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I started an anesthesia position with a potential to transition to 50/50 pain/anesthesia however there has been some hurdles in the transition and I was wondering what other peoples experiences were.
I am a hospital employee with a standard salary. Plan was to keep referrals in house and replace private practice physicians in the area. Initially the anesthesia director and hospital agreed to give me dedicated pain time twice a week and the rest of the time ill be doing anesthesia including calls.
Unfortunately they are now putting a halt in the transition for outpatient pain and keeping me in the dark in many of the administrative meetings and conversations. Apparently they are concern that they will be losing money if i am doing pain as i am paid a set salary oppose to a baseline + wRVU.
Normally I would agree that there is a risk with a return in investment for a starting pain physician but this is a unique situation. My hospital covers a large area and the closest pain office is 45mins away. I advertised myself as the only hospital in-network pain physician and already received a line up of referrals from internist and surgeons in the area. I am also only 1 of 3 pain physicians with privileges doing procedures at the hospital. The other 2 doctors commute and only here part time for only spine procedures. At the moment they use the fluoro suite twice a week and empty the rest of the week. There was a pain practice here before me but after my hire they lost privileges and had to move shop 45 minutes away.
Am I wrong in saying they will receive probably equal or more investment with me doing part time pain? In my opinion they shouldnt look at my salary as a potential lost. They should think of how to make the most revenue after already paying me.
Any thoughts?
I am a hospital employee with a standard salary. Plan was to keep referrals in house and replace private practice physicians in the area. Initially the anesthesia director and hospital agreed to give me dedicated pain time twice a week and the rest of the time ill be doing anesthesia including calls.
Unfortunately they are now putting a halt in the transition for outpatient pain and keeping me in the dark in many of the administrative meetings and conversations. Apparently they are concern that they will be losing money if i am doing pain as i am paid a set salary oppose to a baseline + wRVU.
Normally I would agree that there is a risk with a return in investment for a starting pain physician but this is a unique situation. My hospital covers a large area and the closest pain office is 45mins away. I advertised myself as the only hospital in-network pain physician and already received a line up of referrals from internist and surgeons in the area. I am also only 1 of 3 pain physicians with privileges doing procedures at the hospital. The other 2 doctors commute and only here part time for only spine procedures. At the moment they use the fluoro suite twice a week and empty the rest of the week. There was a pain practice here before me but after my hire they lost privileges and had to move shop 45 minutes away.
Am I wrong in saying they will receive probably equal or more investment with me doing part time pain? In my opinion they shouldnt look at my salary as a potential lost. They should think of how to make the most revenue after already paying me.
Any thoughts?
