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How many over night shifts per month on average?
How many over night shifts per month on average?
In the United States per night? I don't know, thousands?
Apologies, OP.
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Anyone else getting tired of seeing these threads? Its as if the OPs want to say - "Oh, I'm thinking about EM, but then you haaaaavee to work NIGHT-shfits. Zomg." Like there's not going to be nightwork and call in any other specialty (okay, there's derm/plastics... I'll give you that.)
Now, honest answer: Number of shifts per MONTH is highly variable, and dependent upon length/coverage. I work sixteen 8-hour shifts a month, about 4-5 of which are 'nights'.
How many over night shifts per month on average?
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Wow, didn't know a question has to be so charged.
I struggle with nights and was just curious how many various people did per month.
I apologize if I asked in an inappropriate way or offended anyone. No worries though, forget I asked.
Thx Hercules.
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Wow, didn't know a question has to be so charged.
I struggle with nights and was just curious how many various people did per month.
I apologize if I asked in an inappropriate way or offended anyone. No worries though, forget I asked.
Thx Hercules.
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It's charged because it seems like you have already said you couldn't(which I think would probably be better stated as wouldn't want to) do "nights" for your entire career but only 5-10years in a previous post. Also it seems that some people forget that EM is truly a 365 24/7 speciality and only see it as 3x12hr shifts a week and making great $$$....
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It's charged because it seems like you have already said you couldn't(which I think would probably be better stated as wouldn't want to) do "nights" for your entire career but only 5-10years in a previous post. Also it seems that some people forget that EM is truly a 365 24/7 speciality and only see it as 3x12hr shifts a week and making great $$$....
This... but, really....
Its more of a pervasive attitude of "ZOMG nightshifts, Yuxxorz... LOLZ." amongst junior posters who also have zero idea that most other subspecialties also involve a great degree of 'nightwork'.
OP: listen, man - I don't want to single-you-out. Its just that we've been getting a lot of these as of late, and people act like its poison to do a nightshift. That being said, its an internet forum, and a very public one at that, so any question is a fair one, especially if you're trying to get a broad overview of what's really going on by those rank-and-file docs who live it everyday. Good luck to yah.
10. Dedicated nocturnalist, though.
-d
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Fair enough, but I have seen EM attendings say they will pay the shift differential later in their career to avoid nights. So it's not a foreign idea. I always have enjoyed EM but just worked a week of nights back to days with no time off. I slept only 4 or5 hrs a day and felt like a zombie for 10 days. It was hard for me.
I have made no judgements on $ or 3x12 or whatever. I guess sharing weaknesses and honesty come back to bite you on the Web.
I understand. Thanks for the help.
You'll be expected to work nights. Period. If you can't deal with it, then it's a deal breaker. I am constantly rotating from nights to days to swings and back again. If you want to do EM, you'll have to suck it up and learn to deal with it. End of story.
Given the fact that your posts show interest in IM, gas, EM, etc.. I'd focus on picking something that you enjoy instead of trying to avoid sleep deprivation because that's one aspect of medicine that is rather ubiquitous among all the specialties to some degree.
This... but, really....
Its more of a pervasive attitude of "ZOMG nightshifts, Yuxxorz... LOLZ." amongst junior posters who also have zero idea that most other subspecialties also involve a great degree of 'nightwork'.
OP: listen, man - I don't want to single-you-out. Its just that we've been getting a lot of these as of late, and people act like its poison to do a nightshift. That being said, its an internet forum, and a very public one at that, so any question is a fair one, especially if you're trying to get a broad overview of what's really going on by those rank-and-file docs who live it everyday. Good luck to yah.
If you go into EM, you can expect to work evenings, nights, and weekends - and a lot of them. Most patients come in between 3pm and 2am. If this is going to bother you a lot, you shouldn't do EM. No one wants to hire a golden child who doesn't want to do the job the way it is. Most of the new hires at my job are doing nights and weekends. The senior staff with sweet schedules have been there >10 years.
Yes many doctors work nights weekends and holidays. If an EM doctor is working that means someone has to admit patients . It seems that many think that only EM works nights for the rest of their career.
Not to rain on the EM parade (I've got a great float rolling down the street in the parade too), but EM is actually one of the only specialties where you will be up all night in the hospital. In academics and residency you get the mistaken impression that everyone else will be in the hospital overnight too. Outside of critical care and hospitalists in my community hospital, most specialties can count on sleeping through the majority of the night even when they are on call. If they do get their sleep interrupted its usually to return a page and go back to sleep.
do most of ya'll with nocturnists have a high rate of turnover? my group has a handful, but only 2 who have been on nights for any length of time.
the premium is, last i heard, $20-30/hour over base (employed situation with good benefits), plus ability to make one's schedule with caveat of same # of w/e shifts per month of 4.
i'm considering trying it - i work a mix of 8's and 12's so i could probably get away with 10, max 12 shifts/month and would probably do 2 long weekends. i'm tired of some scheduling issues and think that this may be the answer... i hate going on and off of nights so just doing it 2x/month and working fewer days for more $$ is certainly appealing. most of our sites are suburban so nights are typically not bad volume-wise.
fwiw, single woman, no kids. mid 30's, 4 years out of residency. in some debt so yes, money is a consideration.
anyway, any thoughts on turnover, whether this is "enough" to incentivize nights...?
I think the "market rate" to incentivize nights is far higher than $20-30 an hour. In my small democratic group where our hourly typically ranges from $200-275 an overnight shift pays 50% more than a day shift and 25% more than an evening shift. So if the evening pays $250 that month, then the day shift pays something like $215 per hour and the overnight pays something like $310 per hour. That's 4-5 times your $20-30 figure. As it is there are number of people working more nights than they'd like in my group. Try letting "the market" solve the night shift issue and you'd be surprised how much more it takes to get people to voluntarily work more nights.
I'm headed into my 3 overnights for the month starting tonight and I kind of dread them. The higher pay definitely matters to me. If the differential were much lower I'd drop them completely.
Not to rain on the EM parade (I've got a great float rolling down the street in the parade too), but EM is actually one of the only specialties where you will be up all night in the hospital. In academics and residency you get the mistaken impression that everyone else will be in the hospital overnight too. Outside of critical care and hospitalists in my community hospital, most specialties can count on sleeping through the majority of the night even when they are on call. If they do get their sleep interrupted its usually to return a page and go back to sleep.
do most of ya'll with nocturnists have a high rate of turnover? my group has a handful, but only 2 who have been on nights for any length of time.
We go through nocturnists fairly regularly as well; myself and two others have been the only consistent night people. Since I've been at my current shop there have been 6 other nocturnists who have come and gone (they still work here, but they work the regular circadian shifts now).
Of us three consistent nightfolk...
one is over 60, no kids at home...
one is mid-30's, mom with 2 kids and a stay-at-home husband
I'm early 30's, 2 kids at home, stay-at-home wife.
We're a military institution so there's no pay differential. We all do it because for various reasons, we prefer it for our home lives.
i'm having a terrible time coming off of nights... migraines, sleeping at wrong times. this is a new problem the last few months, wasn't a problem when i worked nights 1 time a month. if i can't arrange that to be the case again, i may do the nocturnist thing for a bit to be able to work 2 big blocks... see if that helps. i'd then basically be week on/week off.
I think the "market rate" to incentivize nights is far higher than $20-30 an hour. In my small democratic group where our hourly typically ranges from $200-275 an overnight shift pays 50% more than a day shift and 25% more than an evening shift. So if the evening pays $250 that month, then the day shift pays something like $215 per hour and the overnight pays something like $310 per hour. That's 4-5 times your $20-30 figure. As it is there are number of people working more nights than they'd like in my group. Try letting "the market" solve the night shift issue and you'd be surprised how much more it takes to get people to voluntarily work more nights.
I'm headed into my 3 overnights for the month starting tonight and I kind of dread them. The higher pay definitely matters to me. If the differential were much lower I'd drop them completely.
How many over night shifts per month on average?
i'm having a terrible time coming off of nights... migraines, sleeping at wrong times. this is a new problem the last few months, wasn't a problem when i worked nights 1 time a month. if i can't arrange that to be the case again, i may do the nocturnist thing for a bit to be able to work 2 big blocks... see if that helps. i'd then basically be week on/week off.
ER is the worst specialty in Medicine for having to work nights. A close second is OB followed by the Admitting IM/Hospitalist and Anesthesia. That said, you can find jobs in any specialty allowing you to work days only provided you are willing to take a pay cut.
ER would be the toughest specialty for a day only job but they exist.
Here are the specialties which rarely work at night:
1. Derm- Never
2. Plastics- Rare
3. Radiology- rare in a non trauma setting
4. Oncology- rare
5. Pulmonary- rare
6. ENT- rare
7. Allergy- Never
8. Urology- Rare (usually RN cant get the foley)
9. Optho- Rare in a non trauma setting
10. Pain Medicine and PMR- rare
This thread has been very helpful. Thanks for sharing all the individual schedules. It's helped me understand what doing EM would entail. It seems the circadian challenge is unique to EM, not nights per se, but the shifting.
Not to rain on the EM parade (I've got a great float rolling down the street in the parade too), but EM is actually one of the only specialties where you will be up all night in the hospital. In academics and residency you get the mistaken impression that everyone else will be in the hospital overnight too. Outside of critical care and hospitalists in my community hospital, most specialties can count on sleeping through the majority of the night even when they are on call. If they do get their sleep interrupted its usually to return a page and go back to sleep.
You can probably get away with not working nights if you really don't want to, it seems. Rotation I just got off of was a small-ish rural hospital, ~12 docs, with nights being almost entirely split between two of them, both of whom seemed to be near the tail end of their careers. Certainly a cushy gig for the others, but I don't know how common the arrangement is.
Personally, I'm a night owl, and I'm very happy with night work. I guess it's not quite right to cast EM as a 'lifestyle' specialty, but while the hours are predictably crappy, at least they're predictable. So if you accept nights/weekends/holidays as part of the deal, it works out just fine.
Seems like no nights is possible if you don't mind searching and maybe a pay cut.
My residency is run by a democratic group of around 30 docs. They give "no" night differential whatsoever, none, zip, nada, zilch. They staff their nights just fine as far as I know. Around here in the community gigs there is very little if any night differential, some places will let you do one less shift, or some places will prioritize your schedule, etc.
I'm currently on the job search, and I have yet to hear any place with the kind of set up you describe. Sounds like paradise. How are you guys able to afford such an insane amount of money for night differential?
That's the wrong take away point.
I guess it makes sense for your group, but from the outside that looks insane. $1000 is that kind of shift bonus (assuming 10 hr shifts) that get handed out for unfilled holidays or last minute cancellations. If I tried to trade a night shift for somebody's day shift + $1000 I'd be told to f%^$ off. If there are still people working more nights than they want, I'd suggest that the dedicated nocturnists in your group are screwing over the rest of you. Unless you're working no nights, I don't understand how that pay structure is tolerated (or tolerable).
Uh....we take it from our own day shifts. It's one pot of money and we can divide it up any way we please.
I'm not sure I follow your logic. How is anyone screwing anyone else over? If anyone in the group would like to work more nights, they can do so and make that same differential. As it is, people who do not want to work nights, still have to work one every couple of months. It's not a bad enough problem that we need to adjust the differential at this point, but I assure you if the differential went down significantly I'd drop the 3 a month I'm working.
Who's going to take them? I assume that your nocturnists are probably maxed out on shifts, so you'd be trying to give them up to someone else who is probably looking to do the same thing. If most people are working a mix of shifts and the pay about evens out then goodie, but if you have the majority of your group doing only days then the differential seems confiscatory. I'm basing this off of currently working 4 nights with no differential.
I agree with you on holiday pay (we haven't had to do it in any of the shops I've worked but I've definitely seen it happen) but when you're already short staffed (and have been so for 6 months) and someone breaks their contract without notice those 12 holes don't tend to fill themselves.
Can the nocturrist comment on how you sleep ? if you are not working 15 days a month, do you stay awake overnight Still or do you constantly shift back and forth ?