rrlpa Posted October 18, 2016 Share Posted October 18, 2016 I have a question about my current gig. I'm so dissatisfied with the degree of my responsibility and my compensation. I work for a large Hospital system in the west providing solo coverage to a low volume, high acuity rural ED. We are at the convergence of 2 major interstates and are a farming community. A recipes for badness in the ED. I completed a post-grad program in EM and am fine covering the ED here. I have 8 years experience and my skills with medical and trauma patients are up to snuff. My medical director who is boarded in EM says that I do a much better job with sick patients than the FP guys/residents who cover shifts here. The catch is that by working for this health system, my pay is per years of experience (8 years). I get paid what the other PAs with same experience get paid even though at the urban or suburban facilities, they have a physician on site continuously for consults or when the (*&^% hits the fan. This is not the case with me. I'm all alone all the time. Have a general surgeon who is around occasionally and that's it. I make high 50's/hr, plus benefits, cme, 401k match, pension after 25 years and licensing. I love my job, but its setting me up to either demand more pay/hr or move to a less stressful setting. How would y'all approach this with administration? Link to comment Share on other sites More sharing options...
Moderator ventana Posted October 18, 2016 Moderator Share Posted October 18, 2016 WAY underpaid A Doc would cost them 250-300k per year You are doing the same thing for 100k I think this is an area where PAs need to grow as a profession - when we are experienced and up and running at the same level as a doc we should be close to the same income. Granted we will never will be the same as we just will not - but if you are covering solo, and doing it all - I would say you should be closer to $100/hour - or in the high 100-low 200's range Good luck getting HR to see this - mine sees the value of PAs but caps it at about 140k - which is pretty darn good, but for those that are truly great it is still a bit insulting...... I think the angle you need to take is stop comparing to PA - instead compare to MD/DO and even better the rate for the FP doc's that are covering.... Link to comment Share on other sites More sharing options...
PAMTB Posted October 18, 2016 Share Posted October 18, 2016 You are way under paid! When I was working solo in a critical access hospital I was making 65/hr. I know PAs who work solo in rural EDs who make 100-110/hr. I don't know if the AAPA salary report has enough data to support this, but it is worth a look. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 25, 2016 Moderator Share Posted October 25, 2016 way underpaid. anyone who has done an em residency should make $60/hr plus to start. solo/rural coverage $65-80/hr + Link to comment Share on other sites More sharing options...
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