Bayside Anesthesia Medical Group

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Anyone want to weigh in on this offer from Bayside Anesthesia at Providence Saint John's Health Center in Santa Monica?

Start at $300/hour OR time
Raise every six months
Partners at $400/hour OR time
Three years to partnership
$71K buy in
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What percent of the time are you in the OR vs being "available" compared to partners. I'd guess a lot more. Therefore the 71k buy in is probably bull**** and actually much higher. Don't know anything about the group, but that is the obvious way to **** over new people.
 
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You don’t want to be at the whims of OR inefficiencies, cancellations, late surgeons, and other factors.

No reason to have a lower income than partners in this market (unless partner total comp is amazing). Even in Santa Monica.
 
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gunnershow said:
How do you get anyone to take call with this sort of model
Click to expand...

The senior partners probably take all the easy home call with a nice fat stipend for little to no time in the hospital. When not on call, they’ve got the quickest and most efficient rooms every day. They’ll just chalk it up to surgeon preference.

The junior partners probably work the late calls. They’ll badger the nurses to get that add on buttock I&D in the OR right away so they can start collecting their $400/hr for OR time.

The “partnership-track” plebeians probably sit around in the lounge waiting to see when they’ll be called for that random emergency in the middle of the day so they can start collecting their $300/hr. You see, this is how the group shows the hospital that they are always available.
 
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I can’t speak for the market in the area, but in general this sounds like a terrible job. OR utilization in most hospitals is pretty lousy. If they run at 75% efficiency (very best you can likely hope for) then you are getting $225/hr now and $300/hr as a partner. I would expect around 65-70% efficiency on a standard full day schedule and 60% for late shifts, call etc. That puts you at 3 years of $180-210/hr. Then after 3 years you are getting $240-270/hr.

The buy in is 71k plus lost wages. If you work 45 hrs/wk, 44 wks/yr for 3 years and you are getting $60/hr less, you’ve given up another $356,400. Overall you are looking at about the equivalent of 500k in wages. That’s your true buy in. That’s a lot for a job that doesn’t seem amazing.
 
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A buy in AND lower pay rate? Yikes
 
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What exactly are you buying into? Makes no sense for an anesthesia group

Good will and relationships with the admin are a foogazi
 
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Its a drama filled place with a lot of characters. The director or principal is a goofball. They have some nerdy docs and some athlete docs that somehow all seem to get along. Whenever I locum there I always get some horrible add on at like 245 but I'm saved because I leave at 3.
 
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This group has been discussed multiple times here. Nothing good came out.
 
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Their previous partnership track timeline was three years to Junior Partner, followed by two years to Full Partner, followed by three year buy-in (15%, 10%, 5%), followed by one to two years to receive voting rights. Almost a decade before becoming a vested partner!

Does “three years to partnership” mean Junior Partner? Or Full Partner with voting rights?
 
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pulseoximetry said:
Their previous partnership track timeline was three years to Junior Partner, followed by two years to Full Partner, followed by three year buy-in (15%, 10%, 5%), followed by one to two years to receive voting rights. Almost a decade before becoming a vested partner!

Does “three years to partnership” mean Junior Partner? Or Full Partner with voting rights?
Click to expand...
This is about as manipulative as you can get. 9-10 years before becoming a full partner? There is a nationwide shortage of anesthesiologists. No one should put up with this.
 
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This group is famous for allocating garbage rooms with gaps to the junior people.

Why would you take this job when you can work 7-3 for $550 + academic benefits while supervising quality residents 3 blocks away?
 
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Perfect example of predatory pp groups that existed before amcs….
 
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Bayside is offering the following:

“$300 an hour if you take call
$275 an hour if just outpatient
Cardiac is 1hr stipend per day
3 years to partnership”

Pay is for OR time, not a guaranteed 8 or 10 or 12 hour shift like Cedars or Kaiser
 
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Man. This is so bad on so many levels even on the low end the practice still will make $50/unit (and I’m factoring in hospital subsidies) and medi cal and Medicare

You are just getting paid for OR time which is even worst than getting paid per unit

60 min Or time $300
60 min knee scope (let’s say that’s a min 9 units) ($450) ($50/unit)

Why would anyone agree to this type of pay model.

The partners aren’t making $400/hr OR time. Usually in these practices they add 7-10% admin fees and pad their income.

I’ve see this playbook in the San Francisco area. My groomsmen got burned bad. Really bad. Money isn’t a big deal to him. He doesn’t have any kids and likes to travel and ride his motorcycle. So he’s a perfect fit for a practice like this this. But even he didn’t he felt ripped off. And he was fine making 250k a year.
 
pulseoximetry said:
Bayside is offering the following:

“$300 an hour if you take call
$275 an hour if just outpatient
Cardiac is 1hr stipend per day
3 years to partnership”

Pay is for OR time, not a guaranteed 8 or 10 or 12 hour shift like Cedars or Kaiser
Click to expand...
Neither of these entities guarantees shifts
 
aneftp said:
Man. This is so bad on so many levels even on the low end the practice still will make $50/unit (and I’m factoring in hospital subsidies) and medi cal and Medicare

You are just getting paid for OR time which is even worst than getting paid per unit

60 min Or time $300
60 min knee scope (let’s say that’s a min 9 units) ($450) ($50/unit)
Click to expand...

A knee scope is 4 base units. Standard time units are 15min. A 60 min knee scope would be 8 units. @$50/unit it’s $400.
 
nimbus said:
A knee scope is 3 base units. Standard time units are 15min. A 60 min knee scope would be 7 units. @$50/unit it’s $350.
Click to expand...
Private insurers will give u another unit for Asa class (I don’t think Medicare gives u extra unit). U can classify 50% of the USA population as Asa class 3 easily obesity, sleep apnea, etc.
 
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aneftp said:
Private insurers will give u another unit for Asa class (I don’t think Medicare gives u extra unit). U can classify 50% of the USA population as Asa class 3 easily obesity, sleep apnea, etc.
Click to expand...


Also was not aware that knee scopes (29881) are 4 base units now. I edited my post to reflect that. But yes hourly vs unit pay really depends on many factors (payer mix, case mix, turnover). If you’re doing mitraclips all day, units win. OTOH, unit pay only pays for OR time+transport to PACU or ICU time. It never pays for break/turnover time between cases.
 
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Anyone have any details on the other private groups in the LA area like Pasadena or Torrance? Are their starting packages any better or are all LA area jobs similar to this?
 
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aneftp said:
Private insurers will give u another unit for Asa class (I don’t think Medicare gives u extra unit). U can classify [emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]]][emoji[emoji[emoji6]][emoji[emoji6]]]% of the USA population as Asa class [emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]] easily obesity, sleep apnea, etc.
Click to expand...

Some private insurers have dropped ASA classification for extra units. Another spear into our reimbursement.
 
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nimbus said:
Also was not aware that knee scopes (29881) are 4 base units now. I edited my post to reflect that. But yes hourly vs unit pay really depends on many factors (payer mix, case mix, turnover). If you’re doing mitraclips all day, units win. OTOH, unit pay only pays for OR time+transport to PACU or ICU time. It never pays for break/turnover time between cases.
Click to expand...

I thought it was 3 for diagnostic, 4 if they do anything
 
Nunchuk said:
Anyone have any details on the other private groups in the LA area like Pasadena or Torrance? Are their starting packages any better or are all LA area jobs similar to this?
Click to expand...


I may be out of date but I think most LA jobs still pay by unit production+stipends. Not hourly.

Kaiser does offer a good signon bonus. One of our new gyn’s is married to an anesthesiologist and he took a job with Kaiser because they could use the signon bonus at this stage in their career. I don’t think many private practices could match it.
 
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centdoc said:
Some private insurers have dropped ASA classification for extra units. Another spear into our reimbursement.
Click to expand...
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