$315,000 and you have complete control over your schedule… cheesy but not a 100% deal breaker.
$315,000 max and 0.00% autonomy for your schedule or work hours? Let’s walk through this one.
So quick math: say you see 100 patients a week for 48 weeks = 4800 patients on the year.
100 patients in a 4.5 day week is 22.2/day
RVU per patient maybe 1.6-7 ish.
1.6 gets you 7680 RVU
1.7 gets you 8160 RVU
7680 RVU x $41 = $314,880
8160 RVU x $41 = $334,560
This is also before quality/performance bonuses are awarded.
What is the compensation for an NP that they may be able to force on you?
Schedule control is now the way corporate medicine operates.
If you have 3 work in double books a day forced on you, it’s not 38 patient contact hours to you, but it is to them. See, it’s not really ‘patient contact hours’ at all. It’s forcing you to be in office 4.5 days a week seeing whomever they put on your schedule.
If you don’t take your maximum time off allotted for the year, you could easily exceed your RVU to meet your max allowed salary. 100 patients a week could become 110 a week
110 x 48 weeks = 5280 patients/yr
5280 patients x 1.6 RVU = 8448
8448 x $41 = $346,368
You’ll be a brand new attending with a brand new patient panel. They are a giant system, which means they have a ton of patients, and providers with full panels and full schedules. Their patients will need to be worked in frequently for ‘acute’ visits. Patients are also allowed to book their own visits now through the app, directly on to your schedule.
“Hey, where the hell did that 2:15 new patient double book come from??” “I’ve already got a hospital follow up scheduled at 2:45.” Game over for that afternoon because you also have a new patient booked at 3:30. Call your wife and let her know you’re running late again and you’ll try to be at your kid’s ball game before halftime. Pro tip: Don’t you dare take your laptop home.
Are there any currently older ‘don’t have to take this ish anymore’ attendings? There may all of a sudden be 3,000 patients who need a new doc, asap. Med refills on patients whom you’ve never even seen? Enjoy that one.
Could they be nice to you and not crush you with what I just said? Sure they could, but you are putting the cards in their hand.
Now if they are willing to pay you the full compensation for the RVU you’re generating? Ok, fair enough, but you are trusting them to do what’s right.
Control, and who gets it is the new game. If they own your schedule and how long you have to be in office, and force NP oversight on you… they own you. At least it’s only a 10 mile noncompete. That’s pretty awesome for you, but how much guaranteed salary are you on the hook to pay back if you leave?
Ask to do a walk through of the offices during business hours. Are all of the staff in the back in haul ass mode? Observe staff faces. “Do you like it here?” Will get you nowhere. Do you hear them doing 200 mouse clicks just to triage 1 patient? Do the MAs have several huge stacks of papers on their desks (guess where all of that is going to end up eventually)? How backed up is the waiting room at 10 am? Do the patients appear frustrated? How many rooms are still waiting to be seen for each provider?
I may edit and add more as it comes to me but I’m out of coffee right now.
Trust me on this.