clocking in?

[drdan4]

---

Members don't see this ad.

anyone ever ever work for an AMC where you clocked in and out?

There is one AMC notorious for this. Clock in machine will be strategically placed close to the one Nurses use for extra humiliation.

Have a case that starts 10am? Nope, gotta come and clock in at 7am. Holiday Season and only 4 ORs going and 10 people off? Nope, everybody has to clock in the morning and hang around till dismissed. Clock will be used to penalize you if you come in late but nobody cares when you clock out because there is no overtime pay and nobody cares if you're overworked.

Of course all this for rock bottom salary and worthless benefits. But if even if it were borderline competitive, there is something to be said for Autonomy when you are a Physician.

 

[jwk]

With our group, everything related to the schedule is done online. There is no punch-clock.

The schedule setup for both docs and anesthetists is incredibly fair and equitable, but it is no small job. We use scheduling software that can be programmed to take into account any number of parameters we choose. We schedule three hospitals with approximately 75 anesthetizing locations, perhaps 15 outpatient centers with another 25 anesthetizing locations, and four physician-only pain clinics. We start every morning with over 100 anesthetists and maybe 40 docs. On top of that, we cover evenings and nights with additional staff. This would not be possible without very robust computerized scheduling. And again - the docs only clock in.

 

[sevoflurane]

There is one AMC notorious for this. Clock in machine will be strategically placed close to the one Nurses use for extra humiliation.

Have a case that starts 10am? Nope, gotta come and clock in at 7am. Holiday Season and only 4 ORs going and 10 people off? Nope, everybody has to clock in the morning and hang around till dismissed. Clock will be used to penalize you if you come in late but nobody cares when you clock out because there is no overtime pay and nobody cares if you're overworked.

Of course all this for rock bottom salary and worthless benefits. But if even if it were borderline competitive, there is something to be said for Autonomy when you are a Physician.

I have no words except just wow... if this is true.

 

[Noyac]

I have no words except just wow... if this is true.

Ditto.

 

[Noyac]

There is one AMC notorious for this. Clock in machine will be strategically placed close to the one Nurses use for extra humiliation.

Have a case that starts 10am? Nope, gotta come and clock in at 7am. Holiday Season and only 4 ORs going and 10 people off? Nope, everybody has to clock in the morning and hang around till dismissed. Clock will be used to penalize you if you come in late but nobody cares when you clock out because there is no overtime pay and nobody cares if you're overworked.

Of course all this for rock bottom salary and worthless benefits. But if even if it were borderline competitive, there is something to be said for Autonomy when you are a Physician.

It seems to me that one way to make a statement to this AMC that this is unacceptable and that as physicians we are held to a different standard, not because we are arrogant asses but because we are the ultimate professionals. We will put all of our personal needs aside to tend to a pt. Sure, not every physician is made of this clothe just as, not every police officer is color blind. And yes, we have some bad players. But these bad players are easily identified.

So, what I am getting at is that groups like this should be outed when possible. This won’t change their practice but it might warn enough people therefore making it more and more difficult for these sort of groups to retain good doctors. And then, just maybe we can rid our specialty of these blood sucking trolls.

 

[Mman]

There is one AMC notorious for this. Clock in machine will be strategically placed close to the one Nurses use for extra humiliation.

Have a case that starts 10am? Nope, gotta come and clock in at 7am. Holiday Season and only 4 ORs going and 10 people off? Nope, everybody has to clock in the morning and hang around till dismissed. Clock will be used to penalize you if you come in late but nobody cares when you clock out because there is no overtime pay and nobody cares if you're overworked.

Of course all this for rock bottom salary and worthless benefits. But if even if it were borderline competitive, there is something to be said for Autonomy when you are a Physician.

 

[drdan4]

You want a name? Please, it's one of the biggest AMCs out there. Also, one of the most vindictive.

Anyway, I would venture that some of the most knowledgeable and veteran members of this board are now clock punchers. Clock punching is probably the most humiliating and shameful thing you can do as a Physician. No one really wants to talk about it. I have yet to see any Surgeon come close to punching a clock.

I agree with the indignation in this thread. Despite abysmal working conditions, the reality is that between the Sellouts, Docs over 55 (unmarketable), troubled CVs, naive new grads and "geographical bound" folk, there are enough warm bodies to do ACT 1:4 and fill rooms.

And that AMC has hit their profit margin every year they have been there.

 

[GravelRider]

It seems to me that one way to make a statement to this AMC that this is unacceptable and that as physicians we are held to a different standard, not because we are arrogant asses but because we are the ultimate professionals. We will put all of our personal needs aside to tend to a pt. Sure, not every physician is made of this clothe just as, not every police officer is color blind. And yes, we have some bad players. But these bad players are easily identified.

So, what I am getting at is that groups like this should be outed when possible. This won’t change their practice but it might warn enough people therefore making it more and more difficult for these sort of groups to retain good doctors. And then, just maybe we can rid our specialty of these blood sucking trolls.

That's very idealistic. However, do you honestly think that the private equity shareholders care one bit about your principals and standards? Aren't most AMCs already outed as treating physicians like garbage yet they continue to flourish? They'll find someone with a pulse to replace whoever leaves.

 

[dannyboy1]

That's very idealistic. However, do you honestly think that the private equity shareholders care one bit about your principals and standards? Aren't most AMCs already outed as treating physicians like garbage yet they continue to flourish? They'll find someone with a pulse to replace whoever leaves.

This, in a nutshell is the problem with anesthesia. There is almost no benefit to the AMC to hire a “good” doc. The disinterested clock puncher does as good of a job for the most part ( when you define a good job as the patient is alive and neurologically intact in PACU). In fact the clock puncher is less likely to argue with the surgeons or cancel cases.

 

[Noyac]

That's very idealistic. However, do you honestly think that the private equity shareholders care one bit about your principals and standards? Aren't most AMCs already outed as treating physicians like garbage yet they continue to flourish? They'll find someone with a pulse to replace whoever leaves.

I agree, but as more and more of these firms are outed the more difficulty they will have recruiting “good” docs. Then when they move in on a location the care discrepancy will be even more obvious.
Don’t think for a minute that the hospital CEO’s don’t talk about this stuff.

 

[Noyac]

This, in a nutshell is the problem with anesthesia. There is almost no benefit to the AMC to hire a “good” doc. The disinterested clock puncher does as good of a job for the most part ( when you define a good job as the patient is alive and neurologically intact in PACU). In fact the clock puncher is less likely to argue with the surgeons or cancel cases.

When surgeons are accustomed to a certain standard of care and then it changes dramatically they head straight to the CEO’s office. CEO’s don’t like dealing with angry surgeons.

 

[dannyboy1]

When surgeons are accustomed to a certain standard of care and then it changes dramatically they head straight to the CEO’s office. CEO’s don’t like dealing with angry surgeons.

Well, somehow AMC’s exist and do well with the current model. So either the care is good enough for the surgeons or they are willing to stomach some pissed off surgeons as long as it is offset by lower anesthesia costs...

 

[Shimmy8]

I guess I should clarify my comments about “clocking in” with regard to my practice, we just log our hours online.

No true real “clocking in” using a machine or anything.

 

[Noyac]

Well, somehow AMC’s exist and do well with the current model. So either the care is good enough for the surgeons or they are willing to stomach some pissed off surgeons as long as it is offset by lower anesthesia costs...

True, they do exist. But they are also losing many more sites these days than they did in the beginning. If the hospital is in a competitive market then the CEO is much less tolerant of this than if they are the only gig in town. The surgeons will slowly begin to increase their case load at other facilities if the anesthesia services are better among many other services.

 

[Twiggidy]

You want a name? Please, it's one of the biggest AMCs out there. Also, one of the most vindictive.

Anyway, I would venture that some of the most knowledgeable and veteran members of this board are now clock punchers. Clock punching is probably the most humiliating and shameful thing you can do as a Physician. No one really wants to talk about it. I have yet to see any Surgeon come close to punching a clock.

I agree with the indignation in this thread. Despite abysmal working conditions, the reality is that between the Sellouts, Docs over 55 (unmarketable), troubled CVs, naive new grads and "geographical bound" folk, there are enough warm bodies to do ACT 1:4 and fill rooms.

And that AMC has hit their profit margin every year they have been there.

Schorthschtar?

 

[anes121508]

Still killing me, thought of clocking in is ridiculous without OT pay. It’s like the worst of both worlds

 

[deleted162650]

Schorthschtar?

Isn’t that who staffs the shmashmortion clinic?