NP14

Okay, I plan on calling this week. I was given time to review the offer. I was surprised when the information discussed over the phone was both changed and not in the letter. If anyone thinks of anything I might have missed, please let me know.

Thank you so much for responding. My thoughts exactly. Want to hear something else interesting? In past experiences, the offer is typically a whole number. In this case, the yearly salary discussed over the phone was changed to $9.60 less on the offer letter. I was told there is no contract.

*This information was discussed verbally over the phone, but not in the offer letter.

Aside from salary and employment (full-time, part-time, etc.), should CME days, yearly CME allowance, PTO days, and on-call information be included in an offer letter?

Thank you for your responses and for sharing a patient case! It’s very helpful to get input from those who have been in practice. That patient case is exactly why I would be concerned—- If for some reason the patient responds poorly due to a misdiagnosis or reaction to a medication. I would prefer to refer all patients if I could, but uncertain if that would be accepted by the practice. My FNP program had one class on psych, but did not have a clinical rotation so there was no hands on experience in evaluating patients and medication management.

For any NPs who work in a family practice setting, how much of your patient population is treated for psych conditions and when would you refer these patients to psychiatrists?

Thank you, BMillerFNP for recommending NP-Notes.com. The site will be very helpful for documentation. I can see it also being useful for those times when the EMR is down due to technical issues :).

That is good to know about the Amelie Hollier's textbook. I will have to check out Ferri's Clinical Advisor, in addition to the other books you recommended. Thank you so much for your suggestions!

Thank you! I definitely agree -- I have referenced Up-to-Date also due to time constraints during practice. I was looking into possibly purchasing Amelie Hollier's Clinical Guidelines in Primary Care. I saw there were mixed reviews for the 2019 version of 5 Minute Consult because some of the information is exclusively online. There is an updated text for 2020, however I do not know if anyone has came across the same issue with this one.

Their offer sounds excellent! Aside from the salary, sign on bonus, RVU bonuses, number of PTO days, etc., a maximum of $3000 for CME is quite a bit. Is that over the terms of the full 2-year contract or per year? In either case, it is great and similar to what has already been said, there is the option of completing CME online. Practicing Clinicians Exchange offers CMEs at no cost, including online and live meetings: https://practicingclinicians.com/ Plus, you are guaranteed a $5000 salary increase the following year. What may be more important than salary, etc., will be the clinical setting, especially if this is your first year of practice. You may, if you have not already, want to ask to shadow a provider. Good luck! ?

What would you recommend as a good book/reference for family practice?

Has anyone gone through an interview process where an e-mail was not received from the employer with details about the next steps in the interview process, including scheduled interviews? I was working with a recruiting specialist, who both spoke to me via phone and confirmed information by e-mail with scheduled interview times. I later received a phone call from another recruiting specialist, who said she was in contact with the former recruiter who I spoke with. I was told that her call was to inquire about my availability to come in for two in-person interviews. She said that she would e-mail me right away with the information. The following day, I received a voicemail message from the provider at the practice location indicating he is calling to provide me with information about the practice and he is uncertain of where I am in the interview process. A personal cell phone number was left in the voicemail message, which is not his own cell phone number. I checked my e-mail and there are no messages from the recruiter about the interviews for next week or that I was going to receive a phone call from the provider prior to that time. Would anyone be skeptical about calling a personal versus a business phone number for a phone screening interview, without an e-mail confirming this was going to take place?