Any Kaiser (TPMG) docs here?

[lccjblu]

Hi all, wondering if any of the newer TPMG doctors can recommend a mortgage lender. Specifically, one that will allow the home loan program to be applied towards down payment?

As I am sure is the case for many early career physicians in VHCOL areas, we simply don't have enough saved up for a down payment.

[cawa84]

Hi all, wondering if any of the newer TPMG doctors can recommend a mortgage lender. Specifically, one that will allow the home loan program to be applied towards down payment?

As I am sure is the case for many early career physicians in VHCOL areas, we simply don't have enough saved up for a down payment.

There are a few that will "allow" you (I've heard US Bank and Wells Fargo will) however I've been told by multiple people that doing so often results in a significant delay in closing, which can make all the difference when you're competing against a plethora of other potential buyers (many of whom won't have that problem). I just ended up delaying purchasing and living like a resident to save a large amt of cash first.

[ROdoc13]

Hi all, wondering if any of the newer TPMG doctors can recommend a mortgage lender. Specifically, one that will allow the home loan program to be applied towards down payment?

As I am sure is the case for many early career physicians in VHCOL areas, we simply don't have enough saved up for a down payment.

I think I mentioned previously, but we used PatelCo and they allowed us to use it as a portion of the down payment. We had about 15% down-payment, so with the $200,000 at the time we were over 20% down total. We were still able to do 24-day close.

[ketaminedart]

Anyone with experience pursuing entrepreneurial or consulting endeavors after starting at TPMG? Policy manual is very vague and broadly uses the term “medical activities.” But essentially sounds like you can’t do anything outside of Kaiser that even vaguely relates to the medical world unless it’s pre-approved or you have to hand over that income. Does that sound right? Anyone with more insight/experience on this?

[highdoseamox]

Anyone with experience pursuing entrepreneurial or consulting endeavors after starting at TPMG? Policy manual is very vague and broadly uses the term “medical activities.” But essentially sounds like you can’t do anything outside of Kaiser that even vaguely relates to the medical world unless it’s pre-approved or you have to hand over that income. Does that sound right? Anyone with more insight/experience on this?

Not personally but Maria Ansari referenced that during her talk last week. If you haven’t seen it the link has been widely circulated and can be watched on the KP network.

[ROdoc13]

Anyone with experience pursuing entrepreneurial or consulting endeavors after starting at TPMG? Policy manual is very vague and broadly uses the term “medical activities.” But essentially sounds like you can’t do anything outside of Kaiser that even vaguely relates to the medical world unless it’s pre-approved or you have to hand over that income. Does that sound right? Anyone with more insight/experience on this?

If it's remotely related to healthcare, you have to seek PIC approval. My understanding is that it's rare it would be approved, and if so, some portion of compensation would be shared with TPMG. If not healthcare-related, you can proceed (ie I know a TPMG doc is is also a realtor)

[ketaminedart]

Not personally but Maria Ansari referenced that during her talk last week. If you haven’t seen it the link has been widely circulated and can be watched on the KP network.

If it's remotely related to healthcare, you have to seek PIC approval. My understanding is that it's rare it would be approved, and if so, some portion of compensation would be shared with TPMG. If not healthcare-related, you can proceed (ie I know a TPMG doc is is also a realtor)

Appreciate the info, will look into it more.

[The_Heat]

Can someone tell me if I'm taking crazy pills?

When I started a few years ago, there's was talk of the "starting salary" and the "5-year target." The idea being that you get significant raises during your first 5 years to reach a "target," after which you get much smaller raises thereafter. It's not written down anywhere, but it was talked about openly when I was recruited.

But since I started, this has not been the case. My raises have been small and on-par with my more senior colleagues.

Did I invent or mishear this concept?

[DrRab]

Interesting. This was the case when I interviewed at KP years ago. They even showed me a paper with the projections. My friends who have worked there for the past 5 or so years have had such raises.

recently a colleague of mine interviewed for a surgical subspecialty position at KP and they have not provided any 5 year target numbers even though he asked about it

[highdoseamox]

Can someone tell me if I'm taking crazy pills?

When I started a few years ago, there's was talk of the "starting salary" and the "5-year target." The idea being that you get significant raises during your first 5 years to reach a "target," after which you get much smaller raises thereafter. It's not written down anywhere, but it was talked about openly when I was recruited.

But since I started, this has not been the case. My raises have been small and on-par with my more senior colleagues.

Did I invent or mishear this concept?

The starting salary = associate salary. At year five, assuming shareholder, you go to the base shareholder salary. Years three to five you are supposed to close that gap from associate to full base shareholder salary. In my specialty, the difference today between associate and base shareholder is about 30-35k. More senior shareholders will make more than that because they will have received some number of SPA in addition to annual salary increases. That delta could vary in specialties depending on how high they have had to increase the associate salary to recruit new hires.

this stuff shouldn’t be a secret, your chief, or someone else in your department should be able to give you the actual current salary numbers.

[The_Heat]

The starting salary = associate salary. At year five, assuming shareholder, you go to the base shareholder salary. Years three to five you are supposed to close that gap from associate to full base shareholder salary. In my specialty, the difference today between associate and base shareholder is about 30-35k. More senior shareholders will make more than that because they will have received some number of SPA in addition to annual salary increases. That delta could vary in specialties depending on how high they have had to increase the associate salary to recruit new hires.

this stuff shouldn’t be a secret, your chief, or someone else in your department should be able to give you the actual current salary numbers.

Thank you for this.

I guess we'll see how it goes over the 3-5 year interval.

[ROdoc13]

Can someone tell me if I'm taking crazy pills?

When I started a few years ago, there's was talk of the "starting salary" and the "5-year target." The idea being that you get significant raises during your first 5 years to reach a "target," after which you get much smaller raises thereafter. It's not written down anywhere, but it was talked about openly when I was recruited.

But since I started, this has not been the case. My raises have been small and on-par with my more senior colleagues.

Did I invent or mishear this concept?

If you have a good relationship with your Chief, I would just ask what the 5-year target is for your specialty. This need not be a secret.

[Tim]

If you have a good relationship with your Chief, I would just ask what the 5-year target is for your specialty. This need not be a secret.

I would think at some point your partners would have access and be willing to share. There might be some metrics involved, kind of important to you. You definitely don’t want to be moved out. I wouldn’t wait for 3-5 yrs. Not an urgent issue, but performance expectations and pay is important.

[The_Heat]

If you have a good relationship with your Chief, I would just ask what the 5-year target is for your specialty. This need not be a secret.

Thanks for the input everybody.
I have a great relationship with my chief and he has advocated for me getting the meager raises I've got so far. He might be out of the loop, I'll revisit with him to hopefully get clarity.

[cawa84]

For the younger TPMG members here a couple of years out of training: given the absurd spike in home prices over the past few years, what % of your gross/net are you tolerating putting towards living costs? I feel like the conventional #s thrown around may not apply as much due to the local realities of COL as well as the fact we have a pension in addition to 401k+contribution plan and I feel like I don't have a good grasp of what is "safe"/reasonable, esp since most of my colleagues/coworkers that I see regularly are at least 8-10 years in at this point and bought homes pre-pandemic