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deleted480308
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I would be likely to quit on principle
We Choose NPs
Started by Alvarez13
A little lower than MGMA but still much closer to what I'm seeing.
Oh, and I can also find random jobs to support my point:
Description
One of the top Federally Qualified Health Center’s in the nation is seeking a qualified family medicine physician to join its growing team.
Opportunity Highlights
- Practice with behavioral health and dental providers available on-site
- Production and quality bonus potential
- $50,000 in student loan repayment every 2 years
The point is, while I'm sure there are FPs making what you say most of us are making much closer to what I'm seeing assuming full time employment more than 1 year into a job.
Lots of fp selling their practice to big hospital systems because they can't make it on their own
Mine showed that the average was 207k.
I wasn't just looking at the one position but the average the site showed
The hospitals I've seen ratchet down the rvu have non-compete. So to work you'd have to move
Do non-competes apply to non-organization affiliated practices such as private practice or DPC?
Non-competes should be illegal imo, makes no sense a business can have that much control over an area - sounds like a pseudo-monopoly if you ask me, and allows for businesses to have horrible practices with no threat of losing good workers/patients because they can't get their **** together and run a business effectively.
I have a noncompete, but its only 1 year 15 miles so not a big deal.
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deleted480308
Noncompetes make more sense if you ever owned a business with employees. You pay a guy to develop relationships with clients for you and they go across the street with your clients? Nope
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Around here at least the hospitals try and make the non-competes a pain but not awful.
The other places in town its 2 years but you're only restricted from working for us. You can go PP, VA, FQHC literally next door 1 day later and be fine.
Sorry boss; what do these letters mean? (Beyond VA).
Private practice, federally qualified health center
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Yes they apply to any work as a physician within a radius
My non-compete is 3 years, Can’t practice primary care in the county until it’s over.
The thing is, my employer is the only primary care source in the county. And my employment contract is also 3 years. So when my contract is up, I can’t do what I want, right here in town, should I choose to.
But I wouldn’t even think of trying to open a private practice here. Too rural and poor to make that feasible IMO.
But if I did, I’d sure as hell want to do it after establishing myself in the community, which I’m doing now. I’ve got 1000 patients (started day 1 with 0) and I’ve been at this 1.5 years. I wouldn’t want to invest in a private office until I was a known commodity locally.
The thing is, my employer is the only primary care source in the county. And my employment contract is also 3 years. So when my contract is up, I can’t do what I want, right here in town, should I choose to.
But I wouldn’t even think of trying to open a private practice here. Too rural and poor to make that feasible IMO.
But if I did, I’d sure as hell want to do it after establishing myself in the community, which I’m doing now. I’ve got 1000 patients (started day 1 with 0) and I’ve been at this 1.5 years. I wouldn’t want to invest in a private office until I was a known commodity locally.
Two separate things.
A contract for 3 years means that whatever language is written in the contract is valid for UP TO 3 years, unless it is broken from either side (usually requires some amount notice of time to leave or be fired without cause). After 3 years you go and renegotiate your contract - your base, incentive, and the variables of your non-compete, are all up for discussion again.
A non-compete only starts from the moment you stop working for that employer. That could be 3 years, 6 months, or never (if you stay at that job all your life).
Non-compete and contract expiration have almost nothing to do with each other. If you had a contract expire and you did not renegotiate a new one (or could not come to an agreement) then the non-compete language would kick in (as you no longer work for that employer) and for 3 years you would be restricted as per the details of that non-compete (from your original contract).
Can a non-compete be considered null if the company were to do anything wrong on their end which forced you to leave? I can't think of anything at this time like that, but theoretically? Or are the grounds of a non-compete pretty fluid during the contract negotiation phase? I imagine the more in-need a company is, the more leniency they will have in their contract negotiations.
3 years is during my contract time. Basically if I terminate the contract early, I must leave the county and can’t practice here until the non-compete expires. If they void the contract, the terms (including the non-compete) are voided.
In other-words, I’ve agreed not to use their clinics to generate some small but critical mass of patients and then take them into a private practice, for at least 3 years.
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deleted109597
If the area is underserved (easy to look up) I bet you could win that suit easily if they fought you for doing it. No judge wants their name painted as decreasing healthcare access.
If you think starting your own clinic is no viable, then there's no point in testing it though.
If you think starting your own clinic is no viable, then there's no point in testing it though.
Once you have signed, if the company broke their contract (by say, not paying you for example) first, then I imagine the non-compete would be invalidated but it'd likely require legal consultation for evaluation of laws in each state.
There are also some states that have boundaries of what a 'reasonable' non-compete is (meaning what can be enforced in court), and if a non-compete from a contract is written above and beyond what state regulations are, then you would have a chance to get it refuted in court. This is one of the main (but not only) reasons folks generally recommend a lawyer specializing in physician contract law, in the state where you plan to work, evaluate your contract.
During the contract negotiation phase - whether the factors of a non-compete are fluid are dependent on the institution. For most major academic places, I imagine the answer is (most of the time), no, or minimal fluidity. Depends on how much they need you vs how much you need them, as you noted.
Non-compete clauses are not enforceable at all in California, for example. In Massachusetts, they are not enforceable for physicians, sinces it's thought to be contrary to the public interest.
It all varies by state.
It all varies by state.
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Does anyone know of an actual suit going to court against a physician for a non-compete? Seems it wouldn't be a worthwhile financial enterprise for any CMG.
Yep, in my state. The cardiologist lost because the court ruled that his non-compete didn't stop him from practicing as an internist in the area only a cardiologist.
I laughed as walked by a office today
“family care medicine”
1 physician
6 midlevels
also in a city, not rural, no physician shortage
It's an endless strip mall of these precise "practices" here in FL.
It's going to get worse as reimbursement declines and documentation gets more complex. To pay overhead, physicians are going to need to see more patients and the only way to do that is to hire an army of Jenny clones.
Or you put the time in and rough it out with slow growth to build a practice. Having the expectation of immediately being full or rapid practice growth may simply need to change.
We Did Not Sign Up For This
This article was written by someone who wishes to remain anonymous. Due to the topic and emotionally charged nature of the article, the member wanted the topic ...
allnurses.com
Funny how suddenly people realize their limitations.
We Did Not Sign Up For This
This article was written by someone who wishes to remain anonymous. Due to the topic and emotionally charged nature of the article, the member wanted the topic ...
Funny how suddenly people realize their limitations.
I like the paragraph where chaos is going to ensue and cardiac nurses will be delivering babies.
We Did Not Sign Up For This
This article was written by someone who wishes to remain anonymous. Due to the topic and emotionally charged nature of the article, the member wanted the topic ...
Funny how suddenly people realize their limitations.
I think this was written by an RN rather than an NP, no? I never got the vibe RNs felt they were equivalent to Physicians, but suddenly the 2 years of NP school somehow makes them so lol. I understand the angst against NPs, but I don't know if this article in particular is a good one to enlighten us as to NPs downfalls when I'm pretty sure an RN who rightfully understands their limitations wrote it.
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deleted480308
Someone isn’t taking a pay cut
$13k a week for an NP (trained online). Our world gets more insane by the minute.
$52k a month.
Meanwhile physicians are being asked to volunteer in NYC without pay.
$52k a month.
Meanwhile physicians are being asked to volunteer in NYC without pay.
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deleted480308
Using our own savior complex to crucify us. And docs on this forum saying they would retaliate against any doc in their hospitals that wouldn’t work for free
Nurses have garnered the public trust claiming they are the ones who are protecting them against the greedy doctors... while we are fighting against each other.
As someone who have been on both side of the aisles, I can tell you that physicians overall care more about their patient than nurses...
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deleted480308
Agree both that we care more about outcomes and that nurses are better at PR
Is there any reason in particular physicians are not being sought/looked to be given deals similar? Or are they and they're just not being advertised?
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deleted480308
The expectation that we should be there for the love of the game
Because we are stupid, and terrible at business.
Here's the breakdown:
Not saying I want to be doing 80+ hr weeks, but if my overtime was double/triple my current rate, I'd probably tack on a few hrs.
Pay us a fair market rate, or GTFO. Nurses are making bank right now.
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Keep laughing at your user name.
Yup, and >$180/hr after they break 40 hrs.
Joint Statement on the Role of Advanced Practice Registered Nurses
The Emergency Nurses Association (ENA), American Association of Nurse Practitioners® (AANP), American Association of Critical-Care Nurses (AACN) and the National Association of Pediatric Nurse Practitioners (NAPNAP) believe in the power of an interprofessional approach to health care that…
www.aanp.org
"...our belief that APRNs in emergency care should practice to the full extent of their education and clinical training"
Sounds good.
AANP.
"American Association of Non Physicians".
"American Association of Non Physicians".
American Association of Nincompoops. Is that really mean of me? I mean c'mon. They want to make 1/3 of what we do with about 1/10 of the training. This isn't fair.
Only way to fight this is to expose them for being inadequate.
Actually, there's been posts and even internal documents from AANP stating they deserve to make the SAME as physicians as they do the SAME work.
Furthermore it's more like 1/30th - 1/15th of the training of a physician. The majority of NP programs have approx 500 hrs of training. That's 100 hours hours shy of what's needed to be a dog groomer at PetsMart and nowhere near the the 15000+ hrs to be a physician.
TheSingularity
Full Member
I dated an NP "student."
Online program. Hadn't opened a book in a year and a half. Zero standardization of clinical rotations.
I do believe they should "practice to the full extent of their education and clinical training." This ranges somewhere from getting me coffee in the morning to seeing a level 5 suture removal.
Online program. Hadn't opened a book in a year and a half. Zero standardization of clinical rotations.
I do believe they should "practice to the full extent of their education and clinical training." This ranges somewhere from getting me coffee in the morning to seeing a level 5 suture removal.
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