Job Offer ... Is this a good deal?

[Doc_MD77]

Hi ... I am a FM PGY3 ... I recently had an interview with large hospital in a large midwest city for strictly outpatient clinic ...

Offer ... 195K guarantee for 2 years. . 5000 wRVU per year conversion rate $47 per wRVU ... $47 x 5000 = 235K per year
Other benefits ... 28 PTO, 20K sign on bonus and 15K in relocation. No loan reimbursement but they are non-profit so I can do the PSLF program.

They have me at 195K and I can switch ONLY after a year to the wRVU revenue (They will not allow any earlier switch than 1 year). I am already doing 20 patients a day soon to be doing up to 24. They mentioned their average wRVU was 1.3 per patient. The want me to see 5000 wRVUs a year. So that would be 5000/12 = 416 a month. If I am working a 20 days a month that would be 20.8 wRVU a day ... If you divide that by 1.3 wRVU (20.8/1.3) = 16 patients. I am already doing that work and even more. (I know those numbers do not include time-off and holidays)

That is why I would like to see about a higher base or some type of bonus incentive. I do not want to miss out on that extra money ...

Thoughts?

Thanks

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[deleted480308]

Hi ... I am a FM PGY3 ... I recently had an interview with large hospital in a large midwest city for strictly outpatient clinic ...

Offer ... 195K guarantee for 2 years. . 5000 wRVU per year conversion rate $47 per wRVU ... $47 x 5000 = 235K per year
Other benefits ... 28 PTO, 20K sign on bonus and 15K in relocation. No loan reimbursement but they are non-profit so I can do the PSLF program.

They have me at 195K and I can switch ONLY after a year to the wRVU revenue (They will not allow any earlier switch than 1 year). I am already doing 20 patients a day soon to be doing up to 24. They mentioned their average wRVU was 1.3 per patient. The want me to see 5000 wRVUs a year. So that would be 5000/12 = 416 a month. If I am working a 20 days a month that would be 20.8 wRVU a day ... If you divide that by 1.3 wRVU (20.8/1.3) = 16 patients. I am already doing that work and even more. (I know those numbers do not include time-off and holidays)

That is why I would like to see about a higher base or some type of bonus incentive. I do not want to miss out on that extra money ...

Thoughts?

Thanks

What you see now doesn’t matter if they don’t have the patients to fill your rooms

 

[VA Hopeful Dr]

Are you taking over for someone or starting from scratch?

 

[TableMD]

Ultimately they want you, hopefully, to be happy. The feeling that you are being capped on getting paid for the work you are doing is likely unpleasant. You should use the gauranteed time to make a stable income to explore all of the inefficiencies that exist in your office and fix those as opposed to ramping up to see more patients w/o a clear upside (other than making the patients happy for the access, which is nice). In my experience, the happy doc is the person that knows where everything the need/want is located, has a quick flow for admin BS and can get out on time with notes done, so only legit, doctor stuff after hours (call, checking on sick patients at hospital).

Fix everything you would want to fix/streamline, so that when you DO switch to production, it's limited only by your skill/comfort as opposed to weakness in the office flow. Also have templates and automated forms for anything you see yourself doing frequently. For example, I have a busy sports practice and I write for voltaren gel all the time. To make the nurses life easier, I have a quick template and program that sucks in the history dx's and meds that would be useful for her form letter, so the whole thing is done in seconds, so she can do other stuff.

Part of the understanding of the guaranteed salary is that you will have breathing room to tweak your surroundings. Push back for some time to get everything set up for yourself. That also includes access to care managers, mental health, back doors for expedited evals from otherwise busy specialists, knowing where everything is so that you can do your job effectively. Let these people subsidize those efforts.

 

[brianmartin]

make sure you factor in PTO and holidays into your calculations
if you feel that you can have good life balance seeing however many patients that is per day, then go for it.
16-20 patients a day is right around the sweet spot for family medicine. Much more than that and you won't finish your notes. Less than that and the day goes pretty slow.

Many people see more than that, and make more money, whether you want that kind of life is up to you.

 

[Bacchus]

If you’ll have the correct amount of patients then 5000 wRVUs will be easily earned.

 

[cabinbuilder]

I think it's a bad offer. My yearly RVU is 3560 /yr with compensation rate of $54.57. Now I live in an area that is hard to recruit physicians but still that 5000 seems excessively high to me.