Best ROI: Scaling with Mid-Levels versus "Mom-Docs?"

[drusso]

A related conundrum on the PA/NP doing procedures discussion. Which is the best option:

A) "Alpha" ortho-PA kind of burned out of ortho call and wants to transition to clinic-only/first-assist practice. Probably very efficient in the clinic but more limited skill set.

B) Beta/"Mom-doc" (could actually be male or female) with a high-earning spouse remote working spouse and nanny looking for an "interesting" way to keep busy in between running kids to events, etc. Broader skill set and less supervision are required but no "eye of the tiger" when it comes to productivity.

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[callmeanesthesia]

Then you have someone to supervise the PA while you are doing procedures…

 

[ateria radicularis magna]

I think you could find B with the eye of the tiger

 

[Agast]

Midlevels who go into private practice pain management either had no other good options or are a little shady

 

[geauxg8rs]

Midlevels who go into private practice pain management either had no other good options or are a little shady

But the option B “doc” is going to be lazy and only wanna work when it suits them. No thanks

 

[nvrsumr]

B

had a very amiable older male doc who worked with me. Single with no kids and was a talented artist and that was his passion. Grandfathered into pain. Very happy to do 20 injections a day and chat up patients. 1099.

still hit my head wondering why I let him go.

 

[Ferrismonk]

Midlevels who go into private practice pain management either had no other good options or are a little shady

Disagree. I've seen them just really want the 8-4 M-F schedule.

 

[gaseous_clay]

Midlevels who go into private practice pain management either had no other good options or are a little shady

That’s a big assumption. Keep in mind that for some midlevels, it’s about lifestyle, and we do have pretty good hours/call schedule compared to other specialties.

 

[BobBarker]

All of the pain midlevels I have met have been very nice ladies with families. They all seem to enjoy the work and the schedule. Pain docs are typically a pretty friendly bunch. It is probably easier to work with us than most specialists.

 

[paindoctor2014]

Midlevels who go into private practice pain management either had no other good options or are a little shady

No. Just don’t want the call. If you think about it most docs are paid for production. Rvu or collections etc. so the more you work, the more you make. Most of the mid levels are salaried with maybe a small bonus.

my mid level was doing ortho working 65 hours a week, now works 40 and makes the exact same

 

[Agast]

Pain patients can be difficult and emotionally taxing. Isn’t that part of why y’all are trying to hand off your patients to midlevels? We’re up there with psych. Our patients come in literally to complain about their lives and sometimes blame us for their problems. Also lmao @ “pain doctors are good to work for, they like us better than other doctors cuz we’re nice.” That barista secretly thinks you’re cute and you’re the bartender’s favorite customer too.

 

[lobelsteve]

Pain patients can be difficult and emotionally taxing. Isn’t that part of why y’all are trying to hand off your patients to midlevels? We’re up there with psych. Our patients come in literally to complain about their lives and sometimes blame us for their problems. Also lmao @ “pain doctors are good to work for, they like us better than other doctors cuz we’re nice.” That barista secretly thinks you’re cute and you’re the bartender’s favorite customer too.

You forgot the flight attendant.

 

[Agast]

You forgot the flight attendant.

The flight attendant hates me. She doesn’t think I have what it takes to sit in the exit row 😡

 

[BobBarker]

I know we are nicer than ortho and gen surgery. We are anesthesiologists and physiatrists. Of course, we are nicer.

 

[drusso]

I know we are nicer than ortho and gen surgery. We are anesthesiologists and physiatrists. Of course, we are nicer.