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.
My SP is retiring and selling his FM practice. I am looking for advice on salary negotiation with the new supervising physician.
The new SP has big aspirations for the practice and plans to add many updates which is exciting but it appears that it will also come with quite the workload increase.
I suspect that we will be marketing the practice more which means more patients. (I currently average 15 per day)
He wants me to credential at the local hospital and round on our patients in the morning if they were admitted to the hospital in the morning prior to seeing patients at clinic.
He also wants me to begin taking call (one weekend a month) at the local hospital.
We may also round at the local Nursing Homes one day a week
Current Base: 90k. No Production bonuses
With the added workload that will be expected, any advice on if I should ask for a raise vs productivity bonus?
Hello I’m a PA with 11 years experience who has worked in hospitalists medicine for over 9, various places. I’ve been at the same low salary for the past 5 years. 105k 7 on 7 off capped at 8 admissions per day 3-11, no PTO no sick days (have to be made up). I had a talk with them and as a result Ive been offered 125k with quarterly bonuses with an increase in patients. 2500 cme with licenses and fees to come out of the 2500
Pros: Fully Autonomous, flexible on start time, good rapport with boss. Typically done with my cap in 7hrs per day. Essentially working 56 hrs every two weeks, making the hourly rate pretty good. Possibly able to still complete a shift in 9hrs with new cap proposal.
Cons: Poor communication in the office. Sometimes travel between two facilities
I reached out to another hospital system in town and the local competition is willing to pay 128k base with 10k bonus divided quarterly. 2500 cme and pay for licensing and fees. Shift will be ten hrs. 2-midnight. No cap on admissions however told typically 6-7 admissions per night
Pros. No travel required,
Cons: no access to doc lounge (wth!), likely present every patient to supervising doc, don’t eat free with exception of “doc area” buffet that closes at the start of my shift. Longer shifts.
My question is are these competitive numbers for the year we are in and also which seems to be the better option?