Committing to Job Early in Fellowship

[LifeTakesGuts]

PGY-4 GI fellow. Wondering what your thoughts are on commiting to a practice early in fellowship with stipend paid during training.
I know some rural practices do this for applicants who they believe may be willing to relocate to a less than desired location for whatever reasons.
Has anyone had experience with this? If so, how much is reasonable to expect as a stipend during fellowship.
Also, what kind of things should be clearly stated in the contract prior to the stipend coming in (i.e. student loan repayment, years of comittment, call schedule, bonuses, vacation etc.) Is it even advisable to do this?

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[Scope guy]

Whats the catch if you dont join that place? pay back with interest?

 

[ShiShiMD]

Make sure they take and you take into account the MGMA 50% percentile income for the region and nation for the future, the trend is 3.5% to 6% increase a year Do not sign anything less than 536K now and 612K in 3 years

 

[Scope guy]

Make sure they take and you take into account the MGMA 50% percentile income for the region and nation for the future, the trend is 3.5% to 6% increase a year Do not sign anything less than 536K now and 612K in 3 years

MGMA has actually gone down from 2019 to 2020 for the median. With medicare cuts this year, likely it ll go down by 3-4%

 

[ChessMaster3000]

PGY-4 GI fellow. Wondering what your thoughts are on commiting to a practice early in fellowship with stipend paid during training.
I know some rural practices do this for applicants who they believe may be willing to relocate to a less than desired location for whatever reasons.
Has anyone had experience with this? If so, how much is reasonable to expect as a stipend during fellowship.
Also, what kind of things should be clearly stated in the contract prior to the stipend coming in (i.e. student loan repayment, years of comittment, call schedule, bonuses, vacation etc.) Is it even advisable to do this?

not advisale unless you are dead set on moving to an area no matter what. the amt you would get as a stipend is likely $2k/month. you should not sign on for $50k (24k x 2 years) to what likely is a suboptimal job

 

[1Cor1557]

typically couple grand per month, It will get paid back with interest upon the the moment of contract breach or termination if you do not commence or complete your contract term, it usually would say if 24 stipend payments are provided each one would be forgiven for each month employed post graduation, so better make sure it's where you want to be. It might be nice during training but remember it's only a small drop in the grand scheme long term so consider any potential opportunity without it influencing you. ShishiMd provided a precovid national median above, with covid the most recent one will be completely gutted so don't get talked down on a single generational event, they shoud use a several year rolling average which has oscillated nationally around and a little above 500 for the several years pre covid. One other consideration is your current training program and their aspirations for potentially retaining trainees, make sure to keep your program director in the loop no matter how benign your program may be it just gets rubbed the wrong way to think somebody that just showed up is already signed to an external contracted competitor. good luck