bcbuchan Posted November 26, 2015 Share Posted November 26, 2015 I should start off by saying that I have read every post titled "new grad ER offer" but nothing sounds similar to my offer. I was extended this offer on Saturday, and I have already tried renegotiating. He did not budge. The job is 3 hours away to my house now. The cost of living in this new area is much more costly than where I am living now. Here is the offer: Hourly rate $50/hour with raise expected in 2 months to $55/hour o Sign on bonus of $5,000 for 3 year commitment($2500 with return of LOI and $2500 upon first shift)- prorated pay back if early departure - in the job ad, it listed sign on bonus and relocation allowance separately. When I asked him about this, he said that this sign on bonus included my relocation allowance? I am a friends with the PA that worked here just this past year (she worked here for 6 years) and she got both. She loved this job, but told me to not accept unless he offered both to me. o Independent Contractor status- must create a corporation and be paid via direct deposit (this will require me paying for someone (attorney) to create for me, $500-$1000 o Paid malpractice including tail o 2 months of intensive ED training (paid), during which you will be expected to attend the ____ resident lectures every Thursday (not paid).-since the drive to these lectures would be 120 miles away (there and back), I requested gas compensation. He said no, and that he thought I would be happy to go to these lectures unpaid, because I would be hanging out with "doctors and residents." o Required: self-study in Emergency Medicine with monthly evaluations to assess progress. Will also complete the EM boot camp curriculum prior to start in ED (material provided). o Minimum of 14 shifts per month (between 10-12 hours each depending on season) for first 2 months and then a minimum of 12 shifts thereafter o 3 year contract with perpetual renewal, one hundred and twenty day notice for change in status.- On the phone interview, he said 2-3 years, at the in-person interview, he said a minimum of 2 years. When I asked for this be be changed to two years, he said no. That he would be investing $15k into training me, and it would only be worth to him to have me on 3 years. o Shared bonus compensation quarterly that is based on our Patient Satisfaction, Left Without Medical Screening, Core Measure bonuses- when obtained from the hospital - have no idea what "core measure bonus" is? o Will begin work as soon as credentialing is complete – expected January 2016. He said once I sign, he would send over the contract, so not really sure what this letter of intent really means then anyway? Let me know your thoughts. I have until this Saturday to give him a definitive answer. Other possible red/odd flags I noticed: - during the phone interview, he asked if I had children and if was married. He quickly said, I know it's illegal to ask, but... Being that I'm married and without children, I answered him anyway. He seemed pleased because the area this job is in, is mainly for the elderly and the wealthy (aka: no fun dating life for singles here). He also requested that I bring my husband to the in person interview. I thought that was odd? Anyone ever heard of that? Link to comment Share on other sites More sharing options...
bcbuchan Posted November 26, 2015 Author Share Posted November 26, 2015 I forgot to mention that his wife does something within this company. Every post on here says to never work with spouses. The only thing different here, is that I knew the PA that worked here for 6 years. She recently left (her own words to me) was because she was a single mom, and wanted to date (this city is for retirees with money). I met her coincidently during my ER rotation at another ER before i even interviewed here. She had nothing negative to say about her 6 years here. Except that I should not accept unless he gave me what his job ad advertised- which was a sign on bonus and a relocation allowance (cost of living is high there!) so my question is, is it still a bad sign that his wife and him work together? Link to comment Share on other sites More sharing options...
cinntsp Posted November 26, 2015 Share Posted November 26, 2015 lol, he thought you'd be happy to attend resident lectures unpaid...uh, no. Asking you to bring your husband to the interview is very strange and the fact that he flat out asked you illegal questions while mentioning that he knows they're illegal should tell you that there will be no respect for work-life balance. $55/hr as 1099 is crappy and there are too many red flags. I would pass on the offer. Link to comment Share on other sites More sharing options...
cop to pa Posted November 26, 2015 Share Posted November 26, 2015 First of all, I'm not a PA. However, he didn't offer what he advertised, asked a blatantly illegal question, which he knew was illegal, and shows no flexibility with negotiations. If you take the job, don't be surprised if you get screwed over. The four months notice would only make leaving worse. Link to comment Share on other sites More sharing options...
NCEMPA Posted November 26, 2015 Share Posted November 26, 2015 It's hard enough to figure out if people are shady when they put on a good face. If you're getting bad vibes and had that many red flags I'd keep looking around. Not worth the frustration. Link to comment Share on other sites More sharing options...
Will352ns Posted November 26, 2015 Share Posted November 26, 2015 The 3 year contract and the contractor status are the killers here. Your tax burden as a contractor is going to make your pay seem much lower than it is...especially in an area that you say is expensive. I know your pain, you want to get the specialty that you want...but this might not be the way to get it. Link to comment Share on other sites More sharing options...
marktheshark89 Posted November 26, 2015 Share Posted November 26, 2015 His unwillingness to negotiate and brazen attitude would in and of itself make me turn down this offer Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 26, 2015 Moderator Share Posted November 26, 2015 that is basically resident pay once you pay all your own bennies. if you really want em at that pay, do a residency then look at the really great jobs out there! Link to comment Share on other sites More sharing options...
bcbuchan Posted November 28, 2015 Author Share Posted November 28, 2015 Thanks so much for all your help. Today is the day I am to let him know my decision (which was going to be no), but before I sent it, he emailed me. He changed the long drive to the unpaid lectures every Thursday and he changed the contract from 3 years to 2.5 years. The only thing I am still holding out for is the relocation allowance, as promised in the job ad. I have taken all your comments into consideration, and I really was going to turn it down! If he doesn't add on the relocation allowance, i think it will be a "no-go," though His email this morning: Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 28, 2015 Moderator Share Posted November 28, 2015 the pay is still too low for IC status. remember you will probably be out 12-15/hr for all your bennies, funding your own retirement, disability, etc. Link to comment Share on other sites More sharing options...
RuralER/Ortho Posted November 28, 2015 Share Posted November 28, 2015 And changing to contract from 3 to 2.5 years is not really a significant change Link to comment Share on other sites More sharing options...
MediMike Posted November 29, 2015 Share Posted November 29, 2015 New grad friend of mine is currently pulling $78/hr as a 1099 in an ED. You'll really be selling yourself and the profession short here if you take that kind of pay. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 29, 2015 Moderator Share Posted November 29, 2015 New grad friend of mine is currently pulling $78/hr as a 1099 in an ED. You'll really be selling yourself and the profession short here if you take that kind of pay. THAT'S AWESOME!. my per deim jobs pay 65, 70, and 80/hr....with 29 yrs of experience, 20 of it as an em pa. Link to comment Share on other sites More sharing options...
MediMike Posted December 4, 2015 Share Posted December 4, 2015 Yeah man, don't know how she managed it other than 15+ years as an ED/ICU RN. Brat. Insurance through her husband as well. Of course she's over in Spokompton so there's that aspect of it... Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted December 5, 2015 Moderator Share Posted December 5, 2015 I have a regular urban job that covers my benefits and starting next month I will only be there 80 hrs/month so I can concentrate on the rural per diem gigs for the majority of my hours and job satisfaction... Link to comment Share on other sites More sharing options...
bcbuchan Posted December 10, 2015 Author Share Posted December 10, 2015 Thanks for everyone's input! I don't think I will be taking this job, after reading all of your comments. I was extended another offer from an urgent care just this week. -$65/hour, 12 shifts per month 13.5 hour shifts (guaranteed $126,360 annually)- interviewer (owner) and recruiter both told me that I would only have to do 10 shifts. Is this a big deal? -health and dental insurance 50% covered -no sign on bonus, no reimbursement for DEA etc, no CME Link to comment Share on other sites More sharing options...
PA-StoPA-C Posted April 12, 2016 Share Posted April 12, 2016 New grad friend of mine is currently pulling $78/hr as a 1099 in an ED. You'll really be selling yourself and the profession short here if you take that kind of pay. What state is this in? Link to comment Share on other sites More sharing options...
cushball08 Posted April 13, 2016 Share Posted April 13, 2016 I have new grad friend making 75 hr with full benefits. Not a 1099 position. new grad jobs in EM are there just have to be lucky and in the right area. Link to comment Share on other sites More sharing options...
nds1111 Posted April 13, 2016 Share Posted April 13, 2016 What state is this in? Washington Link to comment Share on other sites More sharing options...
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