So that means not a single radiologist works at the VA, correct? Who would be stupid enough to take a 200% paycut to work at the VA when you can easily clear 300k in private practice?
Oh, there are plenty of radiologists at the VA. Right now they are recruiting for about 15 positions nationwide, but most VAs have a decent staffing level.
You get paid for 40 hours/week, and this is all you are expected to show up for. Many VAs are hooked up to residency programs which helps to keep night and weekend call at a minimum (also, generally the acuity of VA patients is lower further reducing your call workload).
There are just not too many private practice gigs that allow you to work in as sedate of an environment as your typical VA. If you work part time for a private practice (which would be the equivalent of a full VA job), you are typically not a partner and therefore your income is also limited. Other factors reducing the financial gap between a VA and lets say an academic radiology or part-time private practice position are:
- that you don't have to worry about building up a need for 'tail insurance'. The federal goverment indemnifies you for your VA work, so you can potentially take a year off without having to worry about a 50k malpractice bill.
- you get some federal retirement benefits which are on top of your salary.
Still, it is not my cup of tea. But there are enough older guys who are financially secure enough to afford a VA gig.
(Someone mentioned it in jest, but I have experienced dealing with the VA patient population as indeed more fulfilling than the normal university hospital crowd.)