SL87 Posted July 30, 2017 Share Posted July 30, 2017 Hello, I've been offered two positions in primary care and need help deciding which one is better for the long run. A little history- I've been practicing for about a year now; was working in a clinic as the only provider and would consult with the sp over the phone. This was the hardest thing I've ever done as new grad and would not recommend new grads to do this. The provider was not readily available and sometimes would not respond to the calls immediately- honestly the learning opportunity was not great- I still feel weak in management on chronic illness as the sp would see the patients on the days that sp was in the clinic and I'd do the minor cases- example hp,pap,uti. and when sp saw the patients sp didn't discuss the cases with me as the patients were over booked. We barely reviewed cases at the end of the day- charting was another problem I won't go into. I have some knowledge but not the best and feel like I need some mentorship. Both positions are claims-made policies. Already signed a contract with the 1st position and delegation agreement has been submitted to the board-awaiting confirmation (scheduled to start work anytime soon). I have to respond to position 2 if I'm accepting the position or not. I really need help deciding. Thanks. Positon 1: 100K salary Would be the only provider on site: 3 times per week 12hrs shift and work 2 sat per month- SP would be available via phone for consultation 20 mins from home, No call 3 week vacation 3 sick days 3 days cme-$1500 4 month notice if I decide to leave practice Retirement package available after practicing there for 1 year. Positions 2: 95K (non-negotiable) 35 mins from home Work days: M-F no weekends On call every 6 weeks This would be a group practice- Bonus there are providers in the office I can consult with $500 cme (non-negotiable) 5 days cme 3 week vacation days Retirement package starts after 90 days and company matches upto 3% No sick days separated from vacation days 2 month notice if decide to terminate. Link to comment Share on other sites More sharing options...
marktheshark89 Posted July 30, 2017 Share Posted July 30, 2017 I would choose #2. You state you need mentorship and position 1 does not offer it at all. Seems like you'd just be jumping ship from one bad situation to another. Link to comment Share on other sites More sharing options...
crossbone2007 Posted July 30, 2017 Share Posted July 30, 2017 I agree with Mark, option 2 is your best offer in terms of training. Don't worry about the CME money as you can subscribe to NEJM Knowledge + for $400/yr to gain 200+ CME credit a year in family medicine. Sent from my Nexus 5X using Tapatalk Link to comment Share on other sites More sharing options...
PACJD Posted July 31, 2017 Share Posted July 31, 2017 In terms of learning, position 2 is the better offer. However, in your case, you already have a year under your belt and experience with this type of employment, so if your comfortable with it, option 1 is the better choice overall. Good salary, and 3 12s in my opinion is ideal. Link to comment Share on other sites More sharing options...
camoman1234 Posted July 31, 2017 Share Posted July 31, 2017 15 hours ago, NJPL1213 said: In terms of learning, position 2 is the better offer. However, in your case, you already have a year under your belt and experience with this type of employment, so if your comfortable with it, option 1 is the better choice overall. Good salary, and 3 12s in my opinion is ideal. Not great advice. Having 1 year under your belt with GOOD mentorship, you still should not be solo. SL87 states that he/she "feels weak in management in chronic illnesses." This is a red flag, but one year is nothing as far as medicine is concerned. SL87 needs close mentorship for a few years before going solo. Good luck SL87! P.S. I would choose # 2. Link to comment Share on other sites More sharing options...
PACJD Posted July 31, 2017 Share Posted July 31, 2017 2 hours ago, camoman1234 said: Not great advice. Having 1 year under your belt with GOOD mentorship, you still should not be solo. SL87 states that he/she "feels weak in management in chronic illnesses." This is a red flag, but one year is nothing as far as medicine is concerned. SL87 needs close mentorship for a few years before going solo. Good luck SL87! P.S. I would choose # 2. Hence why I said "in terms of learning, position 2 is the better offer." I never said it was a good idea going solo with 1 year. But if SL87 can handle something like this it may not be a bad gig to accept. Link to comment Share on other sites More sharing options...
camoman1234 Posted August 1, 2017 Share Posted August 1, 2017 18 hours ago, NJPL1213 said: Hence why I said "in terms of learning, position 2 is the better offer." I never said it was a good idea going solo with 1 year. But if SL87 can handle something like this it may not be a bad gig to accept. "However, in your case, you already have a year under your belt and experience with this type of employment, so if your comfortable with it, option 1 is the better choice overall." No you did not come out and say that, but you surely did imply it which is not great advice. Besides the point, he/she will do whatever, but option 1 is much better for his/her patients, learning, longevity of his/her career, etc...you get my point. Link to comment Share on other sites More sharing options...
SL87 Posted August 1, 2017 Author Share Posted August 1, 2017 Thank you all for your replies. Camoman1234 did you mean to say option 2 will be much better for his/her patients, learning, longevity of his/her career? Thanks Link to comment Share on other sites More sharing options...
camoman1234 Posted August 1, 2017 Share Posted August 1, 2017 58 minutes ago, SL87 said: Thank you all for your replies. Camoman1234 did you mean to say option 2 will be much better for his/her patients, learning, longevity of his/her career? Thanks Yes I meant option #2, thank you for correcting me. I have a 5 week old at home so I am a little tired haha! Good luck! Link to comment Share on other sites More sharing options...
SL87 Posted August 1, 2017 Author Share Posted August 1, 2017 ok thanks! Link to comment Share on other sites More sharing options...
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