No I will not be medical director, as I will be leaving for a fellowship in 6 months, and they don’t want turn over in the director role.
As you describe, yes, it is likely too good to be true. If this were a $600k per year job that was this good they wouldn't need to be using locums. There's a catch somewhere, and it's fair to ask that (in more professional terms, obviously).
This makes it sound like there will be some kind of production quota. Is this a straight up $300k for are there stipulations? If you want appointment lengths and/or number per day to be guaranteed this needs to be specified in the contract.
Yeah
Yeah great question I will ask in the follow-up interview, if there are production quotas or additional stipulations. All I know for now is what was discussed in this first interview outpatient M-F 9 to 5 work. No call no weekends.
Also curious of this, bump.
This is straight garbage unless you are only seeing 1/4 of the beds even then that is still quite poor. If you were billing that yourself to insurance discounting the hospital fee you generate you could make 2500 seeing 1/2 of the beds
Yeah locums in Florida sucks major a**.
Out of curiosity why not just start your own practice, rent an office one day a week, do the rest tele? You'd earn probably 75% more.
I am graduating off cycle and am likely leaving for a fellowship in June. Match results come out nov 30
Fair offer if in a LCOL area, and with no call unless the call is compensated well
Call is the big make/break in this. If you can avoid it altogether that is the best case scenario. If you are taking it and it's a busy for-profit hospital be prepared to be called a lot and make sure it's real compensation for it. I did a similar job for a year and would average 4-6 calls between 10pm-7am which makes for a very tough night of sleep.
For sure - I will find out about this. One hospital I was in discussion with was reimbursing home call at 400 per night for weekday and 500 for weekend. For that rate I think I could tolerate a night of interrupted sleep...but well see.
400 per night is not good pay for call..ortho and other specialties are making 1500 or more per night of call, you’re sacrificing your sleep and dying younger due to taking call..it should be worth it
For at home call answering a phone and never going in? I've seen that for in house call sure but that is a bit different than from home call never going in and answering a few 30s-2min phone calls
The point is you’re sacrificing not only the quality but the longevity of your life for this so better make it worth it
I dont know, I think it depends on the person. I can get back to sleep pretty easily. Those calls in residency never bothered me too much.
I agree. But that doesn’t discount the question you’re tossing numbers out that are just not comparable creating false expectations.
Im not tossing out numbers I'm saying that’s what ortho makes, they are at home call and they just answer questions but have to come in if it’s emergency which we don’t, either way we are both waking up at night and sacrificing our longevity and quality of life
I'll give you an offer I was recently given as comparison. 1099. Psych ED. 15 beds, you split with an NP. A few new patients per day who NP also helps with. 10am to 5pm. Work load seems pretty light but as 1099 so does pay. They offered 210/hr at initial phone call. I wouldn't take it at this but if we could go to 240 I'd probably accept.
It's technically a consult position - ED PAs are primary and consult psych when needed. Supposedly ranges from 0-7 consults/day, averaging at 3/day. Hours 8-4, for 14 shifts/month. So comes out to $232/hour for salary. Salary seems non-negotiable since it's a flat rate across the entire department.
I would jump on that. Would leave time for another job if you wanted to make well over 400k.
And to answer your question re: appropriate time to negotiate initial salary number-- as soon as you get an offer in hand, then you can ask for what you want and see what they come back with.
Gotcha. So youd agree that first number isn't likely to be their best but I should wait until I get an offer to negotiate pay? Places like VA, Kaiser prob notwithstanding.
Yes, absolutely. They know you'll negotiate, but most employers/recruiters would be turned off if you try to negotiate before receiving an official offer.
Yeah I'd be really curious what the actual statistics are. Maybe it's close to what they're quoting now but they're hiring with the hope of expanding what's consultable.
what is sus? What is BFE? I don't know these abbreviations...
oh, suspicious? I did confirm it with person who previously held the job.
Maybe? This is basically my current position at an academic hospital except my actual work shift is 6 hours with 2 hours of overlap with next shift/admin time. Base salary is $210k with expected income after RVU bonus and call to be around ~240-250k, maybe higher.
BFE = Bumblef*** Egypt; basically places so rural/isolated that no one has heard of them.
Disability evals
Thank for the reply. I agree a benzo clinic sounds like a nightmare, and they've assured me this is not one (so they say).
I mean, some people in private practice do that. I think it's a bit exploitative, especially for long-term patients who've been on a stable dose with no concerns for overuse or diversion.
In my area you have to pay out of pocket for most controlled meds with monthly visits. Your lucky if providers are doing monthly visits via insurance. There is no shortage of patients. Most of my colleagues don't feel comfortable giving 3 mo of stims/benzos etc vs 3 mo of SSRI etc in terms of liability as an overall trend you'll have more issues with the former category and in PP you want to minimize these things. Also, patients talk. If one finds out your doing 90 days for a select few that causes potential issues.
Genuine question: what liability are you worried about and how do monthly appointments protect you against that liability in a way that q3mo, for example, wouldn't?
