. Thanks in advance
  6. Hello! I'm a new grad and recently received a job offer and contract. I wanted to see what other PAs thought and things I should negotiate since this is my first experience with this. Position is with a spine surgery practice in Texas: - Salary $90K with yearly bonus "at discretion of CEO." This seems a little low, but hard to negotiate as I have no experience. - 2 weeks paid vacation - In my interview they also stated that major holidays were off as well. Need to clarify if these would be paid or not. Is this reasonable time off or too little? - 5 days sick leave with doctor's note - CME allowance of $2500. They stated in interview that I also would have 5 days for CME, so I need to clarify this with my contract and whether they are paid or not and have this included in writing. - Malpractice insurance is provided "consistent with reasonable surgical physician assistant coverage." Obviously need to clarify whether occurrence or claims maid. And tail or not. - Individual health insurance covered by employer. Family health insurance covered by employee. I only need coverage for myself, so this sounded like a good deal to me. Other than above, I also wanted feedback on my hours. My schedule is described as up to 5 days a week but then later says that 5 days is routine and more days as agreed by PA and physician as needed. Hours may or may not extend past 10 hours per day with workload not to exceed 80 hours a week. There is no mention of call but when discussed they said I should "rarely" be on call. Obviously I'm not trying to get tricked into working 80 hours a week when the job was described as a M-F position. What is the best way to ask that this is clarified and protect myself from being exploited? Appreciate all of your feedback! Thank you!
  7. Have been wanting to post something in this thread for a long time. The group is in rural Virginia with 3 ortho surgeons right now, 4th is in negotiation. I would only work with one of them in the OR and office $105,000 Annual Salary Annual wRVU Bonus Potential / $25.85 per wRVU generated after 2321 $5,000 Relocation Assistance $5,000 Recruitment Bonus paid on the first payroll check upon commencement of employment Student Loan Repayment of 500.00 per month for 36 months PTO accrual of 5.54 hours per pay period / 18 days per year Extended Illness Bank of 2.15 hours per pay period / 7 days per year 40 Hours of CME with up to $2,000 in reimbursement cost Licensing and Credentialing Fees including PA License, Prescriptive Authority, DEA License & Medical Liability Insurance. Full benefits including dental, vision, short and long term disability. Would love some feedback on this and what I could ask them to work on. Also, if anyone has any advice on how to inform other groups I've interviewed with of this offer, I would appreciate it. I've followed up with all of the groups and they are wrapping up interviews this coming week. Would like to let them know that I have received an offer but don't want them to take me off their list. Thank you
  8. Hey everyone, just looking for some feedback on a job offer I received. The clinic is located in Dallas, Texas. I’ll be a brand new grad in a few weeks Primary care- Base salary is 95,000 (Total compensation 100,000-115,000 after RVU bonuses). Hours are 8-5 Monday-Friday. 1-2 Saturday’s per month ($300 shift pay for Saturday’s worked). Health benefits kick in after 3 months. 10 days PTO first year (increases to 15 after 1 year). 7 paid holidays. $1500 CME credit annually, but no CME days off. No mention of retirement benefits I appreciate any feedback! This is my first offer so I’m kind of weary to just accept the first thing that’s thrown at me, but it seems like a decent starting job as a new grad.
  9. I'm about to graduate and I've been offered a position at a hospital in SW Oklahoma. "General Surgery" is in quotations because I would technically be working in a specialty surgical clinic. My supervising physicians would be two general surgeons, a urologist, and a gastroenterologist. I would do a mixture of clinic and OR for these surgeons. I'm not sure about call yet. Contract specifics: 1 year duration $105K base salary with 2 possible bonuses: up to $5K depending on overall clinic wRVU productivity up to "5% base salary for achievement of recommended metrics" Sign-on bonus of $4K Relocation allowance of up to $6K Loan repayment assistance $10K to be paid over agreement term (1 year) Malpractice and licensing paid/reimbursed Full benefits, 401K 26 days PTO 3 days and $2,500 for CME over agreement term (1 year)
  10. 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).
  11. This offer is for a position in a small single physician surgical dermatology private practice office in a highly affluent community outside of Los Angeles, CA. The physician is an experienced Moh's surgeon who deals almost exclusively in skin cancer, reconstruction, and cosmetics (no medical derm). She is offering a "training year" and I am seeking a "foot in the door" with dermatology. Let me preface this post by saying I know it's a pretty rough offer, but my hope is once developing a skill set within surgical dermatology. I'd hope to become an asset to the practice in order to negotiate a better deal or become more marketable to another derm practice that may give me a better offer. Salaried at $4800/month for the first 3 months, $5600/month for the next 3 months, and $6400/month for the next 6 months ($69,600 pretaxed). "On Call" weekends and holidays to field the occasional phone call. Hours are essentially "open to close" at the office usually between 10-12 hours a day mon-fri until i'm trained well enough to know when its ok to cut out early. Exempt employee status with no set breaks, lunch, or overtime compensation. Profit sharing 401k pension plan where the employer gives 7.5% of annual salary toward retirement with a vesting schedule that becomes completely matured after 6 years. So after 1 year, 0% vested, 2 years 20%, 3 years 40% vested, 4 years 60% vested, 5 years 80%, and 6 years 100%. CME money is limited to any actual amount. It’s approved on case by case basis and seems like ill rarely have much say in how it’s used. Malpractice is clams made without tail Health insurance is covered 50% after the first 3 months for the first year. Then 100% covered starting after the first year. PTO is 7 holidays where the office is closed anyways. 10 additional days will accrue over the first year, 11 the next year, 12 after that, and so on. I appreciate any and all feedback. Thanks!
  12. OK, so I got a wage quote from a big hospital HR after an interview. The OM presented it and even he didn't sound like he liked it and was worried I would walk. He gave me the quote, was unsure of OT and wage differential since I would be working evenings. He asked if I would even be willing to come back in and talk. I said I would welcome another visit with them. I figure, it's not an official offer because we haven't discussed any benefits or literally ANYTHING yet. So this wage quote pre-offer is throwing me off. At what point can I turn this into a negotiation? Also, how much have you seen for shift differentials for evenings (not overnights)? It would be nice to hear from others about those. I thought it's anywhere from $5 to 30% pay....
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