S/O of NP wage thread re: tangible and intangible COL issues

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Specializes in FNP.

I recently read this piece: http://well.blogs.nytimes.com/2011/08/05/friendly-workplace-linked-to-longer-life/

When I talk about "cost of living" I am referring to both the financial burden of meeting day to day needs, and the personal cost to ones psyche of living in the environment we choose. Quality of life is an important factor in choosing a job. I admit, I am a little jealous when I hear of NPs earning 6 figures, b/c spending large amounts of money is one of my favorite hobbies. ;) However, I know I am not willing to do what most of them do to earn that kind of money.

I am not willing to:

#1 move. I live in a high cost of living, resort area, with very low wages. Sad but true. We really thought about moving, but I cannot imagine living anywhere else. This is home. My kids were born in this house, my dream house. I'm not leaving it. Therefore, I know I will automatically NEVER earn more than 70-75K, if I were willing to work FT, which I am not. So that brings me to

#2 working more than 8 hours a day or more than 2-3 days a week. I have a classmate who took a position in a neuro ICU at a large teaching hospital a few hours from here and her starting salary is just a hair under 100K. But she is going to work 12hour shift and rotate days/nights and do weekends and holidays to get it. NO thanks.

#3 work with people I don't like, or people who don't respect me or my role. And that includes the DNP. No, they don't have to call me Doctor, lol, but they do have to respect my goals and my hard work. No amount of money would make up for interoffice drama and turmoil, jealousy, rivalry or any of the other nonsense I can imagine.

#4 I won't work in a for profit environment. It just conflicts with my personal ethics. I don't have a problem with other providers who do, it just isn't for me.

So, the rest I'm flexible on. I'd like some money for CME, but didn't get it. I got good malpractice, and decent vacation time.

So the rest of you, while you were job searching, care to share what your own limiting factors and goals were? It isn't all about the money for most of us or we wouldn't have gone into this line of work int he first place. Tell us what made you take the jobs you took over your career, and why it turned out to be the right, or wrong, choice.

#4 I won't work in a for profit environment. It just conflicts with my personal ethics. I don't have a problem with other providers who do, it just isn't for me.

You do know that non-profits fight just as hard to make money as anyone else. However, they benefit in the ways they can obtain monies and with the organized crime association known as the IRS. And for profits do make large donations sometimes, just not to me. But still, even the Vatican fights tooth and nail to make money :D

Specializes in FNP.

Yes, believe me I know they aren't utopias full of pollyanna do-gooders. ;) I just chose to work in a place that puts all the proceeds back into the community and clinic.

I am not ethically opposed to money, earning it, spending it or hoarding it. I try to do all of those things to varying degrees, lol. I just wanted to work someplace that wasn't obligated to serve owners or stockholders interests and had a mission that is more closely aligned with my personal philosophy of health care.

I do NOT judge anyone who choose to work in a for profit system, but I have been a part of them in the past, and the corporate culture isn't a good fit for me. That's all.

Now, ZENman, are you going to answer the question? ;) Considering your username, I'd expect you to have a lot to say on the subject.

Yes, believe me I know they aren't utopias full of pollyanna do-gooders. ;) I just chose to work in a place that puts all the proceeds back into the community and clinic.

I am not ethically opposed to money, earning it, spending it or hoarding it. I try to do all of those things to varying degrees, lol. I just wanted to work someplace that wasn't obligated to serve owners or stockholders interests and had a mission that is more closely aligned with my personal philosophy of health care.

I do NOT judge anyone who choose to work in a for profit system, but I have been a part of them in the past, and the corporate culture isn't a good fit for me. That's all.

Now, ZENman, are you going to answer the question? ;) Considering your username, I'd expect you to have a lot to say on the subject.

I'm a PMHNP. We mostly listen. But your questions was, " So the rest of you, while you were job searching, care to share what your own limiting factors and goals were?"

I don't have any limiting factors and my goals are to work till I keel over dead.

Specializes in ACNP-BC, Adult Critical Care, Cardiology.

You should definitely find a job that fits your interests, the lifestyle you want to live, and in an area where your pay can support the cost of living. I have always been drawn to critical care and the few times I left the field thinking that I needed a break from it, I ended up being miserably bored and was feeling the need to go back right away. I picked ACNP for that very reason. To me, having to work 12 hours for 3 days a week is sweeter than being at work 8 hours a day Monday to Friday. I did that and it tired me out more. The shifts and working weekends and holidays is a trade-off I am willing to take for the ability to spend longer periods where I don't have to work and can even plan out of town activities. I lived in the midwest for a long time though I was born in a foreign country. I liked the midwest a lot for the down-to-earth friendliness of the people and the affordability of housing. However, I hated winter and the extremes of climates. I have always wanted to move to California and as soon as my significant other was ready, I wasted no time applying for a job here. We actually thought we'd end up in LA but SF became our destination which came as a pleasant surprise 'cause I now realize I would have hated living in LA. I make so much more money in SF than when I was in the midwest (six figure salaries are not uncommon here, even for RN's) but the cost of living is high. I don't mind the cost of living for the chance to work in an academic medical center in a city where I am close to everything I need for leisure and recreation, not to mention the diversity of cultures where I live and work. It's a city with a large young adult demographic and all the problems of a major US city. The politics of the city challenged me and that is a lot to say from someone who thought he was liberal! But for now I can tolerate it all. I never was drawn to a suburban environment and definitely will not thrive in a rural setting either.

I'm just now dipping my toe into the job market - just graduated last month and not yet certified.

I would like to make buckets of money. One of my goals in going back to school was to ease some of the financial responsibility from my husband and to have adequate income that he can retire in 10 years or so. Also I have loan debt to repay.

Having said that, I don't want to take a job where:

* I am under constant pressure to see a volume of patients that is above my ability to provide good care.

* I am expected to follow billing/coding procedures that are not fully in line with Medicare regulations.

* I am treated like a borrowed mule rather than as a respected colleague by other providers in the practice.

* I have to drive more than 40 miles to work.

In addition I really would not be happy without 4 weeks of vacation/sick/holiday time over the course of a year, health/dental/life insurance paid, paid, CME allowance for the year with 1 week off for conference attendance that is NOT part of my vacation time.

Those are my biggies. We'll see how those may be revised as the job search progresses!

Specializes in Family Practice, Primary Care.

I have no family shackling me down, so when I graduate in 2013, my goal is simply to live in Chicago after graduation and work with low income families while enjoying my friends and enjoying the rest of my 20s/early 30s.

Specializes in FNP.

Wow, such wisdom from a youngun! :) Love your username as well. I have that condition from time to time.

there is more to a job than the salary

perks count: we receive financial sponsorship

to conferences up to 3000 dollars/yr

paid CME days

4 wks vac , 6 days of personal leave

all the stats (10 or is it 11/yr)

medical, dental, extended benefits, sick time

paid ACLS

extra 4% of our salary as flexible benefits

employer contribution to retirement fund

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