You youngins need to consider other parts of the country if you actually care about finding something that pays decently. Otherwise just accept your fate of being underpaid if you want to stay northeast.
Where do you move to make the most money if open to moving anywhere? (I dislike the entirety of the USA equally)
I mean areas like Iowa, Minnesota, ND paying around $500/hr or 5000-6000$ a day for Oncology shifts, In Illinois area seen around 4500-5000 aday.
Nice why don’t more people move there to grind 300 shifts and make 1.8M/year?
You can find subspecialty-focused general onc jobs in Indiana, Omaha, North Dakota, etc., starting at 700k+.
Because that's a terrible f***ing way to live.
That's a LOT of oncological histories to read through, goals of care, multidisciplinary discussions, and answering "Is it from the cancer doc" or "what can i do about my fatigue". Your patients show up with a notebook to write in, even for the 20-minute follow-ups. This is not an outpatient specialty where you can churn and burn without burning yourself out.
May I ask what you're seeing in Atlanta? Looking around that area and having a hard time
I mean he did say within an hour so he is technically talking about Columbus lol
Generally paid on day 1. But no reason why you can't ask for it to be distributed. You could also just DIY that by putting it in an HYSA and have it automatically transferred to your checking account on a monthly distribution.
I'm not sure where "Google" got those, but I'm not sure I'd consider ATL, HTX, DFW, LV, PHX, ORL, PITT, SLC and MSP as 3rd tier cities. And Albany, St Louis and Cleveland deserve to be demoted to tier 5 or 6.
Day 1 as in when you start working or when you sign? Sorry, I’m a bit dense.
I’ve usually seen it paid on your start date but I imagine you could negotiate it to your signing date at many places. I would caution you about singing (edit: signing, but probably don’t sing in clinic either) halfway through 2nd year, your goals may change unless you really know where you want to live
Usually your first payday. If this is one of those scenarios where you're being offered an advance for signing early, I'm with @HemeOncHopeful19
Traditional signing bonuses should usually be paid out within 30 days of your start date.
Yes, same US onc PP job that I posted in April. Base 400k with 2 years to partnership without buy in. Partners median comp is around 1.1-1.2 mil with 25 patients on average with 4 day work week. Is it ok to ask practice financials for last 2-3 years as this is something I haven’t asked yet. Just making sure I don’t get screwed.
Ideally they should, most wont. Only one practice I interviewed at were transparent and showed me the books, its not the norm. Best thing is to ask their most recent partners if they are open to sharing their salary range and amount of patient seen to get an idea. Otherwise if they dont tell you in this day and age, I would be ready to walk away. Some places I asked them to send me a random partners pay sheet with all identifiers hidden, again only one of them shared.
This is pretty disappointing. Especially if you're looking at a fully RVU/ancillary based compensation system. For salaried/employed jobs, it makes a little more sense, but even in my prior hospital employed, community based position we provided the full compensation structure (base, wRVU target, $/wRVU, bonuses) as well as median physician compensation in the group for the prior fiscal year (adjusted for 1.0 FTE since many docs were <1.0 cFTE). That number was 10-15% higher than the base+bonuses that were more or less guaranteed.
I think that’s different from what people mean by “showing the books” though. My current PP group is (unreasonably IMO) somewhat paranoid regarding our books and considers them on the level of trade secrets that our competition would want to use against us. I doubt we would be willing to show a potential hire the books but once you are on the partner track then our CFO will sit down and go over them with you before you make that commitment.
I definitely think it's different when you're talking about a PP that has lots of potential ancillary income from partnership. And i wouldn't necessarily expect to see those numbers utnil I was on the cusp of partnership and trying to decide what kind of a buy-in I was willing to make.
Yeah, we all know the money to pay for everybody has to come from somewhere. It's just definitely more opaque in most hospital employed situations. There are a lot of people that aren't bothered by that.
Yes and probably double academic salaries
When interviewing I saw one in Wilkes Barre with Geisinger and another one in Delaware, I think New Ark, it was around 550 and 450 respectively starting - You generate more RVUs in patient specially with daily followups for the patients, hence its busy but ceiling higher.
I’m assuming these guys are mostly inpatient and take significantly more 24 hour calls?
One place had residents to help with call and the other had inpatient NP. Otherwise I dont think its sustainable
That’s pretty bad for a full time transplant job in PP.
All of the CoH clinics outside of Duarte, CA are former CTCA clinics. Make of that what you will.
Not really good unless you’re in a super desirable area.
Not great, not the worst.
Call 1:6. What's a reasonable RVU?
Median comp - I don't know. Have to ask.
420 base and 90 per rvu seem dreadfully low for south.
Doesn't seem terrible. I'm not familiar with New England rates but suspect this is somewhat in line.
Thanks for your thoughts. The RVU target is 4,301, which aligns with a base salary $400k and $93 per wRVU (93*4301->400k). There are currently 2–3 APPs supporting the clinic, and they’re actively hiring 1-2 more. They didn't provide a median compensation number, but they mentioned that all 3 current physicians are earning over $400K and exceeding their RVU targets.
Not great not terrible
This !
Just to be clear, 8-10K wRVU is a lot of work. And you need to be cognizant of the marginal gains going from 5K to 6K to 7K, etc. Will you make more money? Sure. Will it be worth it? Not necessarily. That's a decision only you can make.
Shockingly 300k in 2017 is equivalent to 393k in 2025 according to Google!
