Looking for some thoughts on an urgent care offer in northern NJ.
Multi specialty practice based urgent care. Mix of acuity. We can get stat CTs.
$64/hr = 133120 per year
Hourly not salary
160 hours PTO
0 hours CME days
Mix between 12hr (week day 8A-8P) and 9hr (8A-5P) shifts
4% match 401k
5% annual bonus
Approx 20-30 patient's per day
I have 5 years experience as a PA
Thanks in advance!
Recent new graduate here. I just received an offer from a small private, moderately paced urgent care/primary care office and I have a few questions about some items in my contract. Not sure if the items are reasonable for PAs in my area and looking to get some feedbacks from actual PAs in practice rather than just my parents. Here are a few details of my contract:
- 18 month contract with required 90 days written notice of termination
- 96K salary with bump after completing "training CME" courses paid for by the practice. 17 weeks to complete the courses and salary will increase to 101K
- Productivity bonuses based on wRVUs and charts completed and coded within 48 hours
- PTO accrued based on time worked. Begin accruing PTO 1 month after completing 90 day introductory period. PTO is to be used for PERSONAL DAYS, SICK DAYS, and VACATION time. (contract states that in first 0-3 years I can accumulate up to 100 hrs/2.5 weeks PTO)
- Non-compete clause during employment and 12 months after termination. Cannot engage in primary, multi-specialty, urgent care offering similar services within a 2 mile radius of any clinics. (This can be kind of limiting for me due to the central location of the clinics in the city - I am considering a negotiation for this to be removed or possibly brought down to 1 mile)
- Still need clarification of type of malpractice insurance, but it is offered. (Not sure if I will require tail coverage yet but will be finding out)
- Multiple Heath insurance policies available but not covered 100% by practice. Most expensive policy will cost $162 Bi-weekly for employee coverage (No additional spouse or family coverage)
Additionally, I have a few concerns about orientation and training on site. Currently, both clinics have single provider coverage with experienced NPs. Will be asking tomorrow about my expectations for providing single-provider coverage and working on my own. Was told by employed NP that the providers at both clinics are in constant communication via phone and text. Also assures me that the Medical Director is often on site and always quickly answers phone calls and texts. Medical director seems very eager to teach but I still have concerns about his expectations for me as a new grad due to his experience with mainly experienced NPs.
ALSO, the salary is VERY tempting and I don't want to be blinded..
Thank you all for any help or feedback you can give!
I work at a rural hospital in orthopedic surgery. I recently met with my employer’s director of clinical operations to discuss my productivity. In my second contract (signed this summer) it states that there will be a bonus of $25 for every wRVU over 2350. Last year as a new graduate I produced somewhere around 4300. During the meeting with the director I was given a statement of practice operations stating my current RVUs, charges, etc with the statement that the “fee modifying deduction” has not yet been added to the RVU total. He states that I will receive 25% of the surgeon’s RVUs for each billable surgery. That makes sense, however, they are wanting to give me 85% of my own clinic RVUs. Does anyone else have any experience with these kind of deductions in regards to their bonus payout? I know the conversion factor of $25 is already pretty low, so are they trying to avoid paying me with these deductions? There is nothing in my contract regarding these deductions.
I've been working in emergency medicine for about 1 year in a setting with a good mixture of high acuity and fastrack patients at a teaching institution. I've also worked during this time per diem at a low volume urgent care. While this has been an outstanding first job in terms of resume building and learning, it of course has the downside of wild hours, nights, weekends, holidays, etc. at a rather noncompetitive hourly rate/salary. I don't hate the job, but I also don't see myself doing emergency medicine forever. Or at least...not at this salary.
For those who started in emergency medicine, what are your thoughts on transitioning to an urgent care job? I have heard some describe a miserable existence of patient volumes upwards of 60 patients a day, but I am guessing this is very dependent on the institution. Are there other specialties that make for a natural transition from emergency medicine? Am keeping all my options open at this point. Thanks!