smePA-C Posted October 2, 2014 Share Posted October 2, 2014 Hi everyone! So here's the story...I'm a recent grad and I have been shadowing/training at my current position (urgent care setting) since I graduated (2 months). They have been paying me my regular salary and I start seeing my own patients next week. I work for a great company, and I really enjoy my position so far. However, I've had to move to a town that I am really not fond of at all, and my fiancé has to drive an hour to his job. A previous preceptor of mine just got in touch with me about a position in the emergency department where I did my initial rotation, as well as a 12 week specialty track. I have been sent an official offer, which includes a very significant increase in salary (about 25,000$ more per year)...more CME allowance money...and MONTHLY BONUSES! Basically it is my dream job. I have always wanted to work in this ER and I would be able to move back to my home town. I feel guilty about resigning from my current position before I've even really started (I would provide 1-2 months notice). They have plenty of physicians and PAs/NPs to cover each location and shift..in fact they just hired one of my prior classmates. I feel as though I should do what is right for me by accepting the new position and resigning from my current one, but I just feel slightly uneasy about it. Pleas please please I need advice/feedback! Thanks!!! Link to comment Share on other sites More sharing options...
PACdan Posted October 2, 2014 Share Posted October 2, 2014 No one can argue with dream job + $25k more. Especially with student loans. Link to comment Share on other sites More sharing options...
smePA-C Posted October 2, 2014 Author Share Posted October 2, 2014 No one can argue with dream job + $25k more. Especially with student loans. I totally agree! I just don't really know what to say to my current job. I feel like a jerk after all they've done for me! Link to comment Share on other sites More sharing options...
PACdan Posted October 2, 2014 Share Posted October 2, 2014 I've never been in such a scenario. But it seems like just stating the facts would be sufficient. What, are they gonna say? "No, you need to stay here, far from where you want for 25k less this year b/c we were nice to you?" They should understand if they're rational human beings. Especially if this isn't some mom and pop urgent care. Corporations replace people all the time to save a few dollars. You're just on the lucky end this time. Give them maximum notice, thank them, move on. Link to comment Share on other sites More sharing options...
gbrothers98 Posted October 2, 2014 Share Posted October 2, 2014 Tough call. Make sure you dont have contractual obligations you would run afoul at your current place. You can always provide current place with offer and see if they can match. Likely wont, you are going to ED from UC, apples to oranges comparison. That said, understand that with $25k more, you are likely accepting more responsibility and expectations that need to be met. Practicing in your hometown can be an issue. I do and it is a conflict sometimes. Some pts may actually refuse to see you if they know you. Not a lot of fun seeing someone you know very sick or injured. You also get to see the dark underbelly of where you are from, you may not like what you see and have to deal with. I actually dont go in the grocery store b/c of the likelihood of seeing ED patients I dont want to see. Great jobs dont just pop up everywhere, you likely have to accept when the opportunity is available, it may be years till it happens again. Good luck. G Brothers PA-C Link to comment Share on other sites More sharing options...
cbrsmurf Posted October 2, 2014 Share Posted October 2, 2014 I would recommend staying in your first position for at least a year, but that is tough when they are throwing $25k more at your face. You will probably be burning that bridge (don't expect a reference from this place in the future) if you quit this early so that will have to be taken under consideration. Link to comment Share on other sites More sharing options...
PACdan Posted October 2, 2014 Share Posted October 2, 2014 ^^^ I would also worry that staying in the 25k less job would quickly breed contempt and resentment, on a daily basis. That could burn you up real quick. Link to comment Share on other sites More sharing options...
smePA-C Posted October 2, 2014 Author Share Posted October 2, 2014 Tough call. Make sure you dont have contractual obligations you would run afoul at your current place. You can always provide current place with offer and see if they can match. Likely wont, you are going to ED from UC, apples to oranges comparison. That said, understand that with $25k more, you are likely accepting more responsibility and expectations that need to be met. Practicing in your hometown can be an issue. I do and it is a conflict sometimes. Some pts may actually refuse to see you if they know you. Not a lot of fun seeing someone you know very sick or injured. You also get to see the dark underbelly of where you are from, you may not like what you see and have to deal with. I actually dont go in the grocery store b/c of the likelihood of seeing ED patients I dont want to see. Great jobs dont just pop up everywhere, you likely have to accept when the opportunity is available, it may be years till it happens again. Good luck. G Brothers PA-C Thanks so much for your input! Def. all things to consider! I do not have any contractual obligations. My employment is "at will." I did my specialty track in this ER and I had a great deal of independence during that time, so I do realize what I am getting into as far as the UC to ER goes. I also did all of my rotations in my home town...I've done a pap smear on my Dentist (as awkward as that is haha) so I am also used to it! Link to comment Share on other sites More sharing options...
smePA-C Posted October 2, 2014 Author Share Posted October 2, 2014 I've never been in such a scenario. But it seems like just stating the facts would be sufficient. What, are they gonna say? "No, you need to stay here, far from where you want for 25k less this year b/c we were nice to you?" They should understand if they're rational human beings. Especially if this isn't some mom and pop urgent care. Corporations replace people all the time to save a few dollars. You're just on the lucky end this time. Give them maximum notice, thank them, move on. I like the way you think! haha Thanks again for your opinions! Link to comment Share on other sites More sharing options...
Acebecker Posted October 3, 2014 Share Posted October 3, 2014 This is the drawback to "at will" employment (for the employer). My first employer did not have me sign a contract (IHS, small reservation clinic), and I ended up moving on four months after they hired me - though I stayed on with them part time for over a year following. I regret leaving them that way, FWIW. Would I do it again? Unfortunately, I probably would. YMMV Link to comment Share on other sites More sharing options...
smePA-C Posted October 3, 2014 Author Share Posted October 3, 2014 This is the drawback to "at will" employment (for the employer). My first employer did not have me sign a contract (IHS, small reservation clinic), and I ended up moving on four months after they hired me - though I stayed on with them part time for over a year following. I regret leaving them that way, FWIW. Would I do it again? Unfortunately, I probably would. YMMV Very good point! Link to comment Share on other sites More sharing options...
smePA-C Posted October 3, 2014 Author Share Posted October 3, 2014 So. Now things have changed a bit. They want to offer me part time instead but give me full time hours. I'm uneasy about this. I would still end up making more than I am now, depending on how many hours I can get. They have a PA out on maternity leave and they think she may only come back part time, in which case I would become full time. Any thoughts? Link to comment Share on other sites More sharing options...
kittryn Posted October 3, 2014 Share Posted October 3, 2014 Hi everyone! So here's the story...I'm a recent grad and I have been shadowing/training at my current position (urgent care setting) since I graduated (2 months). They have been paying me my regular salary and I start seeing my own patients next week. I work for a great company, and I really enjoy my position so far. However, I've had to move to a town that I am really not fond of at all, and my fiancé has to drive an hour to his job. A previous preceptor of mine just got in touch with me about a position in the emergency department where I did my initial rotation, as well as a 12 week specialty track. I have been sent an official offer, which includes a very significant increase in salary (about 25,000$ more per year)...more CME allowance money...and MONTHLY BONUSES! Basically it is my dream job. I have always wanted to work in this ER and I would be able to move back to my home town. I feel guilty about resigning from my current position before I've even really started (I would provide 1-2 months notice). They have plenty of physicians and PAs/NPs to cover each location and shift..in fact they just hired one of my prior classmates. I feel as though I should do what is right for me by accepting the new position and resigning from my current one, but I just feel slightly uneasy about it. Pleas please please I need advice/feedback! Thanks!!! take it. it happens all the time. just give appropriate notice and GO! Link to comment Share on other sites More sharing options...
kittryn Posted October 3, 2014 Share Posted October 3, 2014 So. Now things have changed a bit. They want to offer me part time instead but give me full time hours. I'm uneasy about this. I would still end up making more than I am now, depending on how many hours I can get. They have a PA out on maternity leave and they think she may only come back part time, in which case I would become full time. Any thoughts? oooh.....talk to them (the ED). NEGOTIATE. know what you want before you call them, on what you will give and take....don't take a "vaguely defined" position and have your hours dictated by the unknown whims of a post-partum perm. just tell them you need at least X number of hours/week and - benefits? what happens to your benefits? and what does "They want to offer me part time instead but give me full time hours" mean, anyway???? are they trying to have you work full-time but give you only part-time benefits? just know the bottom line of what you need and don't let them talk you into taking less than that. Link to comment Share on other sites More sharing options...
Derbingle Posted October 3, 2014 Share Posted October 3, 2014 This is part of why there are so many "no new grad" jobs. Its costly to orient and train people. If you convince employer its where you want to be, then leave soon it increases the potential in the future there will be no new grads at that local. Some may say its your life, but overall its a community, with practices and standards as well as what PAs tend to do or dont do. Link to comment Share on other sites More sharing options...
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