Which to pursue?

Specialties NP

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Hello, I am in the middle of the interview process. Currently looking at Minute Clinic or an Urgent Care fellowship with Wellnow Urgent Care. 

Which should I do? I have done the MC student preceptorship so I have some idea what I am looking at, but I think the urgent care fellowship will make me a more attractive candidate.

4 minutes ago, ThePrincessBride said:

What kind of setting do you work? Are you in a high cost of living? Hourly?

Because the UC after the fellowship will only take me to 112k...125k if I work 40 hours per week.

Hospital medicine, 99% independent with a high learning curve. They expect you to function like a MD who also make double my salary. I honestly feel underpaid.

COL is high but not Cali high. No salary like most IP jobs. I work 7 12s straight...

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Specializes in New Critical care NP, Critical care, Med-surg, LTC.
17 hours ago, Numenor said:

I work 7 12s straight...

God bless you, 7 12s would kill me. Granted I also have an hour commute which is my own choice, but I could not survive that schedule. I'm lucky that I have to work 13 shifts per four weeks so it averages out to 40 hours per week. Since I'll be coming off orientation as the low person on the totem pole I'll get the fill in shifts between other people's requested schedules but I'm fine with one or two in a row. I know in my first NP role with hospitalist medicine, the nocturnists did 7 12s on as well, but they could sometimes get some sleep overnight if it wasn't busy. But you can never count on that. 

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Specializes in Med-Surg, NICU.
22 hours ago, Numenor said:

Hospital medicine, 99% independent with a high learning curve. They expect you to function like a MD who also make double my salary. I honestly feel underpaid.

COL is high but not Cali high. No salary like most IP jobs. I work 7 12s straight...

Hospital medicine is a beast, but I hear it is one of the higher paying NP specialties.

I just got an offer for the Urgent Care fellowship. 

So it looks like the UC fellowship will get me more than enough CEU/CME. I will be contracted to do 160 hours per month (4 hours of didactic per week with 3 12s of clinical hours). 75k salary. 401k, health and vision (crappy health insurance, but still available). Not sure how much PTO, but probably 3 weeks. No job is guaranteed after the fellowship, but if they are like anyone else, I imagine that there probably will be a job available post-fellowship. Pay would be hourly $55-$60/hr after the fellowship if I managed to get a full-time role.

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24 minutes ago, ThePrincessBride said:

Hospital medicine is a beast, but I hear it is one of the higher paying NP specialties.

I just got an offer for the Urgent Care fellowship. 

So it looks like the UC fellowship will get me more than enough CEU/CME. I will be contracted to do 160 hours per month (4 hours of didactic per week with 3 12s of clinical hours). 75k salary. 401k, health and vision (crappy health insurance, but still available). Not sure how much PTO, but probably 3 weeks. No job is guaranteed after the fellowship, but if they are like anyone else, I imagine that there probably will be a job available post-fellowship. Pay would be hourly $55-$60/hr after the fellowship if I managed to get a full-time role.

Sounds reasonable to me, becoming a NP is not big bucks compared to RNs nowadays

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Specializes in Former NP now Internal medicine PGY-3.
On 10/4/2022 at 5:17 PM, ThePrincessBride said:

61 per hour or 61k per year? 165k per year???

165 I worked nights with a big census in a rural place. No supervising physician in house

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Specializes in Former NP now Internal medicine PGY-3.
11 hours ago, JBMmom said:

God bless you, 7 12s would kill me. Granted I also have an hour commute which is my own choice, but I could not survive that schedule. I'm lucky that I have to work 13 shifts per four weeks so it averages out to 40 hours per week. Since I'll be coming off orientation as the low person on the totem pole I'll get the fill in shifts between other people's requested schedules but I'm fine with one or two in a row. I know in my first NP role with hospitalist medicine, the nocturnists did 7 12s on as well, but they could sometimes get some sleep overnight if it wasn't busy. But you can never count on that. 

7 12s is pretty much any hospitalist job

most nocturnist jobs I’ve seen are 10-12 days per month for same pay as 15 day shifts. Or 15 nights for a fat check. 
I sleep a lot on nights in residency but when I was an NP I never had the chance. 

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Specializes in Med-Surg, NICU.
On 10/5/2022 at 5:33 PM, Numenor said:

Sounds reasonable to me, becoming a NP is not big bucks compared to RNs nowadays

Yeah I am a little bummed out about the initial pay cut, but once I am done with the fellowship, my pay as a new out-of-the-gate NP will be a few dollars more per hour than the most senior bedside nurse where I work. Plus I will be eligible for a 4% 401k match and productivity bonuses. 

Oh and is 120 hours of PTO decent or...not?

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I did a NP clinical rotation at a Minute Clinic and cannot imagine why anyone would want this position. Diagnosing strep throat and bickering with pharmacists about who is going to give the vaccinations all day. Plus, it's slave labor with the NPs doing the RN, MA, and janitorial/stocking work with the liability of a provider... Your brain will atrophy. No amount of money is worth this. 

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2 hours ago, ThePrincessBride said:

Yeah I am a little bummed out about the initial pay cut, but once I am done with the fellowship, my pay as a new out-of-the-gate NP will be a few dollars more per hour than the most senior bedside nurse where I work. Plus I will be eligible for a 4% 401k match and productivity bonuses. 

Oh and is 120 hours of PTO decent or...not?

RNs travelers around me are still making 100+ an hour.  Staff nurses with incentivess are getting close to that. Even making 150k a year they still beat me.

4% match is okay

120 hours is average

Being a NP is not a step up salary-wise in 2022 and for the foreseeable future

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Specializes in Med-Surg, NICU.
15 minutes ago, Numenor said:

RNs travelers around me are still making 100+ an hour.  Staff nurses with incentivess are getting close to that. Even making 150k a year they still beat me.

4% match is okay

120 hours is average

Being a NP is not a step up salary-wise in 2022 and for the foreseeable future

When I make comparisons, I don't compare working overtime RN wages with regular NP wages because my aim is to make more working less, not working more to make more. 

That said, I wouldn't compare my wages to a travel RN, but the ones in my area aren't making $100, more like 60-80. As a staff RN, I make about $40/hr. After the fellowship, I would be at $60/hr plus monthly bonus potentials. Plus I never pick up.

Either way, no amount of money is going to want me to stay another 20-25 years at the bedside.  

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