How is my current job?

[vipmak]

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I am in a hospital based employed community practice in mid-atlantic region for about a year now and this is my first job out of fellowship. I like the job so far in terms of comp, people and work environment. However, we don’t like the location much and will be excited to move to a better location sometimes in near future. Also, the idea of getting into a PP with partnership and higher ceiling is always attractive. I would also like to see more solid onc but most of the solid onc referrals go to a larger PP group in the area.

I would like to get an opinion about my current job from the forum members. Here are some of the details.

Base: around 500k (475k + 20k quality incentive bonus)
Schedule: 4d/wk. Call 1:6
Work load: 15 pts per day and potential to go up to 18 a day as my practice continues to grow.
Productivity: 106/wRVU this year. I have already gone above my base target and receiving quarterly productivity bonuses this year so my total take home by the end of this year would be around 580-600k.
Patient mix: 70 % heme 30% solid onc

 

[gutonc]

I am in a hospital based employed community practice in mid-atlantic region for about a year now and this is my first job out of fellowship. I like the job so far in terms of comp, people and work environment. However, we don’t like the location much and will be excited to move to a better location sometimes in near future. Also, the idea of getting into a PP with partnership and higher ceiling is always attractive. I would also like to see more solid onc but most of the solid onc referrals go to a larger PP group in the area.

I would like to get an opinion about my current job from the forum members. Here are some of the details.

Base: around 500k (475k + 20k quality incentive bonus)
Schedule: 4d/wk. Call 1:6
Work load: 15 pts per day and potential to go up to 18 a day as my practice continues to grow.
Productivity: 106/wRVU this year. I have already gone above my base target and receiving quarterly productivity bonuses this year so my total take home by the end of this year would be around 580-600k.
Patient mix: 70 % heme 30% solid onc

Aside from the location (which is a problem for you, but maybe not for others) and the patient mix (which you actually can do something about), seems pretty decent.

 

[HemeOncHopeful19]

Agree it's hard to say without knowing more about the area but one thing I'll say is if you want to get to that "higher ceiling" in private practice I would expect you'd have to work a lot harder than 15 patients a day 4 days a week, especially if your definition of "better location" is a stereotypical location that literally everyone in your age group wants to move to.

 

[gutonc]

Agree it's hard to say without knowing more about the area but one thing I'll say is if you want to get to that "higher ceiling" in private practice I would expect you'd have to work a lot harder than 15 patients a day 4 days a week, especially if your definition of "better location" is a stereotypical location that literally everyone in your age group wants to move to.

This part is 100% true. If you're looking to bump up against the 7 figure mark in a PP job, you're looking at more like 20-25/d, 4.5-5d a week. If that's the work you want to do, more power to you. But you're not going to magically make $1M just doing the same work you're doing in a PP group.

 

[MD46]

I am in a hospital based employed community practice in mid-atlantic region for about a year now and this is my first job out of fellowship. I like the job so far in terms of comp, people and work environment. However, we don’t like the location much and will be excited to move to a better location sometimes in near future. Also, the idea of getting into a PP with partnership and higher ceiling is always attractive. I would also like to see more solid onc but most of the solid onc referrals go to a larger PP group in the area.

I would like to get an opinion about my current job from the forum members. Here are some of the details.

Base: around 500k (475k + 20k quality incentive bonus)
Schedule: 4d/wk. Call 1:6
Work load: 15 pts per day and potential to go up to 18 a day as my practice continues to grow.
Productivity: 106/wRVU this year. I have already gone above my base target and receiving quarterly productivity bonuses this year so my total take home by the end of this year would be around 580-600k.
Patient mix: 70 % heme 30% solid onc

That is pretty good for Mid Atlantic specially the 106/wRVU amount

If you increase to 20pts a day probably can bring it closer to 750k

Most private places around Mid Atlantic I know (personally know as well), have partnership tracks of 5-6 yrs. Base salary ranges within 250-350k and for the those first 5-6 yrs you aren't going anything above 400k for sure. (not every one makes partner btw, likely 25% of people per my experience)

Once partner, range is 20-25pts for 750k-1.2mil depending on the practice for 4-4.5 days a week

Also most places use the OCM model of payment.

How many RVUs to get to your base?

 

[osprey099]

I am in a hospital based employed community practice in mid-atlantic region for about a year now and this is my first job out of fellowship. I like the job so far in terms of comp, people and work environment. However, we don’t like the location much and will be excited to move to a better location sometimes in near future. Also, the idea of getting into a PP with partnership and higher ceiling is always attractive. I would also like to see more solid onc but most of the solid onc referrals go to a larger PP group in the area.

I would like to get an opinion about my current job from the forum members. Here are some of the details.

Base: around 500k (475k + 20k quality incentive bonus)
Schedule: 4d/wk. Call 1:6
Work load: 15 pts per day and potential to go up to 18 a day as my practice continues to grow.
Productivity: 106/wRVU this year. I have already gone above my base target and receiving quarterly productivity bonuses this year so my total take home by the end of this year would be around 580-600k.
Patient mix: 70 % heme 30% solid onc

Pretty good compensation tbh for mid-Atlantic, which is a highly desirable location for majority of doctors. Private practice partnership is not always guaranteed. In fact, nowadays I'd say only a minority of PP will make people partner. But certainly if you make partner, you're ceiling is way higher. Same workload as you in private practice can probably make around 800k, because you keep all of the chemo infusion and ancillary service revenue.

 

[vipmak]

That is pretty good for Mid Atlantic specially the 106/wRVU amount

If you increase to 20pts a day probably can bring it closer to 750k

Most private places around Mid Atlantic I know (personally know as well), have partnership tracks of 5-6 yrs. Base salary ranges within 250-350k and for the those first 5-6 yrs you aren't going anything above 400k for sure. (not every one makes partner btw, likely 25% of people per my experience)

Once partner, range is 20-25pts for 750k-1.2mil depending on the practice for 4-4.5 days a week

Also most places use the OCM model of payment.

How many RVUs to get to your base?

It’s around 4500 RVU to get to the base. wRVU value gets adjusted every year as per MGMA survey for the previous year.

 

[checkpointinhibitor]

I am in a hospital based employed community practice in mid-atlantic region for about a year now and this is my first job out of fellowship. I like the job so far in terms of comp, people and work environment. However, we don’t like the location much and will be excited to move to a better location sometimes in near future. Also, the idea of getting into a PP with partnership and higher ceiling is always attractive. I would also like to see more solid onc but most of the solid onc referrals go to a larger PP group in the area.

I would like to get an opinion about my current job from the forum members. Here are some of the details.

Base: around 500k (475k + 20k quality incentive bonus)
Schedule: 4d/wk. Call 1:6
Work load: 15 pts per day and potential to go up to 18 a day as my practice continues to grow.
Productivity: 106/wRVU this year. I have already gone above my base target and receiving quarterly productivity bonuses this year so my total take home by the end of this year would be around 580-600k.
Patient mix: 70 % heme 30% solid onc

What I would say from my experience is - your $/wRVU is good. Seeing that much heme is not too enticing but it seems your PP competition is likely snagging them away. Try to increase community presence, cancer support groups, church groups, speak with primary care MDs etc and increase your presence.

That being said, if you see 20-22 patients per day, you can easily make close to 1 mil.

If you go private practice, think of it as your 'business'. you should be ambitious. If your practice has more inflow of patients then you add them at 7 AM or 5 PM. The customer service of medicine becomes your problem. Not necessarily that is a bad thing but you should have that mindset. The ceiling is certainly higher but you have to then be ready to work much much harder but that will be YOUR business, YOUR practice. You can be busier, have APPs work with you and train them well, give them bonus based on productivity, treat them well. built ancillary lab revenue, ancillary services etc. But you need to be ready to do that and have 'that' mindset.