Jump to content

Recommended Posts

Hello! I'm a new grad and recently received a job offer and contract. I wanted to see what other PAs thought and things I should negotiate since this is my first experience with this.

Position is with a spine surgery practice in Texas:

- Salary $90K with yearly bonus "at discretion of CEO." This seems a little low, but hard to negotiate as I have no experience.
- 2 weeks paid vacation - In my interview they also stated that major holidays were off as well. Need to clarify if these would be paid or not. Is this reasonable time off or too little?
- 5 days sick leave with doctor's note
- CME allowance of $2500. They stated in interview that I also would have 5 days for CME, so I need to clarify this with my contract and whether they are paid or not and have this included in writing.
- Malpractice insurance is provided "consistent with reasonable surgical physician assistant coverage." Obviously need to clarify whether occurrence or claims maid. And tail or not.
- Individual health insurance covered by employer. Family health insurance covered by employee. I only need coverage for myself, so this sounded like a good deal to me.

Other than above, I also wanted feedback on my hours. My schedule is described as up to 5 days a week but then later says that 5 days is routine and more days as agreed by PA and physician as needed. Hours may or may not extend past 10 hours per day with workload not to exceed 80 hours a week. There is no mention of call but when discussed they said I should "rarely" be on call. Obviously I'm not trying to get tricked into working 80 hours a week when the job was described as a M-F position. What is the best way to ask that this is clarified and protect myself from being exploited?

Appreciate all of your feedback! Thank you!

Edited by knwandrick
change title
Link to comment
Share on other sites

4 hours ago, knwandrick said:

Hello! I'm a new grad and recently received a job offer and contract. I wanted to see what other PAs thought and things I should negotiate since this is my first experience with this.

Position is with a spine surgery practice in Texas:

- Salary $90K with yearly bonus "at discretion of CEO." This seems a little low, but hard to negotiate as I have no experience.
- 2 weeks paid vacation - In my interview they also stated that major holidays were off as well. Need to clarify if these would be paid or not. Is this reasonable time off or too little?
- 5 days sick leave with doctor's note
- CME allowance of $2500. They stated in interview that I also would have 5 days for CME, so I need to clarify this with my contract and whether they are paid or not and have this included in writing.
- Malpractice insurance is provided "consistent with reasonable surgical physician assistant coverage." Obviously need to clarify whether occurrence or claims maid. And tail or not.
- Individual health insurance covered by employer. Family health insurance covered by employee. I only need coverage for myself, so this sounded like a good deal to me.

Other than above, I also wanted feedback on my hours. My schedule is described as up to 5 days a week but then later says that 5 days is routine and more days as agreed by PA and physician as needed. Hours may or may not extend past 10 hours per day with workload not to exceed 80 hours a week. There is no mention of call but when discussed they said I should "rarely" be on call. Obviously I'm not trying to get tricked into working 80 hours a week when the job was described as a M-F position. What is the best way to ask that this is clarified and protect myself from being exploited?

Appreciate all of your feedback! Thank you!

Red flags all over this. Is all of this your wording or is it the wording of the employer? 

-Bonus "at discretion of CEO"  --> so I am guessing you won't get a bonus

-Malpractice insurance coverage "consistent with reasonable surgical physician assistant coverage." --> what is reasonable coverage in their minds?

-Scheduled to work "up to 5 days a week" 

-Scheduled to work 5 days "plus more days as agreed by PA and physician as needed" --> so you could be working 5-7 days a wk? hmmm....

-Hours "may or may not extend past 10 hours per day" --> so you could work as little as 5 hours per day or as much as 20 hours

-Workload "will not exceed past 80 hours a week" --> i would hope you aren't expected to work 80 hours per week, or 70, or 60

-Call is "rare" --> what is considered rare? once a month?

 

No... Just no...

  • Upvote 1
Link to comment
Share on other sites

Get details in writing.  As above, a lot of muddled wording.

Are you doing 4 10s?  That's up to 5 days and may or may not exceed 10 hrs.  In which case, great.  5 x 8hr days also fine.  But it's all too vague.  The fact that they have this language in the contract would say to me that you definitely at some point will be doing 10+ hr days and potentially reaching 80hr/weeks.  

You need details.  Make them get specific.  Make them put it in writing.  If the details lean your way, then sure.  As is, this doesn't sound promising (but you SHOULD try to pin them down, it might end up being okay).

Link to comment
Share on other sites

Thank you both for taking a look. I definitely agree that the hours need to specified further. At my interview we discussed a M-F schedule 8-5 with some OR days (7-5). 

I appreciate your feedback. For some background, I'm a new grad and relocated for my husband's job after graduation, so I don't have any great contacts or networking from school. So far I haven't had any other leads on my applications, so I'm not in a great position to turn this away IF I can get the hours clarified and nailed down.

Link to comment
Share on other sites

It's better to look a few more weeks, rather than switch jobs in 6 months. Have they had a PA before? What was his/her hours like? If you're gonna work 40 hours a week, then it's an okay offer. If you're gonna be working 60-80 hours a week, then it's shit. If you're working an average of 60 hours a week, that 90K means under $30 an hour. Terrible. Either clarify hours or insist on being paid 45/hour.

Also, the fact that you need a doctors note for sick time is absolute bullshit. You're a professional with a masters degree. I have a cold but I have to drag my ass to an urgent care, waste a copay, waste my time, just so I can get a note so I can get paid. Bullshit.

  • Upvote 1
Link to comment
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

  • Similar Content

    • By tally17
      Was hoping to get some opinions on an offer before I accept, this is my first contract as a new grad!
      Position is a fellowship located in New York, level III trauma center seeing 70K patients a year. First 12 months a physician will always also see your patients, with review to determine if you can begin seeing level 4/5 independently for the last 6 months. Not the greatest area but that means a very diverse patient population. There is NO residency program, so the PA fellows have first dibs at procedures and other opportunities if they want to learn them. Lead PA has been there 10+ years which tells me something, and says PAs get a very high level of autonomy in this ED with great physician support. 
      18 month contract (can sever with 120 days' notice)
      Full time hourly at $40.95/hr (+$5/hr night differential). 36 hours/week at 12-hour shifts rotating between observation, fast track and main ED. 5 hours/week didactic education. Opportunities to pick up additional shifts at 1.5x base. (Based on scheduling preferences/OT, anywhere between 88-100K/year)
      Full medical/dental/vision/disability benefits (Was told you don't get benefits summary until after you sign, is this standard? I find this strange and need to clarify)
      401K match (need to obtain details)
      Malpractice + tail
      Full reimbursement for license/DEA
      $1,500 CME allowance/year
      NO PTO except as required by state law (was told they work with your requests and are able to schedule you early one week/late next to gain 7-8 days off for vacation though)
      5K completion bonus at end of term, additional 5K retention bonus if you accept a position there at the end of the fellowship
      ACLS, ATLS, PALS, emergency ultrasound and emergency airway training provided
      Seems like a great opportunity as a fellowship to get my foot in the door of EM (have spent 5 months applying for EM positions in various states across the country with no bites, and I've been an EMT 8 years). Thanks in advance! 
    • By jcrispy
      Hello all,
      Long time reader, first time posting. I recently secured a job at a vascular surgery practice working with 2 different surgeons. The job includes working in all clinical settings (OR, inpatient, ICU, and clinic), but I am especially excited to be in the OR. My start date is at the end of August so I will have some down time before my first day. I was wondering if anyone had any recommendations as to how I can prepare so I can put my best foot forward when I start. Books, online material, videos etc. (I am open to anything really). I do understand that the first year, as a new graduate, can be tough especially starting off in a surgical specialty.
      Any and all advice is greatly appreciated!
    • By BLM8867
      Hey everyone, I graduate tomorrow and take the PANCE at the end of this month. Assuming I pass, I'll have 01 June - 31 December, 2021 free to spend back home in California. I start my residency Jan, 2022 in Houston. I'm going to spend the first month of my free-time enjoying life and focusing all my attention on my family. After that, I know I'm going to be itching to do something. I understand that due to my residency start date, finding any work will be difficult. I talked to a few preceptors and one preceptor mentioned to go get my DOT Certification and go work at an urgent care and do DOT physicals. Is this realistic with the short time I'll have (5 months)? Another provider mentioned COVID clinics. Is this also realistic?

      In addition to the two options mentioned above, are there any other "job" options for someone in my situation? I am open to anything. After taking the PANCE I'm sure I'll be super motivated to work and learn new things. I just want to do something and make some money while I wait for my residency to start. Any information will be greatly appreciated. Thanks!

×
×
  • Create New...

Important Information

Welcome to the Physician Assistant Forum! This website uses cookies to ensure you get the best experience on our website. Learn More