Before you sign, make sure what they told you is actually in the offer.
A pre-signing checklist of what NPs are most often promised out loud and handed differently after they start, and exactly what to get in writing.
Interview Promises vs. Work Realities
You sat across from them and asked the real questions. How many patients a day. Whether there is time built into the schedule for charting, protected from both visits and meetings. What the bonus actually pays, and on what math. You got answers. Good ones, some of them.
Then you started, and the day did not match the one you were sold. The sixteen patients you were told about became twenty-four. The admin time was on the schedule until a staffing gap quietly absorbed it. The bonus had a formula nobody ever put in front of you.
The answers you get in an interview are intentions, not commitments. Intentions do not survive a new medical director, a staffing change, or a quarter that comes in under target. What survives is what is written into the offer and the contract.
This is the checklist of what to get in writing before you sign, so the job you start is the job you were actually told about.
What's Inside
- See the eight things NPs are most often promised in the interview and handed differently after they start, from daily patient volume to the bonus formula.
- Get the exact wording to confirm each one in writing: a cap on daily visits, admin time protected from both visits and meetings, schedule, ramp-up, orientation, bonus math, population and scope, benefits.
- Print the one-page version and bring it to the offer conversation, so nothing important rides on memory.
- Learn the two rules that keep a verbal yes from disappearing after you sign.
About the Author
Built by Candice Elam, DNP, FNP-C, a primary care NP who interviewed with more than a dozen practices, private and federally qualified, and turned down more roles than she accepted.
"I interviewed at a retail clinic once. I would not have taken that job for a mountain of gold. The labor model was built around eliminating every cost except my salary."
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