- Joined
- Apr 25, 2012
- Messages
- 20
- Reaction score
- 7
Hello SDN, long time lurker first time poster in this community. Current fellow with about 200k in student loans. Looking at a few jobs (all W2) that are all in decent locations and have a moderate cost of living, so these extraneous factors are all ~equivocal . Your advice is sincerely appreciated.
1. Large Hospital System Based
--position is open due to previous MD leaving. there is some room for negotiation
Pay: base 350k, ~$52/wRVU after 7000 (I know the latter isn't ideal)
Sign-on: ~20k
Referral base is from all over (high MME), largely PCP but no expectation to work for referrals
~20 patients/day, ~16 procedures/day (all advanced are approved) but done at HOPD
Excellent benefits package (401k 5% match, occurrence malpractice, health insurance, CME, vacation 4 weeks, etc), PLSF eligible
No Call; have 1 NP support for follow ups; 2-3 MAs assigned to each MD;
Practice currently has 1 MD, previously had 2. current MD has one procedure day per week (which I found odd)
Cons: questionable productivity as I don't have access to their RVU data (yet), has message baskets from direct patient messages through the app, technically do not make profits off the NP
2. Private Practice
--position open due to previous MD leaving. no room for negotiation
Pay: 300k base, keep ~45% after >500k net collections as bonus
Future ASC ownership potential. unclear partnership track (buy in: 375k)
Good mixed referral base (lots of surgical referrals, minimal MME), but expected to keep working on referrals
expect to build up to ~27 patients/day, ~20 procedures/day, probably at least 2 procedure days/week -- all in office procedures except what I choose to go to ASC for (all advanced approved)
Limited benefits (health insurance HMO, malpractice, 3 weeks vacation, no CME)
Technically pager call for own patients (but current MDs say it's nominal) ; no NP support; one MA
Cons: no sign on, PLSF, unclear partnership potential, must do some EMGs, no rad tech (MA moves c-arm), minimal mentorship
3. Large Academic
Pay: base 300k, ~$42/wRVU after 4200 -- no negotiating
Typical academic referral base (mild MME)
~20 patients/day, ~18 procedures/day (minimal advanced are approved) done
Excellent benefits package (401k 5% match, malpractice, health insurance, CME, vacation 4 weeks, etc)
PLSF eligible
Fellow is on call, attending as backup; some NP support for follow ups; 1 RN assigned to each MD;
4 day work week with resident and fellow help/teaching
Cons: hard to hit RVUs in this academic environment, has message baskets from direct patient messages, some really complex patients, some inpatient consult days spread throughout the year (~20 d) as attending for fellow
4. Small Private Practice
--position open due to growth/expansion, some negotiating potential
Pay: base 375k, keep 40% after 500K net collections as bonus
Partnership after 2 years (buy in: 50k) - will make profit off NPs
No current ASC (may have future plans for one)
Community referral base (very high MME), expected to keep working on referrals
Current MD has 4 NPs and now does 4 days/week of procedures while NPs see consults and funnel procedures
Offered similar set up: 4 days/week of mostly procedures and oversee NP consults -- all in office procedures except what I choose to go to hospital surgery center for
Good mentorship from this MD
Some opportunity for teaching rotating trainees/med students
Limited benefits (health insurance HMO, malpractice, 3 weeks vacation, no CME)
No call ; exclusively NP support (would be supervising at least 2 NPs); one MA assigned
Cons: no sign on, no PLSF, no rad tech (MA moves c-arm), very high MME (manage pumps), no ASC buy in
I have learned a lot from this community recently and really would appreciate your insight and opinions. If I left anything out please let me know. Thank you!
1. Large Hospital System Based
--position is open due to previous MD leaving. there is some room for negotiation
Pay: base 350k, ~$52/wRVU after 7000 (I know the latter isn't ideal)
Sign-on: ~20k
Referral base is from all over (high MME), largely PCP but no expectation to work for referrals
~20 patients/day, ~16 procedures/day (all advanced are approved) but done at HOPD
Excellent benefits package (401k 5% match, occurrence malpractice, health insurance, CME, vacation 4 weeks, etc), PLSF eligible
No Call; have 1 NP support for follow ups; 2-3 MAs assigned to each MD;
Practice currently has 1 MD, previously had 2. current MD has one procedure day per week (which I found odd)
Cons: questionable productivity as I don't have access to their RVU data (yet), has message baskets from direct patient messages through the app, technically do not make profits off the NP
2. Private Practice
--position open due to previous MD leaving. no room for negotiation
Pay: 300k base, keep ~45% after >500k net collections as bonus
Future ASC ownership potential. unclear partnership track (buy in: 375k)
Good mixed referral base (lots of surgical referrals, minimal MME), but expected to keep working on referrals
expect to build up to ~27 patients/day, ~20 procedures/day, probably at least 2 procedure days/week -- all in office procedures except what I choose to go to ASC for (all advanced approved)
Limited benefits (health insurance HMO, malpractice, 3 weeks vacation, no CME)
Technically pager call for own patients (but current MDs say it's nominal) ; no NP support; one MA
Cons: no sign on, PLSF, unclear partnership potential, must do some EMGs, no rad tech (MA moves c-arm), minimal mentorship
3. Large Academic
Pay: base 300k, ~$42/wRVU after 4200 -- no negotiating
Typical academic referral base (mild MME)
~20 patients/day, ~18 procedures/day (minimal advanced are approved) done
Excellent benefits package (401k 5% match, malpractice, health insurance, CME, vacation 4 weeks, etc)
PLSF eligible
Fellow is on call, attending as backup; some NP support for follow ups; 1 RN assigned to each MD;
4 day work week with resident and fellow help/teaching
Cons: hard to hit RVUs in this academic environment, has message baskets from direct patient messages, some really complex patients, some inpatient consult days spread throughout the year (~20 d) as attending for fellow
4. Small Private Practice
--position open due to growth/expansion, some negotiating potential
Pay: base 375k, keep 40% after 500K net collections as bonus
Partnership after 2 years (buy in: 50k) - will make profit off NPs
No current ASC (may have future plans for one)
Community referral base (very high MME), expected to keep working on referrals
Current MD has 4 NPs and now does 4 days/week of procedures while NPs see consults and funnel procedures
Offered similar set up: 4 days/week of mostly procedures and oversee NP consults -- all in office procedures except what I choose to go to hospital surgery center for
Good mentorship from this MD
Some opportunity for teaching rotating trainees/med students
Limited benefits (health insurance HMO, malpractice, 3 weeks vacation, no CME)
No call ; exclusively NP support (would be supervising at least 2 NPs); one MA assigned
Cons: no sign on, no PLSF, no rad tech (MA moves c-arm), very high MME (manage pumps), no ASC buy in
I have learned a lot from this community recently and really would appreciate your insight and opinions. If I left anything out please let me know. Thank you!