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I switch back to a day schedule when I'm off for at least 2 nights in a row.
Average nights per month?
- Thread starter happygilmore
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I switch back to a day schedule when I'm off for at least 2 nights in a row.
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I am a dedicated nocturnist. I had no problem working this out. I get a pay differential, move RVUs ( urgent cares closed, less coverage, easy blow out the door stuff). I work the same number of shifts as everyone else 14-15 10hr shifts. I work 2 strings per month (usually 7 or 8 in a row).
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my sleep schedule goes like this....before my first shift I try and sleep in (maybe like 9-10am) and take a 1-2 hr nap before I go in. the next day I'm tired and have no problem sleeping (usually from 8am-3pm). On the last shift of my string, I work overnight, then I sleep only 4 hrs and get up. I'm a bit of a zombie that day, but I do meaningless tasks like yard work, etc. I then go to bed and take an ambien so that I can stay asleep all night (otherwise I wake up after about 4 hrs feeling super rested at 2am).
I feel like I see my family more and get to enjoy more activities outdoors in the sun by being a dedicated nocturnist. When I work day shifts I leave home before the kids are awake and return as they get ready for bed. I miss all of the sunny afternoons and many dinners. When I'm working all nights, I'm up in the afternoon, get a family dinner every night (Its my breakfast, but whatever). I can help put the kids down and have time with the wife, then I go to work and come home in the morning to have breakfast with the kids.
Our differential is about 20/hr (yes, on the low side, but more than 50% of my wage is profit sharing in a small democratic group and I am the highest paid guy in the group because my RVUs are so high).
I feel like I see my family more and get to enjoy more activities outdoors in the sun by being a dedicated nocturnist. When I work day shifts I leave home before the kids are awake and return as they get ready for bed. I miss all of the sunny afternoons and many dinners. When I'm working all nights, I'm up in the afternoon, get a family dinner every night (Its my breakfast, but whatever). I can help put the kids down and have time with the wife, then I go to work and come home in the morning to have breakfast with the kids.
Our differential is about 20/hr (yes, on the low side, but more than 50% of my wage is profit sharing in a small democratic group and I am the highest paid guy in the group because my RVUs are so high).
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One great aspect of ED is its flexibility. I have not worked an overnight shift in 10 yrs. I work two wingman shift that ends at 1-2am.
Our group pays the night guys an extra $600/shift and there are plenty of takers.
Any ED doc an get out of nights if they are willing to pay. If you really hate nights, find someone who is willing to take your nights for their days. There is always a price.
We started at $200/night and over the years has gone up to $600. Everyone is happy. I am happy to loose out on 2k a month to get a good night sleep every day.
Our group pays the night guys an extra $600/shift and there are plenty of takers.
Any ED doc an get out of nights if they are willing to pay. If you really hate nights, find someone who is willing to take your nights for their days. There is always a price.
We started at $200/night and over the years has gone up to $600. Everyone is happy. I am happy to loose out on 2k a month to get a good night sleep every day.
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lol.
You haven't worked an overnight shift in 10 years. You earn like 450k or something in 30 hrs a week. Where did you get this job. Your experience seems to be in contrast to everyone else.
Anyway, your situation seems very unique. Not many people in EM pulling half a million and not working an overnight in a decade. Close to sounding unbelievable... kudos.
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It's not that unbelievable. Guys who are partners in good groups can make good money and if they structure their scheduling right they can avoid nights. This does sound like a very nice set up but it's not unheard of.
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Yeah, I guess I've been reading many typical EM situations and not top 10% scenarios.
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As other posters have said, days-only EM jobs are rare...if you want to work in the city you live and join a group and move toward partnership.
However:
1. There is ALWAYS a price for which you can trade your night shifts.
2. If you are willing to be a locums doc (esp with a significant other who has benefits and such) -- and are willing to be away from home 5 days a month -- there are plenty of jobs that you can make $150K working only 4 12h-days per month (4 week block, really)...one day travel will require you to be away from home only five days per month.
If you just want to make good money (definitions vary) and avoids nights, it's really not that hard.
HH
However:
1. There is ALWAYS a price for which you can trade your night shifts.
2. If you are willing to be a locums doc (esp with a significant other who has benefits and such) -- and are willing to be away from home 5 days a month -- there are plenty of jobs that you can make $150K working only 4 12h-days per month (4 week block, really)...one day travel will require you to be away from home only five days per month.
If you just want to make good money (definitions vary) and avoids nights, it's really not that hard.
HH
