I hate my job as anesthesiologist

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orangele

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I am 52 year old board-certified and recertified anesthesiologist with no malpractice suits.

Over the past several years I have come to hate my job. Let me open and state that to a large extent this is my own fault. I have always been of the mind that if you dont like something, you complain. If your complaints are not resolved, you walk. Well at age 52 I am hesitant to walk away from a good-paying job.

The problems with my job are that I get no respect from the hospital staff or administration. I have been told by an OR nurse in the past year, "I dont need to help you, you are only an anesthesiologist." I have no call room although all other physicians who stay overnight do. My input on clinical aspects of care are ignored. They are overruled by a nurse somewhere in the system. My input on OR nurses/Pacu nurses/outpatient nurse hiring is not asked for or solicited. I have to put up with CRNAs that think that they have the same education and ability as I do (I have both a M.D. and Ph.D. in pharmacology, and both clinical and research fellowships) all from top universities; and am board-certified, and recertified 2009.

I think that the lack of respect for me comes down from the top levels of the hospital chain which really does not respect physicians; although I believe I am mistreated more than any other physician in the hospital. The fact that the hospital payor mix is so poor means that my billings do not support an anesthesiologist. Therefore, the hospital views me as a liability since they supplement my income each month. Therefore I am treated as an employee. After years of this treatment from the adminstration, the attitude is carried over to everyone else that the anesthesiologist can be treated like sh.. Thus I am to a large extent to blame for putting up with this crap. So I have finally gotten to the point where no amount of money is worth one's own self-respect.

I am hoping that my situation is specific to the hospital where I am. I will be hiring another MDA to work for me. I will only work part-time. This will give me an opportunity to work at other hospitals to see if I can find the enjoyment that I once had for this job.
 
Interesting post. I've interacted with anesthesiology attendings who were cynical about their profession, but haven't ever worked with an anesthesiologist who was truly burnt-out.

Out of curiosity, orangele, are you in private practice? I've heard that MD/PhD-trained anesthesiologists *exclusively* flourish in academic medicine, where they can do research, improve hospital infrastructure, and teach junior doctors.
 
MDA?

Hey CRNA, quit pretending to be a physician.

Arch, please take care of this.

orangele said:
I am 52 year old board-certified and recertified anesthesiologist with no malpractice suits.

Over the past several years I have come to hate my job. Let me open and state that to a large extent this is my own fault. I have always been of the mind that if you dont like something, you complain. If your complaints are not resolved, you walk. Well at age 52 I am hesitant to walk away from a good-paying job.

The problems with my job are that I get no respect from the hospital staff or administration. I have been told by an OR nurse in the past year, "I dont need to help you, you are only an anesthesiologist." I have no call room although all other physicians who stay overnight do. My input on clinical aspects of care are ignored. They are overruled by a nurse somewhere in the system. My input on OR nurses/Pacu nurses/outpatient nurse hiring is not asked for or solicited. I have to put up with CRNAs that think that they have the same education and ability as I do (I have both a M.D. and Ph.D. in pharmacology, and both clinical and research fellowships) all from top universities; and am board-certified, and recertified 2009.

I think that the lack of respect for me comes down from the top levels of the hospital chain which really does not respect physicians; although I believe I am mistreated more than any other physician in the hospital. The fact that the hospital payor mix is so poor means that my billings do not support an anesthesiologist. Therefore, the hospital views me as a liability since they supplement my income each month. Therefore I am treated as an employee. After years of this treatment from the adminstration, the attitude is carried over to everyone else that the anesthesiologist can be treated like sh.. Thus I am to a large extent to blame for putting up with this crap. So I have finally gotten to the point where no amount of money is worth one's own self-respect.

I am hoping that my situation is specific to the hospital where I am. I will be hiring another MDA to work for me. I will only work part-time. This will give me an opportunity to work at other hospitals to see if I can find the enjoyment that I once had for this job.
Click to expand...
 
orangele said:
I am 52 year old board-certified and recertified anesthesiologist with no malpractice suits.

Over the past several years I have come to hate my job. Let me open and state that to a large extent this is my own fault. I have always been of the mind that if you dont like something, you complain. If your complaints are not resolved, you walk. Well at age 52 I am hesitant to walk away from a good-paying job.

The problems with my job are that I get no respect from the hospital staff or administration. I have been told by an OR nurse in the past year, "I dont need to help you, you are only an anesthesiologist." I have no call room although all other physicians who stay overnight do. My input on clinical aspects of care are ignored. They are overruled by a nurse somewhere in the system. My input on OR nurses/Pacu nurses/outpatient nurse hiring is not asked for or solicited. I have to put up with CRNAs that think that they have the same education and ability as I do (I have both a M.D. and Ph.D. in pharmacology, and both clinical and research fellowships) all from top universities; and am board-certified, and recertified 2009.

I think that the lack of respect for me comes down from the top levels of the hospital chain which really does not respect physicians; although I believe I am mistreated more than any other physician in the hospital. The fact that the hospital payor mix is so poor means that my billings do not support an anesthesiologist. Therefore, the hospital views me as a liability since they supplement my income each month. Therefore I am treated as an employee. After years of this treatment from the adminstration, the attitude is carried over to everyone else that the anesthesiologist can be treated like sh.. Thus I am to a large extent to blame for putting up with this crap. So I have finally gotten to the point where no amount of money is worth one's own self-respect.

I am hoping that my situation is specific to the hospital where I am. I will be hiring another MDA to work for me. I will only work part-time. This will give me an opportunity to work at other hospitals to see if I can find the enjoyment that I once had for this job.
Click to expand...

Bull S __t

This crap is really tiring.

He is obviouslyt a fraud.
 
aredoubleyou said:
Bull S __t

This crap is really tiring.

He is obviouslyt a fraud.
Click to expand...
Maybe not...
<deleted by mod>
Age, occupation and name all match.
He needs to quit. Get a 250k no call no weekend ASC job.
He'd have more time to date too!:laugh:
JUST QUIT, TOMORROW!
 
Last edited by a moderator:
orangele said:
I am 52 year old board-certified and recertified anesthesiologist with no malpractice suits.

Over the past several years I have come to hate my job. Let me open and state that to a large extent this is my own fault. I have always been of the mind that if you dont like something, you complain. If your complaints are not resolved, you walk. Well at age 52 I am hesitant to walk away from a good-paying job.

The problems with my job are that I get no respect from the hospital staff or administration. I have been told by an OR nurse in the past year, "I dont need to help you, you are only an anesthesiologist." I have no call room although all other physicians who stay overnight do. My input on clinical aspects of care are ignored. They are overruled by a nurse somewhere in the system. My input on OR nurses/Pacu nurses/outpatient nurse hiring is not asked for or solicited. I have to put up with CRNAs that think that they have the same education and ability as I do (I have both a M.D. and Ph.D. in pharmacology, and both clinical and research fellowships) all from top universities; and am board-certified, and recertified 2009.

I think that the lack of respect for me comes down from the top levels of the hospital chain which really does not respect physicians; although I believe I am mistreated more than any other physician in the hospital. The fact that the hospital payor mix is so poor means that my billings do not support an anesthesiologist. Therefore, the hospital views me as a liability since they supplement my income each month. Therefore I am treated as an employee. After years of this treatment from the adminstration, the attitude is carried over to everyone else that the anesthesiologist can be treated like sh.. Thus I am to a large extent to blame for putting up with this crap. So I have finally gotten to the point where no amount of money is worth one's own self-respect.

I am hoping that my situation is specific to the hospital where I am. I will be hiring another MDA to work for me. I will only work part-time. This will give me an opportunity to work at other hospitals to see if I can find the enjoyment that I once had for this job.
Click to expand...

you seem to be in a remote area, so you probably make a ton of cash - and have been doing so for 20 years. i would definitely take time off and then go somewhere where you will be appreciated more.
 
orangele said:
I am 52 year old board-certified and recertified anesthesiologist with no malpractice suits.

Over the past several years I have come to hate my job. Let me open and state that to a large extent this is my own fault. I have always been of the mind that if you dont like something, you complain. If your complaints are not resolved, you walk. Well at age 52 I am hesitant to walk away from a good-paying job.

The problems with my job are that I get no respect from the hospital staff or administration. I have been told by an OR nurse in the past year, "I dont need to help you, you are only an anesthesiologist." I have no call room although all other physicians who stay overnight do. My input on clinical aspects of care are ignored. They are overruled by a nurse somewhere in the system. My input on OR nurses/Pacu nurses/outpatient nurse hiring is not asked for or solicited. I have to put up with CRNAs that think that they have the same education and ability as I do (I have both a M.D. and Ph.D. in pharmacology, and both clinical and research fellowships) all from top universities; and am board-certified, and recertified 2009.

I think that the lack of respect for me comes down from the top levels of the hospital chain which really does not respect physicians; although I believe I am mistreated more than any other physician in the hospital. The fact that the hospital payor mix is so poor means that my billings do not support an anesthesiologist. Therefore, the hospital views me as a liability since they supplement my income each month. Therefore I am treated as an employee. After years of this treatment from the adminstration, the attitude is carried over to everyone else that the anesthesiologist can be treated like sh.. Thus I am to a large extent to blame for putting up with this crap. So I have finally gotten to the point where no amount of money is worth one's own self-respect.

I am hoping that my situation is specific to the hospital where I am. I will be hiring another MDA to work for me. I will only work part-time. This will give me an opportunity to work at other hospitals to see if I can find the enjoyment that I once had for this job.
Click to expand...


Many residency programs would be happy to bring someone with your academic background into their ranks.

As far as your job goes, I'd say screw them and walk. Just make sure your FU account can support that move should you take it.
 
orangele said:
I think that the lack of respect for me comes down from the top levels of the hospital chain which really does not respect physicians; although I believe I am mistreated more than any other physician in the hospital.
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Poll your colleagues in other specialties...they would probably cite the same victimized complaint.
 
The 1st step in your recovery is to stop using the term MDA, and don't let anyone else use it to refer to you or your job.
I am an anesthesiologist, that's it. Call me Dr. Destriero, or Destriero if we know each other. How many MDAs does my group have? None, we have 30 anesthesiologists though. It's funny how much respect you can have when you earn it with hard, high quality work and require it in your interactions with others.
If I asked an OR nurse for help with something, and they said that crap to me, I would have the shift nurse manager in the OR in 2 minutes (and they would come). Disrespect has to be dealt with immediately. I also don't answer to "anesthesia" and don't let the trainees respond to it either. I remind the resident or fellow what my name is. If they forget twice, I remind them again, and tell them not to refer to us as "anesthesia" as it is disrespectful.
 
On the bright side, as an anesthesiologist you have one of the most cohesive forums online in the field of medicine available, and I am glad you took advantage of it (forgive the initial skepticism, as we have had our share of sketchy characters come through and try and disrupt the community).

I, for one, hope that you stick around and contribute regularly. Someone with your background could be very valuable here. I hope you are able to find happiness. Peace.
 
I found it interesting the comments regarding some peoples belief that I am a fraud. One of the things that people focused on was the term "MDA." Let me give a little background.

I work in a small community hospital. I am the only anesthesiologist. I have worked in such a setting since 1999. I basically have no contact with any other anesthesiologists. Since I have no contact with anesthesiologist, the term MDA is a term that I find to be relatively respectful, compared to "anesthesia provider" which I also hear not infrequently. At least with "MDA" you are acknowledged to be an MD as opposed to a "provider."

Thus having been so isolated from other anesthesiologists, I guess that I really do not think about the term "MDA" as being disrespectful since it is not as bad as the term 'provider' which I hear as well.

In regards to some of the other comments about likely having been in practice long enough to retire, I would add that I did not enter med school until age 28 having lived in the real world (with good and bad experiences), ultimately influencing me to enter grad school and then apply and be accepted for med school. After a divorce, a mid-life crisis and some fast cars and expensive relationships, I wish I could just retire, but there simply is not enough in savings.

Anyway, the anesthesiologist I have hired is scheduled to start next month. I am excited and scared. I am scared since I will have to live on far less money. I am excited because I will have time to devote to my seeing more of my 11 yr old son who lives in a different state.
 
orangele said:
Anyway, the anesthesiologist I have hired is scheduled to start next month. I am excited and scared. I am scared since I will have to live on far less money. I am excited because I will have time to devote to my seeing more of my 11 yr old son who lives in a different state.
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Glad you're working to find happiness. Life is too short to be unhappy for a long time. If you have ties to another state, have you considered moving? It sounds like this job is no great shakes, so is there something keeping you from putting feelers out elsewhere?

Additionally, as the sole anesthesiologist, do you feel you command extra leverage that way? I mean, if you were to even mentioning wanting to put in your 2 weeks notice, won't that provide some leverage to see a few more changes, or do you see it backfiring and them finding someone else and pushing you out?
 
I am not sure if the OP is genuine or not but he does portray a situation that is not very uncommon in anesthesiology.
There is a considerable number of anesthesiologists out there who were happy with just making good money and did not really want to be involved in anything else on the hospital level.
These guys were dependent fully on CRNA's and did not want to be bothered with anything else other than signing the anesthesia records.
Many of these guys still in practice right now and many of them are actually happy because over the years they adapted to their new rank (between a nurse and a physician) and they are not really affected by the lack of respect.
Some of these guys (a minority) kept some degree of ego and now they don't like the way the hospital and their colleagues treat them, an example to this minority would be our OP.
Unfortunately it is very difficult to change the local culture and if you don't demand respect initially you will have an up hill battle trying to acquire it at a later time.
If the issue of respect for you is so crucial then you need to leave because you will not be able to fix how people see you in your current place.
Respect is something you acquire the first day you start a job, you act like a physician consultant, you interact with the surgeons the way a physician does, you show up to committee meetings, you basically get involved.
You might never be seen as valuable as a physician who generates millions for the hospital but you definitely can establish your role as an active player in the hospital politics early on.
This involvement requires extra work and extra commitment but it is certainly worth it.
 
Planktonmd said:
I am not sure if the OP is genuine or not but he does portray a situation that is not very uncommon in anesthesiology.
There is a considerable number of anesthesiologists out there who were happy with just making good money and did not really want to be involved in anything else on the hospital level.
These guys were dependent fully on CRNA's and did not want to be bothered with anything else other than signing the anesthesia records.
Many of these guys still in practice right now and many of them are actually happy because over the years they adapted to their new rank (between a nurse and a physician) and they are not really affected by the lack of respect.
Some of these guys (a minority) kept some degree of ego and now they don't like the way the hospital and their colleagues treat them, an example to this minority would be our OP.
Unfortunately it is very difficult to change the local culture and if you don't demand respect initially you will have an up hill battle trying to acquire it at a later time.
If the issue of respect for you is so crucial then you need to leave because you will not be able to fix how people see you in your current place.
Respect is something you acquire the first day you start a job, you act like a physician consultant, you interact with the surgeons the way a physician does, you show up to committee meetings, you basically get involved.
You might never be seen as valuable as a physician who generates millions for the hospital but you definitely can establish your role as an active player in the hospital politics early on.
This involvement requires extra work and extra commitment but it is certainly worth it.
Click to expand...

Respect for hard work, professional conduct, and clinical skill frequently does not translate into administrative clout despite doing all the right things. Particularly in the smaller towns with an old boy network with surgeons being used to being treated like kings who may not want anybody else at the table. Throw in virulent CRNAs who have been there for years, are a known quantity and who may be part of big families in small towns and it is a major uphill battle.

You have to eat **** or leave. Pay people enough and you can get a good doc to eat **** for a while, maybe forever. Pay an average wage and you'll get sub par or lazy ass docs.

Not that uncommon at all. My last job had elements of this. I left. The good docs who stayed who were unwilling to relocate race each other for the door in the afternoon. I' don't blame them at all.
 
I don't know where to begin my response. I am a slow typist and lousy writer. I totally believed this man's outpooring of angst above. The fact that you youngfolks(we are on a student forum) , question his story first , instead of showing sympathy re-affirms to me the limited exposure many of you have had to the real world. I applaud Dr. Destriero for her investigative reporting. I've walked in some of this guys shoes. I am his age. Worked in little places. Under lousy CEO's. Luckily I have always been shown respect by my surgical and medical colleagues. I have done 99% of my own cases and worked as a solo self employed ologist for >90% of them. I have never brought in the big numbers you MS4's/ PGY3-4's think you are entitled to the first year out. I provided 1:3 on call to a poor hospital with OB and made peanuts by your guys standards. I worked 24 hrs did epidurals for $65/2-7hrs ( Medicaid) and then worked post call . What kept me coming back? We were a new generation of young (30-40's) hard working physicians bringing "Modern" medicine to an old institution with some pretty aging docs. We didnt have all the specialties backing us up. We had no Pulmonologist- I ran the vents , the other 2 aging MD ologists didn't know how. We all had a blast working together improving outcomes and patient satisfaction. Most of us were solo with no stipends. Eventually one by one we got burnt out and wanted a bigger piece of the pie( fund our retirement). One by one we left and found practices that were less prone to burnout. It was kinda funny how the more average talented people stayed and the above average folks left. ...........But you know guys it's not always FAIR out there. You come out of training, start a job and anything can happen. I once went into partnership briefly and was cheated out of $ XXX,XXX by a colleague I thought was the most earnest guy around. Do not expect your first job to be your last. Sorry for the lousy penmanship, but I dont know how to cut/paste/save. I could write 30 pages of pearls here for you new folks, but it would take me a week. I'll try to contribute more. Tip #1 - Work where you want to live and try to pick a tort reform state. Hang in there Orangele and explore those other hospitals.
 
This is shaping up to be a fantastic thread. Glad to see more of the attendings and people with real-world experience contributing! And, of course, thanks to all of the great posters that have been here for the long haul.
 
You are right, in some places you either accept the existing situation and live with it or you leave, but you need to do that early.
It should not take you 20 years to realize that you can't accept a certain environment.

dr doze said:
Respect for hard work, professional conduct, and clinical skill frequently does not translate into administrative clout despite doing all the right things. Particularly in the smaller towns with an old boy network with surgeons being used to being treated like kings who may not want anybody else at the table. Throw in virulent CRNAs who have been there for years, are a known quantity and who may be part of big families in small towns and it is a major uphill battle.

You have to eat **** or leave. Pay people enough and you can get a good doc to eat **** for a while, maybe forever. Pay an average wage and you'll get sub par or lazy ass docs.

Not that uncommon at all. My last job had elements of this. I left. The good docs who stayed who were unwilling to relocate race each other for the door in the afternoon. I' don't blame them at all.
Click to expand...
 
dr doze said:
Anesthesia has always been a low prestige low respect specialty. That's part of the reason that the $ have been above average. His feelings are not that uncommon. There is a constant assault on our self esteem in some practices. His post can be a response to the thread why anesthesia is not as competitive as radiology.
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Radiologists don't directly interact with most other hospital folks. That's why their lack of respect is not so outright.

#1 problem which will become a bigger problem: NURSES! If docs don't put their foot down. We let their lobby determine what the hell they can do when they are just copycats in every field that they are involved, but just do a shoddy job and get away with it.

Ex: how does a veteran PACU nurse not know the difference between diverticulitis/IBD and appendicitis? why the F is she trying to educate a pt's family on what to look out for? it's because docs aren't preventing these actions on legal grounds.

Medicine PACS need to attack nursing lobby heavily. Otherwise, future medicine is going to be nursing aka touchy feely unscientific junk.

Anyway, dude should leave and out the hospital on the job market. Slash some of those nurses tires.
 
how cany any of you think that the post is a fraud..he is pretty much spot on with what is going on with medicine today. If the money goes down any further.. or the work load picks up.. or the bull s*** thickens Im thinking about doing another residency in medicine... or opening up an online business..
 
maceo said:
how cany any of you think that the post is a fraud..he is pretty much spot on with what is going on with medicine today. If the money goes down any further.. or the work load picks up.. or the bull s*** thickens Im thinking about doing another residency in medicine... or opening up an online business..
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maceo,

the post may be legitimate, but doesn't it reek of crna troll to you?

I don't care if someone has a profile on a dating site or oldpremeds with the same info: Why would he be making an SDN account just now?

Now, with that said: please contribute further to this thread as I believe it opens up some particular issues which future residents need to consider. The issues faced by "orangele" are seen even now, in residency...
 
It is normal and expected when you are the new guy that people are going to test you and treat you with suspicion.
This will happen to a certain degree everywhere you go.
It is up to you to establish the way you want to be treated from the very beginning, but you also have to know how to pick the right battle with the right person.
After a while and a few fights things will get easier and you will start to get some respect.
It will not happen automatically though, you have to earn it.



Narcotized said:
I'm confused why people doubt this is an anesthesiologist. I just posted almost the same thing under "Is it worth it?" What this poster describes is very common in small hospitals where you are on by yourself. Everybody takes shots at you. And if you don't have a strong director (ie, leader), or have a group or management company that will simply do or say anything to keep the contract, then life sucks.

You'll find yourself having to defend against some idiotic critique from an OR or PACU nurse that isn't remotely qualified or knowledgable in what they are judging you on, and basically have no idea what they are talking about. I say get the Hell out of there fast. It's a lose/lose situation with no chance of improvement. I've worked enough of those places through 2 different second class physician careers (ER, Anesthesia).
Click to expand...
 
Coastie said:
the post may be legitimate, but doesn't it reek of crna troll to you?
Click to expand...

Out of curiosity, what would you have expected it to say in order for you to not have this suspicion? He has already contributed to a few other threads with a good perspective; I just hope we don't drive away potential excellent posters by being a little bit too vehement (I don't claim to know where that line is). Any one of the people that post here could be lying at any time. Hopefully, the OP will join the private forum, as well, and contribute there.

Also, I definitely agree with Plankton about earning your stripes, so to speak. I just hope that potential great contributors will be aware of this and not be turned off to the entire process.
 
a fantastic thread and again proof what a great forum we have....!
i agree with most of the posters above, i worked in similar practices and left, for similar reasons.
generally , the choices are : 1. lots of money
2. desirable location
3. easy workload
4.pleasant coworkers, happiness,selfesteem
pick any two, maybe three if you're lucky.....


seriously, the op should get the hell out there, life is too short for that crap he's describing.
fasto
 
I can absolutely see where he is coming from. For some reason, the OR is a toxic environment. The job may be worth it right now, but just wait for Pelosi/Obama-Care to hit. Or maybe when the insurance companies realize that they are paying NURSES 180k+ and MDs with almost NO ability to negotiate contracts 300K+. We do the cases that the surgeons bring to the OR... period. If an insurance company decides to cut our reimbursement by XX%, we can't say no. Well, you can but don't expect to have a job the next day. And then there is the nurse issue. Their lobby power is a great deal stronger than ours. This WILL result in serious damage to the specialty. Currently, 300K is the BARE MINUMUM that I would be willing to do the job for. You might be able to make that in the future if you #2, 3 AND 4 on fasto's list. This is just my opinion on where this specialty is going. Thank God for pain...
 
Please resist the urge to post identifying information about posters in the forum. Some come here expecting confidentiality and many are quick to post personal info/training program/work location/dating status, etc. There's nothing to win by doing that but represents an invasion of privacy and total disrespect for the OP. Violation of this rule should be grounds for suspension.

Let's start by cleaning up this thread.
 
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Planktonmd said:
What kind of online business?
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Well, you know...there have been stranger progressions in life before, but porn supposedly pays....:laugh:
Don't know what another residency would do either.... What the heck would one want to purse for several more years of life in order to attain a similar salary?
 
ProRealDoc said:
Please resist the urge to post identifying information about posters in the forum. Some come here expecting confidentiality and many are quick to post personal info/training program/work location/dating status, etc. There's nothing to win by doing that but represents an invasion of privacy and total disrespect for the OP. Violation of this rule should be grounds for suspension.

Let's start by cleaning up this thread.
Click to expand...

I agree. Posting other website info is wrong.
 
ProRealDoc said:
Please resist the urge to post identifying information about posters in the forum. Some come here expecting confidentiality... represents an invasion of privacy and total disrespect for the OP. Violation of this rule should be grounds for suspension.
Click to expand...

Coastie said:
I agree. Posting other website info is wrong.
Click to expand...

holyhekshler said:
Ditto. Made me really sad to pull up someone's picture. Seemed really mean-spirited 🙁
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It isn't wrong if the linked website is publicly available and appears on the first page of google search results for the new user's name. If someone uses the same user name on multiple message boards/ dating sites etc they either have no expectation of privacy, or they need to learn a little bit about internet privacy. The first thing I did when I saw the post was google the new user's name. Il D just beat me to the punch.

Now if one of our users has private information of another user's identity and posted that it would be wrong. ie a link to their Linked In profile that would not be associable otherwise.

So it is really mean spirited to defend somebody, but, assuming that new user is a CRNA troll and trouncing them without even a slight benefit of the doubt, that's appropriate behavior???

😕

- pod
 
periopdoc said:
It isn't wrong if the linked website is publicly available and appears on the first page of google search results for the new user's name. If someone uses the same user name on multiple message boards/ dating sites etc they either have no expectation of privacy, or they need to learn a little bit about internet privacy. The first thing I did when I saw the post was google the new user's name. Il D just beat me to the punch.

Now if one of our users has private information of another user's identity and posted that it would be wrong. ie a link to their Linked In profile that would not be associable otherwise.

So it is really mean spirited to defend somebody, but, assuming that new user is a CRNA troll and trouncing them without even a slight benefit of the doubt, that's appropriate behavior???

😕

- pod
Click to expand...

Could have defended him without posting that link and making a joke that he could get more dates, that's all. Not complaining about the other link without the photo...the photo just seems a little invasive when someone is saying they're unhappy and everything...
I didn't like those trolling accusations either. I'm out of my element but I just think a little sensitivity goes a long way, even over the internet.
 
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periopdoc said:
So it is really mean spirited to defend somebody, but, assuming that new user is a CRNA troll and trouncing them without even a slight benefit of the doubt, that's appropriate behavior???

😕

- pod
Click to expand...


I think the use of the term MDA and the general negativity towards our field by the OP pointed towards CRNA troll.

Given the history around here, both old and recent, I think it's fair.
 
Hello,

Sorry to have to ask this question, but you made a big deal about MDAs: What are MDAs? I tried looking for it in the Internet and could not find it.




Note for the moderators. In case you think I should have started a new thread: Since it is something mentioned in this thread, I thought it was appropriate to clarify it here. That is why I did not open a new thread to ask the question. Forgive me if my assumption was wrong.
 
MDA is a term initiated by some insurance companies a while ago to refer to anesthesiologists.
The term has been enthusiastically adopted by CRNA's because it makes it sound as if CRNA's and MDA's are interchangeable since they are both A's !
It blurs the differences between physicians and nurses.



Sergio99 said:
Hello,

Sorry to have to ask this question, but you made a big deal about MDAs: What are MDAs? I tried looking for it in the Internet and could not find it.




Note for the moderators. In case you think I should have started a new thread: Since it is something mentioned in this thread, I thought it was appropriate to clarify it here. That is why I did not open a new thread to ask the question. Forgive me if my assumption was wrong.
Click to expand...
 
periopdoc said:
It isn't wrong if the linked website is publicly available and appears on the first page of google search results for the new user's name. If someone uses the same user name on multiple message boards/ dating sites etc they either have no expectation of privacy, or they need to learn a little bit about internet privacy. The first thing I did when I saw the post was google the new user's name. Il D just beat me to the punch.

Now if one of our users has private information of another user's identity and posted that it would be wrong. ie a link to their Linked In profile that would not be associable otherwise.

So it is really mean spirited to defend somebody, but, assuming that new user is a CRNA troll and trouncing them without even a slight benefit of the doubt, that's appropriate behavior???

😕

- pod
Click to expand...


Regardless of whether the information is available on the internet, it should suffice that some of you verified the OP is not a CRNA troll. It is certainly not necessary to post links in the forum. If the OP wants to volunteer it then it's up to him.

CRNA trolls should be identified and their accounts deleted without disclosing their personal info on this forum. Verification by the mods ought to do the job. I personally don't care who they are or what they look like so long as they are not allowed to disturb the forum's equanimity.
 
Last edited:
Periopdoc's point is well taken and makes a lot of sense HOWEVER just because information is out there doesn't mean that it should be posted. Posting personally identifiable information about a user is uncool.

If users are concerned about these sort of matters, PLEASE use the "report post" icon.

There is no indication the OP is a troll. If he is, then he has fooled me.
 
dr doze said:
Anesthesia has always been a low prestige low respect specialty. That's part of the reason that the $ have been above average. His feelings are not that uncommon. There is a constant assault on our self esteem in some practices. His post can be a response to the thread why anesthesia is not as competitive as radiology.
Click to expand...


I don't see how anesthesia reimbursement is somehow tied to perceived lack of respect. You're suggesting anesthesiologists get a salary bump because no one respects them? That seems contrary to how most careers are structured.

I'm not doubting his own feelings, I'm just saying anyone who feels they are a victim believes this crap only happens to them. That's rarely true. Besides, it's not productive.

Want respect in the hospital? Get involved. Work on hospital committees. Don't limit your interactions with administrators to salary negotiations only. Don't think you are going to get notced simply for showing up and doing the job they expect you to do. You've got to stand out, step up and do more than they expect. That's how you earn respect, whether you are a med student on clinical rotations, a resident or an attending.
 
Wow , good point about identifying the OP via that other site. I am not too internet savvy. I would not want my ID known . I was initially impressed that Dr. D proved the poster was for real. The first internet site for our specialty Gasnet run by Dr. Keith Ruskin, we all were ID'd as ourselves, and it was mostly clinical discussions. It is now inactive. The whole hacking , ID theft thing had not started yet.
 
periopdoc said:
It isn't wrong if the linked website is publicly available and appears on the first page of google search results for the new user's name. If someone uses the same user name on multiple message boards/ dating sites etc they either have no expectation of privacy, or they need to learn a little bit about internet privacy.
Click to expand...

It may not be illegally wrong, but I think we should strive to be better people to each other. Only about 1-2% of us would google his name. The rest of us wouldn't know that personal information till it was posted.

Obviously the guy made a mistake using the same screennames. I'm sure the guy who posted his personally info feels he also made a mistake doing that as well. I'm glad it's been removed.
 
Gasnet still has a very active Email list.

Dirtball said:
Wow , good point about identifying the OP via that other site. I am not too internet savvy. I would not want my ID known . I was initially impressed that Dr. D proved the poster was for real. The first internet site for our specialty Gasnet run by Dr. Keith Ruskin, we all were ID'd as ourselves, and it was mostly clinical discussions. It is now inactive. The whole hacking , ID theft thing had not started yet.
Click to expand...
 
Bertelman said:
Want respect in the hospital? Get involved. Work on hospital committees. Don't limit your interactions with administrators to salary negotiations only. Don't think you are going to get notced simply for showing up and doing the job they expect you to do. You've got to stand out, step up and do more than they expect. That's how you earn respect, whether you are a med student on clinical rotations, a resident or an attending.
Click to expand...

+1 👍
 
Bertleman has made some insightful suggestions on how we can CHANGE things in this specialty.

Let's turn this thread (or make another one) into what we CAN do in order to at least mitigate some of these ills that seem all too common in too many circumstances.

Clearly, I'm not even a PGY1 yet, so I admit that I may be naive (almost certainly am) to the day to day experiences of an attending doing this work for 20+ years.

****That being said, I agree that anesthesiologists MUST get more involved. Just the other day, I was wondering WHY THE HE.L I've NEVER heard a lecture by an anesthesiologist. I've had lectures from pretty much every other specialty, and have always appreciated (and respected) those that taught well and put on a good presentation/case study/whatever.....

SO, we can start there. If you work at a teaching hospital, volunteer to give lectures on pain management or sedation to medical or even surgical residents as well as to medical students. VOLUNTEER (even in ones spare time or post call morning) to do a presentation to IM residents during their morning report. Surely, an -ologists experience in pain management, ICU related stuff like sedation, ventilation, and even fluid management would be useful. Present a case that ties everything together.

In the private sector, WE MUST find ways to add to the value chain, even if this means doing work that may not be as highly reimbursed. ****This will take some "out of the box" thinking, because if it were that easy, it would likely already have been done.

The best way to make friends is to take someones problem away from them. This is also the best way to make money. Again, we should be exchanging ideas on this, as it's not easy.

To my fellow students, and anesthesiologists to be, we should make it a point to not allow general medicine (which we ARE ALL trained in) to fade from our skill-set. We must take the physician first, anesthesiologist second approach, IMHO. This is a mentality that we can all adopt, which will be benefitial to all, including the profession.

cf
 
The physician first, anesthesiologist second thing is one of the many reasons I like critical care. Working in the ICU brings a lot more to the department in the context of the hospital. I think bertelman and plankton mentioned a lot of the important points.

Inevitably, the anesthesiologists (indeed, the physicians) that garner the most respect around the hospital and in the community are those that are skilled administrators, are passionate about teaching, are adept clinicians in high acuity situations, or do a ton of volunteer work (mission trips leading students, etc.).
 
dr doze said:
People choose a specialty for one reason: compensation.

The compensation can be emotional as well as tangible:

1. The satisfaction one perceives that they will receive from doing the work.
2. Prestige and respect.
3. Money/time off.

I believe that most medical students can derive #1 from more than one specialty.
if #2 is low, #3 damn well better be high to get a med student to choose that particular field.

Historically anesthesia has been short on #2 long on #3. Except during the mid/late 90's when #3 went to **** and #2 didn't change. Note what happened in the match data for those years.
Click to expand...


I get that, it's just not how I read your post.
 
Narcotized said:
It may not be illegally wrong, but I think we should strive to be better people to each other. Only about 1-2% of us would google his name. The rest of us wouldn't know that personal information till it was posted.

Obviously the guy made a mistake using the same screennames. I'm sure the guy who posted his personally info feels he also made a mistake doing that as well. I'm glad it's been removed.
Click to expand...

I'm the guy who "outed" him as a real Anesthesiologist. I offer Dr. O my sincere apologies for linking his profile which contained a photo. If I had found the other link, I would have chosen that instead, but I stopped looking.
I assure you that you can find a better job, lifestyle, etc if you commit to relocating, especially with your background. My current job ticks all 4 boxes outlined above by DreamMachine, uncommon but available. All of the residents and fellows that I know have no trouble securing jobs. Many are not partnership track, but that has benefits as well. If they can get jobs with no experience, you can easily get a great job.
Good luck, and again, my apologies. You should keep posting as your experience can definitely benefit the residents and new grads.
As for the dating joke, that's just tough love.😉
 
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