huxon44 Posted September 13, 2016 Share Posted September 13, 2016 Hey everyone, thanks in advance for your feedback. I have an offer for a rural primary care position as a new grad. I went to a primary care heavy PA school that mainly focused on rural primary care. I spent a total of 12 weeks at this site during school for my primary care rotation so I am very familiar with the staff, patient load, patient population, office, etc. Offer details: 4 shifts of 10 hours per week 100K salary with bonus for wRVU billed over 3500 per year at 30$ per RVU with no cap (PA knows all wRVU billed) Occurence coverage 4 weeks PTO, not accrued. 9 holidays, 1 week CME paid with $1,500 allowance Full benefits which from talking with PA at the location are not great but not terrible. 401K with 4% match All licensing, fees, etc paid including professional subscriptions One call weekend per quarter - paid Sign on bonus 10K NHSC approved site with likely 50K loan repayment per 2 year contract Pros - Great salary and potential with bonus structure. PA that is leaving currently making 135K seeing 20 pts per day. Loan repayment possibility. Benefits/PTO/401K Cons - 1 hour from current home each way, although little to no traffic. No MD on site during my work days, available by phone at all times, works 20 minutes away although I will have a full month training period at full pay with him prior to starting solo. (Again our program was very rural primary care focused and I spent 12 weeks here and felt comfortable so I feel a little better about this and the 1 month training period.) No negotiations yet.. Thanks Link to comment Share on other sites More sharing options...
mgriffiths Posted September 13, 2016 Share Posted September 13, 2016 I'm going to be a new grad soon, but this offer sounds pretty good! Will there be any other providers at the clinic you will be at that have some experience? If not, then you'll probably have some difficult times starting out with the on sight support, but that doesn't mean you should not take the job. Also, could the 1 hour commute be decreased by you moving closer to work? Sounds obvious, but you stated the commute as a con. Link to comment Share on other sites More sharing options...
huxon44 Posted September 13, 2016 Author Share Posted September 13, 2016 There are multiple speciality providers that rotate through the clinic on given weeks, cardiology 2x per month, OBGYN 2x per month, Ortho 2x per month but no other PA or MD onsite when I am there. I was lucky in that I spent 6 weeks in cardiology, 6 weeks in endocrinology, and 6 weeks in urgent care/ER at a military hospital which as a student I was given basically free range on all patients with minimal oversight. I have about 4 years of orthopedics experience prior to PA school and spent a year working in nutrition (my undergrad degree). Yes, we will plan to move closer, but likely only about 15 minutes as most of my family lives in the town we live in an the rural town only has about 800 people and not much to do! Thanks for the reply! Link to comment Share on other sites More sharing options...
needmorecoffee Posted September 13, 2016 Share Posted September 13, 2016 Would you mind sharing what part of the country this is in? Thanks! Link to comment Share on other sites More sharing options...
Moderator ventana Posted September 13, 2016 Moderator Share Posted September 13, 2016 sounds good make sure all the license and fee's does not come out of your CME funds and that you have DIRECT access to ALL billing reports written out in your contract..... Link to comment Share on other sites More sharing options...
huxon44 Posted September 13, 2016 Author Share Posted September 13, 2016 Needmorecoffee this offer is in the southwest. Ventana - the offer is for 1,500$ towards license and fees yearly, I can use CME after that if needed. I will make sure about the billing, thanks for that! Link to comment Share on other sites More sharing options...
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