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

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  • Avatar thomasmd77 
    Participant
    Status: Resident
    Posts: 8
    Joined: 08/03/2019

    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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