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Hello all, 

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!

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On 10/31/2019 at 1:06 AM, azups94 said:

Hello all, 

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!

Solo Urgent care as a new graduate should be an absolute hard stop for you in my opinion. There are too many variables to begin your career in a solo Urgent Care shop. You need to see enough patients to gain better insight into the sick vs not sick crowds. I've worked Urgent Care for most of my career, solo now, and I can say with absolute certainty that my current position is NOT for a new grad. 

 

In terms of your original question, the 18 month contract and non-complete clause are areas of concern.

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Before you can evaluate the salary, you need to know how many hours/year you will be working to earn it.  $101K earned for working 50 weeks at 40 hours/week is $50.50/hour - not very good, especially in a high cost of living area like Chicago.  Benefits don't sound great either - especially with no way to cover spouse/family.

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