Roxanne Haslam MD MBA

MD/MBA. Alumni of @OHSUUrology. Beginner triathlete. Dog mom. Nebraska Cornhusker 🌽. RT not endorsements

[White Coat Investor @WCInvestor]

Are you negotiating only salary?😲

Doctors need to know there is far more to negotiate than just salary . . .

Know what is important to you and bring these other compensation items into your negotiations.

Insurance
Health insurance is extremely valuable. Employers may be willing to offer dental, vision, disability, life, and malpractice insurance. Larger, more bureaucratic employers may have their hands tied with some buckets of money but not with others.

Signing Bonus
This is even better than a moving allowance since you can spend it on anything and it often comes long before you start working.

Loan Forgiveness/Payback
Many employers will offer loan payback which is just as good as more salary. The tricky part is when you try to get the employer to pay you more in salary when loans are gone.

Automatic Raises
Hate negotiating? Why not build in automatic raises each year?

Moving Allowance
If you're going to spend the money anyway, a moving allowance is just as good as salary. Both are equally taxable under current law.

Productivity Increases
Many doctors are paid a mix of a flat salary plus productivity bonuses. They may be much more willing to negotiate up the productivity bonus since additional productivity brings them extra money too.

Proportion of Guaranteed Salary
On the other hand, if you think it is going to be tough to be highly productive in that environment (or you know you're not the most efficient doc), you could negotiate to have more of your salary guaranteed and less based on productivity.

CME Dollars
CME money may not be as good as salary, but it's a good way to build in a working vacation at a nice conference destination.

Professional Fees
Can you get the employer to pay for your state license, DEA license, or board certification fees? That's just as good as salary since you're going to spend the money anyway.

Access to Other Income Sources
Some practices and partnerships own other businesses or assets, such as the practice real estate or an associated surgical center or dialysis center. You can negotiate ownership of those entities as well.

Which of these have you had success negotiating?

[Roxanne Haslam MD MBA @rx_haslam]

@CaseySeidemanMD @nwkidneykids @OHSUDoernbecher 🔥

[sheMD @sheMDTweets]

Dr. Sabrina Gerkowicz shares some facts about #PhysicianInfertility

Studies have found the average age of first childbirth is later for physicians (34.3 ± 0.7 years vs national average of 25.4).⁠

https://t.co/x11fyKCgfm
#sheMD #WomenInMedicine #Infertility

[Chloe Peters @chloepetersMD]

Thrilled to see this article I wrote with @SiobhanHartigan published in @Nature Reviews Urology! We present policy suggestions for improving support for pregnancy and parenting in medicine https://t.co/Hhz9wb2GNo #urology #naturereview #pregnancy #parenting

[Jessica Wenzel, MD, MPH @jwenzelmd]

Attn Urologists‼️📣

Please take 10 minutes to complete our survey on radiation exposure and fluoroscopy practices, w/ a focus on pregnancy.

Open to all genders, regardless of prior pregnancy status or ability to become pregnant.
https://t.co/zZESdql6QX
@CaseySeidemanMD @Msemins

[OHSU Urology @OHSUurology]

We are extremely excited to welcome these FOUR SUPER⭐️to the @OHSUurology @OHSUUroRes family!
@ResaMagill @Leigh__Martin @dparkmed #ElizabethSoo

#UroMatch2023 @AmerUrological @UroResidency @Uro_Res

[Roxanne Haslam MD MBA @rx_haslam]

@drrachelrubin What are your favorite work arounds for $$$, I find many patients come to me after being recommended vaginal estrogen but never get started because of cost. We found a compounding pharmacy or have used costplusdrugs. What else should we know?

[Roxanne Haslam MD MBA @rx_haslam]

@CaseySeidemanMD encouraged me to submit a @onepeloton comeback story, and got me started on my peloton fitness journey. Years later still motivated to stay active even in pregnancy and enjoying the fitness community it has connected me with

[Roxanne Haslam MD MBA @rx_haslam]

These @SWIUorg posts remind me how glad I am to have had the opportunity to have mentorship by @CaseySeidemanMD during @OHSUUroRes who mentored me professionally as well as supported my mental and physical wellness 🧵

[Marius Hauken @mhauken]

You're not using the Notes app on your iPhone to its full potential.

8 features you might not know about:

[Roxanne Haslam MD MBA @rx_haslam]

@chloepetersMD @elvie @SWIUorg Yes! Researching right now to decide which wearable pump I’ll be using when I return to work #surgeonmamas #urology

[sheMD @sheMDTweets]

Dr. Sabrina Gerkowicz shares with us some very important findings and statistics about #physicianinfertility
Read it here: https://t.co/yuNXL5UjdI
#PhysicianInfertility #InfertilityAwareness #WomenInMedicine #SheMD

[Roxanne Haslam MD MBA @rx_haslam]

@hibsumra Also, don’t forget to MAKE TIME for what you love outside of work too! There’s always more work to be done. #family #peloton #dogmom #optoutside #womeninsurgery #urology

[Roxanne Haslam MD MBA @rx_haslam]

@hibsumra Being in medicine/surgery requires sacrifices, but a supportive spouse/training program/partners or practice make it possible to have a fulfilling career & personal life! Look for practices that value caregivers and invest in their physicians quality of life short and longterm!

[Roxanne Haslam MD MBA @rx_haslam]

@CaseySeidemanMD @HenryFordHealth @SQPUrology @CraigRogersMD YES

[Casey Seideman MD @CaseySeidemanMD]

Fantastic review of census findings! Including resident census:

💫Women now make up 11.6% of practicing uros!!

💫1/3 residents identify as women
💫1/3 of residents have children during training
💫1/3 residents identify as non-White

Thanks for sharing @anorth21 @RuchikaTalwarMD

[Charlie M. Wray, DO, MS @WrayCharles]

This is my annual reminder...

If you listen closely. Tonight at 2AM you will hear a reverberating F#*K emanating from all teaching hospitals as residents have to endure an extra hour on call.

[Roxanne Haslam MD MBA @rx_haslam]

@CaseySeidemanMD @PelotonMed @onepeloton

[Casey Seideman MD @CaseySeidemanMD]

Excellent talk by Gwen Grimsby on High infertility and pregnancy complication rates in surgeons. #WSAUA22

We need to SUPPORT pregnant physicians! 🙌

[Casey Seideman MD @CaseySeidemanMD]

Sending good vibes to the #UroMatch applicants today 🤗