I’m beginning to see promotions without significant pay increases as a bit of a trap more responsibility but no extra compensation, just a shiny new title. It can be flattering initially, but it often leads to frustration down the line. Have you ever turned down a promotion due to inadequate pay?

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Not the same, but I’m always leary of a hefty sign on bonus. More money isn’t always worth it.

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A big sign on bonus can be appealing, but it’s important to consider the whole job experience. Sometimes, other benefits matter more in the long run.

I was once offered what appeared to be a promotion in name only and I objected to it. I made a case for myself and my pay was adjusted to reflect the promotion. It's the same old story, management will try to stiff people if they think they can get away with it.

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It’s great you stood up for yourself. Management should recognise true value, not just give shiny titles.

Yeah, I 100% get where you're coming from—I've started looking at those "promotions" the same way lately. The fancy new title sounds great for about five minutes until you realize you're about to inherit twice the headaches, extra meetings, and more liability... all for maybe a 3-5% bump that doesn't even keep up with inflation. I turned one down earlier this year. I was offered a "Senior Clinical Pharmacist" role in our oncology service line. It would have meant taking over all the protocol reviews, leading the residency precepting program, and basically being the go-to for every attending's random chemo question after hours. The pay increase they floated? $6k/year. I ran the numbers and it came out to less than $2 extra per hour worked (and we all know these roles creep into evenings and weekends). I politely said thanks but no thanks, told them I'd be happy to reconsider if the compensation reflected the added responsibility and liability.My manager was shocked (apparently nobody ever says no), but honestly I feel zero regret. I've seen too many colleagues burn out after accepting those kinds of moves and then get stuck because now they're "too senior" to go back but still underpaid for what they do.Has anyone else pushed back like this? Did it hurt your career trajectory or did leadership actually come back with a better offer later? Curious how it’s played out for others in pharmacy.

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I understand where you're coming from! Years ago, I also turned down one of those offers, and my manager was quite shocked apparently, no one ever says no. I later learned that a colleague accepted the promotion, but it didn't come with any extra compensation for the added responsibilities. I've seen others struggle and feel burnt out after taking similar offers, and it’s really tough.

Yes I have done this and looking back I think I made the best decision.

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Same here! At the time, I felt I should accept it for my career development, but within a couple of months, I realised I’d made the right choice by turning it down.

I've never had occasion to. The few promotions I've received have all come with a pay bump that made the added responsibilities worth taking on. I wouldn't have a problem doing it if that wasn't the case though.

That sounds fair! It's great when promotions come with a proper pay rise. It makes all the extra work worthwhile.

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