Advice on NP job offers: challenging vs easy

  1. hi
    I am an ARNP, NP in the lucky position of having to decide between 2 job offers, of course it took 2 months of not knowing what I was going to do and getting a bit nervous before this happened.

    Ideally I wanted a position with another provider present to take my skills to the next level, but that has been hard to find.

    basically, One job is a brand new clinic for an existing company that has 1 clinic in the area already, close to home, low stress, great hours m-f 8:30-3:30, great pay, but could get boring doing the same thing over and over.
    the second job is about 30 minutes away, I like the people a lot, but could be very stressful on my own doing family practice (they said they would train me for 6 weeks before being alone),4 11 hour shifts a week (that seems like a lot), basic going rate pay, with possible profit sharing in the mystical future lol.

    As far as Salary:
    even with 44 hours.week the 1st job pays a bit more with only 35 hours.week. both have benefits.
    seems like a no brainer, just worried I would lose my skills doing one thing all the time. plus it is a brand new clinic and who knws if it will work out?
    still I would love a low stress job. I have wanted to pull my hair out because family practice can be hard esp. on your own (relatively new grad) and long hours and late nights make it hard to have a social life too.

    jusy wonder if anyone does an easier job and loved it or wished that had gone the more challenging route to learn more.
  2. Visit morganvibes profile page

    About morganvibes

    Joined: May '06; Posts: 87; Likes: 12
    from US
    Specialty: 2 year(s) of experience in retail


  3. by   BCgradnurse
    Congrats on having 2 offers to choose from! My first job after graduation was extremely challenging, high stress, high patient volume, with not a lot of support from administration. I put in 40-45 hours a week seeing patients, and then another 15-20 hours a week at home catching up on all my notes. I learned a ton, but by the end of 2 1/2 years I was burned out, had trouble sleeping, gained weight, was always cranky at work, and was not a happy camper. I now work 36 hours per week in a specialty practice, seeing patients for a relatively narrow range of conditions. I have very little stress, never take work home, and I make more money. I don't regret taking the first job. I learned a tremendous amount, but I was not prepared for what it would take out of me. I do have some concerns about my skills becoming rusty, but for me, the trade off is worth it.

    Just my
    Last edit by BCgradnurse on Jul 27, '12 : Reason: spelling
  4. by   mammac5
    I'm currently in my first job right out of school and it's been relatively easy. I focus on ONE chronic disease. I took this job because I felt confident that I could do it and because it's a research study which is scheduled to last for one year. I figured that if I got bored or just hated it, we could all part company as friends and I didn't even have to quit my first job!

    Now that I'm several months in, I feel like I am getting a little bored and ready to branch out. But I have to say that, even though I have focused on one disorder, I still had a lot of stress the first 2 months of this job. I was unsure of myself, geographically challenged in a large hospital spread over two campuses, etc. So I think it was a good starting point in my case.

    I have learned a lot this year about what type of schedule I want to work, how much I feel like I would be happy with in terms of pay and benefits, etc. so it's been very beneficial.
  5. by   morganvibes
    Thanks for the responses, Im sorry to get back to you so late but I just saw them! I thought I would get an email or something if there was a response, But never did.I ended up taking the low stress job and I think it is going to work out because the office manager is very nice and seems to have everything in control, although still a few things up in the air and the owners are not being completely upfront about my benefits and salary. Just a good thing I didnt need a paycheck right away!I had to get my own malpractice, which they said they will reimburse, which is fine, but now its been almost 2 mos and still hasnt happened since opening has been pushed back. I have been working only about 3 hours a day training which I guess will be the way it is until opening. and just got an email saying health benefits dont kick in for 3 months!I am trying not to worry too much about the insurance but not happy about waiting 3 mos more, since I havent had insurance for 3 mos already. Is this normal for a nurse practitioner position? Hasnt been my experience, but Ive only worked for big companies previously.anyway, if I make it through the 3 mos, it sems like it will be a nice, easy enjoyable job, but still hoping at this point.
  6. by   mystory
    I hope you don't me reviving this thread, but I thought it was interesting and wanted an update on your situation. Do you still work at the lower stress job? Did you get the insurance reimbursement sorted? I am also considering a lower stress NP job (at a laser hair removal clinic) versus a higher stress but likely more intellectually stimulating and rewarding environment.
  7. by   morganvibes
    Hi mystory,
    This is what happened. the lower stress job was nice, loved it, but since it was a start up in the area, it didnt work out (something to do with medicare reimbursements). So. The search goes on. They did reimburse me for my insurance, etc. I also consided the laser hair removal route, but that would be so limiting, so I wonder if we would have big trouble getting another job if we were there for several years, who knows? Retail clinics are another option, but then you have to work every other weekend and always be by yourself , nothings perfect.
    Lately I have been working with older people and enjoy it, so actually thinking about possibly getting a post masters in geriatrics. I know, its craziness, but Ive seen many many jobs for nursing homes that pay very well. I would want some specific training beofre taking that on though, but it would be a very stable job and the listings Ive seen seem to have a lot of autonomy.
    Could be stressfull I guess, but could be rewarding.
  8. by   Lize321
    What was your low stress job?
  9. by   morganvibes
    Hi, it was with a start up neuropathy clinic (see above post for more info) but ended up closing because of a problem getting medicare reimbursements for our procedure. Too bad too,because it really worked very well for people. I've been with another start up Co now for the last 10 mos, but still not sure it will take off, but that's the way it goes with new Co's. I love it though and am learning a lot about the clinical and management aspects of running a healthcare business.

    If it works out then I will be thrilled, because I have been able to have one on one time with several physicians, and feel very confident in my abilities. That is a key factor for me to be happy in a job. It's Hard to find mentors, so if you have one, learn all you can, and appreciate it!
  10. by   Anonymous1257
    I am currently working with a Gero-CNS preceptor. From what I've seen gero pays well and there are plenty of opportunities in my area. You really need to be on top of your meds though! So much poly pharmacy in gero and so many specialists involved in care. It's definitely a complex arena.