Promotion Advice

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

BearDog

Journal Clubber
10+ Year Member
Joined
Sep 1, 2009
Messages
34
Reaction score
4
Points
4,551
  1. Pharmacist
I've recently been offered a promotion to our site's residency director. We're a smaller hospital and only have 2 residents so the new position will be split 50/50 with new responsibilities (residents/interns/students/some tech management) and clinical staffing. What does everyone think would be an appropriate pay bump for the additional responsibilities?

In general where do you start with pay negotiations? Ask for what you think your worth up-front or start higher and figure you'll get talked down a bit?
 
I personally do not have any experience with this. Maybe think about the new load of responsibilities you will inherent and think of what monetary value that is worth to you. I would then objectively research a salary estimate from other hospitals with similar # of beds (with similar cost of living of course). Then you at least have a ballpark idea on what to negotiate. I would personally ask them what they think a fair salary is, and would always ask if they could go a little higher (even if the price is fair). That's just me.

Alternatively, the market is trash and a promotion to director may offer more job security lol.
 
+12-16 hours a week, so it's not a raise but compensation for off the clock productivity and liability.

+12 hours a week extra is a stretch. No one I know puts in 52-56 hours a week.

I've made the move from staff, to lead, and soon to be manager.

But its not 12 hours a week extra in actual work. It's more or less, checking your work phone for emails, answering 10 second phone calls from staff, etc. You're definitely wired in more. I would say, maybe 5 extra hours a week.
 
+12 hours a week extra is a stretch. No one I know puts in 52-56 hours a week.

I've made the move from staff, to lead, and soon to be manager.

But its not 12 hours a week extra in actual work. It's more or less, checking your work phone for emails, answering 10 second phone calls from staff, etc. You're definitely wired in more. I would say, maybe 5 extra hours a week.

I certainly did put in that time exclusively on residency affairs, then again, it wasn't for two, it was for eight divided into 6 first and 2 second years which included dealing with ASHP, VA's Office of Academic Affiliations, and the local University. Much of this revolved around dealing with the accreditation/regulatory paperwork, the management of relations between the educational entities, and the incident management. I spent very defined levels of time with the residents, but the regulatory aspects were a black hole timewise. The per unit addition of another resident is not that big a deal, but the paperwork and personality/HR struggles really can get complex at times. My successor to the position averages 60 hours a week just for the residents side. Just to say from the VA's POV, OAA mandates that should a residency get funded, the RPD is at least 50% placed on it if not more and VA's HR usually understates the commitment. I can't see how you managed to do this in only 5-6 hours if you have to deal with the bureaucracy, I know I couldn't get through AAHRPP accreditation paperwork for clinical education in less than 120 hours per re-up period (5 years now), and I just finished one for a site from a burnt out RPD.

Now, some of that time is comingled with dealing with the IRB/ORD and other university affairs, but if I were purely an RPD, it's no less than a 20 hour assignment at the best of times, and can be a 50-60 hour assignment during the peak periods (Indoc, Presentation Week, Etc.).

Much of it has to do with the bureaucratic structure of your hospital, your academic affiliations, and the relationship with ASHP. You're always working on some project or other on top of making sure the residents get their checklists done and being a mother/father, drinking buddy, psychologist, professor, and supervisor of them.

But if you have a low-key place without the institutional entanglements, yeah, I'd say it'd be averages at most 6 hours a week during normal times. But performance times, I'd be lucky to get out with 20 over.

I'm very happy with my outcomes (and so does everyone else who hires them), I have four VACO, two tenured faculty, and six HHS White Oak staff out of 14 residents, but my major regret is always that I spent more time on the stupid arrangements than actually with them. Then again, I do view the majority of pharmacy residents and their training to be substandard and a waste of everyone's year, but what's new in this profession?

My response is different to @awval999 but I have a feeling if we switched places that it would be more or less the same answers. Almost all of this is environmental, the actual precepting of residents has fairly standard limits like prescriptions, but for me, it's all in the administrative burdens that guarantee me never to take that position again. You want me to train or babysit a resident, great, I'm in. But don't throw me into a management headache where the downside is endless.
 
Last edited:
I'd have about 10 direct reports. I know there's no set formula but was hoping there were some people with similar experiences that might share. I enjoy the work I'll be doing and the people I work with so the extra hours won't be bothering me as much as working extra staffing hours might. I had planned on asking for 5-10% but haven't been able to reach anyone in similar situations in my direct network.

What have been other peoples' experiences moving to supervisor/manager positions?

Thanks!
 
My experience with pay negotiation was I asked HR for 10% increase and got 10% for a hospital management position.

I recommend asking for higher 10-15% increase and go from there

HR always says "The market average for your position this year is x annual salary or x per hour" and try to low ball you as much as possible.

Congratulations and good luck!
 
Last edited:
Top Bottom