Babcock Powerful CVs Dynamic Interviews Final - cdn.ymaws.com · • Gynecological care; annual...

3/11/2014

Helping Land Your First Clinical PA Job1

POWERFUL CVS AND DYNAMIC INTERVIEWS: KEYS TO JOB HUNTING SUCCESSJASON B. BABCOCK, MBA, CMPE

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JASON B. BABCOCK, MBA, CMPE

� University of Phoenix

� Master of Business Administration 2001

� BS in Business Administration 1997

� 20 years medical practice management experience

� Certified Medical Practice Executive (CMPE)

� Memberships: � Association of Reproductive Managers

� Medical Group Management Association (MGMA)

� American College of Healthcare Executives

� American Academy of Professional Coders (AAPC)

� Immediate Past President – Arizona MGMA

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Private practice management experience:

CEO of Fertility Treatment Center (2010+)

�2 MD’s, 1 PhD, 2 NP, 1 PA & 34 FTE’s

�2 surgery centers & manage 37,000 sq ft facility

Practice Administrator of Arizona Institute of Hand & Shoulder Specialists (1993 to 2004)

� 1 MD, 2 PA’s & 14 FTE’s

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Healthcare recruiter experience:

Partner & General Manager of Arizona Medical Exchange (2005-2010)

�Helped people get jobs everyday� Staffed 1,900 permanent employees

� Conducted over 4,000 interviews

� Reviewed over 1,000 resumes per week

�Staffed 3 to 4 PA’s per month

�Assisted both employee & employer in contract negotiations

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AGENDA

Part 2

�Get out of your “Comfort Zone”

�The Interview

�Salary & benefits

�Malpractice insurance

�Contracts

Part 1

�Curriculum vitae

�Cover letter

�Finding jobs

�Application submissions

OVERVIEW

�Review several sample CV’s of your current competition in the job market

�CV is standard for all medical practitioners

�Look at new grads & experienced practitioners

�Review what mistakes are rampant�Determine what type of CV suits your

personality6

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CURRICULUM VITAE

�Your name & demographics

�Education

�Clinical rotations

�Related medical experience (non-clinician)

�Other:� Fluent languages

� Scholarly accomplishments

� Professional memberships

� Relevant personal history (volunteer, humanitarian efforts, religious / spiritual commitments)

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�Great Sample

�Name & PA-C

�Education!!

�Rotations!!

�Experience

� “Tooting their own horn”

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�Did not list education

� “experienced, hardworking,” and…

� “Relevant Skills” too much

�What wants to read all of this??

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�Content is too basic

�9 Years with no special skills

�Nothing separates this person from others

�Again, who wants to read this?

XX XX PA-C Street

Phoenix, AZ 85085 (602) xxx-xxxx

[email protected]

Objective To obtain a Physician Assistant position in a reputable medical facility with opportunity to continue developing and enhancing my skills and knowledge in the medical field. Qualifications Summary *Licensed Physician Assistant with 9 years of medical practice experience with a strong clinical background. *Ability to observe, assess, and record symptoms, reactions, and progress, to perform medical examinations using standard medical procedures. *Able to supervise and train employees, including organizing, prioritizing, and scheduling work assignments. *Extremely skilled at making administrative and procedural decisions. *Strong knowledge of drugs and their indications, dosing, side effects, and proper administration as well as of OR, pre-op and/or post-op procedures. *Able to communicate medical information to professional practitioners and/or the general public and to educate patients and/or families as to the nature of disease, providing instruction on proper care and treatment. Education Midwestern University Bachelor of Medical Sciences in Physician Assistant

SPELL CHECK AND FORMATTING

�Sample of a subject line received 2/20/2012:

“Julie Sample Resum and Cover Letter”

SPELL CHECK AND FORMATTING

�Eveyn Kunamora

�Typo in her OUTLOOK CONTACT information

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�Great Sample

�Easy to read

�A well targeted CV!

� I just hired her!

Kristina E. Bauer PA-C

14855 S. Samplest Street, Phoenix, AZ, 85044 Telephone: (480) 555-5555 / E-Mail: [email protected]

Education: Master of Science in Physician Assistant Studies August 2011 A.T. Still University Native American Physician Assistant Program Bachelor of Science in Cardiopulmonary Sciences Ma y 2007 The University of Central Florida Minor in Health Service Administration

Professional Experience: ► Physician Assistant October 2011 to Present Drs. Goodman & Partridge, OB/GYN , Chandler, Arizona

• Pregnancy care; pre-conception, infertility, new OB patients, routine OB visits, problem OB visits, spontaneous abortion, identifying and co-managing high-risk OB patients, and post-partum care.

• Gynecological care; annual exams, menorrhagia, amenorrhea, pelvic pain, uterine fibroids/polyps, pelvic organ prolapse, contraceptive care, sexual health and sexually transmitted diseases, breast health, vulvovaginal diseases, menopause, hormone replacement therapy, and preventative health care.

• Order and interpret lab/ultrasound. • Perform the following procedures: Intra-uterine device insertions, Nexplanon device insertion,

endometrial biopsies, sonohystograms, pap smears, abscess incision and drainage, skin tag removal, vulvar biopsies, TCA application, and colposcopy.

• Prescribe appropriate pharmacological therapy. ► Registered Respiratory Therapist May 2007-May 2009 Florida Hospital, Orlando, Florida Neonatal Intensive Care Unit • Ventilator management, intubation and airway management, arterial blood draws, interpretation of arterial blood gas, chest physiotherapy, distribution of nebulized treatments, tracheostomy care.

Licensure:

• National Commission on Certification of Physician Assistants • Arizona Regulatory Board of Physician Assistants • Current DEA license

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�Good example 2 page new grad

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�Good example 2 page new grad

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�Fair example

�Move objective to cover letter

�Reduce amount of verbiage in experience section

Lindsey Sample Xyz Dr Phoenix AZ 85048

480-555-5555 [email protected]

PROFESSIONAL OBJECTIVE Highly motivated Family Nurse Practitioner, recently graduated, with eight years of nursing

experience. Outstanding examination skills, diagnosing and treating clients in collaboration with

the health care team. Ready to join a devoted team of professionals who are committed to

providing cost-effective and excellent patient-focused care using evidence based practice.

EDUCATION

• Grand Canyon University. Phoenix, AZ 2013

Master of Science-Nursing: Family Nurse Practitioner Cumulative GPA 3.8/4.0

650 clinical hours providing excellent diverse experience.

Adult Health: 150 hours

Pediatric and Adolescent Health: 150 hours

Geriatric Health: 75 hours

Women’s Health: 75 hours

Practice Practicum, Family Practice: 200 hours

• South Dakota State University. Brookings, SD 2005

Bachelor of Science-Nursing Cumulative GPA 3.8/4.0

EXPERIENCE

• Banner Good Samaritan Medical Center, Phoenix, AZ 2007-current

Labor and Delivery, Level III prenatal center, high-risk obstetrics. Pre-Operative, Circulating OR, and Post Anesthesia Care Unit experience, OB Triage certified. Assessed, planned, implemented, evaluated and documented nursing care of patients in accordance with facility and departmental policies and in accordance with standards of professional nursing practice. Utilized specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of patients on the unit.

• Banner Good Samaritan Medical Center, Phoenix, AZ 2005-2007

Medical Surgical Intensive Care Unit, Level III liver and kidney transplant unit, Participated on the code team and rapid response team. Assessed, planned, implemented, evaluated and documented nursing care of patients in accordance with facility and

CURRICULUM VITAE TIPS

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�Do not list SSN / DOB / marital status / kids

�Is email & cell phone correct?�Limit personal pronouns and use of articles

�Avoid irrelevant work information

�Personal hobbies

�Children�Religious beliefs

�Everyone reads from the top down

T.M.I.

�Father’s name: Mr. UDAY SHANKAR BASU

�DOB: 15thJune 1988

�Nationality: Indian

�SEX: Male

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SAMPLE OF POOR “SURGERY” ROTATION SUMMARY

• Too much detail

• Not proofread

• Too many personal pronouns and articles

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�Good example 2 page CV

�However not need so much detail with each job

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�Good example 2 page CV

�However not need so much detail with each job

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CURRICULUM VITAE TIPS

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�1 to 2 pages on white or resume paper (20 or 24 lbs)

�References on separate page�OK to send faxed resumes if requested

(don’t send on resume paper though)�PDF or Word (Restrict editing)�Use Arial or Times New Roman, size 10 to

12�Avoid graphics or gimmicks

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�Avoid gimmicks

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�Good example of a two page CV

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�Good example of a two page CV

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�Only one page to show 30+ years of experience

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�Submitted by a recruiter

�8 Pages

�2 years NP Exp.

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� Interesting resume but 3 pages for a new grad

Elisabeth A. Sample 46459 Sample Station Dr.

Sterling, VA 20165

(555) 555-9456

[email protected]

Education

2011-2013 Master of Physician Assistant Studies

James Madison University, Harrisonburg, VA

Anticipated Graduation December 2013

Clinical rotations in: (*see below for descriptions)

Emergency Medicine Internal Medicine Family Medicine General Surgery Pediatrics Behavioral Medicine

Obstetrics/Gynecology Pediatric Diabetes

2006-2010 Bachelor of Science, James Madison University, Harrisonburg, VA

Majors:

• Biology

• Foreign Languages, Literatures, and Cultures – Spanish

Concentration

Minor:

• Medical Spanish Research:

• Cloning dengue virus envelope protein gene into a plasmid, transfecting Vero cells with the plasmid for protein

expression, then investigating the location of protein

expression on the Vero cell membrane.

• Synthetic strategies for making tetrahydropyrans,

piperidines, and azepines via cyclopropane fragmentation.

Summer 2007 Universidad de Salamanca, Salamanca, Spain

JMU study abroad program

Associated Professional Experience 2007-2011 Medical Assistant, Spanish Interpreter (volunteer)

Loudoun Free Clinic, Leesburg, VA

Feb 2011-July 2011 Medical Assistant – Internal Medicine

Michele Trippel, MD, Lansdowne, VA

June 2010-Dec 2010 Medical Assistant - Urology, Urodynamics Technician

Janice Arnold, MD, Reston, VA

Certification and Licenses

Dec 2013 Eligible for Physician Assistant National Certification Exam

Dec 2013 Eligible for Physician Assistant License

2012 – present Advanced Cardiac Life Support

2012 – present Basic Life Support

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�A lot of personal pronouns and filler words

Professional Organizations 2011-present American Academy of Physician Assistants, Student Member

2011-present James Madison University Physician Assistant Student Society

2012-present American Society of Endocrine Physician Assistants, Student Member

2012-present Association of Family Practice Physician Assistants, Student Member 2013 Physician Assistants for Latino Health

Honors and Awards

2010 James Madison University, Class of 2010 Valedictorian

2010 Honors Program Scholar 2010 Dean’s Outstanding Senior Recognition Award

2010 Faculty Senate Award

2010 Excellence in Biology Award

2010 Induction into Phi Beta Kappa

*Descriptions of Clinical Rotations:

Internal Medicine I – Maria Hernandez, MD, Harrisonburg, VA

Patients were primarily medically underserved Latinos, as well as people from

various countries seeking immigration physicals. I enjoyed working with this diverse population, and my ability to speak Spanish helped me to connect with and provide care to

these patients.

Internal Medicine II – Doug Brown, PA-C, Loudoun Free Clinic, Leesburg, VA This rotation offered an incredible opportunity, as I was given a great deal of

independence and was exposed to a wide array of medical conditions. This included

managing chronic conditions like diabetes and hypertension, as well as treating patients

with scleroderma, pancreatitis, Chagas disease, Guillain-Barre Syndrome, among other

conditions. The Clinic serves uninsured and medically underserved patients, most of whom are Latino. Here again, my ability to speak Spanish proved useful.

Obstetrics/Gynecology – H. Jae Kil, MD, Rappahannock Women’s Health Center,

Fredericksburg, VA I enjoyed the variety of this rotation – from performing in-office gynecological

procedures and OB checks to assisting in deliveries and surgeries. Surgeries with which I

assisted included C-section, tubal ligation, exploratory laparoscopy, and hysterectomy.

Behavioral Medicine – Gary Spivack, MD, Dominion Hospital, Falls Church, VA

Here I worked with inpatient and outpatient children and adolescents with various conditions. Most of these patients had some form of mood disorder, and some had

delusions, psychosis, suicidality, or homicidality. I learned the technique of motivational

interviewing and observed patients in various activities and social work groups. I also saw

adults with eating disorders and those receiving ECT and transcranial magnetic stimulation.

General Surgery – Lovetta Pugh, MD, Halifax Regional Hospital, South Boston, VA

I assisted with various surgeries, which included laparoscopic surgeries

(cholecystectomy, appendectomy), open abdominal surgeries (colon resection), orthopedic

surgeries (total knee replacement, rotator cuff repair), skin excisions and grafts, and abscess incision and drainage. I also observed ophthalmologic and urologic surgeries, as

well as endoscopies and colonoscopies. Additionally, we saw patients in the office for

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�And on and on and on and on and on and on…

consultations, follow-ups, and simple skin excisions. I saw ED and ICU patients and made

daily morning rounds.

Pediatric Diabetes, Elective Rotation – Sandy Hoops, PA-C, Barbara Davis Center for

Childhood Diabetes, Aurora, CO The first week, at a diabetes camp for children with type 1 diabetes, it was truly

inspiring to see how these children take everything in stride. The camp is a great way for

children with diabetes to gain confidence and learn that they are not alone. For the

remainder of this rotation, I saw new-onset and follow-up patients in the pediatric clinic

and eye clinic. I also attended classes for patients getting started on a pump/continuous

glucose monitor and post-diagnosis education classes, as well as attended a research

symposium. I also participated, as a subject, in a research trial on a closed-loop diabetes

management system.

Pediatrics - Jawed Iqbal, MD, Colonial Heights Pediatrics, Colonial Heights, VA

I did newborn examinations at the Southside Regional Hospital nursery, as well as

saw patients in the office. Visits included well child checks, school/sports physicals, and

sick visits.

Emergency Medicine – Charles Penick, MD, Mary Washington Hospital, Fredericksburg, VA

I learned how to manage various patients at once during various stages of work-up.

It was here that I saw the death of a patient for the first time and learned how to deliver this

information to the family. I also got to practice skills including suturing/stapling, incision

and drainage, lumbar puncture, intubation, foreign body removal, and

EKG/laboratory/radiology interpretation.

Family Medicine – Sharon Colton, MD, Evarts, KY

This rotation was set in a rural, medically underserved area in the Appalachian

Mountains. The patient population was mostly uninsured and low-income, many of which

were current or former coal-miners. I was given a lot of autonomy on this rotation - seeing

patients on my own, writing notes, sending in prescriptions. We treated a wide variety of

conditions, from follow-ups for chronic conditions, to pain management, black lung, abscess

I&Ds, minor injuries. This rotation reinforced the importance of forming strong patient-

provider relationships and listening to your patients. The providers at the clinic

exemplified these attributes and were important parts of their patient’s lives. These

patients and their stories touched my heart.

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CURRICULUM VITAE REFERENCES

�Initially submitting references shows how serious you are about the position

�Need 3 Minimum�2 or 3 clinical supervisors

�1 professor or academic advisor

�*1 colleague if currently employed (not discreet)

�*1 personal character reference (10-20 years)

�Coach your references

�Pick you references carefully31

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�Excellent list of references

References for Kristina E. Bauer 14555 S. 55st Street, Phoenix, AZ, 85044

Telephone: (480) 555-5555 / E-Mail: [email protected]

Andreia Acuna M.D

Obstetrics/Gynecology

Drs. Goodman and Partridge, OB/GYN

2055 W. Frye Rd, Ste 9

Chandler, Arizona 85224

Telephone: (480) 619-1280

E-Mail: [email protected]

Jennifer Iacovelli, M.D.





Telephone: (480) 329-8794


Elizabeth Reynoso, M.D.





Telephone: (480) 363-5094


PART 1

�Curriculum vitae

�Cover letter

�Finding jobs


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�Actual cover letter

�What is wrong here?

ACTUAL EMAIL COVER LETTER

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Jason: Thank you for taking the time today to speak with me about my wife Jane Doe. I have attached Jane’s resume as promised. Jane is interested in relocating to Arizona, preferable Scottsdale or Mesa.When you review Jane’s resume you will find that she has worked for only one hospital as discussed. Jane’s goal is to find a position which she can learn and grow in, and stay for a long time. Jane, will be applying for her Arizona state license later this week. Please note Jane will be off from work on Wednesday and Thursday of this week (she works from 7AM- 7:30PM), and she will call you directly. In the meantime if you have any questions about her resume please send her an email at [email protected] and she will respond when she gets home in the evening. Thank you, Scott

COVER LETTER

�Always use cover letter�It markets you and answers the

question �“Why should we hire you?”�This is where you explain your

objectives, strengths, skills, etc.�Start with standard business style

letter format36

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�Standard business style letter format

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�A little gimmicky but it caught my attention

Lisa A Sample , WHNP-BC

3503 E Sample St, Gilbert, AZ, 85295 Telephone: (480) 555-5555 / E-Mail: [email protected]

Date: 2/3/14 Attn: Fertility Treatment Center To Whom It May Concern: I am interested in exploring employment opportunities with your medical practice. The accompanying curriculum vitae will provide you with details as to my professional experience, clinical rotation experience and education. I am applying for the position of Nurse Practitioner. As you will note in my Curriculum Vitae, I completed a Master of Science in Nursing in Women's Health at the University of Cincinnati. My professional experience and clinical rotation exper ience includes the following areas:

• Obstetrics/Gynecology (Women’s Health) ; currently I am a Nurse Practitioner for Drs. Sample and Sample, OB/GYN in Sample, Arizona

• Neonatal ICU In 2005, I completed a Bachelor of Science in Nursing from The University of Arizona. I am confident that my unique combination of experience, education, accomplishments and personal strengths would make me a valuable asset to your medical practice. At your convenience, I would appreciate the opportunity to meet with you to review my qualifications and discuss my ability to assist your organization in meeting its goals and objectives. Thank you very much for your time and consideration. I look forward to hearing from you soon. Sincerely, Lisa A Sample Enclosure: Curriculum Vitae

COVER LETTER

�Introduction

�Simple and direct objectives�Body

�Explain why you are interested in this practice

�Detail your relevant qualifications and skills

�Closing�Highlight why you are ideal for this position

�State a follow-up plan

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�Referred to us by recruiter

� Letter is customized to our practice

COVER LETTER

�Length

�No more than 3 paragraphs �Single page

�Are names, titles & addresses correct

�Avoid generalities

�Always think:�“Will this statement help me get a job?”

�“Will I be judged unfairly by this statement?”

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GOOD EXAMPLE FOR PRIMARY CARE

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POOR EMAIL COVER LETTER

PROFESSIONAL OBJECTIVE

To obtain a position within the Medical Held, which will utilize my medical training and inherent people skills while providing the opportunity to grow professionally, based on performance and contributions.

SUMMARY OF QUALIFICATIONS

An empathetic, reliable professional with experience in the fast paced environment of the health care industry. A natural leader who continually demonstrates a high level of responsibility. A perceptive individual who initiates independent actions. Experience in emergency care. Highly versatile and able to handle a multitude of diverse assignments.

Achieves successful results despite unexpected complications or pressures. Experienced in all facets of Orthopedics.

Excellent communication, listening and motivational skills. Demonstrated ability to train and instruct others.

Hardworking and dedicated to making a difference.

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Is this person a PA?

A1

COVER LETTER

�Brief & concise�Personalize �Show knowledge of position & practice�Address appropriate person�Passion – profession & specialty�Highlight special expertise�Familiar with procedures, specialty, etc.?

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OK EXAMPLE BUT VERY GENERIC

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A1 Author, 2/6/2014

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�Oldie but goodie

�Actual email cover letter!

� Poor grammar

�Random points

Strike 1

Strike 2

Strike 3

ACTUAL COVER LETTERJob Title: Physician Assistant

Location: US-AZ-Tempe

Job Details: http://www.MiracleWorkers.com/intl/jobseeker/jobs/jobdetails.aspx?job_did=JHN5L85VW9HFBCFDKVB

Contact Information

-------------------

Name: Cynthia Sample

Phone: 623-214-5555

Email: [email protected]

Cover Letter

------------

Dear Hiring Manager:

I am a recent graduate of XYZ(in Glendale, AZ) and I am currently seeking employment. This is a whole new beginning for me, as I have played many roles in my previous career. I have 15+ years’ experience in A/P, A/R, Clerical Supervision and Administrative Asst.

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This is a whole new beginning for me, as I have played many roles in my previous career. I have 15+ years’ experience in A/P, A/R, Clerical

Supervision and Administrative Asst.

PART 1

�Curriculum vitae

�Cover letter

�Finding jobs


3/11/2014


JOB BOARD

�Where are jobs posted?

�How do I submit a CV and/or Application?

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HOW IF FOUND MY NEW PA

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�www.careers.asrm.org - $35.00

�CareerBuilder - $564

�Craigslist – $25

�Word of mouth - Free

�National recruiter – 15-30%

�Local recruiter – 10-15%

HOW IF FOUND MY NP LAST YEAR

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�www.careers.asrm.org - $35.00

�CareerBuilder - $564

�Craigslist – $25

�Word of mouth - Free

�National recruiter – % of salary

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CAREERBUILDER STATS

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WHERE TO LOOK FOR JOBS?

�Talk to your University & let them know what you’re looking for

�Preceptors hire students!�HEALTHeCAREERS�Craig’s List�Word of mouth�Newspaper ads (still around)

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WHERE TO LOOK FOR JOBS?

�American Academy of Physician Assistants job board

�MiracleWorkers�Industry specific job board – example:

www.careers.asrm.org�CareerBuilder (Arizona based)�Jobing.com & Monster (not much medical)�Recruiters (good or bad?)

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PART 1

�Curriculum vitae

�Cover letter

�Finding jobs


APPLICATION SUBMISSIONS TIPS

�Online formatting changes will occur

�Test your email submission first�Send to yourself and peers

�Try sending to peers using different software:�Outlook

�Gmail

�Yahoo

�Attach your attachments56

APPLICATION SUBMISSIONS

�Online job applications�Take your time – once you send, it is gone…

�Don’t forget to include attachments

�In person job applications�Follow directions

�If directions say to print, please do not use cursive

�If directions say to use blue/black ink, please do so

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PART 1 SUMMARY

�CV

�Cover letter

�Finding jobs


�Questions?58

PART 2


�The Interview



�Contracts59

COMFORT ZONE

Everyone has a so-called "comfort zone." That mental space you live in where there are boundaries and you feel a sense of emotional security with your work and your decision making.

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COMFORT ZONE

�Why is he talking about my comfort zone and who cares?

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BECAUSE YOU MAY MISS OUT….62

COMFORT ZONE

�Interviews are intimidating, scary, nerve racking, sweat inducing, make you want to throw-up events that can change your life forever!

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STEP OUT OF YOUR COMFORT ZONE

�Do I keep doing what’s always been done, or challenge old assumptions and try new approaches to problems?

�Do I risk being exposed and vulnerable, or act to protect my pride and patch of power?

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STEP OUT OF YOUR COMFORT ZONE

�Do I ask for what I really want, or just for what I think others want to give me?

�Do I ‘toot my horn’ to ensure others know what I’m capable of, or just hope my efforts will be noticed?

�Do I speak my mind or bite my lip, lest I ruffle feathers or subject myself to criticism?

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PART 2


�The Interview



�Contracts66

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INTERVIEW PREPARATION

�You have one chance to make a first impression

�The first phone call from the office

�Dogs, kids, driving, running, at work?

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�Consider best time to schedule your interview�Are you a morning person?

�Do not schedule other appointments

�This is an investment into your future!

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�Thoroughly research the practice and medical specialty

�Preparation is key - write down your questions�What type of person are you looking

for?�How many hours per week will I be

expected to spend in office and/or hospital?

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�What type of procedures will I be performing?

�What is the supervising physician’s accessibility?

�Why is the position vacant?�Have you had a PA before?�What type of advancement do you see

with my position? (research, management, etc.)

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INTERVIEW EXAMPLES

�Good: Kristina Bauer

�Bad: Recent Skype from East Coast (NP-naturopath)

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INTERVIEW

�Be early – 5-10 minutes

�Dress to impress = Business suit (lay off the heavy colognes)

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INTERVIEW

�Greet front office staff when you arrive

�Address the physician or administrator by name…Hello Mr. Babcock, thank you for having me.

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INTERVIEW

�Subjective questions are great

�What do you like best about working here?

�What do you do for fun?

�I love your accent, where are you originally from?

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INTERVIEW

�Focus on your qualifications

�Support your answers with examples of your past experiences

�“Toot your own horn” If you don’t who will?

�Avoid yes/no answers75

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INTERVIEW

�Inject personal insight about your life

�Show your potential to the practice

�Thank them and follow up

�Talk money last76

NEGATIVE INTERVIEW FEEDBACK

Survey of 2,400 employers (careerbuilder.com)

Top 8 reasons for bombing an interview

�Dressing inappropriately

�Appearing disinterested

�Appearing arrogant

�Speaking negatively about a current or previous employer

�Chewing gum

�Not providing specific answers

�Not asking good questions

�Cell phone alerts

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TIPS FOR A 2ND INTERVIEW

�Bring multiple copies of CV

�Bring new questions

�Ask the same questions if a new person is involved. Get their side and/or interpretation.

�Talk money last78

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TIPS FOR A 2ND INTERVIEW

Restaurant Tips

�Follow the interviewee’s order cues

�Maintain proper etiquette

�Only order alcohol if interviewer does

�Focus on the interview – not the food!

�Talk money last

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PART 2


�The Interview



�Contracts80

SALARY

�Once the subject is open…get out your list

�Consider your deal breakers�Travel, call schedule, Holidays,

supervision, hours, days/week…

�You need a bottom line dollar amount that you can live with

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SALARY FROM EMPLOYER’S POV

�Employer’s goal is typically to collect three times PA salary+ benefits

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SALARY FROM EMPLOYER’S POV

�Overhead physician is thinking about:Employee wages, rent, utilities, employee benefits, CME’s, supplies, software, hardware, new equipment, maintenance contracts, broken equipment, lab expenses, malpractice, depreciation of equipment, leases, uniforms, lab coats, dry cleaning, auto/gas, cell phones, ICD-10…

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SALARY FROM PA’S POV

�Salary: $85,000-after taxes $68,000�Expenses to practice medicine:�Health insurance (3,600)�Malpractice insurance (3,500)�Cell phone/wireless (2,000)�PA Application & License (310)�DEA (731 for 3 years)�Membership dues ??

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$10,000

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WHAT ELSE BESIDES SALARY??

�CME (Continuing Medical Education)�Employers pay average $1,000 to $1,500

�Paid time off for CME?�Employers typically give 1 week paid

�Vacation / PTO�Average is 1 to 2 weeks first year

�Holidays�Average is 6 to 7 days

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WHAT ELSE BESIDES SALARY??

�Insurance paid by employer�Health, dental and basic term life�Employee may pay portion monthly�Medical malpractice insurance�Other insurance to consider:

Disability, Long term care (LTC), Whole life

�Cell phone / iPad / laptop86

NON-FINANCIAL PERKS

�Dedicated medical assistant�Additional front office staff�Administrative support�Credentialing & insurance

contracts�Billing & coding support�EMR or transcriptionist

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EXAMPLE OF EMPLOYMENT OFFERConversation Monday with an ATSU graduate. Here is what employer is offering:

� PTO - 10 days’ vacation with no CME compensation what-so-ever.

� Heavy burden on the employee. Fair??

� During your first year however, you may not get any PTO if you are busy.

� For example, my NP last year had 4 weeks of PTO but we were so busy, she didn’t get any PTO and lost them.

� She did get her CME’s though 88

EXAMPLE OF EMPLOYMENT OFFER

�Does not offer any insurance benefits.

�That can be very expensive on your own ($200-600 per month)

�Will change with Obamacare

89


�line in the contract discusses paying back prorated amount of malpractice coverage within 5 days of leaving

� That’s tough to come up with all that money in 5 days plus it’s mandatory that you purchase tail coverage yourself. That’s expensive too (discuss later)

90

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�supplying my own equipment - is that the usual for most offices?

�That is not normal.

�Maybe bring your own stethoscope but the rest should be there.

�The Practice is getting paid for you using their equipment.

91


�2 mile radius that I am not allowed to work if I discontinue working there.

�The mile radius is fair but 2 years is a long time. Ask for a non-compete of 5 miles for 1 year.

�Willing to drive?

�Remember the hospital is right there and she may make it hard for you to work in that area.

92

REPLY TO EMPLOYMENT OFFER

�Review the offer thoroughly

�Remember your deal breakers

�Step out of your comfort zone

�Prepare replies

�Sound educated as you discuss these items

93

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BONUSES

Intent of a bonus structure

�Work harder

�See more patients

�Bill more accurately

�Most likely not get a bonus first year.

94

BONUSES

�Many different bonus structures

�Percentage of net income

�Achieve set number of encounters per week and/or day

�Overall profitability of practice

�Product or injectablescommissions

95

KEEP RECORDS

�Keep your own detailed statistics

�Weekly patient encounters

�Monthly financial reports

�Charges, payments, adjustments

�Summary of CPT utilization (99213, 73030, 20550)

96

But Why? I am too busy!!

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WHY?

You see 15 patients per day, 50 weeks out of the year or 3,750 billable encounters.

�Ins pays 99213 = $59.40

�3,750 x $59.40 = $222,750

97

$85,000 x 3 = $255,000You are covering your salary plus overhead &

providing profit!

PART 2


�The Interview



�Contracts98

MALPRACTICE INSURANCE

What is it and why do I need it?

�Medical liability insurance

�Covers payments for awards resulting from lawsuits

�Covers legal fees

�Protect practitioners against personal liability

99

Source: Steve Wilson (Wilson Insurance)

3/11/2014



Two types of coverage1. Occurrence

1. “Coverage for a malpractice incident occurring during the year of coverage regardless of when a lawsuit is filed”

2. Has level premiums

2. Claims-made (typical)1. “Coverage for a malpractice claim made

during the year of coverage”100


Tail coverage�“Coverage for claims filed after

the policy is discontinued”�Applies to PA’s that carry

individual policies & cancel the policy

�Cost is typically twice the maturity amount

101


Most common physician insurance in Arizona is through MICA

�Annual cost $2,230 to add PA

�PA’s share physician’s set of limits

�$1m per occurrence / $6m aggregate

�Only covers work for the supervising physician

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Typically three different classes that affect rates1. primary care, urgent care,

pediatrics2. dermatology, neurology, clinical

pre/post natal care, oncology, nephrology, radiology

3. surgical, ob/gyn, cardiology103


Annual cost, individual policy claims-made ($1m / $6m) year 1/2/3/maturity1. $1663, $3154, $4064, $4145 maturity2. $2079, $3944, $5080, $5183 maturity3. $2495, $4733, $6096, $6280

maturityTail coverage is typically twice the maturity amount

104


Annual cost for individual policy occurrence ($1m / $6m)

1. $4,500 per year

2. $5,702 per year

3. $6,842 per year105

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PART 2


�The Interview



�Contracts106

EMPLOYMENT CONTRACT

5 key areas in a contract1. Work obligations2. Terms & termination clauses3. Compensation, benefits & bonus

structure4. Malpractice insurance5. Restrictive covenants & non-

solicitation clauses107

EMPLOYMENT CONTRACT

1. Work obligations1. Define work obligations2. What are specific job duties

expected3. Scope of practice4. Hours expected to see patients5. Call and/or rounding expectations6. How holidays are covered

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EMPLOYMENT CONTRACT

2. Terms & termination clauses1. Termination “without cause”2. Either party must provide written

notice3. E.g. 30 or 90 days4. Termination “with cause”5. Immediate due to illegal or illicit

behavior109

EMPLOYMENT CONTRACT

3. Compensation, benefits & bonus structure

1. Is salary what you were promised?

2. Will employer pay benefits, if so what?

3. Additional expenses paid by employer?

4. Cell phone, uniforms, mileage5. Define vacation / PTO / holidays policies

6. Define sick leave & disability policies110

EMPLOYMENT CONTRACT

4. Malpractice insurance

1. Add on coverage paid for by employee or employer?

2. Individual policy? Who pays?

3. Who pays for tail coverage?

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EMPLOYMENT CONTRACT

5. Restrictive covenants & non-solicitation clauses

1. Courts typically support non-compete agreements

2. What is reasonable time & scope for you?

3. Why do employers want this clause?

4. What are the benefits to employee?112

EMPLOYMENT CONTRACT

�Contract renewals�Annual?�Automatic?

�Employment status?�W-2 employee, taxes paid by

employer�1099 employee , taxes responsibility

of employee113

CONTRACT SUMMARY

�Review your contract�Agreed salary, benefits, time off, etc.�Call schedule defined?�Other areas that were sticking points.�Obtain lawyer only if you are confused�Win-Win vs. Fair-Fair�Email me sample of our contracts.

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AGENDA

Part 2


�The Interview



�Contracts

Part 1

�Curriculum vitae

�Cover letter

�Finding jobs


116

Jason B. Babcock2155 E Conference Dr

Suite 115Tempe, AZ 85284

(480) [email protected]

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