Daily reminder to do the bare minimum

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bravotwozero said:
Un effing believable.

It’s amazing how CMGs treat attendings like children.

It’s like me telling my kids ‘hey do you want to take a bath now, or in an hour?’ Either way, they’re taking a bath.

Gave the docs two impossible choices and then just made the decision for them.

Screw Apollo and whoever their site medical director is there.
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Apollo challenging usacs for scummiest cmg.
 
greatnt249 said:
Especially if they're of the variety/quality that RustedFox has written about in the past.
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I wish you hadn't reminded me.
I'm so... SO glad that I don't work at Country Club Medical Center anymore.
Our MLPs are actually kinda serviceable at the new shop.
I'm also minimizing MLP exposure by only working nights and (if available) solo shifts at the FSED.
 
RustedFox said:
Daily reminder to do the bare minimum.
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sylvanthus said:
Im playing Baldurs Gate 3 at work.
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My go-toos are Valheim, and Stellaris at work. Those two games can absorb days of your time and you can put them on pause at a moment's notice. Also do some Hims charts for extra $$$ at work if I'm feeling motivated.
 
RustedFox said:
During the summer months here (several years ago, back before the Exodus of northeasterners to Florida) I was working at a HCA FSED on overnights and had enough time to totally finish Chrono Trigger.
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I think steam port of this is my next
 
RustedFox said:
Blasphemous 2 comes out in 3 days.
This is my most highly-anticipated game.
Take all the macabre features of Inquisition-era Catholicism and make 2D platform hack-and-slash metroidvania game.
That's "Blasphemous".
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Ill have to try first one. Its like 6 bucks now lol.

Recently finished Hollow Knight. Was 15 bucks.

I love Steam.
 
ScepticSkeksis said:
My go-toos are Valheim, and Stellaris at work. Those two games can absorb days of your time and you can put them on pause at a moment's notice. Also do some Hims charts for extra $$$ at work if I'm feeling motivated.
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GonnaBeADoc2222 said:
How is it? Picked up a steam deck recently and currently playing RE4 remake, but almost done and looking for my next game.
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Its awesome. Highly recommend. Well worth it.
 
RustedFox said:
During the summer months here (several years ago, back before the Exodus of northeasterners to Florida) I was working at a HCA FSED on overnights and had enough time to totally finish Chrono Trigger.
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There was a sleepy little single coverage ED I worked at where I would go hours not seeing anyone. Many hours of Scythe were played.

At current dystopian shop, i get tattled on for even playing music.
 
I can't wait until Starfield comes out next month. That's going to absorb a major amount of my downtown at work. Especially in the last 2 hours when I don't pick up new patients.
 
I’m playing BG3 on my SteamDeck but may buy the PS5 version when it’s released just to enjoy on my OLED in 4K considering the XB version doesn’t come out until next year reportedly. At least it has cross save support. Either that or I’ll get the Mac version. The early access version played great on my MBP.

The last game I played at work was D4 during a slow night shift. I hooked up my XSS to the tv in our call room.

Otherwise, I’m pumped for Starfield. I can’t freaking wait to play that game. In the meantime, I’ve been playing Everspace 2 which is tons of fun and scratching my space flight itch. It reminds me of Forsaken and Descent from the good ol PC gaming days.

Another one I’m itching for is Armored Core 6 due out Friday. I’ve had that preordered for months.
 
Hoping Starfield runs well on the Deck

Knowing the developer, there will be massive problems at release across all platforms
 
GonnaBeADoc2222 said:
Hoping Starfield runs well on the Deck

Knowing the developer, there will be massive problems at release across all platforms
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I’ve been following some of the early access impressions on 4chan and Reddit/Twitter and somebody posted that they had played 15+ hours without a single bug so far which would be very unusual for Bethesda but also seems promising. I’m super curious as to how it runs on the deck. The game reportedly has cross save functionality so having a portable version of the game would be awesome though I intend to main on my XSX.
 
I plan to play on my laptop which has a decent GPU. That way I can also pretend to be doing work at my desk.
 
I just realized there are jobs out there where you can chill and relax for a moment? What?

It's even stranger because I had one for 2 years and forgot that such things exist.
 
DocEspana said:
I just realized there are jobs out there where you can chill and relax for a moment? What?

It's even stranger because I had one for 2 years and forgot that such things exist.
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Uh yea. I make 225/hr to see 1.5 pph.
 
DocEspana said:
I just realized there are jobs out there where you can chill and relax for a moment? What?

It's even stranger because I had one for 2 years and forgot that such things exist.
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I'm at a rural site today and considering a morning nap before anything happens.
 
I like the concept here but ill say I view my time as the most valuable asset I have. As such making the max money while practicing medicine as I please feels the best to me.

I would rather make 300/hr seeing 2pph than make 225/hr seeing 0.5pph (to use extreme examples). I also prefer 12 hour shifts to minimize my commute time.

A question for the do the bare minumum is how does the effort vs value of time come into play.

To use the example above if you could work 12 hour shifts making 300/hr and work 10 shifts a month isnt that much better than working 15 shifts a month for the 120 hours and making 225/hr?

Im just curious where the group finds itself with respect to shift length and effort vs $$
 
EctopicFetus said:
I like the concept here but ill say I view my time as the most valuable asset I have. As such making the max money while practicing medicine as I please feels the best to me.

I would rather make 300/hr seeing 2pph than make 225/hr seeing 0.5pph (to use extreme examples). I also prefer 12 hour shifts to minimize my commute time.

A question for the do the bare minumum is how does the effort vs value of time come into play.

To use the example above if you could work 12 hour shifts making 300/hr and work 10 shifts a month isnt that much better than working 15 shifts a month for the 120 hours and making 225/hr?

Im just curious where the group finds itself with respect to shift length and effort vs $$
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I'd rather make 75% of the pay to do 25% of the work as you described + lunch and coffee breaks + downtime to chill/day trade/asynchronous telemedicine + going home on time. It's a marathon, not a sprint.
 
EctopicFetus said:
Im just curious where the group finds itself with respect to shift length and effort vs $$
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If I’m stuck somewhere and can’t leave then I’d rather see patients and make money. Of course, this works in some kind of productivity model but not straight hourly.
 
EctopicFetus said:
I like the concept here but ill say I view my time as the most valuable asset I have. As such making the max money while practicing medicine as I please feels the best to me.

I would rather make 300/hr seeing 2pph than make 225/hr seeing 0.5pph (to use extreme examples). I also prefer 12 hour shifts to minimize my commute time.

A question for the do the bare minumum is how does the effort vs value of time come into play.

To use the example above if you could work 12 hour shifts making 300/hr and work 10 shifts a month isnt that much better than working 15 shifts a month for the 120 hours and making 225/hr?

Im just curious where the group finds itself with respect to shift length and effort vs $$
Click to expand...

Cool story, bro .


Daily reminder to do the bare minimum.


(This was in good ribbing. Your question is a good one and deserves an honest answer. But later.)
 
EctopicFetus said:
I like the concept here but ill say I view my time as the most valuable asset I have. As such making the max money while practicing medicine as I please feels the best to me.

I would rather make 300/hr seeing 2pph than make 225/hr seeing 0.5pph (to use extreme examples). I also prefer 12 hour shifts to minimize my commute time.

A question for the do the bare minumum is how does the effort vs value of time come into play.

To use the example above if you could work 12 hour shifts making 300/hr and work 10 shifts a month isnt that much better than working 15 shifts a month for the 120 hours and making 225/hr?

Im just curious where the group finds itself with respect to shift length and effort vs $$
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I agree, I’d rather make more at work per hour when I’m there. Then save and compound with time subsequently buying me more time later. Time is most valuable.

Productivity falls off after 10 hours. You aren’t able to make as much at 10-12 hours if you are slowing down. I know one SDG that intentionally staffs low and even has some 6 hour shifts of picking up patients that are really high volume with subsequent clean up time so can maximize productivity seeing most patients early on in your shift when you have the most energy.
 
EctopicFetus said:
I like the concept here but ill say I view my time as the most valuable asset I have. As such making the max money while practicing medicine as I please feels the best to me.

I would rather make 300/hr seeing 2pph than make 225/hr seeing 0.5pph (to use extreme examples). I also prefer 12 hour shifts to minimize my commute time.

A question for the do the bare minumum is how does the effort vs value of time come into play.

To use the example above if you could work 12 hour shifts making 300/hr and work 10 shifts a month isnt that much better than working 15 shifts a month for the 120 hours and making 225/hr?

Im just curious where the group finds itself with respect to shift length and effort vs $$
Click to expand...
I would much rather (and do) work more shifts that are shorter length. In your example, you've got 12 12s. Assuming single coverage, that's 6 overnights a month, and those nights are also 12s, whereas 3 8s a day yields 5 overnights a month for 15 shifts, and those nights are only 8 hrs long (all assuming an even distribution).

Aside from the extra nights that come (generally) with longer shifts, I also can't hustle at work for 12 hours like I do for 8 or 9hrs. My pace would slow down so much around the 10 hr mark that adding the hours on would only serve to lower my average hourly rate for the shift.
 
BoardingDoc said:
I would much rather (and do) work more shifts that are shorter length. In your example, you've got 12 12s. Assuming single coverage, that's 6 overnights a month, and those nights are also 12s, whereas 3 8s a day yields 5 overnights a month for 15 shifts, and those nights are only 8 hrs long (all assuming an even distribution).

Aside from the extra nights that come (generally) with longer shifts, I also can't hustle at work for 12 hours like I do for 8 or 9hrs. My pace would slow down so much around the 10 hr mark that adding the hours on would only serve to lower my average hourly rate for the shift.
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OK. I guess im a big fan of 12s but my group doesnt have them.. I’ll try to make it more of an apples to apples comparison.

I’ll restate my question as such would you rather work all 8s and job one see 2 pph and make 300/hr or job b see 1 pph but make 200/hr. The $/unit of work is higher for the lower paying job.

To make 300k in job 1 I have to work 1000 hours a year but I have to work 1500 hours a year in job B to earn the same.

My opinion is clear and skewed as I would frankly rather see 3pph and make 350/hr if it were sustainable than either of the above examples. For the sake of my example i am aware how i would be getting paid less and less per unit of work.

In reality in most true RVU based systems you should frankly be earning more per patient (which is how my sdg works). Every shift I have a fixed cost I cover. We operate as effectively an independent business unit. My scribe cost is fixed, one could argue my med mal cost is fixed and assuming a flat $/pt my fixed costs become a smaller and smaller % of my expense.

Again, I would be curious how the others on here see things. In my opinion part of doing the bare minimum is being at work as little as possible. Maybe my hospitals aren’t that nice but I dont find my time there terribly relaxing regardless of the number of patients I see. The beds suck, the food is average at best, the TVs small etc. I guess I would much rather be home.

Easiest to sprint to the FI line in my mind. As a parent maximizing my time with my kids matters. Whatever your financial goals are I think it is easiest for me to hit my desired income in the fewest hours possible. For those mentioning its a marathon i dont think im terribly special but ive been an attending for 10+ years. My first job out of residency we did a mix of 8,9,12s and I worked like a b*tch. I averaged 160 hours a month or so. Seeing 2pph. I tried to avoid the shorter shifts. Now I see more than 2pph, shifts are 8s and I average 100 hours a month clinically. My only complaint is I wish I could do 8 12s and not 12 8s.
 
RustedFox said:
Cool story, bro .


Daily reminder to do the bare minimum.


(This was in good ribbing. Your question is a good one and deserves an honest answer. But later.)
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Lol.. i know you mean no harm. real question (the tl;dr) of my long post above is is it better to work harder on shift to earn more and therefore be at work less or have an easier job (fewer pph) but have to be there for more hours to earn the same.

Caveat I would say is if you have a side hustle and the volume is so low you can double dip that changes the equation but for the sake of discussion keep it simple and pure. See options A and B above.
 
Mount Asclepius said:
Nope. I work as hard as possible whenever I work. Opposite of the path of trying to stick it to someone because of a bad job situation.
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LOL.

Lets work out the math in the example @EctopicFetus presented, assuming 1500 hrs / year:

1) $225/HR for 0.5 pph: 338k, 750 patients; $450/patient

2) $300/HR for 2 pph: 450k; 3,000 patients; $150/patient

Option 1 has less patients, more money per patient, less stress, less work, less documenting, less liability.

The choice is abundantly clear.
 
GonnaBeADoc2222 said:
LOL.

Lets work out the math in the example @EctopicFetus presented, assuming 1500 hrs / year:

1) $225/HR for 0.5 pph: 338k, 750 patients; $450/patient

2) $300/HR for 2 pph: 450k; 3,000 patients; $150/patient

Option 1 has less patients, more money per patient, less stress, less work, less documenting, less liability.

The choice is abundantly clear.
Click to expand...

Option 1 has more money per patient but less money per unit of time.
 
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