I am a PA with 25 years of experience and currently my medical group is switching our compensation to an RVU based system. Can anyone in outpatient primary care share with me their dollar amount per RVU so I can negotiate properly? I’ve been reading about the tiered RVU system and I like the numbers but need to know where to start the conversation. Thanks for your help!
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!
I was just offered a job as a new grad in psych at a private practice outpatient clinic in the Houston, Tx area. My hours would be 9-6 or (10-6 with no lunch break) Tuesday - Friday and a possible Saturday shift from 9-1 which I am clarifying now as to if this is set in stone or not since it was unclear. They told me I would be shadowing the first two weeks and then after that I will slowly see my own patients while consulting with the doc after each patient. They currently have one NP who they hired as a new grad and trained.
Salary: I told them I was looking for 100k since that is the average for a new grad in Texas and they offered me this breakdown: 92k for years 1-2, 102k for years 3-4, and 113k for years 5-6. Then, a bonus set up like this: starting at 6 months, a quarterly bonus at 65% patient occupancy is a 1k bonus quarterly, at 75% patient occupancy a 1750 bonus quarterly and at 90% occupancy and greater a 3k bonus quarterly. The bonus seems okay but I have no idea how to gauge this since idk if I will even be hitting these numbers as a new grad. They told me the NP currently sees follow ups in 15 min slots or 4 an hour with a break after to chart and that new pt visits are 1 hour. They told me my follow ups would be set for 30 minutes instead of 15 since I am new.
PTO: 7 days first year (this seems very low to me and was also not broken down into CME or sick days so now I have no idea if I even get CME days so that will be in my email back with questions)
Malpractice coverage and 401k with 5% match effective after first year. It was also unclear if the 401k is not effective at ALL until the first year or if just the matching so I will be asking this as well. Need to ask if this includes tail coverage?
Overall, I am happy to have a job offer but wondering if this is a good one. I would like to counter with a base salary of 96-97 possibly since a 1k bonus for three quarters in my first year would put me at the average new grad salary in Texas of 100k. Does this seem unreasonable? I also really don't like how the salary is already structured for the next 6 years and how I do not get a yearly raise to match inflation even. Is this common? What do you all think I should include in my counter? Overall, is this a good offer and would you take it as a new grad? Is it a bad idea for me to counter? Please help!! Thank you!
Edit to add: they do not offer health insurance if this makes a difference. Thank you!
I'm a PA who's been working in Oklahoma doing general surgery and urology at the same hospital since I graduated in May 2018. I have two concerns:
1) I finished a 1-year contract and resigned for a 3-year contract which bases my annual bonus off of RVUs (very low 1520). I recently finished the first year of this contract and I've been told the hospital doesn't know how many RVUs I've accumulated because they don't know how to calculate my RVUs from surgery. Apparently, they have always had this issue with RVU calculations for PAs (there is only one other PA working in ortho at this hospital) and they've been "working to figure it out" , but I've been asking for my productivity for about two years and have yet to get ANYTHING useful. In fact, I have been stood-up twice by the clinic manager for scheduled meetings to discuss productivity.
2) As I mentioned, recently finished off the first year of that contract. I requested an annual review and the clinic manager completely ignored that portion of my email. Seems completely unprofessional to not perform reviews. Convinced my first job at a bowling alley was more professional than this.
Wondering if this kind of thing is normal or just a lazy clinic manager...and maybe any legal advice regarding them giving me a contract with a metric that they have admitted they don't know how to measure. Thanks in advance.
I'm a new grad PA (started the program right out of high school) who just received a job offer for a hospitalist position with the details here:
40 hour week. Five 8 hr shifts a week. Overnight from Sun- Thurs 11pm-7am. $85,000 base pay $15,000 for overnight annual bonus. Would be taken away if I switched to days. 4 weeks PTO 1 sick week 1 week CME and $1500 Paid DEA liscense.
I'm curious if I should ask for more base pay. Any opinions? Thanks!