What are your thoughts on this job?

[ak6819]

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Members do not see this ad.

Can't post a link but referring to the ad for "Radiation Oncology Opportunity in Peoria, IL" on the ASTRO jobs site.

Income potential of 250k+? Pretty sure I've seen FM offers for that much in similar regions to Peoria, IL.

 

[Neuronix]

Radiation Oncology Opportunity in Peoria, IL

Competitive base salary plus incentives. Income potential of $250K+

Competitive? What's competitive about that?

 

[medgator]

FM?

$250K+ for a smaller Midwest metro to start is low imo, crazy if that is the expectation a few years in

 

[Neuronix]

FM?

Family medicine. That is: $250k would be a reasonable FM salary in a place like Peoria.

 

[ak6819]

FM?

$250K+ for a smaller Midwest metro to start is low imo, crazy if that is the expectation a few years in

family med or really any general outpatient medicine.

 

[medgator]

family med or really any general outpatient medicine.

Don't know....Prob should ask in the FM forum.

As for rad onc,, it's absurdly low

 

[smq123]

Family medicine. That is: $250k would be a reasonable FM salary in a place like Peoria.

$250K in Peoria is probably reasonable (for a new grad) to a little low (for an experienced physician). I get emails every week for outpatient jobs in Florida in places like Tampa Bay, West Palm Beach, Daytona, etc. that start at around $250K.

(I'm family medicine, if you couldn't already tell.)

 

[Haybrant]

.

 

[kristofer]

It’s unclear from the ad if that is partnership track or not. It’s low, but not totally unreasonable for first year partnership track. Peoria is a nice city and will pay significantly better than Chicago markets. The number I have been told for this area is median mgma + productivity bonus. This is consistent with employed positions in other small midwestern cities.

If someone applies for this job and is told it’s an employeed position offering a straight salary of $250k, please report back otherwise stop with the fear mongering.

 

[deleted18755]

Aren’t the vacation days way higher than standard too?

 

[Fpg1245]

Wasn’t there another posting a couple months back in some part of Georgia with a low starting salary? I think also 250. This is the second one now. Seems like there is a bit of bottom fishing going on.

 

[medgator]

It’s unclear from the ad if that is partnership track or not. It’s low, but not totally unreasonable for first year partnership track. Peoria is a nice city and will pay significantly better than Chicago markets. The number I have been told for this area is median mgma + productivity bonus. This is consistent with employed positions in other small midwestern cities.

If someone applies for this job and is told it’s an employeed position offering a straight salary of $250k, please report back otherwise stop with the fear mongering.

Usually most posts will over, NOT under exaggerate potential income, as a general rule. And the description suggests it is a hospital employed position with a base + incentives.

Partnership track doesn't work like that...typically it'll be 2-4 year track with a fixed to graduated-fixed salary and then partnership/share of professional vs professional/technical fees depending on situation, not "incentives"

 

[kristofer]

Usually most posts will over, NOT under exaggerate potential income, as a general rule. And the description suggests it is a hospital employed position with a base + incentives.

Partnership track doesn't work like that...typically it'll be 2-4 year track with a graduated fixed salary and then partnership/share of professional vs professional/technical fees depending on situation, not "incentives"

I'm aware of how partnership track positions work. What I was saying was that $250k is not unheard of for year 1 in the pre-partnership period, especially if it's a low volume practice. My comment about median MGMA offers refer to employed positions in small Midwestern cities. As I indicated before, I would be shocked if this was an 1.0 FTE employed position paying a straight salary of $250k. It is very rare for a job offer to even list a number, and what you say is true -- it would make zero sense to advertise a pay rate that is exactly half of what should be expected for that region. It suggests an error based on whatever administrator posted it. Regardless, you get what you pay for. Perhaps they will eventually be able to hire somebody who has been fired from multiple practices with multiple professional issues and a history of disciplinary action. There are also well known predatory practices that prey on desperate candidates, particularly those who need visa sponsorships. I am not aware of any near Peoria, IL. This chicken little stuff needs to stop. There are no shortage of high quality, high paying jobs in the Midwest. But unfortunately the prevailing attitude on this board seems to be that the Midwest is full of inbred racist rednecks and that the most important things in life -- overpriced niche ethnic restaurants -- are not available. It is totally worth taking a 50% pay cut, tripling your housing costs, and quadrupling your commute time so you can have a choice of more than one Indian restaurant to eat at.

 

[medgator]

This chicken little stuff needs to stop. There are no shortage of high quality, high paying jobs in the Midwest

I've personally seen $225-250K starting salaries for "partnership" track in both SoCal as well as FL, so I would expect a PP in Peoria to pay a little more, even in a partnership track situation. But again, I am going off numbers from several years ago when I first started the job hut. No one can say for sure what is going on with the job market now (certainly neither of us, considering I am attending several years out, and you're still a resident?), but the fact that a rural position in IL and a rural position in GA both posted starting salaries around $250K does give me pause.....

(and yes, $250K starting salary strikes me as low for a rural position away from the coasts, either partnership track or employed, at least when I was looking several years ago)

 

[Fpg1245]

CPI Inflation Calculator

Inflation calculators can help put things in perspective a bit or at least standardize it. As an anecdote I remember one of my attendings who started in the late 90s said his first offer was in 170s partnership track. Apparently there were some pretty shady characters back then too...some things change but many things remain the same.

 

[kristofer]

No one can say for sure what is going on with the job market now (certainly neither of us, considering I am attending several years out, and you're still a resident?), but the fact that a rural position in IL and a rural position in GA both posted starting salaries around $250K does give me pause.....

Well I'm actively engaged in the job search at the moment, so I do feel I have somewhat of a valid perspective. Median MGMA is what I keep hearing over and over from Midwestern hospital employed positions. 75 %tile + for very rural employeed jobs. I have not heard anywhere near $250k mentioned. Neither of these two positions were verified, and until somebody confirms that those are numbers for full-time salaried jobs, I simply don't believe them. There is just no feasible way a hospital in a small Midwestern city is going to fill a full-time position at well under <10 %tile MGMA. MGMA and practice entry data continues to indicate a stable upward trend in reimbursement. The sky is not falling (yet) in the Midwest. Hell, I'll call them on Monday and ask. Maybe it's a great opportunity 🙂

 

[RickyScott]

Well I'm actively engaged in the job search at the moment, so I do feel I have somewhat of a valid perspective. Median MGMA is what I keep hearing over and over from Midwestern hospital employed positions. 75 %tile + for very rural employeed jobs. I have not heard anywhere near $250k mentioned. Neither of these two positions were verified, and until somebody confirms that those are numbers for full-time salaried jobs, I simply don't believe them. There is just no feasible way a hospital in a small Midwestern city is going to fill a full-time position at well under <10 %tile MGMA. MGMA and practice entry data continues to indicate a stable upward trend in reimbursement. The sky is not falling (yet) in the Midwest. Hell, I'll call them on Monday and ask. Maybe it's a great opportunity 🙂

Honestly, I dont see why not. Peoria is a half decent city. I am isure they could get a grad from a smaller program, who probably went to a smaller med school, but scored 250 on step 1/2 and knows his sh-- as well as anyone else, to come there at this salary, and maybe advance to around 300 in 5 years.

 

[kristofer]

Honestly, I dont see why not. Peoria is a half decent city. I am isure they could get a grad from a smaller program, who probably went to a smaller med school, but scored 250 on step 1/2 and knows his sh-- as well as anyone else, to come there at this salary, and maybe advance to around 300 in 5 years.

Got it. People who graduate from "smaller" programs are doomed to work for 5th percentile MGMA pay. Is that what our field has come to? Where in the world are you getting this from? There is just no way they are paying 100k+ less than Chicago markets and are going to fill that.
That is a part time salary. Period.

 

[Sheldor]

I've personally seen $225-250K starting salaries for "partnership" track in both SoCal as well as FL, so I would expect a PP in Peoria to pay a little more, even in a partnership track situation. But again, I am going off numbers from several years ago when I first started the job hut. No one can say for sure what is going on with the job market now (certainly neither of us, considering I am attending several years out, and you're still a resident?), but the fact that a rural position in IL and a rural position in GA both posted starting salaries around $250K does give me pause.....

(and yes, $250K starting salary strikes me as low for a rural position away from the coasts, either partnership track or employed, at least when I was looking several years ago)

Also went through the job search recently and did not see anything in this range, even on the coasts. Lowest I saw on coasts was 275k, and in the middle of the country it hovered around 350k. (Hospital jobs being the exception, because they tended to start higher, crazy high in some cases, but plateau slightly lower than private partnership.) I do find it hard to believe they'll fill a spot at that salary. Many of my friends in IM/FM make that much. If that is real, why would anyone suffer through 2 extra years of training?

 

[thaddeus]

I agree that $250k is crazy low, but if faced with the unfortunate decision of 1) making $250k in FM/IM or 2) going through 2 extra years of training and making $250k as a rad onc I would absolutely choose 2). Is there anyone on this forum who wouldn't? I think its easy to forget what a fascinating field we're in through all the talk of imminent financial ruin.

 

[medgator]

I agree that $250k is crazy low, but if faced with the unfortunate decision of 1) making $250k in FM/IM or 2) going through 2 extra years of training and making $250k as a rad onc I would absolutely choose 2). Is there anyone on this forum who wouldn't? I think its easy to forget what a fascinating field we're in through all the talk of imminent financial ruin.

Honestly, it depends on workload... I'd choose option "3" and get a different RO job, with a bigger hit to location if need be (sorry but Peoria is taking a hit already imo). I work more hours than many fp/Im outpatient docs I know who don't go to the hospital at all

 

[deleted18755]

Maybe the salary is lower because it’s a cush or at least not full time job.

I can’t figure it out, what does this mean: 36 days PTO (over 7 weeks vacation the first year !?!) and 480 hours sick time/year (that must be a typo, right?).

For you guys who are interviewing or have recently what exactly does “loan repayment” usually entail?

Thanks just curious!

 

[Corgi4Prez]

For you guys who are interviewing or have recently what exactly does “loan repayment” usually entail?

Thanks just curious!

Interviewed and took a job this year that included a "loan repayment" bonus. It is a lump sum that I get 3 times over 2 years (I think 6, 12, and 18 mos). I was told no one checks if you actually use it for loans, but I plan to do just that.