FM Job offer for 3rd year resident from Northern California (Sacramento Region)

[dial1010usa]

Had my interview yesterday and it went well, will be getting an offer letter tomorrow. I don't know what I'm getting as it was not discussed during interview. More interviews are coming next month with Kaiser and Sutter. It will be a Mon-Fri job and total 18 patients to be seen. The vibe was great. They will give me a week to accept it. Vaguely remember from my very first conversation with recruiter that the pay will be $280k, I could be wrong 🙂

What to look for in the offer letter?
Can I negotiate?
Can I ask for loan forgiveness?
Will it be easy to review an offer or should I have an attorney to review this?

Appreciate for the feedback.

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[smq123]

Had my interview yesterday and it went well, will be getting an offer letter tomorrow. I don't know what I'm getting as it was not discussed during interview. More interviews are coming next month with Kaiser and Sutter. It will be a Mon-Fri job and total 18 patients to be seen. The vibe was great. They will give me a week to accept it. Vaguely remember from my very first conversation with recruiter that the pay will be $280k, I could be wrong 🙂

What to look for in the offer letter?
Can I negotiate?
Can I ask for loan forgiveness?
Will it be easy to review an offer or should I have an attorney to review this?

Appreciate for the feedback.

$280K - is that salary? Or production based? Or is there some mix? Is any of this based on your Press Ganey surveys?

Do they track quality measures? How strictly?

How much time off do you get?

How much money do you get towards CME?

Do you get any admin or flex time?

Is there a noncompete? How onerous is the noncompete? I've seen some noncompetes that basically mean that you have to move out of the state for a few years.

Who do you have to supervise? Residents? NPs? PAs?

If you DON'T end up seeing 18 a day, then what happens? How long do you have to ramp up to full productivity?

Do they limit how many procedures you can do? Or which procedures you can do?

I'm sure other people will chime in but this is basically what I ask or look for.

 

[dial1010usa]

$280k is salary plus some bonus I don't remember the exact numbers.
I will get 4+4 hours twice a week for admin work.
They will pay for CME but didn't say the amount.
What you have asked above it didn't come during interview.
I don't have to supervise NP and PA but I need to work with residents which I like.
If I don't see 18 patients a day nothing happens or if someone cancels, but again I will see but my contract says.
I guess I will find out more tomorrow.
Do they track quality measures? How strictly? Yes, they do but don't know how.
Time off 30 days/year plus public holidays.

I did not understand this part.
Is there a noncompete? How onerous is the noncompete? I've seen some noncompetes that basically mean that you have to move out of the state for a few years.

 

[smq123]

I did not understand this part.
Is there a noncompete? How onerous is the noncompete? I've seen some noncompetes that basically mean that you have to move out of the state for a few years.

A noncompete limits where you can practice once you leave that job. They usually specify that you cannot practice within X miles of your old clinic site, for X number of years.

Some noncompetes are pretty reasonable. You can't practice within 5 miles of your old office for 2 years, or something like that.

Some noncompetes are horrible. They say that you can't practice within 20 miles of your office site OR ANY AFFILIATED SITES, which could knock out basically an entire county. A friend's hospital routinely said that you could not practice within the county or the six neighboring counties, for at least 5 years. That was insane.

 

[anonperson]

A noncompete limits where you can practice once you leave that job. They usually specify that you cannot practice within X miles of your old clinic site, for X number of years.

Some noncompetes are pretty reasonable. You can't practice within 5 miles of your old office for 2 years, or something like that.

Some noncompetes are horrible. They say that you can't practice within 20 miles of your office site OR ANY AFFILIATED SITES, which could knock out basically an entire county. A friend's hospital routinely said that you could not practice within the county or the six neighboring counties, for at least 5 years. That was insane.

Non competes are not legal in California so OP should be fine.

 

[anonperson]

Had my interview yesterday and it went well, will be getting an offer letter tomorrow. I don't know what I'm getting as it was not discussed during interview. More interviews are coming next month with Kaiser and Sutter. It will be a Mon-Fri job and total 18 patients to be seen. The vibe was great. They will give me a week to accept it. Vaguely remember from my very first conversation with recruiter that the pay will be $280k, I could be wrong 🙂

What to look for in the offer letter?
Can I negotiate?
Can I ask for loan forgiveness?
Will it be easy to review an offer or should I have an attorney to review this?

Appreciate for the feedback.

Is the malpractice claims made or occurrence?

Who pays your tail insurance if/when you leave this job if claims made?

This is not an issue with Kaiser jobs and probably with Sutter.

 

[Hoos2004]

Agree with non-compete comment above. Another thing to check is non-solicit, which means that you cannot solicit any prior patients or employees if you change employers - but this varies from state to state.
I lead the physician salary sharing project on Marit, and $280k in that region is typically what I've seen. Did you negotiate a sign-on bonus / relocation bonus? Those are typically more negotiable so you might want to try for that. For FM docs in CA on Marit - signing bonuses seem to range from $20k to $100k and relocation bonuses are around $5k to $10k

 

[dial1010usa]

There is a sign on bonus and relocation bonus, I'm relocating almost 150-175 miles away where I'm doing my residency in rural area but I don't remember how much. How can I negotiate that? They are giving me one week to accept or reject this offer. I'm not starting this job till Nov/Dec time frame and they are ok with that. The day recruiter called me I was at work and lot of stuff I don't remember because I was kinda busy.
Kaiser pays $310-320k and Sutter $285k both guaranteed for 2 years same like this employer.
Thanks for the great feedback.

 

[smq123]

Non competes are not legal in California so OP should be fine.

That’s amazing! I didn’t know and now am mildly jealous. I don’t think non competes should be a thing, period.

 

[anonperson]

There is a sign on bonus and relocation bonus, I'm relocating almost 150-175 miles away where I'm doing my residency in rural area but I don't remember how much. How can I negotiate that? They are giving me one week to accept or reject this offer. I'm not starting this job till Nov/Dec time frame and they are ok with that. The day recruiter called me I was at work and lot of stuff I don't remember because I was kinda busy.
Kaiser pays $310-320k and Sutter $285k both guaranteed for 2 years same like this employer.
Thanks for the great feedback.

Why are they giving you one week to decide a job that you won't even start for 6 months at least.

Regarding How you can negotiate. You just have to ask for what you want. They'll either consider it or they won't. But if you don't ask, it won't happen.

 

[cabinbuilder]

I have gone through many many jobs in my last 15 years so I'm not trying to be negative here, this is just the voice of experience.

Definitely ask about Tail coverage if you end up not liking the job or you get let go for some reason. You don't want to be responsible for that.
18 patients a day to start seems reasonable but for how long? Most PCP's I know see upward of 30 at some point.
If for some reason the job doesn't work out would you have to pay back the moving/sign on bonus? Or is that only if you choose to break the contract, not them? How many RVU's a month are you required to produce? What are they going to pay you per RVU in bonus? Do you get quality incentive bonus too? How much CME a year do they cover? Do they cover your state license fees? DEA fee? Your AOA/AMA/ACOFP yearly dues? Is your health insurance covered? What's your disability package if you get injured? Life insurance? 401K?

 

[dial1010usa]

Starting with 8-9 patients first two months (45 min/patient) then 30 min per patient and eventually 20 min per patient which will be 18 a day.
$60/RVU
27k annual bonus based on productivity and quality measures.
Sin on Bonus 27k
Relocation bonus 15k
5 CME days and total $3k/year
14 holidays, 2 weeks sick and 2 weeks vacation.