lovemedicine Posted February 4, 2016 Share Posted February 4, 2016 Hello all, I appreciate all the advice for a negotiation. The offer is for a full time primary care position in DC. Small private practice: 1 MD, 1 NP, 1PA - Salary: 95k. No any kind of bonus. - Monday through Friday. If they want me to work the weekends I can take a day off during the week. - PTO : 10 days. CME : 500, no days off. No sick days. - Health insurance: 50% just for employee. No dental. No vision. - Malpractice without tail. - Paid license and DEA. - 3 years contract with non-compete within 10 miles. Thanks in advance Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted February 4, 2016 Administrator Share Posted February 4, 2016 That's a decent salary, but the benefits suck. I wouldn't take it, but as someone with a family I'd rather take less cash and more benefits. Link to comment Share on other sites More sharing options...
lovemedicine Posted February 4, 2016 Author Share Posted February 4, 2016 Thanks Ronin for the quick reply. I think there is some room for a negotiation. I'll negotiate for better benefits. Looking to hear more advice. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted February 4, 2016 Administrator Share Posted February 4, 2016 Specifically, I started in family med as a new grad with a grand total of 38 days PTO in my first job (20 annual leave, 12 sick, 6 CME), full medical/dental/vision for self+family, $1500 CME, and a few other things like STD, LTC, ID theft insurance, tail... Link to comment Share on other sites More sharing options...
treejay Posted February 4, 2016 Share Posted February 4, 2016 Yeah agreed with rev, bennies suck. 10 days vacay is a disgrace IMO. People need more vacation! It translates into better patient care! Duh! Link to comment Share on other sites More sharing options...
lancer_dancer01 Posted February 4, 2016 Share Posted February 4, 2016 I agree with above and $500 for CME is way to low, that likely won't even cover the cost of a conference you want to attend let alone the travel, hotel, and food expenses. Link to comment Share on other sites More sharing options...
cinntsp Posted February 4, 2016 Share Posted February 4, 2016 I can't help but feel insulted for folks that get those $500 CME offers. It's not as if the doc or practice manager don't know how much it costs to attend a conference, get an uptodate subscription, etc. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted February 4, 2016 Administrator Share Posted February 4, 2016 I can't help but feel insulted for folks that get those $500 CME offers. It's not as if the doc or practice manager don't know how much it costs to attend a conference, get an uptodate subscription, etc. More to the point, it hurts you financially to get $1000 more in salary and $1000 less in CME. That $1k is not taxed when it's a business reimbursement. If you have to deduct business expenses afterwards, the record keeping is on you, and you will already need to have itemized deductions. It's like buying something at $199.99--a cheap maneuver to make financially ignorant people round down mentally rather than up. Anytime you see something like that, you know the person setting the financial policies thinks you're stupid. Link to comment Share on other sites More sharing options...
lovemedicine Posted February 4, 2016 Author Share Posted February 4, 2016 Thank you very much for the very good points you made. I am going to have a discussion with them. If they do not reconsider, I'll abandon that job. Thanks again and I hope to continue hearing more from you guys Link to comment Share on other sites More sharing options...
delco714 Posted February 4, 2016 Share Posted February 4, 2016 Maybe I'm just in a mood, but if you came at me with 10 days pto I would immediately interject and state the obvious: a sincere neglect for commensurating time off. The rest of the bennies suck too. You won't negotiate to a fair middle ground that I can see here Link to comment Share on other sites More sharing options...
lovemedicine Posted February 12, 2016 Author Share Posted February 12, 2016 Thanks again guys. I sent them the request for a reconsideration a week ago but I do not hear anything from them yet. I really like the location and the family practice. What should I do now? I appreciate your suggestion Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 12, 2016 Moderator Share Posted February 12, 2016 attendance at an out of town conference for 5 days with airfare, hotel, etc generally runs 1500 bucks....also 50% of health and no dental/vision? deal breaker for me. personally I would never consider a position that was not 100% medical/dental/vision for me and family + full bennies including a min cme of 1500 ( I get 2k now). also cost of living in DC is very high and if you commute into the city you will spend your life in transit... Link to comment Share on other sites More sharing options...
Iain1028 Posted February 12, 2016 Share Posted February 12, 2016 Can you get pre-loaded Starbucks gift cards as some type of bonus? At least ask……. Link to comment Share on other sites More sharing options...
lovemedicine Posted February 17, 2016 Author Share Posted February 17, 2016 Thank you all of you for value inputs Here is their reply: Changed: Increases salary to 96k (1k more) but increases office time : 8.30 am to 6pm 50% for dental, vision insurance 2 years contract (instead 3) Will consider tail if I give them the rates. 401 After 1 year No change: still 10 days PTO, CME still 500 without time off, still no sick days. Health insurance still 50%. No any insurance for family. Any thoughts? Link to comment Share on other sites More sharing options...
ajnelson Posted February 17, 2016 Share Posted February 17, 2016 The increase in pay is lame, if they are asking you to work one more hour a day times 5 days a week, I'm guessing your hourly would actually go down if calculated out. Link to comment Share on other sites More sharing options...
delco714 Posted February 17, 2016 Share Posted February 17, 2016 The increase in pay is lame, if they are asking you to work one more hour a day times 5 days a week, I'm guessing your hourly would actually go down if calculated out.By a large margin. At this point I would be straight and tell them exactly this and more or less that you were offended and felt they were being manipulative and unreasonable.also goodbye Link to comment Share on other sites More sharing options...
JohnnyM2 Posted February 17, 2016 Share Posted February 17, 2016 Telling them you were offended may make you feel better but it won't get you anything. Decide what you need and tell them you would accept that offer and would like to work there if they have that flexibility. It's always better to be positive. Link to comment Share on other sites More sharing options...
delco714 Posted February 17, 2016 Share Posted February 17, 2016 I disagree. I think they should walk away from the offer and tell them precisely why Link to comment Share on other sites More sharing options...
HMtoPA Posted February 17, 2016 Share Posted February 17, 2016 I think the salary sucks in addition to the benefits. No so much in objective terms, but for a DC area job? You're going to be bringing home peanuts after you pay rent. Link to comment Share on other sites More sharing options...
JohnnyM2 Posted February 18, 2016 Share Posted February 18, 2016 I disagree. I think they should walk away from the offer and tell them precisely whyYou may be right. But what if the OP likes the employer and would like to work there under the right circumstances. And what If the employer likes the candidate but is trying to stay within certain arbitrary guidelines? I guess my take on it would be to clearly state what is an acceptable offer that the candidate would, in fact, be happy to accept. I prefer to leave emotional responses and feelings out of job negotiations. But I agree that if the candidate's counter offer is rejected, they walk away. I just don't see the economy of saying you are "offended ." To me, the art of negotiation is to keep the conversation positive and to keep moving towards your goal. The employer may respect that and give in. If not, your position is clear and you can bow out. Perhaps you have a good reason for telling the employer you are owned. Can you explain that? Sent from my SM-G900V using Tapatalk Link to comment Share on other sites More sharing options...
PAtoB Posted February 18, 2016 Share Posted February 18, 2016 I'd respond a simple: "Slightly less insulting, but at least it's 1K more." ... then run away. Link to comment Share on other sites More sharing options...
delco714 Posted February 18, 2016 Share Posted February 18, 2016 I'd respond a simple: "Slightly less insulting, but at least it's 1K more." ... then run away.And 200+ more hours a year? Link to comment Share on other sites More sharing options...
PAtoB Posted February 18, 2016 Share Posted February 18, 2016 i wrote it wrong and edited it, but edit not showing for some reason. Link to comment Share on other sites More sharing options...
delco714 Posted February 18, 2016 Share Posted February 18, 2016 You may be right. But what if the OP likes the employer and would like to work there under the right circumstances. And what If the employer likes the candidate but is trying to stay within certain arbitrary guidelines? I guess my take on it would be to clearly state what is an acceptable offer that the candidate would, in fact, be happy to accept. I prefer to leave emotional responses and feelings out of job negotiations. But I agree that if the candidate's counter offer is rejected, they walk away. I just don't see the economy of saying you are "offended ." To me, the art of negotiation is to keep the conversation positive and to keep moving towards your goal. The employer may respect that and give in. If not, your position is clear and you can bow out. Perhaps you have a good reason for telling the employer you are owned. Can you explain that? Sent from my SM-G900V using Tapatalk There are absolutely civil ways to convey what a garbage offer this is without offending them. I wasn't offering a verbatim conversation to be had. But clearly these people need to get insight to their poor and seemingly at this point offensive offer! Link to comment Share on other sites More sharing options...
lovemedicine Posted February 18, 2016 Author Share Posted February 18, 2016 Thank you all. I got your points. Happy job hunting! Link to comment Share on other sites More sharing options...
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