Day shifts only?

[Esquire]

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[Apollyon]

Essentially nil.

 

[deleted65604]

Pipe dream.

 

[J ROD]

Not likely....until you have alot of time in and basically call all the shots.

 

[southerndoc]

Could do urgent care only during days.

 

[docB]

You can go to a lot of groups and say you'll work only days and not more than three days per week and they may take you on as a part timer. But you will only be the person they call when they can't fill a shift. It's very unlikely that you'd get anywhere near three days a week. One to two shifts a month would be more likely.

 

[TysonCook]

none. you'd also be the first one to be fired when another partner came on willing to work more.

I guess you'd also have to look at benefits or not. If you wanted day shifts (meaning done with work by 10pm), and NO benefits etc, it may be possible. The above would still apply.

 

[NinerNiner999]

If you were in a large town with many groups and all of them were short-staffed, you could probably contract out to each group as a part-time / per diem provider without benefits. As mentioned above, though, this does not provide you with much security...

 

[RandomAttending]

It'll never happen.

Unless you are become a chair of a department and have already worked your share of nights/weekends/evenings.

Urgent care is typically evenings too.

If you only want to work days, choose derm (or ophtho).

 

[deleted65604]

I still wake up ophtho on occasion at 3 AM to talk about a patient and get advice. I had this post-op retinal bleed repair case that ophtho fixed 2,000 miles away, who showed up in my ER for excruciating eye pain. THey put an air bubble in the eye and as he drove his semi up the hill, it became excruciating around the summit (7,800 feet). I had no clue whatsoever how to help the guy. His IOP was 34. Luckily, I was able to get ahold of one of the on call ophtho guys who had me narc him up and add an eyedrop and send him out the door. He said his wife drove the rig too, but I have my doubts. I have this mental image of an extremely impaired guy (due to my massive doses of oral dilaudid and percocet) screaming down the interstate in excruciating pain, one eye tightly shut, the other squinting at every pair of headlights pointed his way.

But I digress.

I have never, ever, ever, called a derm consult from the ER. Very cush job. When in doubt, cut it out and double the steroids.

 

[Flopotomist]

My dream is the opposite - I want to work 3 overnights a week - If I find someplace where I can do this (as 12 hour shifts) and call it full time - I will be quite happy.

 

[Dwindlin]

I still wake up ophtho on occasion at 3 AM to talk about a patient and get advice. I had this post-op retinal bleed repair case that ophtho fixed 2,000 miles away, who showed up in my ER for excruciating eye pain. THey put an air bubble in the eye and as he drove his semi up the hill, it became excruciating around the summit (7,800 feet). I had no clue whatsoever how to help the guy. His IOP was 34. Luckily, I was able to get ahold of one of the on call ophtho guys who had me narc him up and add an eyedrop and send him out the door. He said his wife drove the rig too, but I have my doubts. I have this mental image of an extremely impaired guy (due to my massive doses of oral dilaudid and percocet) screaming down the interstate in excruciating pain, one eye tightly shut, the other squinting at every pair of headlights pointed his way.

But I digress.

I have never, ever, ever, called a derm consult from the ER. Very cush job. When in doubt, cut it out and double the steroids.

I thought it was "if its dry wet it, if its wet dry it."

 

[Dwindlin]

My dream is the opposite - I want to work 3 overnights a week - If I find someplace where I can do this (as 12 hour shifts) and call it full time - I will be quite happy.

Were I worked EMS prior to school one of the docs did this. Worked every Tuesday, Wednesday, and Thursday 10pm to 7am.

 

[SoCuteMD]

My dream is the opposite - I want to work 3 overnights a week - If I find someplace where I can do this (as 12 hour shifts) and call it full time - I will be quite happy.

This should be entirely possible. To be honest, though, I haven't heard of quite as many places that have 12s for attendings. Attending shifts (at least where I am) seem to be more 8s, 9s, or 10s which allows for more adjustment of staffing for peak/off-peak times. That being said, I've heard of places where 14 10s is full time. If you were willing to do ALL overnights, my guess is that you could pick your nights and maybe negotiate a 1 shift/month reduction (although if the place is fee-for-service, you'd take a pay cut).

 

[Apollyon]

I have never, ever, ever, called a derm consult from the ER. Very cush job. When in doubt, cut it out and double the steroids.

I have twice in my career - once as a resident. As a resident, I figured that a Duke derm resident needed to hit the ED once at 7am in their training - turned out it was weird looking ant bites.

Second was a pt post-procedure on a Sunday - whatever was under the packing, it was bleeding, and this guy came in! Later, I was told that this guy was rare-to-unique.

 

[dchristismi]

Gotta agree with the others. I have called derm exactly once, and it was for one hell of a scary looking rash. Derm thought it was something called "Sweet syndrome" over the phone, but I didn't drag him in. It was nearly midnight, but there aren't that many derm emergencies. At least ones that we don't already fix.

All days? In EM? Sorry, the weekends, nights and holidays are par for the course. That's what you sign up for when you pick EM. Besides, better pathology comes in at night, and there's less administration. (Coming from someone not scheduled for a single "day" shift for the next month)

 

[deleted65604]

I have also never woken a pathologist.

 

[Apollyon]

I have also never woken a pathologist.

Doctors know everything, and do nothing.
Surgeons know nothing, and do everything.
Psychiatrists know nothing and do nothing.
Pathologists know everything and do everything, but it's always 2 days too late!

 

[deleted65604]

I thought it was "if its dry wet it, if its wet dry it."

You are one up on my knowledge of derm. You must have done a rotation.

 

[TysonCook]

This should be entirely possible. To be honest, though, I haven't heard of quite as many places that have 12s for attendings. Attending shifts (at least where I am) seem to be more 8s, 9s, or 10s which allows for more adjustment of staffing for peak/off-peak...

I've got a mix of 10's/11's/12's and 19 total shifts this month, we get paid hourly so it hurts a little less, but it still hurts 🙂

I'd personally go to 3x12h overnights if possible 🙂👍

 

[BADMD]

What's the likelihood of securing a 3 day/wk, with only day shifts, in private practice EM? i.e., part-time days.

It is possible. It is just really, really hard.

There are people in my group that don't work overnights. They still get scheduled for them, however. They get really good at trading around. They know who is looking for extra hours, who likes what shifts, are willing to cover a few hours of shift on a random day as favor and they rarely say no to a trade. They also engineer ridiculous 5 and 6 way trades to get out of the shifts. They drive the scheduler nuts.