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  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. 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!
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