Advice please

Specialties NP

Published

Specializes in School, FNP.

So I am finishing up FNP school and have three job offers and need some advice about which to choose. The salaries are all fairly similar (Womens health pays a little less, but they get 1/2 days every Friday so it evens out) and all say the offer bonuses for productivity, but no place can give concrete numbers about what these bonuses will be.

Womens Health - working with a well established practice who has 4 docs, 3 NPs and 2 midwives. Spend my days doing Paps, OB visits, IUD/Implanon insertion. No call and half days on Fridays. Great office, was very comfortable there during my clinical rotation. (Of course probably because I am a woman and have had 75% of what women come in complaining of). About 15-20 min drive.

Family Practice - good practice, part of an established group with opportunity to move around and go into specialty later if I want. MD has committed to training me for 12 months (he calls it a residency) so I will be top notch. Practice has 2 MDs. 2 NPs and a PA but will soon get a third MD. MD plans to retire in about 1 1/2 years and his patients will be shared between me and his PA. About 10-15 minute drive.

Derm - Guaranteed productivity here - which will result in the highest eventual pay. One MD and NP at this office. MD has trained a new grad NP and understands what is involved. Great office, well run and part of the same practice above so there is some movement possible. About 25-30 minutes drive from home.

So, my concern is this, my husband is active duty military and we start a 3 year tour here in October, after that we may stay here or end up moving elsewhere. I have to admit that family practice seems overwhelming to me at this time, but my brain is telling me if I go into family practice that I will be able to move and get a job anywhere. However, both derm and womens health seem like they would be less work and certainly more conducive to family life but perhaps not as portable as family practice. What do you think? I realize this is a great problem to have and am thankful that I have so many oppurtunities.

I'm working on finishing my fnp as well. While primary care sounds intimidating, I think your gut feeling is right with this scenario. If it was my decision, I would do the primary clinic.

Wow, thats great that you have three solid offers. You must have made a great impression during clinicals. I think if I were in your position with the living situation being a little up in the air, i'd go with the Primary job. I think you'd learn the broadest amount of information and be able to do choose whatever speciatly you like afterwards, as you said. Could they offer any compromise to sweeten the deal, like a half day on Fridays like the OB office??

Specializes in ICU.

Wow, how did you go about getting such great offers? I graduate in 10 months, need some serious tips!!

I would go with Family because it will be more well-rounded, unless you absolutely want to do Derm, which i heard is difficult to break into...:)

Specializes in Adult Internal Medicine.

Any of those positions will be marketable no matter where you move to after three years if experience.

Ooh, how I wish I was in your shoes!!! I know which one I would choose for myself (derm, but I am a skin person 100%) but this is your dream. I must say that a 12 month residency would be a wonderful asset. Family practice is definitely a well rounded smart choice. Pray, meditate, and choose the best course of action for you and your family. I am sending all the positive vibes for you. Please send me some next May!!!!

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