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Cup

New Grad Oncology in High COL Area

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This is an 100% outpatient practice. They have multiple locations but I'll be working between two clinics in a  major city with high COL. I interviewed with the director of Human Resources and I'm scheduled tomorrow for a tour of one of the clinics that I'll be assigned to.
  • 40 hours per week, Mon-Friday (No weekends, no on-call)
  • $100,000 salary
  • Medical, Dental & Vision
  • 401K*
  • 6 Holidays
  • 5 sick days with accrual to up to 2 weeks the first 2 years
  • Reimbursement for DEA & State License renewal fees, not initial
  • Malpractice*
  • 3 CME days annually
  • $500 CME annually
  • 6 month training period; there will always be 2-3 doctors/NPs/PAs on-site.
  • 18-20 patients per day (They assign 15 minute blocks for Follow Ups and 45 minutes blocks for New Consults)
*I'm not sure whether malpractice includes tail coverage and whether 401k includes matching, but I'll be getting the official contract by the end of this week
A couple concerns:
  • Lower than average salary for my location. I'm thinking of countering with 105k. Average starting salary in my area is 110k but to be honest this is the best offer I've received. I know a few classmates who accepted an equivalent ~110k salary with small physician-owned practices but were lacking on benefits (e.g. no Medical/Dental/Vision, no 401k)
  • As detailed in another post, I'm not sure if oncology is the specialty I want to stay in (although I want to stay in the general internal medicine field). However this is the best best offer I've received after looking for the past 2-3 months. I know that's not a relatively long time for a job hunt and I am okay with searching a bit longer for a better offer in a more generalized field; I'm just not sure if it will come at this point. 
Any thoughts appreciated. 
Edited by Cup

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That's a very high patient load - make sure you aren't expected to do that after your 6 month training period.  Where I'm located even the physicians don't see that many per day.  Especially considering the steep learning curve (ALL of oncology means you'll have a lot to get the hang of)...just make sure expectations are realistic.

You also don't mention PTO.

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CME $$$ is ridiculous.  I rage in the night at the $1500 we get at my current position. 

Any PTO other than sick days?

I understand from your posts that jobs are difficult to come by, but $100k is a high COL region is pretty untenable in my opinion.  I'm up in the PNW and we have new grads starting off as hospitalists at ~$125k, 6wks PTO (I think) and other benefits that are much better than that which you are describing in a moderate COL area. 

Just a thought, seems like this is a less than ideal offer in a specialty you don't really have interest in staying in.  Consider relocation?

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33 minutes ago, MediMike said:

CME $$$ is ridiculous.  I rage in the night at the $1500 we get at my current position. 

Any PTO other than sick days?

I understand from your posts that jobs are difficult to come by, but $100k is a high COL region is pretty untenable in my opinion.  I'm up in the PNW and we have new grads starting off as hospitalists at ~$125k, 6wks PTO (I think) and other benefits that are much better than that which you are describing in a moderate COL area. 

Just a thought, seems like this is a less than ideal offer in a specialty you don't really have interest in staying in.  Consider relocation?

I live in the PNW. The only folks I know getting 6 weeks PTO are KP employees after several years. I have not gotten that kind of PTO offer in years(since I left KP). My last 2 jobs were 2 weeks. $500 for cme IS ridiculous. a single conference that you have to fly to generally runs around 2 k with airfare, hotel, rental car,, food, etc. My last job did $1750 and that was a joke.  Of course now as a 1099 I get no bennies aside from malpractice, so I have to pay for everything, but can deduct the expenses. Still, most of my cme is now driving distance away.

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