Locums Anesthesiology

[aneftp]

So far this summer. Recruiters in Florida trying to hold the rates to $325 or less for me. Most trying to stay at $300/hr. All a game for me. I don’t need the extra cash. But extra cash is extra cash.

But it’s gotta be the right situation for me to take $300/hr (meaning I do literally nothing all day except be on the phone with my peeps/FaceTiming my friends 1 plus hour turnover etc). Im
Not running around for $300/hr and or covering 1:4:6

Outside Florida in Midwest. And northeast rates start at $350 and up. Some $400. I just have very little desire to. Go up there.

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[kidthor]

So far this summer. Recruiters in Florida trying to hold the rates to $325 or less for me. Most trying to stay at $300/hr. All a game for me. I don’t need the extra cash. But extra cash is extra cash.

But it’s gotta be the right situation for me to take $300/hr (meaning I do literally nothing all day except be on the phone with my peeps/FaceTiming my friends 1 plus hour turnover etc). Im
Not running around for $300/hr and or covering 1:4:6

Outside Florida in Midwest. And northeast rates start at $350 and up. Some $400. I just have very little desire to. Go up there.

I get texts from mid Atlantic recruiters all the time. It’s funny because I have all their old texts still…. Just got one offering 350, 2 wks ago it was 325, 2 weeks before that it was 300.

 

[Anesthesia_Guy]

But it’s gotta be the right situation for me to take $300/hr (meaning I do literally nothing all day except be on the phone with my peeps/FaceTiming my friends 1 plus hour turnover etc).

Outside Florida in Midwest. And northeast rates start at $350 and up. Some $400. I just have very little desire to. Go up there.

Mad respect!

 

[jewwithguitar]

I get texts from mid Atlantic recruiters all the time. It’s funny because I have all their old texts still…. Just got one offering 350, 2 wks ago it was 325, 2 weeks before that it was 300.

Not seeing any of these $325+/hr positions advertised in the Northeast. Would you mind sending me a PM with some of the info?

 

[aneftp]

Not seeing any of these $325+/hr positions advertised in the Northeast. Would you mind sending me a PM with some of the info?

Here’s one text in south

Hi! I have a locum MD opportunity in xxx southern state
-July Start
-Call Req
-2on/2off
-No Cardiac
-$17k weekly plus lodging, travel, MP
Any interest?
Xxxx

 

[IMGASMD]

Not seeing any of these $325+/hr positions advertised in the Northeast. Would you mind sending me a PM with some of the info?

Do you count NJ as NE?
Upstate NY?
ME/VT?

I’ve seen that price for all of those places.

Even advertised at $300, now I go in at 350…. Will get me at least to 325, if not 350. Just saw one very temporary job, covering vacation days. Offered at 325, went in at 375, thought they’d just blow me off…. I was very surprised they said okay within a few hours after they checked with their client.

The market IS pretty crazy right now.

 

[Status Sciaticus]

Do you count NJ as NE?
Upstate NY?
ME/VT?

I’ve seen that price for all of those places.

Even advertised at $300, now I go in at 350…. Will get me at least to 325, if not 350. Just saw one very temporary job, covering vacation days. Offered at 325, went in at 375, thought they’d just blow me off…. I was very surprised they said okay within a few hours after they checked with their client.

The market IS pretty crazy right now.

im seeing 400-450 in NJ now. Fk 325/hr....

 

[aneftp]

im seeing 400-450 in NJ now. Fk 325/hr....

Supply and demand and desperation. All factor in.

Crna’s are getting $250/hr in many parts of the north east as well.

One or that cannot be available for 8 hours cost the facility 100k easily if commercial insurance. 75k if Medicare. So the facility can fork over another $50-100/hr. That’s chump change $max $800 a day for the facility.

 

[IMGASMD]

im seeing 400-450 in NJ now. Fk 325/hr....

Hahahaha….. it’s going to be 500 for cardiac/peds in no time.
Saw an ad for OB anesthesiologist at NYC, wonder what they pay.

Where are these 400/hr nj places?! Hook me up!

I recently heard they’re going to pay crna 300/hr here. So the day they pricing themselves out, is here too.

Did we at some point want to move this to the club?

 

[Anesthesia_Guy]

The market IS pretty crazy right now.

Take advantage as this situation is very temporary.

 

[ranvier]

So far this summer. Recruiters in Florida trying to hold the rates to $325 or less for me. Most trying to stay at $300/hr. All a game for me. I don’t need the extra cash. But extra cash is extra cash.

But it’s gotta be the right situation for me to take $300/hr (meaning I do literally nothing all day except be on the phone with my peeps/FaceTiming my friends 1 plus hour turnover etc). Im
Not running around for $300/hr and or covering 1:4:6

Outside Florida in Midwest. And northeast rates start at $350 and up. Some $400. I just have very little desire to. Go up there.

I finally got my Florida license. It was a real pain compared to other states. So far, all I can find is supervision jobs near Ocala.

 

[aneftp]

I finally got my Florida license. It was a real pain compared to other states. So far, all I can find is supervision jobs near Ocala.

Considering Envison has all 3 hospitals in Ocala. They can control the rates more. But there is a reason there are openings there

The long money play is to cover the weekends there especially at the non hca hospital. More bang for the buck to cover more hours in house.

 

[Anesthesia_Guy]

What specifically do you think will change about the situation in anesthesia in the near future?

In my view it will get even crazier. More anesthesia staff retiring than coming in, baby boomers still going into mass retirement, demand for part time work in our field is high.

You may be right. Time will tell.

 

[Caninehalitosis]

Can anyone comment on the various locums companies? Stuff like integrity, responsiveness, competences, malpractice, travel, cars. There are lots of them out there both big and small. CompHealth, Staffcare, Odyssey, United, AMN, D&Y, Locumtenens.com, etc. I have CA, MT, & NV license and might due some traveling.
PS sorry if this has been answered already and I was too lazy to do a deep search.

 

[Anesthesia_Guy]

Can anyone comment on the various locums companies? Stuff like integrity, responsiveness, competences, malpractice, travel, cars. There are lots of them out there both big and small. CompHealth, Staffcare, Odyssey, United, AMN, D&Y, Locumtenens.com, etc. I have CA, MT, & NV license and might due some traveling.
PS sorry if this has been answered already and I was too lazy to do a deep search.

And I'm too lazy to answer. Good luck.

 

[aneftp]

Can anyone comment on the various locums companies? Stuff like integrity, responsiveness, competences, malpractice, travel, cars. There are lots of them out there both big and small. CompHealth, Staffcare, Odyssey, United, AMN, D&Y, Locumtenens.com, etc. I have CA, MT, & NV license and might due some traveling.
PS sorry if this has been answered already and I was too lazy to do a deep search.

The short answer is the are like mortgage brokers, one of the least respected professions.

Like dealing with any mortgage broker. Take the best rate you can get.

 

[IMGASMD]

Can anyone comment on the various locums companies? Stuff like integrity, responsiveness, competences, malpractice, travel, cars. There are lots of them out there both big and small. CompHealth, Staffcare, Odyssey, United, AMN, D&Y, Locumtenens.com, etc. I have CA, MT, & NV license and might due some traveling.
PS sorry if this has been answered already and I was too lazy to do a deep search.

You already know the answer, you just don’t see it yet.
They all promise the same thing….. “maybe” some of the bigger ones will have a little better help than others. That’s not necessarily true either. One company I work with, I had to deal with three different “credentialing specialists” before I was even credentialed at one hospital within the span of a few months. Because themselves cannot retain staff. Ironic.

Like @aneftp said. Take the best rate.

Be organized with your own paperwork. If you have any connection to the hospital, it wouldn’t hurt if you reach out yourself.

The only I really check now is, what type of malpractice they have. How long I’d have to wait if I go back to a site directly. Some also said you can negotiate a food allowance as well. Apparently “everything” is negotiable. There was a place that specifically told me that I can ask for a 4WD with winter tires if I was driving a rental car in the winter…. I thought that was pretty wild.

 

[MirrorTodd]

Can anyone comment on the various locums companies? Stuff like integrity, responsiveness, competences, malpractice, travel, cars. There are lots of them out there both big and small. CompHealth, Staffcare, Odyssey, United, AMN, D&Y, Locumtenens.com, etc. I have CA, MT, & NV license and might due some traveling.
PS sorry if this has been answered already and I was too lazy to do a deep search.

I've worked with Hayes, it depends entirely on the consultant. I would say I've had a good and bad experience. Good was easy to work with/get credentialed at the hospital, the consultant quickly answered my questions and I was paid promptly. Negatives: they tried to actually LOWER the hourly rate for one job with some bs reason on the hospital side, but when I spoke directly to the hospital, they said that was untrue (I didn't take that job as a result), my good consultant left and the replacement is the most inept mofo on the planet, like I've asked him for jobs in specific states and he has come back with random ****e from random states. I recently tried to get back in touch and this was the text message: "Please reply START to opt back in to receiving messages from this number." On top of that, I've had emails from other consultants telling me about jobs in the preferred state, so they apparently don't have like a database of doctors who are already contracted with them.

 

[jewwithguitar]

Still not seeing these $400/hr jobs in the Northeast. I’ve taken people’s advice and set my rate at $400/hr when communicating with recruiters and they all come back nowhere near that. $325/hr is the most I’ve been offered for locums and $275 for per diem directly from hospitals. Am I talking to the wrong recruiters or is the market really not $400/hr strong right now?

 

[BLADEMDA]

Still not seeing these $400/hr jobs in the Northeast. I’ve taken people’s advice and set my rate at $400/hr when communicating with recruiters and they all come back nowhere near that. $325/hr is the most I’ve been offered for locums and $275 for per diem directly from hospitals. Am I talking to the wrong recruiters or is the market really not $400/hr strong right now?

The typical rate for locums is $325-$350 for a general anesthesiologist. Yes, there are jobs/locations out there paying $400 per hour but that isn't the norm.
If the job is pretty good in a decent location the pay should be in the $350 per hour range. The worse the job and/or worse the location the more likely you can ask (and get) $400 per hour. Also, desperation plays a part in the hourly rate. If they are short more than 2-3 bodies then guess what, they may pay up.

 

[coffeebythelake]

Then there’s this program for the true patriots

I am inadvertently doing this because my incompetent tax preparer has been ****ing up my returns.

 

[periopdoc]

I wouldn't do generalist locums work for less than $350 per hour on an 8-hour day, with overtime at $450 per hour. 12-hour day is $375 per hour.

 

[aneftp]

Still not seeing these $400/hr jobs in the Northeast. I’ve taken people’s advice and set my rate at $400/hr when communicating with recruiters and they all come back nowhere near that. $325/hr is the most I’ve been offered for locums and $275 for per diem directly from hospitals. Am I talking to the wrong recruiters or is the market really not $400/hr strong right now?

Boston and nyc area starts at $350/hr. It’s all a negotiation. Sometimes they may not need you.

It takes some planning. If you are a full time locums doc. You will get those rates but if you have full time job already. It may be a little harder to get those rates.

Like I refuse to work at busy ortho center for $300-hr 1099. Super busy. They don’t even want to bend at $325/hr. My former colleague needs the money more than me so covers it per diem for $300/hr. So it all depends on who they can get and how desperate the situation is.

 

[dizzy21]

Still not seeing these $400/hr jobs in the Northeast. I’ve taken people’s advice and set my rate at $400/hr when communicating with recruiters and they all come back nowhere near that. $325/hr is the most I’ve been offered for locums and $275 for per diem directly from hospitals. Am I talking to the wrong recruiters or is the market really not $400/hr strong right now?

Recruiters always come in low. Some are quite rude and told me there is no way I’m getting $400+, then try to “educate” me, I usually cut them off and end the call as I know it’s untrue. I have an interview tomorrow with a location offering 400+. But I can afford to be patient because I have a full time gig currently. I’ve also had other places flat reject anything above 350. Recruiters working with NAPA told me they couldn’t consider presenting me if I was above $325 with them. Again it’s all about their level of desperation.

The story might be different if I had a contract ending and no work lined up. Might be willing to work for less. But I demand a high rate to incentivize me to quit my job AND travel.

 

[PeterGriffin]

Recruiters always come in low. Some are quite rude and told me there is no way I’m getting $400+, then try to “educate” me, I usually cut them off and end the call as I know it’s untrue. I have an interview tomorrow with a location offering 400+. But I can afford to be patient because I have a full time gig currently. I’ve also had other places flat reject anything above 350. Recruiters working with NAPA told me they couldn’t consider presenting me if I was above $325 with them. Again it’s all about their level of desperation.

The story might be different if I had a contract ending and no work lined up. Might be willing to work for less. But I demand a high rate to incentivize me to quit my job AND travel.

NAPA is offering $375/hr in San Antonio.

 

[aneftp]

Recruiters always come in low. Some are quite rude and told me there is no way I’m getting $400+, then try to “educate” me, I usually cut them off and end the call as I know it’s untrue. I have an interview tomorrow with a location offering 400+. But I can afford to be patient because I have a full time gig currently. I’ve also had other places flat reject anything above 350. Recruiters working with NAPA told me they couldn’t consider presenting me if I was above $325 with them. Again it’s all about their level of desperation.

The story might be different if I had a contract ending and no work lined up. Might be willing to work for less. But I demand a high rate to incentivize me to quit my job AND travel.

If all depends if u have full time job or not. That’s the key. I’d you when a full time gig like me. I’m more particular in where I want to go.

I’d stay local for less money (local less than one hour drive) PLUS low workload volume.

But I would not go to a place for $325/hr local plus high volume

I may be willing to travel up to 2 hours if I’m guaranteed 24 hours continuous pay plus beeper like some or my buddies who get “only $300/hr” but the clock is still running while they sleep at hotel 10 min away on beeper after 6-8pm on weekends plus their $1500 beeper fee. That’s a nice $8700 payout over 24 hours. Sleeping at hotel while getting full hourly pay

 

[LowWafer8]

I finally got my Florida license. It was a real pain compared to other states. So far, all I can find is supervision jobs near Ocala.

that's odd. i applied for 3 states around the same time last year and FL was the easiest and fastest turn-around.

 

[anbuitachi]

Amen! It's not a 50:50 thing. It's 100:100. Both have to be 100% committed to making it work.

yes but unfortunately you cant control the other person. if your spouse only wants to put 30% , what are you gonna do ? probably divorce

 

[abolt18]

yes but unfortunately you cant control the other person. if your spouse only wants to put 30% , what are you gonna do ? probably divorce

Agreed. There are periods of time where my wife makes up for my deficits, and vice versa. But if I was constantly 100% in and she was 30% in, it would inevitably fail.

 

[anbuitachi]

Agreed. There are periods of time where my wife makes up for my deficits, and vice versa. But if I was constantly 100% in and she was 30% in, it would inevitably fail.

pretty hard imo, but everyone different. i hear it frequently, lot of non docs dont understand docs, the work ethic, the hours/stress etc. but sometimes other person say they are putting in 100%, but you dont feel it. bc the pages dont fit. they think they are putting in 100% effort by waking up early (8am) to do stuff, while the MD been up since 5am

 

[Guillemot]

pretty hard imo, but everyone different. i hear it frequently, lot of non docs dont understand docs, the work ethic, the hours/stress etc. but sometimes other person say they are putting in 100%, but you dont feel it. bc the pages dont fit. they think they are putting in 100% effort by waking up early (8am) to do stuff, while the MD been up since 5am

Things that non doctors cant wrap their head around:

1. Call/call schedule. Never had anyone ever be able to wrap their bead around this concept, and now, for several years I refuse to try to explain it.

2. 1099 vs W2 pay. Not specific to physicians. I don't claim to be an expert, but very fee people can even grasp the basics such as 1099 needing to pay for their own benefits and the employer part of pay roll tax.
Again, I refuse to explain it because I know they wont get it. I just say I make 0.85*what I actually make as 1099 to spit ball it for their smooth brain to process.

 

[neutro]

Dude (or lady). It’s my friend in Georgia.

I asked in the same question why he’s doing it. Boredom. He’s young age 38. He spends a lot. Psychologically these guys if they are at home “and not generating money”. It’s in their mind.

My other pain friend in flordia makes 1.2 million. 3-4 days a week.

It’s not just about the hustle. It’s about collecting the billing revenues.

What does ‘collecting the billing revenues’ mean? You mean NET collections? Yeah so?

Those days of pain guys making bank are gone. Plus many pain procedures do not have good evidence behind them.

Labor, staff and overall cost of doing business is very high.

You can practice ethically and make 650-750k if you work hard in pain.

I really don’t see comps of 1.2 plus mil either advertised or commonly discussed among my colleagues. Either they’re doing PI or high pill mill
Opioid practice masquerade as ‘comprehensive multimodal pain Mgt’.

Reimbursement from clinic visits is pathetic. And if you’re doing pain procedures at ASC just to obtain a cut of facility fees and anesthesia services for ALL procedures, then you know you’re not really practicing ethically. To me, no amount of money is worth that.

The choice is yours/ your friends. But it’s not something I personally aspire to be/ do.?

 

[Arch Guillotti]

What does ‘collecting the billing revenues’ mean? You mean NET collections? Yeah so?

Those days of pain guys making bank are gone. Plus many pain procedures do not have good evidence behind them.

Labor, staff and overall cost of doing business is very high.

You can practice ethically and make 650-750k if you work hard in pain.

I really don’t see comps of 1.2 plus mil either advertised or commonly discussed among my colleagues. Either they’re doing PI or high pill mill
Opioid practice masquerade as ‘comprehensive multimodal pain Mgt’.

Reimbursement from clinic visits is pathetic. And if you’re doing pain procedures at ASC just to obtain a cut of facility fees and anesthesia services for ALL procedures, then you know you’re not really practicing ethically. To me, no amount of money is worth that.

The choice is yours/ your friends. But it’s not something I personally aspire to be/ do.?

Sit at the top of the pyramid. That’s the only real way to make money. Own the practice. Take the risk. Reap the rewards.

 

[neutro]

It really depends on payor mix and quality of referrals

 

[anbuitachi]

Things that non doctors cant wrap their head around:

1. Call/call schedule. Never had anyone ever be able to wrap their bead around this concept, and now, for several years I refuse to try to explain it.

2. 1099 vs W2 pay. Not specific to physicians. I don't claim to be an expert, but very fee people can even grasp the basics such as 1099 needing to pay for their own benefits and the employer part of pay roll tax.
Again, I refuse to explain it because I know they wont get it. I just say I make 0.85*what I actually make as 1099 to spit ball it for their smooth brain to process.

ive explained to my wife, and even parents over the years, my call schedule countless times. i still think they dont get it

 

[kidthor]

ive explained to my wife, and even parents over the years, my call schedule countless times. i still think they dont get it

My parents still don’t seem to comprehend that I don’t get out at a set time or that I don’t “move up in the organization” or get pay raises every year.

 

[anbuitachi]

My parents still don’t seem to comprehend that I don’t get out at a set time or that I don’t “move up in the organization” or get pay raises every year.

literally same here, including w my wife!

 

[aneftp]

Sit at the top of the pyramid. That’s the only real way to make money. Own the practice. Take the risk. Reap the rewards.

Exactly.

Trial spinal cord stimulator is up to 15k
Permanent placement is 5-10k

You keep
The entire fees when you own practice.

People don’t understand that. And it’s about Payor mix as well. That’s the pain practice side.

The regular anesthesia side is getting much tricker. Demand and times of hospitals based practice is different than outpatient stand a lone practices.

Honestly it’s better to be pure hourly wage if you are w2 hospital base as full time CALL TAKING doc. I don’t know how amc and hospitals or private equity can find enough bodies if docs get smart regarding hourly call wages with calls. We docs get ripped off when it comes to call responsibilities and being paid.

We have crna’s working 24/16 2 days making 220k plus 9’weeks off. That’s pretty sweet gig.

I know doc who does 24/16 also Friday/Sunday call. That’s it for 450k with 10 weeks off. Those are guaranteed hours as well. The key word is guaranteed. Locums is never guaranteed. So the hourly wages comes out to around $280/hr but you work 1.75 days out of 7 days a week for 42 weeks. Not a bad deal.

 

[anbuitachi]

Exactly.

Trial spinal cord stimulator is up to 15k
Permanent placement is 5-10k

You keep
The entire fees when you own practice.

People don’t understand that. And it’s about Payor mix as well. That’s the pain practice side.

The regular anesthesia side is getting much tricker. Demand and times of hospitals based practice is different than outpatient stand a lone practices.

Honestly it’s better to be pure hourly wage if you are w2 hospital base as full time CALL TAKING doc. I don’t know how amc and hospitals or private equity can find enough bodies if docs get smart regarding hourly call wages with calls. We docs get ripped off when it comes to call responsibilities and being paid.

We have crna’s working 24/16 2 days making 220k plus 9’weeks off. That’s pretty sweet gig.

I know doc who does 24/16 also Friday/Sunday call. That’s it for 450k with 10 weeks off. Those are guaranteed hours as well. The key word is guaranteed. Locums is never guaranteed. So the hourly wages comes out to around $280/hr but you work 1.75 days out of 7 days a week for 42 weeks. Not a bad deal.

where do you find these crnas who are willing to work for 220k?! so cheap

 

[Gasmd98]

Things that non doctors cant wrap their head around:

1. Call/call schedule. Never had anyone ever be able to wrap their bead around this concept, and now, for several years I refuse to try to explain it.

2. 1099 vs W2 pay. Not specific to physicians. I don't claim to be an expert, but very fee people can even grasp the basics such as 1099 needing to pay for their own benefits and the employer part of pay roll tax.
Again, I refuse to explain it because I know they wont get it. I just say I make 0.85*what I actually make as 1099 to spit ball it for their smooth brain to process.

So true about call schedule. I gave up explaining. The only good thing about call is that you can always use “being on call” as an excuse to avoid events/functions that you want to avoid!

 

[aneftp]

where do you find these crnas who are willing to work for 220k?! so cheap

It’s the schedule. Work 7 days out of a month basically. Rest of the month off.

where do you find these crnas who are willing to work for 220k?! so cheap