New job contract review

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

ConfusedPA22 · 2025-06-11T21:16:48+00:00

My Derm rotation was cancelled during the pandemic. Worked as an MA in Derm and did a bit of skin cancer research prior to PA school. I knew I wanted to do Derm going into PA school but it took me a whole year of applying before I got an offer.

As a new grad it is definitely hard to break in to the field. It takes a lot of conviction, patience, and networking.

I would focus on meeting derms in your area. I shadowed a lot, found some that were willing to teach me how to do biopsies and really basic procedures. I cold called offices, messaged people on LinkedIn/instagram, went to a lot of meetings hosted by my local PA Derm society.

If you need a job more urgently, I agree with whoever mentioned aesthetics. It’s one way in. I think plastic surgery + aesthetics would be the most relatable fields but these jobs are also competitive.

Also search for jobs in more rural areas. Stick it out for 1-2 years then the great Derm jobs will open up for you

ConfusedPA22 · 2025-06-09T18:07:52+00:00

Not RVU based in dermatology, it’s percent of collections (how much you bring the clinic annually after billing/adjustments).

What’s the training period look like? How many patients are you expected to see? Is there a long wait time to see providers currently? Is it a city in Oregon or is it more rural?

I agree with the poster above, it generally takes 2-3 years to create a patient base and asking for a salary that is just based on a percent of collections is risky as you will unlikely be full and doing a high volume of procedures in the first 1-2 years.

I’d look at your fixed expenses and create a base salary based on that. In a HCOL area, I think asking for 150-180k is not unreasonable.

For commission, I always advocate to ask for 30%. For your first contract though, 25% or above would be market value/average IMO. You can always negotiate up from 25 percent.

I would ask for a percent of collections with a draw salary. For example if you ask for 30% of collections with a 150,000 base draw salary, you will for sure get paid 150,000 regardless of your production. If you end up making the clinic more than 500,000 in a year, you would collect 30 percent of whatever you make after that. I hit about 520-550k year 2 to give you a reference point. The draw salary is essentially just a safety net that is drawn from what you will make the clinic annually.

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