Update:
She has 2 job offers that are very different.
1st one in Arizona (pop 50,000) has a 15k sign on bonus and guaranteed salary of 185k for 2yrs, then production based on top of a base 150k. The median wRVU is 44$ and the expected 50th percentile pay is 232k. We have family in AZ and she likes this job as it's M-F clinic hours and near a good school district suburb. There is no call or newborn nursery. CME 4000$ for 5 days a year. Retirement 4% Match after 1 year. 4 week vacation.
The second offer is in Wisconsin. Their pay is straight up 235k with no mention of RVU or production but she is on 1:4 call with nursery rounding. This is in a rural area (pop 10,000) where we don't see ourself living for more than 3years. She is also not thrilled about being on call every 4th day. Similar benefits and CME. Retiremenr is 3% match. Vacation is 4 weeks.
Income tax in Wisconsin is also higher than Arizona.
The straight salary 235k in Wisconsin seems good but we don't know if that can decrease if she isn't productive and doest have a full patient panel.
My question is how common are calls in general pediatrician jobs? Is it sustainable ? Is there better income potential by increasing your patient panel seeing deliveries ? Any differences AZ vs WI I've heard new articles saying WI is the best paying state for pediatricians.