u/ContributionNew9556

Would appreciate honest feedback on whether this is a solid offer, fair, or something to negotiate harder.

• J-1 waiver position in an underserved area in NC (1 hour drive from a major cit)
• 50-bed community hospital and 6-bed ICU.
• University tertiary center about 1 hour away for transfers
• Limited subspecialty support onsite
• ICU patients are reportedly generally lower acuity, with sicker patients transferred out
• Daily census around 14 to 16 patients. No intensivist coverage. You are expected to manage vents

Schedule / coverage:

• 7 on / 7 off
• Solo daytime physician coverage
• No nocturnist. APPs/midlevels handle overnight admissions and cross-cover
• Home call overnight while on service they say you rarely get called, about once every 2 weeks. Usually phone calls only, not expected to physically come in most of the time
• Paid $300 per night of call. Adds up to approximately $50K/year extra

Compensation:

• Base salary: $350K
• No RVU bonus structure
• Overnight call pay: approximately +$50K/year
• Sign-on bonus: $60K
• Relocation: $7,500
• Full benefits