Endocrinology position in Orlando area opinion

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hishamov

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Hello


I received an offer from a medical company that owns an endocrinology clinic. The location is 30 minutes from downtown Orlando FL. The clinic is small, and already has two APP but they need a new doc since he is retiring. The doctor like me a lot and want me to join, I liked the clinic since the staff are well trained, there is pharmacist on board and the APP are experienced. The issue with the compensation which I think it is low but want to get your insight and what do you think an average starting Salary for Orlando.


The Starting Salary is 220,000 with annual bonus of 30% the difference between the of the collected billable earning and salary, for example if 30% of billable amount is 250,000 then the bonus will be 30,000

Initially They didn't offer bonus but after negotiation they offered 5000 bonus and 5000 relocation


Their rationale is that I am new and will take time to build practice and they will be flexible with the first months, They said that since I am new grad they are running risk and if I made a lot of work then that will be reflected in the annual bonus but then salary can be increased based on that



I understand that Orlando area may not provide good salary but do you think this is little low


Thanks

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Hello


I received an offer from a medical company that owns an endocrinology clinic. The location is 30 minutes from downtown Orlando FL. The clinic is small, and already has two APP but they need a new doc since he is retiring. The doctor like me a lot and want me to join, I liked the clinic since the staff are well trained, there is pharmacist on board and the APP are experienced. The issue with the compensation which I think it is low but want to get your insight and what do you think an average starting Salary for Orlando.


The Starting Salary is 220,000 with annual bonus of 30% the difference between the of the collected billable earning and salary, for example if 30% of billable amount is 250,000 then the bonus will be 30,000

Initially They didn't offer bonus but after negotiation they offered 5000 bonus and 5000 relocation


Their rationale is that I am new and will take time to build practice and they will be flexible with the first months, They said that since I am new grad they are running risk and if I made a lot of work then that will be reflected in the annual bonus but then salary can be increased based on that



I understand that Orlando area may not provide good salary but do you think this is little low


Thanks
Is there a reason you want or need to be in Orlando? (As in family, significant other there, love going to Disney World, love the hotter than heck summers and lots of mosquitoes, etc.) If there is no clear reason for Orlando, then look elsewhere. If Orlando is your dream location, then you may have to make sacrifices to be where you want to live.
 
I mean I would love to live in Orlando but what is the point to be there if you can make $100,000 more elsewhere. The reason is that I didn't have luck with many other places and I need a job. This place was not on my top places.
 
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Is there a reason you want or need to be in Orlando? (As in family, significant other there, love going to Disney World, love the hotter than heck summers and lots of mosquitoes, etc.) If there is no clear reason for Orlando, then look elsewhere. If Orlando is your dream location, then you may have to make sacrifices to be where you want to live.
I mean I would love to live in Orlando but what is the point to be there if you can make $100,000 more elsewhere. The reason is that I didn't have luck with many other places and I need a job. This place was not on my top places.
 
Hello


I received an offer from a medical company that owns an endocrinology clinic. The location is 30 minutes from downtown Orlando FL. The clinic is small, and already has two APP but they need a new doc since he is retiring. The doctor like me a lot and want me to join, I liked the clinic since the staff are well trained, there is pharmacist on board and the APP are experienced. The issue with the compensation which I think it is low but want to get your insight and what do you think an average starting Salary for Orlando.


The Starting Salary is 220,000 with annual bonus of 30% the difference between the of the collected billable earning and salary, for example if 30% of billable amount is 250,000 then the bonus will be 30,000

Initially They didn't offer bonus but after negotiation they offered 5000 bonus and 5000 relocation


Their rationale is that I am new and will take time to build practice and they will be flexible with the first months, They said that since I am new grad they are running risk and if I made a lot of work then that will be reflected in the annual bonus but then salary can be increased based on that



I understand that Orlando area may not provide good salary but do you think this is little low


Thanks

This data is several years old and you are still getting paid less.

Why would it take time to build a practice if current physician is retiring? You should be up and running immediately

How much is old doc making? They should be willing to share that number for you.

What is typical amount collected?

If you are supervising mid levels, where's your cut?

You are probably getting ripped off to be honest.
 

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They are trying to play you. The doctor is retiring, so you are inheriting his panel. There is no "build up." Having no sign-on bonus, minimal relocation, etc. is a red flag. If you don't need to be in Orlando, don't undersell yourself. Ask to have a minimum salary (250k) but that you'll be all RVU based, so if you meet your 250k, then you'll get the difference from your extra work. The fact that they have someone retiring an APPs with no practice supervision means they need you more than you need them
 
Don’t let them trick you with the “new grad” excuse.

I am graduating this year and secured a position in NYC for 315k after negotiating. M-F, outpatient only, no weekends/holidays/hospital. 40 clinical hours though

The lowest salaries I saw were 230k (academic) but for private it was at least 250-270k.

Endocrine is so high in demand, I would look elsewhere.
 
Don’t let them trick you with the “new grad” excuse.

I am graduating this year and secured a position in NYC for 315k after negotiating. M-F, outpatient only, no weekends/holidays/hospital. 40 clinical hours though

The lowest salaries I saw were 230k (academic) but for private it was at least 250-270k.

Endocrine is so high in demand, I would look elsewhere
I would definitely do that if I have offer in hand but the problem is I don't have many offers on hand , I went to many places but I hit roadblock with whatever reason. I am still talking to many place and there is another place I did an interview and they are working on it. Is it worth risking couple months of being " unemployed" and wait for the better opportunity.
May I ask you for that 315K , what was the offered initial salary? I am just asking to see how much these places are able to go up on base salary.
 
They are trying to play you. The doctor is retiring, so you are inheriting his panel. There is no "build up." Having no sign-on bonus, minimal relocation, etc. is a red flag. If you don't need to be in Orlando, don't undersell yourself. Ask to have a minimum salary (250k) but that you'll be all RVU based, so if you meet your 250k, then you'll get the difference from your extra work. The fact that they have someone retiring an APPs with no practice supervision means they need you more than you need them
Not only that but even with their benefits, like I have to pay 50% of insurance premium and CME just 1,250
 
I would definitely do that if I have offer in hand but the problem is I don't have many offers on hand , I went to many places but I hit roadblock with whatever reason. I am still talking to many place and there is another place I did an interview and they are working on it. Is it worth risking couple months of being " unemployed" and wait for the better opportunity.
May I ask you for that 315K , what was the offered initial salary? I am just asking to see how much these places are able to go up on base salary.
They offered 300k initially.
Not only that but even with their benefits, like I have to pay 50% of insurance premium and CME just 1,250
1,250 CME is less than some fellowships… where are you looking for these jobs? Go on doccafe or NEJM. If this is the average in that area and you don’t need to stay there, look elsewhere. That seems like an abnormally poor compensation/benefits all around.
 
They are trying to play you. The doctor is retiring, so you are inheriting his panel. There is no "build up." Having no sign-on bonus, minimal relocation, etc. is a red flag. If you don't need to be in Orlando, don't undersell yourself. Ask to have a minimum salary (250k) but that you'll be all RVU based, so if you meet your 250k, then you'll get the difference from your extra work. The fact that they have someone retiring an APPs with no practice supervision means they need you more than you need them

Exactly.

This is under MGMA and they’re ripping you off. You’re inheriting his panel…you don’t need to build up. $5k bonus and $5k relocation is a joke. If you absolutely have to be in Orlando, you can probably find a better job elsewhere in Orlando (never mind the rest of the country).
 
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