Hospital Attending Offer

[Hopefulrad06]

Hi everyone,

I’ve been offered an attending position at the hospital where I’m currently completing my fellowship. As an IMG who didn’t match through the traditional residency route, I went through the Alternate Pathway, and now I’m in my final year of fellowship. My background includes Neuro, Body MR, Cardiothoracic, and Body Interventional fellowship trained.

The hospital is a university program in Texas and serves as a regional referral center for trauma, organ transplantation, and various other specialties. I really enjoy being here though I did turn down a Cardiothoracic attending position this year because it wasn’t the right fit long-term. Now, I’ve received an offer for a Body position, and I’m evaluating if the compensation is in line with my expectations. I’m aware it will be less than what I would earn in private practice, and I’m okay with that for now. I’m hesitant to jump into private practice, as I’ve seen many friends overwhelmed by the heavy workload.

I have a few questions and would greatly appreciate any insights:

1. The current offer (still awaiting the official contract) includes a base salary of $430k, with additional compensation for weekends, on-call, teaching, etc. I’ve been told this should bring me closer to $470-480k once everything is factored in. I’m still waiting to review the contract details.
2. I know salary negotiations are common in private practice, but are academic positions more rigid in terms of contract structure, or is there room for negotiation? Do these offers also include sign-on bonuses like PP does? If not, can one negotiate that in?
3. I’m considering having the contract reviewed by a physician contract lawyer and possibly negotiating through them. I’ve been reading about Resolve and Contract Diagnostics. Does anyone have experience with either service, or recommendations for other resources?

Thanks in advance for your help!

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[Cognovi]

Hi everyone,

I’ve been offered an attending position at the hospital where I’m currently completing my fellowship. As an IMG who didn’t match through the traditional residency route, I went through the Alternate Pathway, and now I’m in my final year of fellowship. My background includes Neuro, Body MR, Cardiothoracic, and Body Interventional fellowship trained.

The hospital is a university program in Texas and serves as a regional referral center for trauma, organ transplantation, and various other specialties. I really enjoy being here though I did turn down a Cardiothoracic attending position this year because it wasn’t the right fit long-term. Now, I’ve received an offer for a Body position, and I’m evaluating if the compensation is in line with my expectations. I’m aware it will be less than what I would earn in private practice, and I’m okay with that for now. I’m hesitant to jump into private practice, as I’ve seen many friends overwhelmed by the heavy workload.

I have a few questions and would greatly appreciate any insights:

1. The current offer (still awaiting the official contract) includes a base salary of $430k, with additional compensation for weekends, on-call, teaching, etc. I’ve been told this should bring me closer to $470-480k once everything is factored in. I’m still waiting to review the contract details.
2. I know salary negotiations are common in private practice, but are academic positions more rigid in terms of contract structure, or is there room for negotiation? Do these offers also include sign-on bonuses like PP does? If not, can one negotiate that in?
3. I’m considering having the contract reviewed by a physician contract lawyer and possibly negotiating through them. I’ve been reading about Resolve and Contract Diagnostics. Does anyone have experience with either service, or recommendations for other resources?

Thanks in advance for your help!

You will get a lot more replies on the American Radiologists group on Facebook.

-Yes there are sign-on bonuses in academics. There are also moving bonuses but you wouldn't get it since you are at the same place.
-There's not much room for negotiating a different salary. The negotiations in academics center around your clinical-nonclinical split, the details of your clinical or administrative responsibilities (but as a brand new attending this would be uncommon to have an admin title at the outset), and research support if you are intending to be a grant-funded researcher.
-I have not heard of someone negotiating through a lawyer.

 

[Melkor]

You will get a lot more replies on the American Radiologists group on Facebook.

Or radhq would be even better.

 

[Hopefulrad06]

Or radhq would be even better.

Thank you!

 

[vector888]

Congrats on the offer! Academic pay can be somewhat in flames, but often there's room for negotiations- especially when they're correlated. Sign on bonuses are rare but worth asking about. Contract lawyer is a good thought, those services are reliable, make sure everything is in line.

 

[vm26]

Or radhq would be even better.

Great advice (71 posts on radhq so far). This forum is essentially DOA for rads.