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Advice on FM Job offer ... Is this offer a good deal?

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  • JDG
    replied
    I am currently on the same boat as you. Midwest as well, but not in a "large midwest" city. From the looks of it, your structure is more complicated than mine, but the summative value is about the same. After looking into multiple scenarios, adding the math (just as you did, averaging 1.3 rvus/pt), and talking with multiple people; I would probably looking more into guaranteed money and for how long in your area. Some of the places that I'm looking at say that within 6mo, docs are getting into production. From my research in my area, and likely most places, it'll be closer to around 2-3yrs to develop the patient load.

    I've been reading a lot about this, and also interested in hearing the more experienced member's recommendations/experiences.

    Leave a comment:


  • Advice on FM Job offer ... Is this offer a good deal?

    Hi, first time poster.  I am a 3rd year FM resident and looking to move to the large city in the midwest.  I had a phone interview with a large non-profit hospital and they sent me their pay structure and I am trying to figure out some of the verbiage. I will be flying there in 2 weeks for a face to face but want to be prepared with questions.  I do plan on getting a lawyer to look at the final contract.   I am looking non-profit for my large student debt (> 400K) and currently on PSLF).  Outpatient Clinic. 4 Day work week.   Anyway ... Here it is:

    Projected Worked RVUs: 5000

    Median Rate: $47   (NOTE all numbers have been rounded up or down)

    Base Primary care compensation:  85% of the 25th% (subject to productivity adjustment) 192K x 0.85 = 163K

    Base Value Compensation (assuming a perfect score in all measures)   15% of the 25th percentile  = 192K X 0.15 = 29K   (I am rounding the numbers)

    Productivity Compensation: 

    Tier 1 - 35th percentile to 50th - 75% of the median rate (4800-4300) x ($47 x 0.75) = ~19K

    Value Compensation (assuming perfect score) 15% of the median rate (4800-4300) x (47 x 0.15) = ~ 3K

    Tier 2 - 50th percentile met (4300-4000) x 47 + (4900 - 4300) x ($47 x 0.10) = ~20K

    Tier 3 - 50th-75th percentile met ( 5000-4900) x (47 x 0.8) = ~4K

    Value Compensation (5000-4900 x (47 x 0.15) = ~1K

    Tier 4 - GT 75th percentile (Same pay structure as Tier 3)

    Total Approx.  240K

     

     

    Questions:

    1) Is this fair for a new FM attending (all outpatient)?

    2) What should I be negotiating?

    3) Is my math correct below?

    99214 = 1.50 wRVU  and 99213 = .97 WRVU =  Average should be 1.24 wRVU per Patient   (If 50% 99213 and 50% 99214)

    Monthly RVU   ~417  (5000 /12)

    5 Days Work Week: 4 Weeks Vacation, 1 Week CME, 10 Holidays, = 45 Work weeks which for 5 day work week = 225 days per year worked.  So 5000 WRVU required / 225 = 22 wRVU a day.  Avg wRVU = 1.24.

    • Now 22 / 1.24 = 18 Patients per day.


    4 Day Work Week: 4 Weeks Vacation, 1 Week CME, 10 Holidays, = 45 Work weeks which for 4 day work week = 180 days per year worked.  So 5000 WRVU required / 180  = 28 wRVU a day.  Avg wRVU = 1.24.

    • Now 28 / 1.24 = 23 Patients per day.


    Thanks!

     

     

     
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