Advice: Hate my first attending job

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vengaaqui

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Hi all. I'm fresh out of residency in a high volume, low acuity shop seeing 3-4 patients per hour, admitting about 10% and I hate it. I'm technically part of an academic group in a community hospital. And I hate it. I hate the low acuity, mostly belly pain, EMS for hemorrhoids, etc.

Any recommendations on how to get through/power through/look for another job before jumping ship? The only other thing I've thought about is lowering my hours (Usually 145 a month with mostly evenings and overnights - I get thrown a day shift about once a month since there are several attendings who get to make their own schedule) to make it more tolerable, but the pay is already on the low end for EM ($125/hr) and I have a lot of student loans to pay back plus am the breadwinner for our family.

Feel free to say toughen up buttercup as well but ugh...
 
I wouldn't work at an urgent care for that pay.
Is the plan to transition to the main facility at some point?
 
Talk to your boss about what you'd like. What do the other docs think of it? Try dropping your hours.

If still not happy or you don't like the response, vote with your feet.

It is common for EM graduates to change jobs one or more times in the few years following residency until they find a good fit.
 
Why are you there?

You can make more money elsewhere. You can have a better schedule elsewhere. You can have your preferred acuity elsewhere.

Is it a limited geographic area? Is there something desirable about the academic/community blend?

As above mentioned, I wouldn't jump at that rate doing urgent care work, much less ED overnights...

Unless you are geographically limited, you've learned a lesson and I'd start looking for new jobs.
 
Holy crap, you work 145 hours a month for $125 an hour? Find a new job as fast as possible. The rest of it sounds awful also. You are justified in your feelings. I'd zero in on a couple of places you might like to work and see if you have any connections if not just cold call the medical director.
 
I thought that you guys get flooded by messages from headhunters. That pay is much less than your services are worth
 
I don't know much about what the job market is like, but isn't this basically doing a nocturnist's job at half the pay?
 
vengaaqui said:
... lowering my hours (Usually 145 a month with mostly evenings and overnights - I get thrown a day shift about once a month since there are several attendings who get to make their own schedule) to make it more tolerable, but the pay is already on the low end for EM ($125/hr)
Click to expand...

If I might ask: what region of the country is this in, and is there anything else which contributes to pay -- bonus/productivity model? Unsure how that's sustainable for anyone. Prime locale with a very promising partnership track or something?
 
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vengaaqui said:
Hi all. I'm fresh out of residency in a high volume, low acuity shop seeing 3-4 patients per hour, admitting about 10% and I hate it. I'm technically part of an academic group in a community hospital. And I hate it. I hate the low acuity, mostly belly pain, EMS for hemorrhoids, etc.

Any recommendations on how to get through/power through/look for another job before jumping ship? The only other thing I've thought about is lowering my hours (Usually 145 a month with mostly evenings and overnights - I get thrown a day shift about once a month since there are several attendings who get to make their own schedule) to make it more tolerable, but the pay is already on the low end for EM ($125/hr) and I have a lot of student loans to pay back plus am the breadwinner for our family.

Feel free to say toughen up buttercup as well but ugh...
Click to expand...

You are an attending now. If you hate your job, quit. I quit my first attending job two months after starting after finding out that admin had misrepresented multiple details about the job (and had to stick around for another miserable six months because of the long out in the contract).

3-4 pph, mostly nights, 125 an hour...you are getting screwed.

I would quit.

Tomorrow.

How long is the notification period in your contract?

Heck, I would feign my own death to get out of the situation you describe.
 
OldMil and I are in agreement. Your job categorically sucks. Sounds like the job is good for an EP in his sixties, not a fresh grad.
 
vengaaqui said:
Hi all. I'm fresh out of residency in a high volume, low acuity shop seeing 3-4 patients per hour, admitting about 10% and I hate it. I'm technically part of an academic group in a community hospital. And I hate it. I hate the low acuity, mostly belly pain, EMS for hemorrhoids, etc.

Any recommendations on how to get through/power through/look for another job before jumping ship? The only other thing I've thought about is lowering my hours (Usually 145 a month with mostly evenings and overnights - I get thrown a day shift about once a month since there are several attendings who get to make their own schedule) to make it more tolerable, but the pay is already on the low end for EM ($125/hr) and I have a lot of student loans to pay back plus am the breadwinner for our family.

Feel free to say toughen up buttercup as well but ugh...
Click to expand...

So what made you take this awful job in the first place? Did they just mislead you? You are also working mostly nights and pulling 145 hours as well!
 
Sounds like a job in a very desirable city. I know in California those are the rates one can expect in LA, SD, and SF proper. I assume Seattle and popular NE cities pay similarly.

Either way, this sounds like an easily ameliorated situation if the OP is willing to change locales. I assume they took this job due to family constraints.
 
Dude, I'm a resident who moonlights making about 200/h seeing under 2 pt/hr with about 20-30% admission. Your job sounds miserable.
 
vengaaqui said:
Hi all. I'm fresh out of residency in a high volume, low acuity shop seeing 3-4 patients per hour, admitting about 10% and I hate it. I'm technically part of an academic group in a community hospital. And I hate it. I hate the low acuity, mostly belly pain, EMS for hemorrhoids, etc.

Any recommendations on how to get through/power through/look for another job before jumping ship? The only other thing I've thought about is lowering my hours (Usually 145 a month with mostly evenings and overnights - I get thrown a day shift about once a month since there are several attendings who get to make their own schedule) to make it more tolerable, but the pay is already on the low end for EM ($125/hr) and I have a lot of student loans to pay back plus am the breadwinner for our family.

Feel free to say toughen up buttercup as well but ugh...
Click to expand...

That's a terrible job. Start looking for an exit plan. I'd be looking for twice the pay for half the patients. You're also getting shafted on the schedule (and headed for burnout on that number of hours.) Obviously you did a terrible job looking for a job or are a particularly bad candidate and couldn't get a better job. Do a better job the second time and get your contract reviewed by a professional before signing it next time.

You didn't say if you have a huge desire to do academics, but it doesn't sound like it. No sense in working in an academic place if the academic stuff isn't huge for you.
 
BTW $125 an hour is okay if its a job leading to an awesome partnership in a great location (our pre-partner pay is in that neighborhood), but not an employee job or even an academic job in my view.
 
That's a brutally raw deal.
you can haggle up to that rate here in Houston to babysit a "surgical hospital" that averages 0.9 pts per day.
I hope your location is so desirable that from your window you have a view of the mountains, the beach, a babbling brook, a nightly fireworks show, a vantage to see into the sports stadium of your favorite team, and can see a unicorn farm, otherwise it is not worth it. F-it, even then I don't think it's worth it.

now is the golden financial age of emergency medicine. If you aren't trying to make hay while the sun shines, you will regret it. There is no shame in working hard, and taking crappy shifts if you are being properly incentivized and you are trying to clear a few hundred thousand in loan debt. Unfortunately, it sounds like you are getting the short end of every stick: bad shifts, bad schedule, and pitiful money.

Run buttercup! Run!
-1234
 
vengaaqui said:
Hi all. I'm fresh out of residency in a high volume, low acuity shop seeing 3-4 patients per hour, admitting about 10% and I hate it. I'm technically part of an academic group in a community hospital. And I hate it. I hate the low acuity, mostly belly pain, EMS for hemorrhoids, etc.

Any recommendations on how to get through/power through/look for another job before jumping ship? The only other thing I've thought about is lowering my hours (Usually 145 a month with mostly evenings and overnights - I get thrown a day shift about once a month since there are several attendings who get to make their own schedule) to make it more tolerable, but the pay is already on the low end for EM ($125/hr) and I have a lot of student loans to pay back plus am the breadwinner for our family.

Feel free to say toughen up buttercup as well but ugh...
Click to expand...


Get out and get out now. Outside of a partnership track small democratic sweat equity gig there is no way you should be working those hours, primarily evenings and nights, for that pay. And with such low acuity it sounds so boring. Run, don't walk.
 
Thanks all. Glad I'm not off base in my misery. It's actually a job in the Midwest in a city with a health system that has cornered the market which gives physicians limited bargaining power. It's not a partner track, but there is a bonus based partially on productivity at the end of the year that I've been told is in the 25-35k range. Unfortunately since I work at one of the lower acuity shops, I'm worried my RVUs will actually be on the low side even though I see a ton of patients.

I actually don't really want to be in academics. I am moonlighting at a community gig that I love on top of my hours above to try and at least see some acuity to keep my sanity that would pay more, be better hours, and is right by my house but unfortunately there aren't any openings there at the moment. We moved here because my significant other's family is from here and we have a young child. And I'm stuck in this city. Just wondering how to negotiate making this job more palatable or get the f- out of it when my contract is up in July.
 
vengaaqui said:
Thanks all. Glad I'm not off base in my misery. It's actually a job in the Midwest in a city with a health system that has cornered the market which gives physicians limited bargaining power. It's not a partner track, but there is a bonus based partially on productivity at the end of the year that I've been told is in the 25-35k range. Unfortunately since I work at one of the lower acuity shops, I'm worried my RVUs will actually be on the low side even though I see a ton of patients.

I actually don't really want to be in academics. I am moonlighting at a community gig that I love on top of my hours above to try and at least see some acuity to keep my sanity that would pay more, be better hours, and is right by my house but unfortunately there aren't any openings there at the moment. We moved here because my significant other's family is from here and we have a young child. And I'm stuck in this city. Just wondering how to negotiate making this job more palatable or get the f- out of it when my contract is up in July.
Click to expand...

ernie.gif

You are in the Midwest how?!?!? The only city that may even do that is Chicago and even then there are amazing offers 30 minutes outside the city. I know of multiple places with sign on bonuses of 40k in the Mid West. I'm just flabergasted in the midwest there should not be an area within 1 hour that is not willing to pay top dollar for you
 
Brigade4Radiant said:
ernie.gif

You are in the Midwest how?!?!? The only city that may even do that is Chicago and even then there are amazing offers 30 minutes outside the city. I know of multiple places with sign on bonuses of 40k in the Mid West. I'm just flabergasted in the midwest there should not be an area within 1 hour that is not willing to pay top dollar for you
Click to expand...


I had the same exact reaction when I read "midwest."

This is mind blowing. OP, how did you get duped into this job? Did you not have any idea of the job market in EM in general? I'd leave your job yesterday if you can.
 
Thread should be stickied as a cautionary tale. Just sayin'
 
Yeah I would have to agree with the above posts. Unless you are working in downtown Chicago in academics you are getting screwed. I am in the midwest with a small democratic group with an excellent partnership and I am working "sweat" equity shifts and still doing better than you are. And in 18 months my salary will go up 2.5 times and my hours per month will go down by 30 and I am working a fair number of day, evenings, and overnights (3ish a month). And my cost of living is nothing compared to Chicago and I live in an excellent malpractice state. There are sooooooo many options in the Midwest. Leave and find a job making twice what you are now, likely 2 hours away, and see your in-laws every weekend on the time off you will have. It doesn't make sense to stay unless your marriage would end or you need 24 hour care for your children (illness, etc.). Make your money now, the golden age could be ending soon. Then settle for a terrible job like the one you are in now.
 
Unless you are truly stuck for some reason, I'd start looking for another job now.

Where I trained in residency, we had some community sites run by the department.
The jobs at this site were not academic. No residents. But they still paid like an academic job.
Very busy, low pay, lots of BS.
Sounds similar to your job.
None of these docs ever moved from the community site to an academic job (which is maybe what some of them wanted).
 
vengaaqui said:
Thanks all. Glad I'm not off base in my misery. It's actually a job in the Midwest in a city with a health system that has cornered the market which gives physicians limited bargaining power. It's not a partner track, but there is a bonus based partially on productivity at the end of the year that I've been told is in the 25-35k range. Unfortunately since I work at one of the lower acuity shops, I'm worried my RVUs will actually be on the low side even though I see a ton of patients.

I actually don't really want to be in academics. I am moonlighting at a community gig that I love on top of my hours above to try and at least see some acuity to keep my sanity that would pay more, be better hours, and is right by my house but unfortunately there aren't any openings there at the moment. We moved here because my significant other's family is from here and we have a young child. And I'm stuck in this city. Just wondering how to negotiate making this job more palatable or get the f- out of it when my contract is up in July.
Click to expand...

You might not have to wait until July. Signing a one year contract doesn't mean you can't leave sooner. Take a closer look and see how much advance notice you need to give.
 
WilcoWorld said:
You might not have to wait until July. Signing a one year contract doesn't mean you can't leave sooner. Take a closer look and see how much advance notice you need to give.
Click to expand...

It also doesn't mean that you can leave in July.
It could be a self renewing deal that requires notice of potential end of the agreement.

What I'm saying is that you may need to give a predefined notice even if the contract is set to end in July.

Get a lawyer to review it if you can't figure this out on your own.
 
hell our pgy2's moonlight at urgent care for $155/hr, and ED moonlighting in greater chicagoland for 200 as pgy3. I can't imagine being an attending for much less than that. 125/hr sounds like san diego, UCSF, or maybe cook county academics, or boston area. I know several academics gigs with 100% resident coverage that pay around 145-165/hr within a 6 hr radius of chicago.
 
vengaaqui said:
Thanks all. Glad I'm not off base in my misery. It's actually a job in the Midwest in a city with a health system that has cornered the market which gives physicians limited bargaining power. It's not a partner track, but there is a bonus based partially on productivity at the end of the year that I've been told is in the 25-35k range. Unfortunately since I work at one of the lower acuity shops, I'm worried my RVUs will actually be on the low side even though I see a ton of patients.

I actually don't really want to be in academics. I am moonlighting at a community gig that I love on top of my hours above to try and at least see some acuity to keep my sanity that would pay more, be better hours, and is right by my house but unfortunately there aren't any openings there at the moment. We moved here because my significant other's family is from here and we have a young child. And I'm stuck in this city. Just wondering how to negotiate making this job more palatable or get the f- out of it when my contract is up in July.
Click to expand...

If you're stuck in the city, you're stuck in the city. Lots of people get stuck in situations like this with a spouse's job and a mortgage. But talk to your S.O.- you may not be as stuck as you think you are. He/she doesn't want you to be miserable any more than you want to be miserable.
 
This is inexcusable for the Midwest. You may have a young child but you are not only going to be miserable at work but screw your future financial stability by working at these rates early in your career. If you can't move, locums rates are good enough you could probably make the same money with half the shifts if you are willing to spend a week away from home a month.

I am trying to think which Midwestern health system this could be...Unity Point, Mercy, Mayo, Avera?

Also consider the malpractice risk you run at 3-4 patients an hour. I am currently seeing 3-4.5 patients per hour quite comfortably, but my malpractice risk is next to zero as is my charting burden (no ROS, no written discharge instructions, no sorting through ICD 10 codes, no press ganeys).

In fact, I would say I have found medical nirvana.
 
Last edited:
Old_Mil said:
This is inexcusable for the Midwest. You may have a young child but you are not only going to be miserable at work but screw your future financial stability by working at these rates early in your career. If you can't move, locums rates are good enough you could probably make the same money with half the shifts if you are willing to spend a week away from home a month.

I am trying to think which Midwestern health system this could be...Unity Point, Mercy, Mayo, Avera?

Also consider the malpractice risk you run at 3-4 patients an hour. I am currently seeing 3-4.5 patients per hour quite comfortably, but my malpractice risk is next to zero as is my charting burden (no ROS, no written discharge instructions, no sorting through ICD 10 codes, no press ganeys).

In fact, I would say I have found medical nirvana.
Click to expand...

Where are you?!??


Sent from my iPhone using SDN mobile app
 
Old_Mil said:
Also consider the malpractice risk you run at 3-4 patients an hour. I am currently seeing 3-4.5 patients per hour quite comfortably, but my malpractice risk is next to zero as is my charting burden (no ROS, no written discharge instructions, no sorting through ICD 10 codes, no press ganeys).
Click to expand...

What the.. There's no way. You must be the pharm tech if you're seeing 4pph without the listed charting burden. I just don't believe you're a doctor who isn't subjected to patient satisfaction or ROS charting or having to actually choose and put some individualization into your discharge instructions.

But if you are.. Is your site hiring??
 
exsanguination said:
What the.. There's no way. You must be the pharm tech if you're seeing 4pph without the listed charting burden. I just don't believe you're a doctor who isn't subjected to patient satisfaction or ROS charting or having to actually choose and put some individualization into your discharge instructions.

But if you are.. Is your site hiring??
Click to expand...

OldMil mentioned awhile back that he was heading to Canada to work.

I take it you finally made it happen, old buddy.
 
RustedFox said:
OldMil mentioned awhile back that he was heading to Canada to work.

I take it you finally made it happen, old buddy.
Click to expand...

Indeed I did, and I'm enjoying life and making the same $ per hour as I was at the former gig. No 1099 marketplace health insurance worries, either. I put lots of personalization into my discharge instructions - I walk into the room, talk to the patient in plain english, and tell him/her what to do. I ask if they have any questions. If they do, I answer them. Then I walk out.

We're fully staffed for EPs at this point but if you're interested contact these guys and they can get you hooked up at another hospital.

Health Force Ontario
http://www.healthforceontario.ca/en/Home

Saskdocs (Saskatchewan)
http://www.saskdocs.ca/

MB Healthcare Providers Network (Manitoba)
http://www.healthcareersmanitoba.ca/

Nova Scotia
http://physicians.novascotia.ca/opportunities.html

Did I mention that as a Canadian non-resident citizen you owe revenue Canada no income tax on non Canadian income? In case you decide to retire to your boat in the Bahamas or anything...

...oh and those half dozen non sick people that come in on Monday morning for work notes? I get to charge them. $20 a pop, right into my wallet. That's after they have to pay for parking. (Needless to say, that many of them don't come in for work notes, I might see 2-3 a month).
 
Last edited:
Old_Mil said:
This is inexcusable for the Midwest. You may have a young child but you are not only going to be miserable at work but screw your future financial stability by working at these rates early in your career. If you can't move, locums rates are good enough you could probably make the same money with half the shifts if you are willing to spend a week away from home a month.

I am trying to think which Midwestern health system this could be...Unity Point, Mercy, Mayo, Avera?

Also consider the malpractice risk you run at 3-4 patients an hour. I am currently seeing 3-4.5 patients per hour quite comfortably, but my malpractice risk is next to zero as is my charting burden (no ROS, no written discharge instructions, no sorting through ICD 10 codes, no press ganeys).

In fact, I would say I have found medical nirvana.
Click to expand...

Teach me master
 
Old_Mil said:
Indeed I did, and I'm enjoying life and making the same $ per hour as I was at the former gig. No 1099 marketplace health insurance worries, either. I put lots of personalization into my discharge instructions - I walk into the room, talk to the patient in plain english, and tell him/her what to do. I ask if they have any questions. If they do, I answer them. Then I walk out.

We're fully staffed for EPs at this point but if you're interested contact these guys and they can get you hooked up at another hospital.

Health Force Ontario
http://www.healthforceontario.ca/en/Home

Saskdocs (Saskatchewan)
http://www.saskdocs.ca/

MB Healthcare Providers Network (Manitoba)
http://www.healthcareersmanitoba.ca/

Nova Scotia
http://physicians.novascotia.ca/opportunities.html

Did I mention that as a Canadian non-resident citizen you owe revenue Canada no income tax on non Canadian income? In case you decide to retire to your boat in the Bahamas or anything...

...oh and those half dozen non sick people that come in on Monday morning for work notes? I get to charge them. $20 a pop, right into my wallet. That's after they have to pay for parking. (Needless to say, that many of them don't come in for work notes, I might see 2-3 a month).
Click to expand...

I thought that Ontario and Saskatchewan were the only Canadian provinces that had a path for certification for US trained docs with less than 5 years ACGME training.
 
Sounds like OP is being butt raped hard by his employers. Sorry OP.
 
I know Ontario and Saskatchewan do. I know BC and Alberta do not. I would check with Manitoba and Nova Scotia directly. I've registered with the Royal College for CME tracking purposes though I'll perpetually be a FAAEM, not a FRCP.
 
vengaaqui said:
Hi all. I'm fresh out of residency in a high volume, low acuity shop seeing 3-4 patients per hour, admitting about 10% and I hate it. I'm technically part of an academic group in a community hospital. And I hate it. I hate the low acuity, mostly belly pain, EMS for hemorrhoids, etc.

Any recommendations on how to get through/power through/look for another job before jumping ship? The only other thing I've thought about is lowering my hours (Usually 145 a month with mostly evenings and overnights - I get thrown a day shift about once a month since there are several attendings who get to make their own schedule) to make it more tolerable, but the pay is already on the low end for EM ($125/hr) and I have a lot of student loans to pay back plus am the breadwinner for our family.

Feel free to say toughen up buttercup as well but ugh...
Click to expand...

Ok,

I am note even going to read the other's response. But DAmmmmmm..... Someone is making a load of $$$$$ off from you. Seeing 3-4 pts an hour in what I would consider a normal acuity hospital (yes.... mostly belly pain is level 4-5), someone is making 200/hr off from you.

If you made 275/hr (I would not take any less but in my situation, I would not take less than 350/hr), you would make the same money working 60 hrs a month. 145 a month is insane at that rate.

I make more working in a FSED where I see 6 pts in 12 hrs and prob draw blood on one. Now that is low acuity and I make 170/hr. Last month I was offered a similar gig without nights at 325/hr and turned it down in 5 secs. For this place I would expect 400/hr.

These facts should make you
1. Move immediately
2. Go to your boss and tell him you want 250/hr or quit
3. Do Locums and make what you currently make in 40 hrs


I can not believe ANY city in the US pays an EM 125/hr. How can they staff these places at that rate? For me to take that rate, they better have unbelievable and illegal perks.
 
Last edited:
Old_Mil said:
Indeed I did, and I'm enjoying life and making the same $ per hour as I was at the former gig. No 1099 marketplace health insurance worries, either. I put lots of personalization into my discharge instructions - I walk into the room, talk to the patient in plain english, and tell him/her what to do. I ask if they have any questions. If they do, I answer them. Then I walk out.

We're fully staffed for EPs at this point but if you're interested contact these guys and they can get you hooked up at another hospital.

Health Force Ontario
http://www.healthforceontario.ca/en/Home

Saskdocs (Saskatchewan)
http://www.saskdocs.ca/

MB Healthcare Providers Network (Manitoba)
http://www.healthcareersmanitoba.ca/

Nova Scotia
http://physicians.novascotia.ca/opportunities.html

Did I mention that as a Canadian non-resident citizen you owe revenue Canada no income tax on non Canadian income? In case you decide to retire to your boat in the Bahamas or anything...

...oh and those half dozen non sick people that come in on Monday morning for work notes? I get to charge them. $20 a pop, right into my wallet. That's after they have to pay for parking. (Needless to say, that many of them don't come in for work notes, I might see 2-3 a month).
Click to expand...

I'd move right now if Canadian Netflix didn't suck so bad...
 
throckmortonDO said:
hell our pgy2's moonlight at urgent care for $155/hr, and ED moonlighting in greater chicagoland for 200 as pgy3. I can't imagine being an attending for much less than that. 125/hr sounds like san diego, UCSF, or maybe cook county academics, or boston area. I know several academics gigs with 100% resident coverage that pay around 145-165/hr within a 6 hr radius of chicago.
Click to expand...

I was just gonna say, my moonlighting rate as a PGY-2 approaches that salary.
 
Location should be irrelevant. If you could double your salary, why would you stay in ANY location? For $200,000 m0re per year you can do whatever you would want as far as travel and vacations. Also locums is a perfect opportunity for those people who are geographically fixed to an area with terrible jobs (as it seems you are).
 
GeneralVeers said:
Location should be irrelevant. If you could double your salary, why would you stay in ANY location? For $200,000 m0re per year you can do whatever you would want as far as travel and vacations. Also locums is a perfect opportunity for those people who are geographically fixed to an area with terrible jobs (as it seems you are).
Click to expand...

Don't you think after a certain amount of money it doesn't really matter? I'm not saying this applies to the OP (since he hates his current gig, is overworked and seems to be paid 50% of what hes worth). But I make about 500k/yr (different specialty) and I definitely wouldn't move away from family or uproot kids for 700k or even 800k. After you get a certain amount of money you can already "do what you want as far as travel or vacations". Sure, we arent chartering private jets but 200k or even 500k isnt going to change that.


Sent from my iPhone using SDN mobile app
 
deltamed said:
Don't you think after a certain amount of money it doesn't really matter? I'm not saying this applies to the OP (since he hates his current gig, is overworked and seems to be paid 50% of what hes worth). But I make about 500k/yr (different specialty) and I definitely wouldn't move away from family or uproot kids for 700k or even 800k. After you get a certain amount of money you can already "do what you want as far as travel or vacations". Sure, we arent chartering private jets but 200k or even 500k isnt going to change that.


Sent from my iPhone using SDN mobile app
Click to expand...

I'm with you. I have a slightly below average salary, but I can afford to save for retirement, and I have a great life. I could double my salary with a move, but I'm planning on staying put. The OP's situation sucks because of lousy scheduling and high patient loads. The pay is an insult, but not the main problem.
 
deltamed said:
Don't you think after a certain amount of money it doesn't really matter? I'm not saying this applies to the OP (since he hates his current gig, is overworked and seems to be paid 50% of what hes worth). But I make about 500k/yr (different specialty) and I definitely wouldn't move away from family or uproot kids for 700k or even 800k. After you get a certain amount of money you can already "do what you want as far as travel or vacations". Sure, we arent chartering private jets but 200k or even 500k isnt going to change that.
Click to expand...
It's more along the lines of, if you double your income, you can either work half as much, or have your spouse, significant other, or whatever not have to work. It's more of a quality of life issue.
And if you only have to work 6 days a month in some town, the other 22-25 days you can spend somewhere else.
 
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