Another salary question

[Calibean]

I am finishing up FNP school in a couple of weeks and the Physician that I am working for has offered me a job. He asked me to give him a start date and what I would like for salary (or what I think I am worth). I told him (jokingly) $150,000 which I don't think he found as amusing as I did. Here are the details, it is a family practice clinic although I may have to occasionally fill in at the attached Urgent Care. There are many other providers, but I would specifically be working with the physician and his PA. I have pulled Salary.com and see that for the area 25% earn 85,000 and 50% earn 92,000 but it does not break salary down by specialty/years of experience. Does anyone know where I can get solid numbers to back up the salary I am looking for besides salary.com. I am thinking that I would love to see 90,000 but that it may seem too much to ask as a new grad and that 85,000 would be more appropriate. He did mention that he is going to spend the first 12 months training me as if it is my residency and I could renegotiate my contract at the end of the time however, the group that the practice belongs to is fairly well known for not raising salaries regularly. I was earning $35/hour as a nurse prior to going back to school.

[AtomicWoman]

Don't forget to check Advance for NPs and PAs salary survey results. They dole them out over a period of months, but it will give youm something to point to in your salary negotiations.

[BlueDevil,DNP, DNP, RN]

Then ask for the new graduate mean in your area (NP program should have this data) , plus a percentage of the difference in the clinic P&L from this year to next (i.e. the profit you add after your salary/expenses and the revenue you bring in). I think asking for 25% is reasonable for the first year. If you stay, it should go up as you need less guidance. If there isn't a profit, there is no additional cost to him. If he says no to that, then you know he is more interested in using you to add billables than he is in teaching you anything.

[ice2015]

Do not sell yourself short!! I agree with the above comment that new NPs are accepting salaries that are way too low. I was originally offered 75000 and negotiated to 96000 for my first job. I also negotiated raises and a bonus structure, along with CE reimbursement. Look at all angles and get paid what you are worth!!!

[Calibean]

I wish I could find the new graduate mean. Tried school and they didn't really help me with a number, lots of advice, but not really what is a realistic expectation in my area. Which job do I choose, salary aside though - family practice or OB/GYN?

[lynn5707]

I would have loved to have been offered higher $. Basically, the new NP's in our area (midwest) are getting $75-85 year in office/outpatient settings. About $90 in hospital settings.

[myelin]

I would have loved to have been offered higher $. Basically, the new NP's in our area (midwest) are getting $75-85 year in office/outpatient settings. About $90 in hospital settings.

Right... but then they should be attempting to negotiate above that, correct? No one should ever take the first offer. I find it interesting, but I just read a recent article about how one reason why women make less than men is they are much less likely to attempt to negotiate, even with equivalent experience. I consider it my feminist duty to negotiate (joking... kind of).

[lynn5707]

I did negotiate but you are right about that, I am not good at it. Also, my priority was working Mon-thurs to spend time with my retired husband, etc.

[priorities2]

^ If you aren't good at negotiating, try negotiating through email. Say you need to consider it when on the phone, then send an email response with a well-worded reason for why you deserve a higher salary. Have someone proofread it. My boyfriend did this and earned about $1000 per sentence of the email per year, for a 3 sentence email. Worth it, I'd say!

[Calibean]

Thanks for all the suggestions. I'll let you know when we get to the end. There is a lot of other things to be considered in the job offers as well and I need to have both of them in front of me to really be able to compare.

[Jules A, MSN]

I think NP's need to stop accepting such low salaries - it's driving down the salary for everyone else.

Remember, an NP typically is reimbursed at 85% of a physicians reimbursement. Thus, an NP should make approximately 85% what a physician would be offer - 80,000ish is simply too low considering many RN's make as much and more.

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I agree and can't imagine working as a NP for what is essentially RN wages. Are they going to bill less for you as a new grad? Didn't think so.

Why not ask a few NPs what range you can expect? I'm very open to fellow NPs about my rate of pay. It sure wouldn't benefit me to have new NPs coming in willing to work for less than our area's going rate.

[GoodNP]

I personally would place a premium on the opportunity to do a paid residency with an experienced physician who is willing to teach, provided I had it in writing that upon completion of the residency I could expect a substantial salary increase.

[BlueDevil,DNP, DNP, RN]

If it is a real residency, than the learner will not be expected to work independently. All of her work product will be reviewed as a teaching opportunity. That means the physician will see all of the patients after she does, they will discuss the case together, etc.

If she is expected to see patients indepently and bill for them, it isn't a real "residency" and she is being taken advantage of.