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its disappointing this hospital is still in business. they should go bankrupt and close
Anesthesiologist shortage 12k by 2033
Started by amyl
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my 70 year old colleague says this. he used to make 1.2m in PP decades ago. had a yacht. he had to sell that off. makes a fraction of that now and works more
The fact that he's 70 and still working, despite making $millions decades ago, and bought a yacht he couldn't afford (had to sell off because his income changed), suggests that the larger problem is that he's an idiot.
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Curious where this hospital is? Also if ******* admins paid the price….
Memphis, Portland, etc. all these admins f’ing around and finding out… yet things really don’t change.
The beckersasc article references Providence in Portland and the Billings clinic in Montana. Neither case has anything to do with a shortage of anesthesiologists. If you dig through these forums you will find that in both cases the administrations of the hospitals elected to replace long serving Anesthesia groups with AMC groups: Sound at Providence and USAP in Montana. Their particular shortage was self inflicted.
That's one way to look at it.
Another way to look at it is to be glad you won't be working when you're 70.
Unless you're an idiot like him. 🙂
To be fair the yachting world is more of a headache than it’s worth. Even just getting out of most marinas is a production.
But I sort of want one…
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deleted87051
It’s related to the shortage because the longstanding groups needed and asked for stipend support to continue recruiting and staff the hospitals. Instead the hospitals mistakenly bought an unrealistic sales pitch from the AMCs. Why do YOU think the existing groups were replaced?
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deleted87051
Better to make friends with a rich surgeon and bring him a nice cheese plate when you’re invited to his yacht. It’s $50.
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deleted1183938
This is a spending problem. When teachers making less than 100k are retiring comfortable we seriously cannot say people making triple that cannot retire. Overconsumption problem.
Two happiest days in a boat owners life...
Control
Those numbers were limited to senior partners in PP and it's not the whole story. They got a K-1 distribution, and then expenses were taken out: office and billing, med mal, family medical, etc. so not quite thaaat high...
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Adjust for inflation, and it’s even higher. Imagine the equivalent of 3 million dollars salary today…**** I’d be looking into yachts and side pieces too lol
I think it was a failure of administration to understand the anesthesia market. It was a failure of Administration to appreciate and work with established groups within their institution. Private equity backed Anesthesia management companies sole interest is rent seeking. They want to skim money from docs and hospitals. I agree that administrators are susceptable to unrealistic sales pitches.
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Husband and I just bought a yacht last week. Or rather a bluewater sailboat. It will take about 5-6 years to learn the systems and get it ready for ocean crossings. First stop: North Pacific. We’ve owned two other smaller boats in the past. They are a lot of work and expense but if you actually take them out on the water (many boat owners almost never do), they can be a source of true joy. Looking forward to sailing away and not looking back.
Don’t cry for the hospitals, dude. Most hospitals in any locale where I have lived or worked engage in the sort of ultra greedy behavior that would make John D Rockefeller or Jeff Bezos blush.
I have no sympathy for them whatsoever.
Probably true statements for most hospitals, but I felt sorry for the AMC closure in Atlanta. It definitely served a poorer population and it's an open question if it could have survived if Georgia had accepted the Medicaid expansion (or maybe Wellstar just ran them into the ground).
Wellstar faces federal complaints after Atlanta Medical Center closure
A group of elected officials are asking for a federal investigation following the closing of two hospitals in metro Atlanta.
Georgia House leaders signal Medicaid expansion is off the table in 2024
Georgia House leaders are signaling Medicaid health coverage won't be expanded in 2024. A bill introduced Tuesday by a top lieutenant to Republican House Speaker Jon Burns proposes to create a Comprehensive Health Care Commission.
apnews.com
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deleted87051
Probably true statements for most hospitals, but I felt sorry for the AMC closure in Atlanta. It definitely served a poorer population and it's an open question if it could have survived if Georgia had accepted the Medicaid expansion.
Wellstar faces federal complaints after Atlanta Medical Center closure
A group of elected officials are asking for a federal investigation following the closing of two hospitals in metro Atlanta.www.fox5atlanta.com
Georgia House leaders signal Medicaid expansion is off the table in 2024
Georgia House leaders are signaling Medicaid health coverage won't be expanded in 2024. A bill introduced Tuesday by a top lieutenant to Republican House Speaker Jon Burns proposes to create a Comprehensive Health Care Commission.
Hahnemann closed too but they were the victim of bad actors who promised to rescue them.
The Death of Hahnemann Hospital
When a private-equity firm bought a Philadelphia institution, the most vulnerable patients bore the cost.
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deleted87051
Probably true statements for most hospitals, but I felt sorry for the AMC closure in Atlanta. It definitely served a poorer population and it's an open question if it could have survived if Georgia had accepted the Medicaid expansion (or maybe Wellstar just ran them into the ground).
Wellstar faces federal complaints after Atlanta Medical Center closure
A group of elected officials are asking for a federal investigation following the closing of two hospitals in metro Atlanta.
Georgia House leaders signal Medicaid expansion is off the table in 2024
Georgia House leaders are signaling Medicaid health coverage won't be expanded in 2024. A bill introduced Tuesday by a top lieutenant to Republican House Speaker Jon Burns proposes to create a Comprehensive Health Care Commission.
Medicaid doesn't pay. So the answer is no.
Your skepticism is warranted, but medicaid expansion has helped hospitals.
This report claims expansion resulted in a ~2% reduction in uncompensated care burden for the hospitals it studied. Optimistically, it may have helped a hospital with an especially large indigent population that was on the margin of closing. There's a million factors to consider, so I won't make the strong claim that it would have saved the hospital on it's own (especially if Wellstar was likely mismanaging).
Agree…. It’s a failure of admin to understand the anesthesia market…. Resulting in a shortage of anesthesiologists and crnas. My point was the stories are accumulating and it doesn’t seem like admin is catching on.
It seems like the feeling is the problem is temporary- not permanent
It seems like the feeling is the problem is temporary- not permanent
i don’t think administrators were involved at all a lot of the time. Substitute administrators with partners in anesthesia groups. They chose to sell the group to private equity because they were rent seeking trying to skim money off all the non-partners that would want to work at that hospital. Maybe administrators could have pulled the exclusive contracts that allowed the partners to exploit their fellow doctors, but they had ORs to staff. Anesthesiologists who were partners in private practices that are now AMCs are even worse than short-sighted administrators because they screwed their own.
What do you guys think about places keeping the 40 hour work week (includes call hours) plus giving 18-22 weeks PAID OFF for 500k w2?
I think that’s the money ball these days. I’m not interested in making more money exposed to w2 taxes. Meaning it stupid to work and make 700k w2 with 9 weeks off.
I’d rather take time off or do 1099 gigs with those extra weeks off. I see more and more places offer these schedules now to entice docs to sign on
I have no desire to go for 100k sign on bonus/2 year commitment that gets exposed to taxes. I’d rather get more time off.
More time off means less docs available to work. Means more anesthesia shortages.
I think that’s the money ball these days. I’m not interested in making more money exposed to w2 taxes. Meaning it stupid to work and make 700k w2 with 9 weeks off.
I’d rather take time off or do 1099 gigs with those extra weeks off. I see more and more places offer these schedules now to entice docs to sign on
I have no desire to go for 100k sign on bonus/2 year commitment that gets exposed to taxes. I’d rather get more time off.
More time off means less docs available to work. Means more anesthesia shortages.
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deleted643396
I don’t think it’s common for $500k jobs to be 40 hour work weeks with 22 weeks PTO. That’s $400+/hr W2 plus benefits. I just don’t think stable employed jobs like that are common enough to have any impact on an anesthesia shortage. The money right now is in locums. The stable employment market for anesthesia is otherwise pretty mediocre. $500k for call taking 50 hour work weeks with 8 weeks vacation is probably more typical.
That is amazing pay
Well 3 jobs like that have recently pop up within 45 min of the area I’m targeting. It’s true 40 hours work week. It’s not bad
2 filled super quickly. The other the paperwork is being negotiated.
U get the best of both worlds. Stability of w2 job plus tons of time off. Like I said. I have zero interest working for 700k w2 due to the taxation of the upper end range (it’s even worst if u are single since u start paying 35% taxes around 225k (500k as married). So all single people should focus on limiting their w2 income unless they have access to 403!457b/401a accounts to limit their taxes
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That 1099 income is going to be subject to the same 35/37% income tax though. Not many significant deductions besides solo k unless you can stash a lot away in CBP
Yea - what location is 40h work week w 18-22wks pto for 500?!?!
I haven’t heard of permanent gigs like this
I haven’t heard of permanent gigs like this
They are popping up north and south. My friend is one of the corp regional medical directors
U gotta do what u gotta do to stabilize staffing.
It’s called loss mitigation at this point.
So how do you roll that back? Once the market turns do they just start decreasing pay/increasing hours?
how are your calls paid? or what is the hourly pay of your calls?
We have crna to thank.
like there was this meeting and Hospital
admin said to have crna cover ob weekends.
Fair enough but when they ran the numbers. Crnas would cost them double than an extra doc.
U see. Crnas are based on hourly models. That’s the money ball to use against them and bring in more docs but more time off.
Congrats. U guys probably know how to use the locums to ur advantage?
Have locums docs do the brunt of the daytime work. Make extra money doing extra calls but within the frames work of the 40 hours.
So this seems like sub 700k with cardiac work , inflated by temporary sign on bonus, heavy cardiac home call even if your not called in your still on the beeper, and it’s in what many would consider an undesirable area .. personally I would rather take the 500k job without the heavy beeper call in the more desirable area like east/west coast
Most of the ‘East/west coast’ is undesirable.
Sign on bonus is 25k per year for 3 years.
Cardiac beeper call hits different when you take it and you’re out at noon the next day too, or post call entirely if you’re called in. Our hourly rate of actual hours worked is unmatched in any w2 job I’ve seen, but I’m happy to be shown otherwise.
Many smaller practices like ours take their cardiac call a week at a time, it’s not as bad as it sounds. If you get to larger places to spread it out then you’re inevitably looking at taking trauma, OB, and transplant call in most cases for way less money.
To each their own with desirability. Cincinnati has pretty much everything a young family minded or mid career anesthesiologist could want.
I’m happy you enjoy Cincinnati. Your right about the compensation it is high. My point is that it’s high because your in Cincinnati. Supply and demand issues, maybe a better term than desirability, make those type of less populated locations pay higher in order to attract people out there.
Our practice lost a couple of people to upstate NY because we couldn’t match their package. It always blew my mind .. you would really choose there over here for 100k more? But your right to each their own
What's wrong with upstate? letchworth, finger lakes, saratoga springs, poconos
Update New York paying locums crnas close to $300/hr. It’s insane.
It’s not for everyone.
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deleted643396
Poconos are Pennsylvania
Oh sorry, didn't realize that once you pick a state you become unable to travel to nearby areas
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deleted1183938
Yes. Some people choose to go to cold places for money.
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deleted1183938
What’s it paying MDs? $500?
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deleted1183938
Eeh. I bet they are still staffed. So many spineless anesthesia groups and some who only care about money and not how they are treated? Didn’t someone just a few weeks on here in DFW say that they routinely staff some surgicenters where cases start at 6 am because if they refused, some other anesthesia group would gobble up all that good private paying money?
Cincinnati is fine, but you cannot talk about it in the same sentence as those other actual cities you mentioned. If I were being paid double would it make up for it? Probably
Not many. $450 is the higher end.
They need crnas more than docs in upstate New York. And frankly the way incentives work. Many w2 docs are pushing 700-750k w2 there. Thus a super need to over pay for docs at $500/hr
To be honest. Any place is fine to work with as long as u have family or friends or whoever you want to associate with.
I’ve worked in various places. Throughout the country. NYC was meh. Mid atlantic was ok. Bay Area west coast and la area were good (have friends and family) just hated the cost. South has been good to me but mid west were good also.
