40hr work week

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Timeoutofmind

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Is it possible to get a permanent (non-locums) job working 40 hrs a week, without nights/weekends? Not in a surgicenter/endo context, but doing the full compliment of cases, OB, etc? (Don't want to be bored and lose all skills). And finally my hope would be solo work and not supervising CRNAs. A significant pay cut would of course be expected for these arrangements.

What would some of you guys in private groups think about this if a legit BC guy with good skills and references approached you and asked what you were willing to pay to work as part of your group with this arrangement? What type of salary would I be looking at assuming 6-8 weeks vaca and I am assuming some bennies?

Basically, I love my family, not the hospital, and finances are not critical at this point.

Thanks in advance.
 
My group uses a couple regular independent contractors for M-F 0700-1500 only shifts on a prn basis although there's room to use at least one every day. 1099 no bennies. Salary is gonna vary considerably depending on where your located. There's no shortage of mommy track jobs out there.
 
I agree those 40 hour (non GI/surgery) hospital based jobs are few and far in between especially for the income we think we "deserve" (vs what the employer thinks we deserve")

I am in a similar position as the OP. Money isn't the driving factor anymore. Family commitment. Making "enough" is fine.

I am actually flying up from my Florida home base to look at a really good job back in the mid Atlantic (non AMC). Essentially average 46 hours a week (one 13 hour overnight Saturday call a month). One Sunday day time 12 hour shift. I work at main hospital 10 hours a day (7-5pm) 4 days a week so I have free day off in middle of the week. Do own cases 30-40% of the time. So it's a really good mix of cases. Very affluent suburban area of a desirable area. Obviously job is not posted anywhere because they don't need to advertise.

It's paying 325K (I know I can get them up to 350K pretty easy) plus 7 weeks paid vacation plus malpractice/dental/cme and 401k 4% match.

So those jobs do exist. But it's a lot of word of mouth, knowing people who can vouch for your skills. My friends up there tell me I'm crazy not to take it. But my wife likes the Florida lifestyle (plus no state income taxes) and cost of living is cheaper in Florida than up north. Similar house would easily cost me 1.2-1.5 million up north. And it's half the price in Florida. So I have a lot to think about. I'm kinda of in between jobs just covering super busy multi specialty surgery center and my previous hospital practice (with super light beeper home calls) was a lot easier before AMC took over.

My other friend in similar area makes 270K doing mommy track no calls, no weekends hospital base (she's a full partner so taking less income). My sister also works modified 60% with job share with calls and is partner and makes around 270-300K now and she's a full partner as well.

It's the new trend now. It's hard to work 60-65 plus hours a week year after year. Even for 500K plus. It's not worth it after a while.
 
I agree those 40 hour (non GI/surgery) hospital based jobs are few and far in between especially for the income we think we "deserve" (vs what the employer thinks we deserve")

I am in a similar position as the OP. Money isn't the driving factor anymore. Family commitment. Making "enough" is fine.

I am actually flying up from my Florida home base to look at a really good job back in the mid Atlantic (non AMC). Essentially average 46 hours a week (one 13 hour overnight Saturday call a month). One Sunday day time 12 hour shift. I work at main hospital 10 hours a day (7-5pm) 4 days a week so I have free day off in middle of the week. Do own cases 30-40% of the time. So it's a really good mix of cases. Very affluent suburban area of a desirable area. Obviously job is not posted anywhere because they don't need to advertise.

It's paying 325K (I know I can get them up to 350K pretty easy) plus 7 weeks paid vacation plus malpractice/dental/cme and 401k 4% match.

So those jobs do exist. But it's a lot of word of mouth, knowing people who can vouch for your skills. My friends up there tell me I'm crazy not to take it. But my wife likes the Florida lifestyle (plus no state income taxes) and cost of living is cheaper in Florida than up north. Similar house would easily cost me 1.2-1.5 million up north. And it's half the price in Florida. So I have a lot to think about. I'm kinda of in between jobs just covering super busy multi specialty surgery center and my previous hospital practice (with super light beeper home calls) was a lot easier before AMC took over.

My other friend in similar area makes 270K doing mommy track no calls, no weekends hospital base (she's a full partner so taking less income). My sister also works modified 60% with job share with calls and is partner and makes around 270-300K now and she's a full partner as well.

It's the new trend now. It's hard to work 60-65 plus hours a week year after year. Even for 500K plus. It's not worth it after a while.

This sounds like an ideal employed position, but it's difficult to propose an arrangement like this to a potential employer. For whatever it's worth, "mommy track" has a negative connotation. People look at you sideways when you say you would like predictable hours and working "until cases are done" for a set salary doesn't make sense to you. I have a feeling jobs like this will become even more scarce unless anesthesia evolves into shift work job like ER or hospitalists. Our value over CRNAs right now is that our mindset is to work until the cases are done, so hospitals are getting us at a discount, despite the seemingly higher pay.
 
There are mommy track jobs around. Look around and you'll find one. Expect to get screwed over by the partners. But that's the price you pay. You might be able to do a mommy track in academics somewhere less desirable, but you won't be solo.


--
Il Destriero
 
My private group has considered non-partner track positions with no weekends or call, basically working 7-3ish M-F. We talked about 1099 with 8-10 weeks vacation for $10000/week. We haven't done it because we've never had non-partner track people and we'd much rather have people in the weekend/call pool. We have noticed the times are a'changing and some new grads are looking for just what you've described. If we weren't finding partnership track people, we'd probably consider it.

The irony of this, is that I feel we'd be demonized by some, especially on SDN, for "skimming" and "taking advantage of new grads" if we did this, despite the fact that this is just the arrangement a number of people are looking for.


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My private group has considered non-partner track positions with no weekends or call, basically working 7-3ish M-F. We talked about 1099 with 8-10 weeks vacation for $10000/week. We haven't done it because we've never had non-partner track people and we'd much rather have people in the weekend/call pool. We have noticed the times are a'changing and some new grads are looking for just what you've described. If we weren't finding partnership track people, we'd probably consider it.

The irony of this, is that I feel we'd be demonized by some, especially on SDN, for "skimming" and "taking advantage of new grads" if we did this, despite the fact that this is just the arrangement a number of people are looking for.


Sent from my iPhone using SDN mobile app


Sign me up!
 
My private group has considered non-partner track positions with no weekends or call, basically working 7-3ish M-F. We talked about 1099 with 8-10 weeks vacation for $10000/week. We haven't done it because we've never had non-partner track people and we'd much rather have people in the weekend/call pool. We have noticed the times are a'changing and some new grads are looking for just what you've described. If we weren't finding partnership track people, we'd probably consider it.

The irony of this, is that I feel we'd be demonized by some, especially on SDN, for "skimming" and "taking advantage of new grads" if we did this, despite the fact that this is just the arrangement a number of people are looking for.


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I wouldn't demonize you. The younger generation is not all about work, work, work like the above 40 crowd tends to be. And there are a lot of Moms and now Dads, who would prefer the freedom of being around more for their families.

Currently I am working a "Mommy track position". There are a few people in my town that do that. I don't take call but will in the future once done with credentialing but only plan on doing that twice a month. I am out West like Salty where everyone is 1099 and can make your own schedule if you are in a large enough group that has lots of work. I love my new job. Call sucks, especially when I was doing it Q 5 days without post call days off. My life is much more enjoyable and relaxing now even though I am making less money, but of course, I am working less.

Good luck OP. Theres is so much more importance to life than work and money.
 
This would work at our group, you would basically be functioning as a CRNA though, so would get maybe $5 an hour more. But hey, 7-330, overtime if beyond that, and a 30 minute lunch. Also max retirement and health benefits.


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My private group has considered non-partner track positions with no weekends or call, basically working 7-3ish M-F. We talked about 1099 with 8-10 weeks vacation for $10000/week. We haven't done it because we've never had non-partner track people and we'd much rather have people in the weekend/call pool. We have noticed the times are a'changing and some new grads are looking for just what you've described. If we weren't finding partnership track people, we'd probably consider it.

The irony of this, is that I feel we'd be demonized by some, especially on SDN, for "skimming" and "taking advantage of new grads" if we did this, despite the fact that this is just the arrangement a number of people are looking for.


Sent from my iPhone using SDN mobile app

Maybe even a little generous.
 
My private group has considered non-partner track positions with no weekends or call, basically working 7-3ish M-F. We talked about 1099 with 8-10 weeks vacation for $10000/week. We haven't done it because we've never had non-partner track people and we'd much rather have people in the weekend/call pool. We have noticed the times are a'changing and some new grads are looking for just what you've described. If we weren't finding partnership track people, we'd probably consider it.

The irony of this, is that I feel we'd be demonized by some, especially on SDN, for "skimming" and "taking advantage of new grads" if we did this, despite the fact that this is just the arrangement a number of people are looking for.


Sent from my iPhone using SDN mobile app

Where are you located? I may be interested in this job.
 
My private group has considered non-partner track positions with no weekends or call, basically working 7-3ish M-F. We talked about 1099 with 8-10 weeks vacation for $10000/week. We haven't done it because we've never had non-partner track people and we'd much rather have people in the weekend/call pool. We have noticed the times are a'changing and some new grads are looking for just what you've described. If we weren't finding partnership track people, we'd probably consider it.

The irony of this, is that I feel we'd be demonized by some, especially on SDN, for "skimming" and "taking advantage of new grads" if we did this, despite the fact that this is just the arrangement a number of people are looking for.


Sent from my iPhone using SDN mobile app

$250/hr with 1099 setup seems fair for a good quality doc. People are willing to sacrifice absolute income for predictability and free time. You would probably pay around that much to get a locums person if needed and there it's a real cr@pshoot in terms of quality.
 
$250/hr with 1099 setup seems fair for a good quality doc. People are willing to sacrifice absolute income for predictability and free time. You would probably pay around that much to get a locums person if needed and there it's a real cr@pshoot in terms of quality.

Thank you for the posts everyone...very helpful
 
$250/hr with 1099 setup seems fair for a good quality doc. People are willing to sacrifice absolute income for predictability and free time. You would probably pay around that much to get a locums person if needed and there it's a real cr@pshoot in terms of quality.
I found most non AMC private groups will pay $200/hr with no agencies involved especially if they know u are safe (safe anesthesia plus he pleasant/gets a long with guy =quality doc).

$225-250 is harder. Maybe if u pay ur own malpractice. But most groups malpractice policies already allow for vacation coverage.
 
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