Cefazolin Posted November 24, 2015 Share Posted November 24, 2015 I just got a job offer for Orthopedic Spine Salary: 81963 Schedule: 40 hours/week, no call, no weekends 6 holidays, 20 days PTO CME: 4000/yr Benefits: Dental, medical, life and disability. 403b/Roth 403b, contributions to 401a, at % salary match based on years of service. Licensing, DEA, covered Malpractice: Modified claims-made, 1M/3M limit, with coverage after retirement, resignation, or move to another practice. (I assume this means tail coverage, but they didn't say if I'd have to pay for it, if I ever leave). This is a clinic-only Ortho Spine job, with an Ivy League academic hospital. They were upfront about no OR because of residents, but they seem invested in training me as a new graduate. Aside from working with the surgeons, I also get dedicated time with a Radiologist for MRIs, and time with PM&R and Pain Management. Eventually, they want me to run clinic independently with my own patient panel, being able to read my own imaging, see new patients, and offer treatment, without needing much physician oversight, instead of just doing followups for the surgeons. They weren't very clear if I was going to have a chance to expand my role, or move within the department over time. The pay is on the lower side, and I'm not sure if they're willing to negotiate like private practices do. The fixed 40-hour schedule could allow me to work 1 day a week at a per-diem to keep my generalist skills sharp, and they didn't put a non-compete clause on the employment offer. I'm still looking to hear back from a private multispecialty group, also Ortho Spine, but with OR, trauma, ER, and clinic. Call will be % collection of RVUs. Medical management will be left to the Hospitalists, Ortho-style. This is more likely going to be 50+ hours, and around 85-90k salary + bonuses. No word about the rest of the compensation package. The increased hours makes their pay actually less than the academic job, and I can't imagine getting a per-diem with their schedule, but they do offer trauma and fracture management, which I won't get with the dedicated Spine job. I have until next week to decide, but I don't want to keep them hanging that long. I'm tempted to let the private practice job know I have an offer, but I'm not sure how that comes across. I was considering getting an offer from the private practice job, to negotiate my current job offer, but this risks taking too long and I don't want to appear greedy. That aside, I think that I will learn more with the teaching hospital, work less hours for comparable pay, but give up OR experience, in exchange. I think I can be a much more autonomous, and productive Spine PA, if I learn from a teaching hospital first, then move on to private practice, than balance learning with the practice's productivity if I go straight to it as new graduate. However, while the teaching is valuable and the Ivy League hospital's name looks good in my resume, I am concerned how the lack of OR experience could affect transition into private practice in the future, where I likely have a better chance of getting procedures, autonomy, and better pay. Thoughts? Link to comment Share on other sites More sharing options...
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