555 EM spots did not fill in Match

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miacomet said:
Unless you don't have kids, or live in the South or Midwest, 3 million is pretty low for a decent standard of living. Really shoot for 5 million minimum, plus a paid off house, or other streams of income.
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3 million for a nest egg yields 120,000 for retirement a yr. Whether that is a lot or not depends on every person. It's probably not great for the coasts or NYC but it's far more than the average US family lives on.


5 million is 200,000 for a 4% withdrawal rate.
 
avatarftw said:
3 million for a nest egg yields 120,000 for retirement a yr. Whether that is a lot or not depends on every person. It's probably not great for the coasts or NYC but it's far more than the average US family lives on.


5 million is 200,000 for a 4% withdrawal rate.
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If my house is paid off and I have no other debt, 3 million is more than enough if I want to call it a day. I will make sure that I have 120k emergency fund so I can use when the market is down. 3 mil might not take you far if your are withdrawing on a down market.
 
avatarftw said:
It actually is very possible. I'm in a low paid clinical specialty and even with the stock market crash will be very close to the above situation you describe by dint of living very frugally during med school, residency, and as an attending spend about what the average family spends in the US. I've lived in high/very high COL areas after finishing residency but just save 50%+ of gross income.

I also was fortunate to participate in a very generous student loan program out of residency but graduated with the average med school debt.

If I made 350-450k like some other docs it'd be another story. 🙂

I do not have a family yet but also am a single income household and chose to live in a high COL area for family reasons and for other reasons.
A lot of people spend WAY more than what they need but my parents and grandparents were very poor growing up and passed along a scarcity mindset.
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What is low paying?

What is very high COL?

In my mind low paying is less than 200k income after tax.

Similiarly, VHCOL would be about 5k/mo rent or 60k/yr.

With those numbers, after tax, after rent income would be 140k.

Even saving 100k/yr would not get you to 1M in investable assets in 5 yrs.

Again, as noted above, what Zillow says about the "value" of your house (if you bought) doesnt mean squat for these numbers.
 
I think 1M investable assets in 5 yrs is very doable. If you make about 250 to 300k post tax, keep housing costs to 2-3k mo, no kids, low tax state it can certainly be done.
 
A56CF4DD-D4EF-41CF-97EE-8BA83990C138.jpeg


lmao
 
I feel like a year or two ago there was an EM doc on Twitter who had been working to get a residency and he was going to be the program director. I can't remember his name, maybe Josh something. Anyway, once the program was accredited the post was filled with mostly congratulations except for a few who commented about what has now happened and they were just poo-poo'ed by the mob. Just another anecdote about how these people have so much of their head in the sand.
 
JacobMcCandles said:
I feel like a year or two ago there was an EM doc on Twitter who had been working to get a residency and he was going to be the program director. I can't remember his name, maybe Josh something. Anyway, once the program was accredited the post was filled with mostly congratulations except for a few who commented about what has now happened and they were just poo-poo'ed by the mob. Just another anecdote about how these people have so much of their head in the sand.
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I remember that. He was all hyperposting about new toys and other dumb stuff.
 
JacobMcCandles said:
I think the only way we fix this is to flood the other specialties with new residency programs. It's the only way...
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I don't think there's any "active" fixing of this. Too much money at play.

Eventually market forces will swing the pendulum, but it will take awhile.

The corporate rout of EM is nearly complete.

Once the last dollar is drained, Sauron's eye will focus on derm, psych, ortho, and more intensely on gas.

No one is safe.
 
RustedFox said:
I remember that. He was all hyperposting about new toys and other dumb stuff.
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Rekt said:
I think I remember that. It was in Georgia I believe.
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Found him. Josh Mugele. He doesn't have a Twitter anymore and the word from searching his name on Twitter shows that he was apparently sending explicit pictures to people who followed him and worked with him. Maybe even involved with a resident while married. Apparently, he's still the program director at the powerhouse Northeast Georgia Medical Center Emergency Medicine Residency. What a dunce.
 
JacobMcCandles said:
Found him. Josh Mugele. He doesn't have a Twitter anymore and the word from searching his name on Twitter shows that he was apparently sending explicit pictures to people who followed him and worked with him. Maybe even involved with a resident while married. Apparently, he's still the program director at the powerhouse Northeast Georgia Medical Center Emergency Medicine Residency. What a dunce.
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Wonder how his Powerhouse residency did before/after the match.

EDIT: "Jamie, pull that up."
 
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GonnaBeADoc2222 said:
I don't think there's any "active" fixing of this. Too much money at play.

Eventually market forces will swing the pendulum, but it will take awhile.

The corporate rout of EM is nearly complete.

Once the last dollar is drained, Sauron's eye will focus on derm, psych, ortho, and more intensely on gas.

No one is safe.
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I think I’m in the minority on this but I think we’re going to see less corporate stuff in EM. Team Health, Envision, USACS, etc. are not doing well at all and I think the upcoming economic pain will be a death blow. I think there are going to be some opportunities for local docs to take control but it’s going to require some ‘want to’ from these docs along with accepting some lean years in the beginning to get things off the floor.
 
JacobMcCandles said:
I think I’m in the minority on this but I think we’re going to see less corporate stuff in EM. Team Health, Envision, USACS, etc. are not doing well at all and I think the upcoming economic pain will be a death blow. I think there are going to be some opportunities for local docs to take control but it’s going to require some ‘want to’ from these docs along with accepting some lean years in the beginning to get things off the floor.
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I think you are right, but I dont think w2 employment for hospital Corporation much better.

SDGs will have to negotiate more and more with the United Healthcares of the world and I can't see them winning.
 
GonnaBeADoc2222 said:
I think you are right, but I dont think w2 employment for hospital Corporation much better.

SDGs will have to negotiate more and more with the United Healthcares of the world and I can't see them winning.
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Hospitals aren’t showing any interest in employing ED docs and I don’t think that’ll necessarily see a big shift. A few might but I doubt most will.

In my experience, the worst insurers to try to negotiate with are Cigna and Aetna. Negotiate should be a term used loosely because it’s rare they’ll even talk to you. After the NSA, they’ll just ghost you and pay you something around the Medicare rate and there’s nothing you can do about it but sue, which is happening.
 
GonnaBeADoc2222 said:
I think you are right, but I dont think w2 employment for hospital Corporation much better.

SDGs will have to negotiate more and more with the United Healthcares of the world and I can't see them winning.
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Could a group of SDGs come together and negotiate, like a union or CMG does, to obtain better reimbursement?
 
alphaholic06 said:
Could a group of SDGs come together and negotiate, like a union or CMG does, to obtain better reimbursement?
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CMGs don’t necessarily get better reimbursement. However, they do participate in billing fraud and over billing. Currently, the NSA doesn’t really reward the insurers to do any negotiation. They just tell you to accept it and dare you to file an arbitration which is $350/claim. If you win you get that money back. Is it worth fronting $350 to maybe lose to try to get $150? There’s ongoing lawsuits regarding this.
 
xaelia said:
I think the better question is: what improves emergency medicine to the point it ought to be a desirable specialty? And how realistic are those changes?

Is it just getting a higher hourly rate for the same work?
Is it a quality of life issue where nights and weekends are reduced?
Is it a fundamental change in the culture of the staff and administrative support?
Is it a change in expected ratios of staff to patients so work is safe and sustainable?
Is it elimination of administrative/CMS/documentation overhead?
Is it elimination of defensive medicine considerations?
Is it a change in how other specialties use/treat the emergency department?
Is it a change in patient expectations and interactions with staff in the ED?
Is it elimination of midlevels?

These, and others, are the sorts of issues that define the median experience for most emergency medicine docs – and which of those are most important, and which can be realistically improved in the next 5 to 10 years?
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3/4/6 for me. Running the whole night with the specter of lawsuits and then being gaslit that I don’t *really* do much anyway. I have reasonable patient population, my specialists and hospitalist are mostly cooperative and I choose to work all nights, it works for me. But the above are so aggravating.
 
JacobMcCandles said:
I feel like a year or two ago there was an EM doc on Twitter who had been working to get a residency and he was going to be the program director. I can't remember his name, maybe Josh something. Anyway, once the program was accredited the post was filled with mostly congratulations except for a few who commented about what has now happened and they were just poo-poo'ed by the mob. Just another anecdote about how these people have so much of their head in the sand.
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Gainesville
Georgia.
 
JacobMcCandles said:
Which appears to be the second largest Gainesville in the Florida/Georgia bi-state area so pretty big deal.
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It's true, I live in the second largest Carolina in the North/South Carolina bi-state area and we're a very big deal.
 
EctopicFetus said:
Gainesville
Georgia.
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They filled, and their ED is pretty busy. I think it'll be a great place to train. Level I trauma center, actively involved in a lot of research. We've approved 2 EMS research projects for them on the EMS Medical Directors Advisory Council. It's a non-profit health system. Definitely not the "need some free labor" type residencies.
 
southerndoc said:
They filled, and their ED is pretty busy. I think it'll be a great place to train. Level I trauma center, actively involved in a lot of research. We've approved 2 EMS research projects for them on the EMS Medical Directors Advisory Council. It's a non-profit health system. Definitely not the "need some free labor" type residencies.
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Plus given the previous accusations against him on explicit texts to residents and med students, you can tell he's a PD that really cares (maybe toooooo much) and will foster great EPs. Bonus points to the residency program for keeping him as their PD.
 
southerndoc said:
They filled, and their ED is pretty busy. I think it'll be a great place to train. Level I trauma center, actively involved in a lot of research. We've approved 2 EMS research projects for them on the EMS Medical Directors Advisory Council. It's a non-profit health system. Definitely not the "need some free labor" type residencies.
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So no concern about the naked pics?
 
JacobMcCandles said:
Plus given the previous accusations against him on explicit texts to residents and med students, you can tell he's a PD that really cares (maybe toooooo much) and will foster great EPs. Bonus points to the residency program for keeping him as their PD.
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Tell me more. I had not heart about this. I did see his woke use of pronouns which made me feel so comforted.
 
EctopicFetus said:
Tell me more. I had not heart about this. I did see his woke use of pronouns which made me feel so comforted.
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To be fair, I had just learned about this today because of his previous tweets regarding him getting credentialed for an EM residency. Once I found his name I searched on Twitter and his Twitter had been deleted but there are a lot of threads detailing the accusations backed by pictures (which Twitter has since removed). Basically, sending unsolicited medical students/residents d**k pics as well as some of his followers on Twitter. Apparently, he's married but it's an open marriage or something. Regardless, he's a serial sexual harasser and has no business being a PD. Or opening a residency to bring it back on thread topic.
 
JacobMcCandles said:
To be fair, I had just learned about this today because of his previous tweets regarding him getting credentialed for an EM residency. Once I found his name I searched on Twitter and his Twitter had been deleted but there are a lot of threads detailing the accusations backed by pictures (which Twitter has since removed). Basically, sending unsolicited medical students/residents d**k pics as well as some of his followers on Twitter. Apparently, he's married but it's an open marriage or something. Regardless, he's a serial sexual harasser and has no business being a PD. Or opening a residency to bring it back on thread topic.
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Yeah, I remember reading the tweets about opening the residency and thinking to myself: "This guy is a real piece of work; highly narcissistic."
 
GonnaBeADoc2222 said:
What is low paying?

What is very high COL?

In my mind low paying is less than 200k income after tax.

Similiarly, VHCOL would be about 5k/mo rent or 60k/yr.

With those numbers, after tax, after rent income would be 140k.

Even saving 100k/yr would not get you to 1M in investable assets in 5 yrs.

Again, as noted above, what Zillow says about the "value" of your house (if you bought) doesnt mean squat for these numbers.
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Low paying=around 275k or so GROSS in today's dollars.

Very high COL=think of NYC/Boston, etc one of those types of cities. Not 5k/month but 2k/month for a small apartment. There are people paying 5k in my city but those are *NICE* apartments.

Average primary care doc averages like 275k nowadays; even 300k gross isn't very hard to reach working full time

Had 200k in student loan debt but lived close to poverty line during college, med school, and still really low annual expenses as resident. Had roommates and the stock market did well back then so net worth actually went up a bit during residency.

Repaye helped keep loans from growing too fast and stock market did well. Maxed out 401k and roth ira on resident salary and did some moonlighting.
Was lucky to use 10 yr old car for free from parents so did have some modest family help but having roommates even in residency kept costs down.

Started attending life making the standard 200-250k back a few yrs ago but had a VERY generous student loan repayment program which was MUCH more than the average 20k a yr gross that most companies give.

Total after tax compensation was about 210k or so thanks to student loan program I had.
Lived on about 45k a yr mostly due to high rent

Stock market usually goes up 9% a yr minus 3% average inflation so that's 6% a yr appreciation.

Didn't get to 1 million after 5 yrs but if stock market had gone up the average 9% (Compound Annual Growth Rate accounting for volatility) but would have been close. Still live relatively frugally especially for my income. Most docs can reach FI within 10 yrs of being an attending.
 
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GonnaBeADoc2222 said:
I think 1M investable assets in 5 yrs is very doable. If you make about 250 to 300k post tax, keep housing costs to 2-3k mo, no kids, low tax state it can certainly be done.
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Damn-- I was/am making 200k-220k post tax with total after tax compensation and would have been close to 1 million after 5 yrs had stock market not crashed so much. I can't imagine how it'd have been making 250-300k post tax. I do have primary care friends who make 300k after tax but it's very rare.

It's all about expenses. In my normal COL home state 50k a yr is living solidly for a family. Living on 50k as a single guy in a high COL metro area is due to eating out and high rent; I was living on 20-25k a yr in my normal COL home state in the past during med school and residency.
 
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avatarftw said:
Low paying=around 275k or so GROSS in today's dollars.

Very high COL=think of NYC/Boston, etc one of those types of cities. Not 5k/month but 2k/month for a small apartment. There are people paying 5k in my city but those are *NICE* apartments.

Average primary care doc averages like 275k nowadays; even 300k gross isn't very hard to reach working full time

Had 200k in student loan debt but lived close to poverty line during college, med school, and still really low annual expenses as resident. Had roommates and the stock market did well back then so net worth actually went up a bit during residency.

Repaye helped keep loans from growing too fast and stock market did well. Maxed out 401k and roth ira on resident salary and did some moonlighting.
Was lucky to use 10 yr old car for free from parents so did have some modest family help but having roommates even in residency kept costs down.

Started attending life making the standard 200-250k back a few yrs ago but had a VERY generous student loan repayment program which was MUCH more than the average 20k a yr gross that most companies give.

Total after tax compensation was about 210k or so thanks to student loan program I had.
Lived on about 45k a yr mostly due to high rent

Stock market usually goes up 9% a yr minus 3% average inflation so that's 6% a yr appreciation.

Didn't get to 1 million after 5 yrs but if stock market had gone up the average 9% (Compound Annual Growth Rate accounting for volatility) but would have been close. Still live relatively frugally especially for my income. Most docs can reach FI within 10 yrs of being an attending.
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Right so you had help with loans and likely some money before residency to invest.

Maxed out 403b and Roth on resident salary means you either had outside help, or enough downtime during residency to do significant moonlighting.

2k/mo rent is not hcol.
 
RustedFox said:
Yeah, I remember reading the tweets about opening the residency and thinking to myself: "This guy is a real piece of work; highly narcissistic."
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Yeah I saw some
Tweets early on from him. Oh well just more residents to lead us into collapse.
 
avatarftw said:
Damn-- I was/am making 200k-220k post tax with total after tax compensation and would have been close to 1 million after 5 yrs had stock market not crashed so much. I can't imagine how it'd have been making 250-300k post tax. I do have primary care friends who make 300k after tax but it's very rare.

It's all about expenses. In my normal COL home state 50k a yr is living solidly for a family. Living on 50k as a single guy in a high COL metro area is due to eating out and high rent; I was living on 20-25k a yr in my normal COL home state in the past during med school and residency.
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Math time:

Lets just account for basics.

2k rent / mortgage = 24k / yr

Monthly cost of GOOD life and disability insurance policies = about 500 / mo = 6 k / yr.

20k left over for spend

So you're telling me a family (or even single guy) can comfortably live off 20k / yr? Thats $1600 / mo. Doable? Certainly. You're likely eating ramen and not doing anything fun though.
 
GonnaBeADoc2222 said:
Math time:

Lets just account for basics.

2k rent / mortgage = 24k / yr

Monthly cost of GOOD life and disability insurance policies = about 500 / mo = 6 k / yr.

20k left over for spend

So you're telling me a family (or even single guy) can comfortably live off 20k / yr? Thats $1600 / mo. Doable? Certainly. You're likely eating ramen and not doing anything fun though.
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I know we’re talking about physicians but how much do you think many of the average families in LCOL states live off of? Granted, comfortable is a different definition for everyone but there are a lot of people/families in the middle of the country living off of that.
 
JacobMcCandles said:
I know we’re talking about physicians but how much do you think many of the average families in LCOL states live off of? Granted, comfortable is a different definition for everyone but there are a lot of people/families in the middle of the country living off of that.
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I'm not comparing a physician to a teacher in South Dakota. I'm comparing a physician to a physician.
 
GonnaBeADoc2222 said:
Math time:

Lets just account for basics.

2k rent / mortgage = 24k / yr

Monthly cost of GOOD life and disability insurance policies = about 500 / mo = 6 k / yr.

20k left over for spend

So you're telling me a family (or even single guy) can comfortably live off 20k / yr? Thats $1600 / mo. Doable? Certainly. You're likely eating ramen and not doing anything fun though.
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Not everybody wants to live on 100-300k a yr as an attending for net expenditures. Everybody has a lifestyle that they want to lead; I lead mine and you lead yours. Not giving too detailed info for privacy and personal reasons. Your posts seem to have an unpleasant tone that's all I got to say man.

Attending without children lives on 45-55k a yr.
Had great student loan program through work leading to 210k a yr of net income.
210-45=165k a yr for annual net worth accrual
165*5 yrs=825k.
Graduate with -100k debt after med school thanks to living close to poverty line for yrs (my choice).
825k-100k=725k plus stock/bond gains. These numbers get you somewhat close to 1 million after 5 yrs.
 
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JacobMcCandles said:
I know we’re talking about physicians but how much do you think many of the average families in LCOL states live off of? Granted, comfortable is a different definition for everyone but there are a lot of people/families in the middle of the country living off of that.
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I have excel spreadsheets of my budgets from residency and as an attending and back before inflation hit it really was possible to live on 30k a yr or so in an average COL state as a single person without roommates. With roommates it's cheaper but eventually I realized that having roommates wasn't the best. Having built in social interactions was nice and was partly why I continued having roommates for much of residency.

It's the wrong forum for this as many high earners may think that you have to live on 100-300k a yr to have a fulfilling life but not everybody derives so much pleasure from material things. Going on (non 5 star hotels, of course) budget trips abroad and other experiences make some people happier than material things.
 
avatarftw said:
3 million for a nest egg yields 120,000 for retirement a yr. Whether that is a lot or not depends on every person. It's probably not great for the coasts or NYC but it's far more than the average US family lives on.


5 million is 200,000 for a 4% withdrawal rate.
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The more i read the 4 percent is no longer relevant for our generation. More likely closer to 3-3.5%. I think 5-6m is a better target as you should be fine anywhere in the states even nyc/sf. More than likely you won't live there but you could.
 
avatarftw said:
I have excel spreadsheets of my budgets from residency and as an attending and back before inflation hit it really was possible to live on 30k a yr or so in an average COL state as a single person without roommates. With roommates it's cheaper but eventually I realized that having roommates wasn't the best. Having built in social interactions was nice and was partly why I continued having roommates for much of residency.

It's the wrong forum for this as many high earners may think that you have to live on 100-300k a yr to have a fulfilling life but not everybody derives so much pleasure from material things. Going on (non 5 star hotels, of course) budget trips abroad and other experiences make some people happier than material things.
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I was pretty lax as a resident but think i saved 500-1000 a month as a resident without trying. I did manage to pay off loans prior to being an attending. I wasn't married till year 5 as an attending. I think i avg 40-60k spending till marriage doing whatever i wanted mostly due to a $300 car payment and 1300 rent and no loans.
 
GonnaBeADoc2222 said:
Math time:

Lets just account for basics.

2k rent / mortgage = 24k / yr

Monthly cost of GOOD life and disability insurance policies = about 500 / mo = 6 k / yr.

20k left over for spend

So you're telling me a family (or even single guy) can comfortably live off 20k / yr? Thats $1600 / mo. Doable? Certainly. You're likely eating ramen and not doing anything fun though.
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As a very frugal, single medical student in a LCOL area with roommates for 3 of 4 years in the early 2010s, I managed to live off of an average $15k/yr. Rent+utilities was $600-800, car was paid off and cost $80 for insurance. I went on plenty of trips (most paid for with conference funds, but I flew across the country to visit home during breaks and went international after the Match) and went to the occasional bar or fancy restaurant. I bought most furniture secondhand from other students. I ate ramen out of laziness at 2am while studying, not because I couldn’t afford better food. I was pretty happy, I think. It can be done, though I am one of those born with a scarcity/frugality mindset.
 
GonnaBeADoc2222 said:
Math time:

Lets just account for basics.

2k rent / mortgage = 24k / yr

Monthly cost of GOOD life and disability insurance policies = about 500 / mo = 6 k / yr.

20k left over for spend

So you're telling me a family (or even single guy) can comfortably live off 20k / yr? Thats $1600 / mo. Doable? Certainly. You're likely eating ramen and not doing anything fun though.
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1600/mo isn’t a ramen noodles diet my friend.

When i was literally on a ramen noodle and peanut butter sandwiches diet in my early college days back in 2008-2010, i spent $30-40/mo on food and $325 on renting a room in an elderly couples home. Plus $40/mo on cell phone and those were literally all my expenses other than college tuition and whatever the school health insurance plan cost.

A single guy can very comfortably live off 20k a year if that doesn’t include rent. That’s actually a lot of money for someone single who is a reasonable spender - there are so many people living on minimum wage and literally that’s all they make.

$100/mo car insurance
$30/mo mint mobile phone
$50/mo Internet
$400/month groceries
$250/mo if they have a car payment
$200/month utilities

That still leaves discretionary income for any excess spending.

Honestly, even as an attending, we probably spent $50k-60k a year for the first 2 years even though we made 500k. And that was for a family with a child, but in a very low cost of living. Took a few comfortable vacations too.

And 6k for disability and life? I pay $2400/yr to principal for 11k monthly benefit and $500/yr for a 1 million dollar life insurance. I don’t need a bigger policy.

Maybe i just know how to spend less because i was truly poor and broke when i moved from pakistan with 2 suitcases.
 
Y’all realize they got what they want, right?

“EM didn’t fill! EM didn’t fill!” is all I’m hearing.

EM did fill. It might have filled with the help of hundreds of IMGs. But it filled. They got their 3,000 bodies

You think they care who filled the slots? Think some “shock” will hit them and trigger change that benefits EM physicians?

That’s laughable.

These are people who don’t care if their EDs are staffed with doctors, let alone what type of doctors.

Everything is going according to their plan, which has been in place 20 years or more.

Until you put yourself in their shoes, and think like they think when you need to, you’re fish in a barrel.
 
Birdstrike said:
Y’all realize they got what they want, right?

“EM didn’t fill! EM didn’t fill!” is all I’m hearing.

EM did fill. It might have filled with the help of hundreds of IMGs. But it filled. They got their 3,000 bodies

You think they care who filled the slots? Think some “shock” will hit them and trigger change that benefits EM physicians?

That’s laughable.

These are people who don’t care if their EDs are staffed with doctors, let alone what type of doctors.

Everything is going according to their plan, which has been in place 20 years or more.

Until you put yourself in their shoes, and think like they think when you need to, you’re fish in a barrel.
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This is so spot on. They truly don’t care. Img fmgs us md us do all the same. Pay is gonna plummet. Make hay while the sun is shining. Acep is being a bunch of *****s and pretending they are doing something but 3k new docs a year they will get their new members. Cmgs will continue to be their bosses. Acep is pure scum. Run.
 
I'm waiting with semi baited breath to see when the CMG contagion crosses over into w2 hospital employed land.

Although my shop is far from the higher end of EM absolute pay, there's been quite the gravy train going on there for some years such that the pph to pay ratio is probably on the higher end of EM.
 
GonnaBeADoc2222 said:
I'm waiting with semi baited breath to see when the CMG contagion crosses over into w2 hospital employed land.

Although my shop is far from the higher end of EM absolute pay, there's been quite the gravy train going on there for some years such that the pph to pay ratio is probably on the higher end of EM.
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I am hospital employed and it was a nice gig for a few years but the last two contract ”negotiations” the hospital has used so called contract appraisers (that they hire) to asess the contract and determine what “fair market value“ is, of course, using the neighboring communities CMG and academic dominated markets to set the number. Of course they don’t account for the profit the CMG takes out of their docs. We’ve taken about 15% pay cut with additional honor of 25% of our salary wrapped up in bonus that’s only paid out at the end of the fiscal year. Used to be paid out monthly.

Docs are leaving in bunches now and they seem confused.

Fyking scumbags.
 
WorkNoteEmergency said:
I am hospital employed and it was a nice gig for a few years but the last two contract ”negotiations” the hospital has used so called contract appraisers (that they hire) to asess the contract and determine what “fair market value“ is, of course, using the neighboring communities CMG and academic dominated markets to set the number. Of course they don’t account for the profit the CMG takes out of their docs. We’ve taken about 15% pay cut with additional honor of 25% of our salary wrapped up in bonus that’s only paid out at the end of the fiscal year. Used to be paid out monthly.

Docs are leaving in bunches now and they seem confused.

Fyking scumbags.
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Hospitals will trail the CMGs but they will use the FMV to screw everyone. Whats funny is they feel that 50th percentile is the right answer. I never understood this stupidity. They dont want 50% percentile outcomes. they are coming for everyone.
 
EctopicFetus said:
Hospitals will trail the CMGs but they will use the FMV to screw everyone. Whats funny is they feel that 50th percentile is the right answer. I never understood this stupidity. They dont want 50% percentile outcomes. they are coming for everyone.
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QFT. working 2 FTE in my field as the end is sooner than anyone imagines and no one is safe. Game over in 2030.
 
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