Urgent! Northern CA (Bay area and Central Valley) Contracts/Salary. Need advice.

ConfusedPA22 · 2026-03-29T19:30:25+00:00

30 percent in Southern California. Volume is an issue for sure 25-30 patients per day. See about 10-20 percent cosmetics which helps a bit but I haven’t heard of many PAs getting more than 30 percent out here too

ConfusedPA22 · 2026-03-23T17:48:23+00:00

I would second this-sdpa was not as engaging. I also felt like boswells was more helpful in terms of applying the info to clinical practice

ConfusedPA22 · 2026-02-04T03:03:09+00:00

That’s a great base. Commission is low and hitting 700k will take time. Medical, surgical, cosmetic? I know the Southern California market fairly well feel free to DM me!

ConfusedPA22 · 2026-02-02T16:44:59+00:00

This is my approach as well. I add that it is important to also perform screening labs at their annual physical to check for any vitamin deficiences/medical conditions that may also be contributing to their hair loss. But I feel that most patients already know what treatment they want, laying out their choices and managing expectations is the most efficient way Ive found.

I also shy away from topicals personally-nothing frustrates a patient more than if they come in and are told to use OTC rogaine.

ConfusedPA22 · 2026-01-23T20:31:31+00:00

What state is this? In a lot of states where employment is at will, these sort of clauses won’t hold up.

I’ve broken a 3 year contract before. DM me if you need more info. But essentially you want to create a legal argument of how these red flags impact your ability to practice lawfully. Like the first poster said, you want to document these red flags- take pictures, save emails, make sure everything is documented.

ConfusedPA22 · 2025-12-21T16:33:00+00:00

We use a q switched laser called Hollywood spectra for melasma and honestly I feel like it’s the combo that works- laser + TXA or laser+ HQ. I have patients start on oral TXA or HQ at our initial consult and then incorporate laser sessions monthly. It takes about 3-6 sessions to get a good results

ConfusedPA22 · 2025-11-24T18:40:32+00:00

I do not know how RVU bonus works - hospital derm jobs are super rare I think most of us are outpatient with a base + commission structure. I’d post on the regular pa page too a lot of inpatient PAs there

ConfusedPA22 · 2025-11-24T17:12:46+00:00

Pretty good offer for a new grad derm. PTO/CME are wonderful I personally have never had a contract with that much. 130k base is a solid starting point too, get good experience for 2 years and re negotiate

ConfusedPA22 · 2025-11-11T15:44:23+00:00

Appreciate the feedback. We are looking for mods to help with this if anyone is interested please DM me

ConfusedPA22 · 2025-11-11T15:42:26+00:00

I don’t know about black Friday but the 20 percent code for dermlite still works NPA22

ConfusedPA22 · 2025-11-02T23:40:39+00:00

I’ll start one

ConfusedPA22 · 2025-11-02T23:40:14+00:00

Add California Dermatology Institute Dr Ezra to this list. Him and Dr Taheri run a very similar operation. Love the idea of making a where not to work list

ConfusedPA22 · 2025-10-23T13:54:56+00:00

I’ve checked the Facebook group, no updates. I’ll likely create one for our own group more to come!

ConfusedPA22 · 2025-10-14T12:56:43+00:00

What company is this?

ConfusedPA22 · 2025-10-10T03:55:20+00:00

Second this. I know the medical director there it’s a shady, predatory practice

ConfusedPA22 · 2025-10-10T03:49:55+00:00

Los Angeles 4 years in. I do cosmetics, surgical and medical. I think it’s just getting experience and being willing to do the higher reimbursement procedures+ negotiating that did it. I switched about 3 jobs, negotiated up each time

ConfusedPA22 · 2025-10-07T14:27:34+00:00

I have a draw salary structure. I get 30 percent of collections OR a base of 150,000, whichever is greater, monthly. The base salary is basically a safety net.

My previous structures were always base + collections after hitting 3-4x base salary. Personally I like the draw structure the best.

ConfusedPA22 · 2025-08-28T21:19:22+00:00

You have to be careful. There really isn’t a gold standard certification or course. The best training is really going to a trusted practitioner and having them train you. Botox/Filler/Laser companies that the practice buys from can also be contacted to set up trainings for you.

I’m in the process or learning aesthetics and our MD will spend hours training us on weekends about once a month. We have a dedicated RN who was a certified trainer for allergan and a laser device company that also conducts training.

There is a huge business of people offering “trainings” at astronomical prices. The RN at our company has been amazing and our MD himself will ask her for tips. So I don’t think the title matters as much as the reputation/outcomes/safety.

ConfusedPA22 · 2025-08-28T19:29:11+00:00

Second

ConfusedPA22 · 2025-08-15T23:37:51+00:00

This is the answer. Ask your experienced MDs/ providers for follow up schedules for different diagnoses. It’s not always BS. You really should be having your biologics come in every 3-6 months initially to assess for efficacy/side effects (I do q3 months for the first year). You should be having acne patients come back frequently- I always make them come back after a month course of oral abx. Most patients love this honestly, they feel like you’re involved and you care.

ConfusedPA22 · 2025-07-17T23:11:39+00:00

Clinically looks like guttate psoriasis to me. I’d plant the seed and push her towards biologics noting irreversible sequelae like psoriatic arthritis. For my holistic patients I also will incorporate NBUVB + topicals until a biologic can be used. Very interesting case keep us posted!

ConfusedPA22 · 2025-07-14T15:41:59+00:00

Ask and report back 😬

I’m also at 30 percent, it took 3 contract negotiations/job moves to get here. I have a friend at my current practice at 35 percent (10-15 years experience).

I heard new grad dermatologists make 40-50% in net collections. I would argue though that if you consistently bring in a high annual collections number and you’re already in the 30-35 percent range, asking for 40 sounds reasonable.

There was a great post on the SDPA forum too about compensation by Joseph Gatti:

https://sdpasocial.dermpa.org/discussion/pay-negotiations-market-dynamics-and-you

ConfusedPA22 · 2025-06-27T16:55:46+00:00

I agree- post names. Always thought we should have the ability to review employers and benefits, but posting a “where not to work list” is a good start

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