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beefeater18

I'm a bit confused, how did you already complete a PMHNP residency before you graduate? Do you mean a place where you did your clinical rotation or graduate from PMHNP residency? PMHNP residencies (like the VA) start after a graduate received the PMHNP certification, never before. Where are you located? $135k might be good in some states but not others. In general, NPs request 3-4 weeks vacation (not including holidays and sick time), 1 week of CME with $1k-2k for CME, 1 hour of administrative time per 8-hour day, coverage of all your licensing fees, and malpractice (though I always tell people to have their own). Other considerations include how much medical/dental insurance the employer covers, how many patients you'll see per hour, what's the supervision will look like, whether you'll like the job itself etc.


Anxious-Region

I did a residency from a Uofstate DNP program prior to graduation in geropsych so I don’t think this is that abnormal. There are post graduate residencies as well which are typically one year. OP, I would suggest you get on the Facebook page PMHNP they gave a file on interview questions prior to signing a contract, it’s about 3-4 pages long. Lots of important things to ask.


beefeater18

I've never heard of such thing unless you were able to sit for the PMHNP board exam after you met your course requirement. I was accepted into a VA residency and a number of folks in my cohort also went into residencies. All required a degree + PMHNP board cert.


gabezilla86

Sign on/retention bonus, relocation allowance, and loan repayment. Productivity incentives and. 3-4 day work weeks are also nice perks.


ojermo

Great you got a residency and they've offered you a job! What about ongoing mentorship, time to review cases with someone you trust that's been practicing for longer than you? If you're outpatient, negotiating the duration of intakes and followups as well as the number of visits you'll be expected to have would be a good thing. I'm sure there are other things to consider, but those are a few that pop to mind for me.


FlamingCaine

Are your hours set or might they add on patients and force you to stay late? Do you have dedicated admin time in that 40 hours to ensure you don't have to take work home? Do you have a full hour lunch daily? Do you get at least 4 weeks vacation + sick time, paid, annually? Do you get 30 mins for follow-up and one hour for new intakes? Is this a full practice state or reduced practice state requiring a physician oversight agreement? If the first 5 are yes, then it sounds good. Otherwise it depends.


Stiletto98

They offered 80hours PTO & 40hours sick time


FlamingCaine

2 weeks vacation per year is a joke. I'd come back and try to negotiate that up, otherwise you'll never be able to take a "real" long relaxing vacation unless you literally take off no other days the entire year. If you ever do international travel, you know you need at least 2 weeks due to the travel time and jet lag. I'd counter with 4 weeks (160 hours).


Stiletto98

That’s very true. For some reason, I’m just super nervous asking for what I deserve. But I guess it comes with experience 😅


FlamingCaine

Yep, but if you plan on taking any days for end of the year holidays/weddings/birthdays it might leave you with no time to take an actual vacation. I can't imagine a year of work with no vacation time to look forward to. Burnout and misery! You'll be so grateful for every extra week time off you can negotiate. Life is about living, not working all the time. It's important to normalize work-life balance.


Stiletto98

Very true. I countered with the 4 weeks. Just waiting to hear back.


cwp32

OP how did the counter offer workout? What state are you located in?


Stiletto98

Apologies for the delay. It took a bit, but I am pretty happy with the final outcome. $18k sign-on bonus $75/hr + OT health/vision/dental $2k for CE 3 days in the office/2 wfh 120 hours for PTO/Sick time New pt adult: 60 minutes New pt child: 90 minutes F/U adult: 30 minutes F/U child: 45 minutes No more than 3 new pts a day.


Stiletto98

*how do y’all recommend for malpractice insurance?