acute pain attendings what a bunch of horse ****

[criticalelement]

I have heard of and seen jobs posted for acute pain attendings where all they do is put in blocks all day long and round on the acute pain patients? what a cake job... they do not do any general anesthesia cases at all. Is this commonplace?

How can they expect a similar salary to ananesthesiologist who is running three rooms and dealing with the problems that that entails.. I think this is commonplace at university settings.

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[deleted171991]

Prime position for takeover by midlevels in 10 years. Monkey see monkey do job.

 

[pjl]

At a university you are teaching residents to do blocks all day, which is very different.


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[urge]

I have heard of and seen jobs posted for acute pain attendings where all they do is put in blocks all day long and round on the acute pain patients? what a cake job... they do not do any general anesthesia cases at all. Is this commonplace?

How can they expect a similar salary to ananesthesiologist who is running three rooms and dealing with the problems that that entails.. I think this is commonplace at university settings.

What is wrong with this?

I don't get it. The days of a single anesthesiologist doing hearts, OB, regional, and peds all together are over.

There is likely 3 to 5 regional attendings that take turns doing block days and the rest of the time they are doing random OR cases.

 

[Machinery]

I have heard of and seen jobs posted for acute pain attendings where all they do is put in blocks all day long and round on the acute pain patients? what a cake job... they do not do any general anesthesia cases at all. Is this commonplace?

How can they expect a similar salary to ananesthesiologist who is running three rooms and dealing with the problems that that entails.. I think this is commonplace at university settings.

Never heard of such a job, so don't worry.

 

[caligas]

Please give us a link to one of these jobs

 

[sleepallday]

You're likely being reimbursed more doing blocks and catheters all day then being stuck in the OR.

 

[WholeLottaGame7]

I figured a lot of academic places have this; mine certainly did. Our pain attending didn't even do that many blocks/catheters while they were on service. Was mostly rounding on old catheters and consults, seeing new consults, the occasional rescue procedure in PACU or the ED, and teaching.

 

[Orin]

How can they expect a similar salary to an anesthesiologist who is running three rooms and dealing with the problems that that entails.. I think this is commonplace at university settings.

Probably makes $ sense for a group/hospital if they can improve OR efficiency, improve patient pain scores, decrease length of stay, etc.

 

[chfo]

The days of a single anesthesiologist doing hearts, OB, regional, and peds all together are over.

Community hospitals will always need generalists.

 

[anesthesiadoc]

Agreed that this is largely an academic phenomenon. Seems to be a couple of driving forces behind this. For 2016 the ACGME language for anesthesia residencies became more specific, now requiring 3 defined and separate months for pain: 1 regional/blocks, 1 chronic pain month and 1 acute pain month (the older version was more vague, training programs had more freedom to pick and choose different proportions of time for each the 3 sections). The second part is, programs across the country are using their acute pain service to demonstrate compliance with the oft-touted, rarely understood "surgical home." Makes them more likely to get funding for this kind of position (perhaps anesthesia departments hoping to carve out a bigger piece of the shrinking pie with bundled payments around the corner).