What advice would you give this person? How could this have been avoided?

Started by drusso
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drusso

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You have two choices....accept it and finish out your career there or leave.

Find all the leverage that you have and apply it
 
This does not pertain to OP or even docs, but workers no matter how educated is a cog. There is little loyalty in business.

Your employer doesn't owe you anything and vice versa. The myth of loyalty in business is just a myth.

Good luck OP.
 
OP has already answered their own question. They evidently took this pro fee only arrangement in a HOPD 20 years ago because they valued stability over money. I don't see what has changed, unless the explanation for why they've been doing this for 20 years is a cover for the reality of "I agreed to be grossly underpaid 20 years ago and just realized it, how do I fix this?"

The unfortunate reality is: wRVU compensation is not some new model. OP was (or should have been) aware that their existing comp structure was highly unfavorable for quite some time. At this point, the options are the same as they always have been: continue to accept the crappy contract or find a new job. Personally, I'd either consider a new job, or I would accelerate my retirement timetable.
 
trying to back out?

how are they trying to back out?

he signed the contract they offered and returned it. seems like the contract is a done deal.

next step would be to hire a contract attorney if one is not involved and have that contract attorney directly contact hospital admin.
 
OP has already answered their own question. They evidently took this pro fee only arrangement in a HOPD 20 years ago because they valued stability over money. I don't see what has changed, unless the explanation for why they've been doing this for 20 years is a cover for the reality of "I agreed to be grossly underpaid 20 years ago and just realized it, how do I fix this?"

The unfortunate reality is: wRVU compensation is not some new model. OP was (or should have been) aware that their existing comp structure was highly unfavorable for quite some time. At this point, the options are the same as they always have been: continue to accept the crappy contract or find a new job. Personally, I'd either consider a new job, or I would accelerate my retirement timetable.
What triggered this conflict is OP discovering the recent docs hired negotiated a better compensation package than he had. From admin point of view there is no good reason to change OP's compensation. While purely altruistic benevolence is rare, genuine "goodwill" towards employees absolutely exists in the business world, though it operates primarily as a strategic investment rather than pure charity.
 
I mean logically if he leaves they need to hire someone which incurs recruitment costs and a loss of revenue while the new doc builds back up. As long as that pain point is enough for admin then they should offer him the better contract. Otherwise he needs to walk.
 
The hospital probably didn’t sign and return the contract.
if they offered the contract, (unless he made changes) as soon as he signed and returned contract, and there was a specific start date, they should not be allowed to rescind. it would be breach of contract and the employee should be able to sue.

which is why he should contact an attorney.
 
He should get the other guy to leave and set up own shop. It’s not as onerous with two of you and you’ll be happier and maybe even work longer than you thought (or at least half time for a while). You get to decide your eCut.
 
Go to another hospital.. rvu based, get good guarantee and sign on and move on. Or do the above and check with an attorney but cost may outweigh benefit.
 
What possibly less obvious questions should be asked when signing a HOPD Pain Physician contract?
 
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