LoloFNP

I visited the clinic and really liked it though. I know that I'm not going to find the "perfect" job, but I have 2 small children so I'm trying to avoid doing so much work at home.

Yes I know it's seems like a reasonable number of patients. What worries me is that they are adult and geriatric internal medicine type patients, so they are a little more complex. There also isn't any admin time. I'm really trying to avoid bringing work home with me!

Thank you for your reply...they actually invited me to go back and see the clinic where would be working after the interview. I have plans to ask about admin time and orientation process. I would like to go in and observe as well. They also want to make sure the candidate they decide on is the "right fit" which tells me they are taking their time rather than trying to fill the position as soon as possible.

I'm currently interviewing for an adult and geriatric primary care/internal medicine position. They are saying I would see 14-18 patients per day M-F 8-5. I know a lot of family practice clinics often expect 30+ pts per day, which I think is ridiculous. I don't know what the norm is for an primary care clinic with more complex adult and geriatric patients. I currently do primary care for very complex homebound patients...I only see 6 pts per day because they are so complicated and the drive time is factored in. I never have any set breaks to eat lunch or admin time to review labs, x-rays, etc. I almost always order labs, x-rays etc on every patient because that's how sick they are. Not to mention all of social issues you run into when going to a patients house. I'm looking for other options because I'm tired of driving and I don't like how my current position is set up...if a patient cancels (and it happens a lot) I'm automatically scheduled another patient and it may not even be close to me. If I don't see 6 pts I have to make it up on another day or on the weekend. I spend A LOT of time at home charting and getting caught up. I've expressed my concerns so many times but nothing seems to change. Anyway, I'm exploring my options and trying to figure out what the norm is and what's safe for a primary care/internal medicine clinic. Thanks!

Thank you so much for all of your input! I was thinking the contract was kind of shady and have had a bad feeling about it. I just didn't really know who to ask about it being as I've never signed any sort of contract. Several of my classmates are in a similar position too.

Thank you for replying. I agree 3 sick days is nothing. It is two weeks vacation. But the CME is $1600 or 1 week vacation. So if I didn't use CME money one year, I'd technically get 3 weeks vacation. The licensing does have it all listed out separately. The 6 holidays are the basic ones - thanksgiving, Christmas, New Years, Memorial, July 4, and Labor Day. Yeah, thankfully, there isn't anywhere in the contract about a non-compete clause. However, the are prorated. I do have it on my list to ask about appt time for new patients, paps, and physicals. They will train me for the procedures: suturing and splinting, etc. I will ask about X-rays and 12 leads. I also plan to ask if the block more time for procedures such as punch biopsies and ingrown toenails. There's no way that could happen in 15 min seeing as it takes 15 minutes to numb a toe sometimes...lol. The plan to train me one on one with a physician for one to two months. Then I start at one patient per hour and build up from there and up to four patients per hour by 6 months.

Thank you. This is exactly the kind of feedback I was hoping to get. I have a family and I really don't want to be miserable for the next two years either. I have one more interview coming up in a few weeks, so I will be sure to address all of these questions. I was already feeling kind of hesitant about it anyway, so knowing which questions to ask and what I need to be aware of is extremely helpful. I don't want to get myself in a bad situation. However, it's nerve wracking as a new grad - I want it to be a good fit but I don't feel like I can be to picky choosey either.

3 sick days annually, Roth IRA, $1600 CME or 1 week paid vacation, all licensing fees covered, $5000 sign on. If I broke contract, I'd have to pay back any benefits utilized (sign on, CME, etc).

Hoping to get an opinion about a potential job offer for a new grad... This is a primary care clinic and they expect me to see a patient every 15 minutes, which is about 30 patients per day (8am-5pm, with 1 hour for lunch and no patients after 4:30). They have scribes to help with charting, so I'd just have to review the charts, adjust what I needed to, then sign them. They will train me and allow 6 months to build up the this patient load. They job is M-F 8a-5p with no call, no weekends. They are offering $90K with a sign on bonus, relocation money, and full benefits (insurance and malpractice, CEU money, 2 weeks paid vacation, 6 paid holidays) with a 2 year contract. I know from clinicals the a patient every 15 minutes is a crazy load. It makes me nervous to agree to that for 2 years. However, I also know scribes will help save time charting, and I will also be getting valuable experience.