precedexforall
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- Jul 3, 2023
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Hi all,
Trying to pick between two jobs. 7 years out from fellowship. Cardiac trained. Both jobs are MD only, home call only, no OB, W2 employed and the total financial/benefit package are similar. DINK couple and no plans for children in the future due to medical reason. At current hospital doing 1099 after leaving academia to be in the same city as spouse.
option 1: Current hospital. Big city in the Southeast. Home state for me. The hospital is a small facility of a bigger system that is bringing anesthesia in house. 6 calls (no trauma, very rarely work overnight and will have post call day off) per month and 10 weeks of PTO. I generally like the work environment but the complexity/volume of pathology is low. Very good WLB since OR is not very busy. I will not be doing a whole lot of cardiac due to seniority/low cardiac volume. The cardiac program is unlikely to grow in the near future due to competition and recent loss of cardiologists, interventional/EP/gen. Spouse have very good job, but willing to re-locate. The rest of the city is PE owned or have to work with CRNAs, which I have no interest in doing.
option 2: Big city in the Midwest. COL is higher but not outrageous like NY/SF/LA. Close to Spouse's home hence she is willing to re-locate. Busier than current shop with plenty of work. Robust cardiac program. Extra compensation for picking up extra shifts. 9 weeks of PTO. Post call day off but with likely busier calls.
My big dilemma between the options is skill atrophy at my current place (tho I will still do some cardiac work) vs. stability, ie not having to move and learn a new system. I appreciate any insight from the group.
Trying to pick between two jobs. 7 years out from fellowship. Cardiac trained. Both jobs are MD only, home call only, no OB, W2 employed and the total financial/benefit package are similar. DINK couple and no plans for children in the future due to medical reason. At current hospital doing 1099 after leaving academia to be in the same city as spouse.
option 1: Current hospital. Big city in the Southeast. Home state for me. The hospital is a small facility of a bigger system that is bringing anesthesia in house. 6 calls (no trauma, very rarely work overnight and will have post call day off) per month and 10 weeks of PTO. I generally like the work environment but the complexity/volume of pathology is low. Very good WLB since OR is not very busy. I will not be doing a whole lot of cardiac due to seniority/low cardiac volume. The cardiac program is unlikely to grow in the near future due to competition and recent loss of cardiologists, interventional/EP/gen. Spouse have very good job, but willing to re-locate. The rest of the city is PE owned or have to work with CRNAs, which I have no interest in doing.
option 2: Big city in the Midwest. COL is higher but not outrageous like NY/SF/LA. Close to Spouse's home hence she is willing to re-locate. Busier than current shop with plenty of work. Robust cardiac program. Extra compensation for picking up extra shifts. 9 weeks of PTO. Post call day off but with likely busier calls.
My big dilemma between the options is skill atrophy at my current place (tho I will still do some cardiac work) vs. stability, ie not having to move and learn a new system. I appreciate any insight from the group.