- Joined
- Apr 24, 2015
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graduating ahft fellow this year
I've narrowed my job search to these two, want to hear everyone else's thoughts.
job #1 - hospital employed, privademics coastal-ish south, vad + txp, 400k + 30k sign on, "partner" after 3 years, 450k + production/metrics (must hit >6500 RVUs to get full bonus), potential is 550k-600kish, 4 weeks vacay, escalates to 6 weeks. the chf group is young; all 2-6 years out of fellowship, total of 6 CHF docs I think. does a decent number of txps (>20) and vads (>50). Epic EMR. 50% general cards, 50% heart failure, 8-10 weeks inpatient rounding which counts as call as well, hospitalist/intensivist coverage overnight, so mostly would be donor call and recs from home, can do own rights, 3-4 imaging/TEEs days a month. 3 surgeons, all experienced, one close to retirement. ~4 million catchment area
job #2 - hospital employed in the midwest, DT-VAD only (newer program, entering second year), 2 current CHF docs, general cards helps with CHF call. 500k to start, 50k sign-on bonus, partners supposedly make >750k after 2 years with seemingly no RVU target, 6 weeks vacay to start, escalates to 8 after 2 years. all docs contribute to RVU pool and then divvied up to set the salary for the entire group. they did 10 vads first year, 15 vads this year, transplant eligible patients go to nearby academic center. 12 weeks inpatient rounding with gen cards picking up the last 18 weeks that's uncovered currently with CHF docs as backup for severe cases, consult only service. do rights for the group (2-3 days/month dedicated cath lab time), read own echoes, tees, nukes and 7-8 imaging/TEE days a month. Epic emr. 2 vad surgeons who want to implant aggressively from my interviews with them, both in their early 40s. location is mid/large sized city in the midwest (ca 2.5 million metro area). group ultimately wants to have 4-5 CHF docs.
leaning towards job #2 even though it doesn't have transplant, but a bit hesitant to join a new program, fwiw, administration seems to be very supportive of growing a vad program. seems like a better QOL overall even though has more inpatient time, get more time away from clinic with imaging/dedicated cath lab time.
I've narrowed my job search to these two, want to hear everyone else's thoughts.
job #1 - hospital employed, privademics coastal-ish south, vad + txp, 400k + 30k sign on, "partner" after 3 years, 450k + production/metrics (must hit >6500 RVUs to get full bonus), potential is 550k-600kish, 4 weeks vacay, escalates to 6 weeks. the chf group is young; all 2-6 years out of fellowship, total of 6 CHF docs I think. does a decent number of txps (>20) and vads (>50). Epic EMR. 50% general cards, 50% heart failure, 8-10 weeks inpatient rounding which counts as call as well, hospitalist/intensivist coverage overnight, so mostly would be donor call and recs from home, can do own rights, 3-4 imaging/TEEs days a month. 3 surgeons, all experienced, one close to retirement. ~4 million catchment area
job #2 - hospital employed in the midwest, DT-VAD only (newer program, entering second year), 2 current CHF docs, general cards helps with CHF call. 500k to start, 50k sign-on bonus, partners supposedly make >750k after 2 years with seemingly no RVU target, 6 weeks vacay to start, escalates to 8 after 2 years. all docs contribute to RVU pool and then divvied up to set the salary for the entire group. they did 10 vads first year, 15 vads this year, transplant eligible patients go to nearby academic center. 12 weeks inpatient rounding with gen cards picking up the last 18 weeks that's uncovered currently with CHF docs as backup for severe cases, consult only service. do rights for the group (2-3 days/month dedicated cath lab time), read own echoes, tees, nukes and 7-8 imaging/TEE days a month. Epic emr. 2 vad surgeons who want to implant aggressively from my interviews with them, both in their early 40s. location is mid/large sized city in the midwest (ca 2.5 million metro area). group ultimately wants to have 4-5 CHF docs.
leaning towards job #2 even though it doesn't have transplant, but a bit hesitant to join a new program, fwiw, administration seems to be very supportive of growing a vad program. seems like a better QOL overall even though has more inpatient time, get more time away from clinic with imaging/dedicated cath lab time.