I'm a PA who's been working in Oklahoma doing general surgery and urology at the same hospital since I graduated in May 2018. I have two concerns:
1) I finished a 1-year contract and resigned for a 3-year contract which bases my annual bonus off of RVUs (very low 1520). I recently finished the first year of this contract and I've been told the hospital doesn't know how many RVUs I've accumulated because they don't know how to calculate my RVUs from surgery. Apparently, they have always had this issue with RVU calculations for PAs (there is only one other PA working in ortho at this hospital) and they've been "working to figure it out" , but I've been asking for my productivity for about two years and have yet to get ANYTHING useful. In fact, I have been stood-up twice by the clinic manager for scheduled meetings to discuss productivity.
2) As I mentioned, recently finished off the first year of that contract. I requested an annual review and the clinic manager completely ignored that portion of my email. Seems completely unprofessional to not perform reviews. Convinced my first job at a bowling alley was more professional than this.
Wondering if this kind of thing is normal or just a lazy clinic manager...and maybe any legal advice regarding them giving me a contract with a metric that they have admitted they don't know how to measure. Thanks in advance.
I'm a new grad PA (started the program right out of high school) who just received a job offer for a hospitalist position with the details here:
40 hour week. Five 8 hr shifts a week. Overnight from Sun- Thurs 11pm-7am.
$85,000 base pay
$15,000 for overnight annual bonus. Would be taken away if I switched to days.
4 weeks PTO
1 sick week
1 week CME and $1500
Paid DEA liscense.
I'm curious if I should ask for more base pay. Any opinions? Thanks!
We are a mobile dermatology practice that services the elderly community by providing in-site services to individuals in Independent Living Facilities, Assisted Living Facilities, Nursing Homes and private homes.
Currently looking for a part-time Physician Assistant or Nurse Practitioner with dermatology experience to take over an existing practice in the Fort Myers, FL area, with the possibility of growth to full-time as you grow the practice. Practitioner has the flexibility to set own schedule during the week or on weekends. Supplies and office support will be provided, as well as access to our electronic records software, EMA.
Examine patients and their medical records
Diagnose health conditions and illnesses
Preform biopsies, ED&Cs, and minor surgeries
Propose treatments for chronic and infectious diseases
Maintain accurate records and schedules
Inform patients and family members about their health conditions and prescribed medications
MUST have at least 1 year medical dermatology experience as you will be working autonomously.
Medical license required.
Hired as a Independent Contractor with compensation equal to 30% of collections, paid monthly.
Right candidate is organized, can work independently, is responsible and has a positive attitude. Also must be motivated to grow the business and form relationships with on site staff and administrators.
Medical Assistant will be provided if/ when working full-time.
Looking to hire immediately.
Job Type: Part-time with possible growth to Full-time
Compensation: 30% of collections
We are required to follow all COVID regulations set forth by the facilities we enter, which may include masks, gowns, face shields, questionnaires, and temperature checks. Some facilities may require a current COVID test as well.
Here are the details of my offer. There really wasn’t much to it and I have no idea where to start with negotiations and what I need to bring up. My concern is that the salary is a little on the low side. Any advice or thoughts would be appreciated!
24 days PTO
5 days CME
New grad dermatology offer in the Northern Virginia area. Solo MD practice with 4 PAs (1 is leaving and another is leaving in a few months). Only the MD has an MA who brings back pts, scribes and assists with procedures. No Mohs in office. PAs see approximately 15 pts per day at 30 minute intervals - bring pts back to rooms, turnover rooms, perform beta-hcgs without assistance. Location, providers and support staff are great - shadowed with the practice following interview.
Offered a 1-year contract for $48/hr, 36 hours/wk, work 8AM - 5 PM (1 hr for lunch flexing every other Friday), no weekends or holidays, no call. Paid bi-weekly. Compensation while training will be $25/hr for the first 4-weeks of employment, increasing to $30 thereafter (no longer than 12 weeks) with a retention bonus after 1-year to compensate for pay-cut during training period.
Productivity bonus begins after 1-year of employment: annual bonus of 5% of the aggregate amount in excess of 3x calculated annual salary.
PTO - 83.2 hours (2 weeks) covers vacation, sick leave, CME travel; increases to 3 weeks after 1-year
Annual stipend - $1,000 covers licensure, CME (to include travel and lodging expenses), uniforms, dues, books.
401k - dollar for dollar matching up to 4%
Malpractice insurance - provided but no details written in the contract; verbally told that there is no tail coverage but did not seem to know if policy was claims made vs occurrence.
No dental, health, vision. Currently covered under spouse's plan.
Restrictions: no moon-lighting, 2-year non-compete with other derm offices within a 20 mile radius.
Offered Urgent Care position at $58/hr, ~32-36 hrs/wk to include two Fridays and one-two weekends a month. 2 months training at full pay. Non-training shifts will be from 2 PM -10 PM; working with another PA/NP in house at all times - can work solo after 1 year. Paid time and a half for holidays worked. No call. Salary growth of 3-6% annually plus RVU bonus.
PTO - 84 hrs; plus 3 months maternity leave through disability
401K - 100% vested after 1 year, 3-6% match after 1 year
Profit sharing - 1500 hours (not really sure what this means...need to do some research)
Malpractice insurance - occurrence policy. No tail coverage.
Health insurance provided.
Licensure fees, membership dues covered.
I like both practices and need some feedback. I like staying busy, doing procedures and developing relationships with patients. I do no like the UC hours to include shift time, weekends and holidays - spouse works 9AM-5PM and want to have more time together. Derm location is closer to home, less charting, predictable schedule. I want to renegotiate the derm offer to match the hourly compensation of the UC offer - hoping to get at least $53/hr, ask for 20% rather than 5% annual bonus with a goal stipend of $2500. Any tips of advice of any sort would be greatly appreciated. Thank you.