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I recently received a job offer from a nearby hospital system. The specialty will be the same. The pay is higher but the benefits are less. I am looking for unbiased external input on which package seems better overall. 

 

Current Job

Salary: $135,000 with a 1-4% annual merit-based raise

Shift requirement: 3 12-hour shifts per week (156 shifts per year)

PTO: 5 weeks per year (difficult to fully use though, maybe can use 2-3 per year)

Retirement: 4% employer match

Insurance: medical/dental/vision cost to me is roughly $1,000 per year

 

New Job Offer

Salary: $185,000 with a $15,000 sign-on bonus. No set annual raise but contract negotiations occur every 2-3 years. 

Shift requirement: 182 12-hour shifts per year with no strict weekly requirement

PTO: none but shift scheduling is more flexible and can front and back load months to get 1-2 weeks off at a time

Retirement: no employer match

Insurance: medical/dental/vision cost to me would be roughly $5,000 per year

 

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Having done both, I currently kept the equivalent of job #1. More money is great, but if you spend it all for the things job #1 gave you to work MUCH HARDER, you will be miserable in the end. 18 12s is really a rough schedule unless they are really not that busy. I did 18-20 12s a month for 15 years and it wasn't good for me or my family. I won't take a full time job anymore that doesn't cover medical/dental/vision/retirement/licensing/DEA, etc. Side gigs, sure, but the main job needs to take care of the rest.

My current schedule is 9 tens(my employer considers this a 0.75 full time position) and 4 24s at another facility. I do teach on the side and have a per diem gig, which is now just a few shifts a year at a vacation destination- more an excuse for me to drive out there, work a shift, and hang out for a few days. Will probably go to 10 tens and 3 24s next year. That will be close to my long term goal of "cutting down to full time". Kid is almost done with college, so the need for extra income will go way down.

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