colo5970 Posted June 11, 2023 Share Posted June 11, 2023 New Grad EM Offer, LCOL This is a place I may not consider settling for the long term, but a decent location for a first 1-2 year gig. Medium sized city in a rural state, plenty of outdoor things to do, but not my first choice of location. I would rate it a 6-7/10. However, it is LCOL and not far from where I want to end up. Even more great outdoor destinations within 2-9 hour drive. - 75% of shifts at 3 Hospital ERs, 25% at 2 Freestanding ER/UC (imaging/lab present). Volume ranges from max 70k/yr to 40k/yr between the locations. Schedule: - 15-16 shifts/mo, 8-10 hours each, covering day, swing, and 3-4 nights/mo. Some blocks of shifts, some sporadic, yet conscious to avoid day shift after a night shift etc. - 1680 hrs/yr, or 140 hrs/mo - 1 24/hr on-call/mo On-boarding: - 8 weeks 1 on 1 with an MD/PA/NP (I realize this is short. I am motivated to self study and do have solid EM background. The group sounds supportive of new grads, MD always on site. Have utilized PAs for years) - 1 in person class/mo for the first year Expectations: - 1.5-2 pph for main ED, 2-3 pph for Freestanding ER/UC - PAs see all acuities Pay: - $77/hr, with $85/hr after 15-16 shifts/mo - $10/hr for on-call then regular pay if called in - $12/hr night differential (in effect for scheduled hours starting at 7pm) - Max Bonus 13k/yr for meeting RVU + dispos/hr - $15k sign-on bonus for 3 year commitment (thumbs down, but with 4% interest on HYSA maybe use this for free interest payout?) Bennies: - Full medical/dental/vision/retirement (unsure of 401k match at moment) - med mal + tail - $2400 CME/yr - licensing fees/renewals reimbursed - decent/good 401k matching Awaiting to speak with a PA to ask general culture and MD/PA relationship questions. I get the idea that it is a friendly and collaborative environment. Credentialing will take 3-4 months. I would likely continue to look for other opportunities during this time, but it seems like a solid deal to start. Thoughts? 1 Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted June 21, 2023 Share Posted June 21, 2023 Based on what you've written, as long as the environment seems supportive for a new grad over the 3ish years it will take to become proficient, this sounds like a pretty good offer. Besides speaking to a PA, see if you can shadow for all or a major part of a shift or 2. Rotating shifts is hard on the body. I found it harder than working all nights, which is what I do now. 1 Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted June 24, 2023 Moderator Share Posted June 24, 2023 Agree- Sounds like a good gig. Also prefer all nights to rotating. Quote Link to comment Share on other sites More sharing options...
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