Best and worst states to practice

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Likely needing to relocate (from Illinois) soon and wondering if anyone has a link to some info about the best and worst places to practice for an anesthesiologist (in terms of malpractice and earnings). Also need the same info for OB/GYN (spouse), but I'll post that request in their forum. Thanks for any assistance you can give!
 
Yeah, and to add to that, what are the worst states to choose a residency program based on the CRNA laws that are passing/ may pass in the near future about practicing without an MD supervisor?
 
Likely needing to relocate (from Illinois) soon and wondering if anyone has a link to some info about the best and worst places to practice for an anesthesiologist (in terms of malpractice and earnings). Also need the same info for OB/GYN (spouse), but I'll post that request in their forum. Thanks for any assistance you can give!

Florida is the WORST for OB/GYN and not great for Anesthesiology because of a reputation for malignant groups which screw over new grads.
 
Basic rule of thumb: physician reimbursement in a locale is inversely proportional to the cost of living, i.e. the perceived desirability of the region. If you're willing to live in bumf*ck you're more likely to bank.

Medical malpractice stats from Medical Economics:


PHP:
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I will preface this post with " I am not an expert on this topic."

But I understand that Florida is bad

Nem Mexico and Cali have Dr taxes. Texas was bad but has redeemed itself lately with tort reform.

If you want to make good money and have some pretty good legal/malpractice protection, Louisiana is not bad. They have a patient compensation fund and a cap in malpractice claims. This makes for a very nice environment. And more importantly, if you go to New Orleans your loans will be covered (not sure how much but significant) and you will get some relocation funds as well. Check out Naulins
 
I And more importantly, if you go to New Orleans your loans will be covered

tell me more...

Ill get a Louisiana license and go over there for a year... if they pay my whole loan off.. that'd be nice
 
http://www.louisianamedicalnews.com/news.php?viewStory=1019

tell me more...

Ill get a Louisiana license and go over there for a year... if they pay my whole loan off.. that'd be nice

Physicians Offered Incentives to Practice in New OrleansMYRLE CROASDALE Michael Wilson, MD, is ready to come home. A Louisiana State University School of Medicine graduate and New Orleans native, he looks forward to practicing in the city he was forced to depart following Hurricane Katrina.

He will be leaving a custom-tailored psychiatry research position at the University Hospitals in Cleveland for a city where he has no job yet. His incentive is a loan-forgiveness program that will pay off his $98,000 in medical school debt in exchange for a three-year commitment to work in New Orleans.

“All my family is still in New Orleans,” Dr. Wilson said. “They told me about the program to lure me back. It worked.”

The program is the Greater New Orleans Health Service Corps, which has $50 million from the U.S. Dept. of Health and Human Services to recruit and retain doctors and other health care professionals to work among the region’s underserved. Last year, the federal government declared the city and some of its surrounding parishes a health professional shortage area. Since the corps opened in April, the agency has awarded $6.5 million in grants to 81 health care professionals, including 37 physicians.

The corps offers each physician:

• Up to $110,000 in loan repayment or income guarantees.

• As much as $40,000 for a sign-on bonus or medical liability insurance premium payments.

• A maximum of $20,000 for relocation expenses.

• Up to $10,000 for continuing medical education on health information technology.

In exchange, physicians must work in New Orleans for three years, accept Medicaid patients and have a sliding-fee scale for low-income, uninsured patients. A representative for the corps said there was no required minimum number for Medicaid and uninsured patients, though priority would be given to practices with 30% or more Medicaid or uninsured patients.

Internist Ricardo Febry, MD, president of the Orleans Parish Medical Society said he was hesitant to apply for the grant, even though he has been trying for a year to recruit another physician to his two-doctor practice. “Once you open the practice to Medicaid and the uninsured, over two to three years, you will have an office full of uninsured patients and no one responsible for their bills.”

Physicians in the private sector are already seeing a large number of uninsured patients and are not getting reimbursed for their care, Dr. Febry said.

For family physician Sarat Raman, MD, seeing Medicaid and uninsured patients is not a problem because he works for a nonprofit. More than 90% of his patients are uninsured at the newly opened Daughters of Charity Services clinic in New Orleans’ Bywater neighborhood.

He was working in West Virginia when a colleague told him about a job in New Orleans. While physicians were still packing up and leaving the city, Dr. Raman was undeterred. He took the job, and after he arrived in March, he heard about the corps. He qualified for the corps grant and will be reimbursed for his relocation expenses. He also will receive the sign-on bonus and money for CME.

“It’s a great situation to have,” Dr. Raman said of the health service grant. “New Orleans is the soul of America. I love this city, and it’s a great place to practice.”

Meanwhile, Dr. Wilson has six months to find a job in New Orleans or his service corps grant will expire.

He is unsure about his prospects. He would like to practice inpatient care, but knows the number of public hospital psychiatric beds has been sharply reduced since Charity Hospital moved to a temporary facility. There may be a big need for psychiatrists and primary care physicians in the city, he said, but whether the grant’s requirements will mesh well with opportunities among area employers is unclear.
 
Likely needing to relocate (from Illinois) soon and wondering if anyone has a link to some info about the best and worst places to practice for an anesthesiologist (in terms of malpractice and earnings).


Earnings is relative. 300K in small town Kansas goes alot further than 300K in Boston. In many cases smaller towns in midwest and south have lower cost of living and better incomes than the coasts. Malpractice has significant variations even within state. In the midwest Cook county (Chicago) and Cuyahoga county (Cleveland) are probably as bad as anywhere in the US, but in other parts of Illinois and Ohio life is alot better.

I grew up and was educated and trained on the east coast and now live in the midwest. Quality of life regarding cost of living, security and earnings is MUCH better than anything I could find on the coast. No regrets.

Rough guide for best combo of buying power for your income and security: Imagine someone who lived their whole life in New York City. Ask them to think of all the places in the US that they wouldn't want to live... That is where you want to go.


Actually, salaries around NYC (NJ, Westchester, LI) are excellent. Time to partnership is typically longer- 3-4 years. I have friends who are in partnership track positions starting at $300K, on their way up to $600K+ by year 3 or 4. One guy works 7-2pm two days per week, and 7-5 three days per week, with one call. Not sure about the details, but he's a very happy recent grad.

I've decided NYC is way too stressful and expensive. You can't live large here unless you're a hedge fund manager. All over the city you see new buildings going up with signs that say "luxury condos- starting at $3M". And what do you get for that? Two bedrooms, 2000 sq ft at most. For that kind of money I want a house, pool, and maybe a dock on a lake somewhere where I can tie up my sailboat. Add 9/11 concerns.. every time you enter the subway here you're confronted with billboards from the MTA that read "if you see something, say something". A constant reminder that your home is the premier target for terrorists worldwide.. Who needs to live with that stress? On top of all that, NYC just isn't what it used to be. It's becoming a Disneyland version of it's self. NYC is pricing out all that was hip and cool. Chinatown has fled to Flushing, Queens. Our artists are fleeing to Brooklyn. Pretty soon NYC will be populated solely by the soulless.

I thought I wanted to live here when I came to NYC for residency, but now I'm looking south and west. My fiance owns a studio on the UES, so we can always come back to visit and really live it up when we do.
 
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