Trust me, I’ve now been on both sides.
Can you give an idea of what cities you are referring to? Dont have to name your city but curious what you mean here.
This is sort of funny to me as a non locums person and someone who only when I was moonlighting did I ever work with locums people directly.
I thought it was fairly self explanatory so maybe I don’t understand your question. Technically the definition would be ~50-500k people, but I think the more desirable cities with decent jobs are in the 100k-1M range (still not large cities). You can find $500k+ FT SDG jobs in desirable states in cities of this size.
Name the cities..
pmc.ncbi.nlm.nih.gov
Better job security for US docs. Opponents to the new rule are saying more mid level use but I still prefer mid levels to hiring foreign docs who will do a 400k job for 200k. And I don’t think midlevels would replace docs where they would be required.
It’s not about sticking it to anyone.
Im so confused. So if the locums doc doesnt work those shifts what would “force” those FT to work 25? Even more importantly if the chose to do so the money they could demand would be spectacular. I disagree with this idea. Let’s be honest, the locums docs work for a higher wage. Why? Simple lots of dough. If they didnt exist the $$ would be even higher. Simple supply / demand economics with a sprinkle of price gouging. It happens in reverse as well. Saturated market.. CMG lowers pay..
Not surprised by that result and in fact I was probably a part of that data set.* When I was doing locums for USACS I didn't care if I dictated a level 5 chart, probably didn't chart well enough for them to bill for a lot of extras, and rarely claimed critical care. Why would I? I get the same $400/hr either way. If they sent me "coder comms" later asking me to buff my chart for some extra billing I always clicked "unable to elaborate". Why waste my time logging in remotely, reading the chart, and then making the changes. I'm sure most of their locums were the same. Interesting though that by all their other quality measures locums was as good as their regulars.(Maybe says more about the regulars?)
This is 100% what the malignant sdg near me did. Took over the entire town minus the parts controlled by an equally bad cmg and just said, this is how many shifts you are gonna work.
Ft. Worth.
Times change. Austin was about 6 years ago. That's what I get!
Someone has to work the shifts or the hospital will find another company to do the job.
I’m not sure about that. It’ll be the same pit docs but a new “company”. If it’s a tough place to staff the full timers who are there aren’t going to go anywhere no matter who has the contract.
Man this would be brutal and do it enough time would create more holes as full timers start to quit. Some places I work would be down right criminal with just one doc working.
Yep this happened a lot when I would work locums at two particular sites. I’d just stop seeing everyone non-critical. It wasn’t bad.
I've seen that too. Suddenly a schedule that had 7 doc and 6 APPS had 5 docs and 5 APP's. I would just add a few hours of overtime to my already extended shift and dare them to blink. They always paid the overtime. They still win though because their full timers were banned from requesting overtime and cutting two doc shifts and an APP shift from the schedule saved them a ton of money.
New doc who rocks the boat gets let go to the sea.
CMG or physician owned is all the same. All the CMGs are basically the same.
We don't have any of that crap.
This is the way..
I dont know how /why people do it. We hammer our residents about what a job should look like. I also think people dont realize how good it can be and frankly just expect to be abused. I talk to former residents and my colleagues from other parts of life.. I am also lucky to know some great SDGs. I’ll just say… there is money to be made, to be treated fairly, and generally be happy at your job. You can make “good locums” type money plus every shift with the ability to sleep in your bed.
I think it’s the fear of which CMG you get next…
The CMG carousel is never better in my experience. The hospital CEO always looks to save money while saving their job which means replace crappy CMG #1 with diarrhea CMG #2 until finally getting to USACS.
You’re 100% correct. At some point, you’ll get high enough in admin that your allegiance is expected to shift from physicians to administrators. You won’t last long in that position unless you fall in line. Besides, I don’t have much respect from a physician’s point of view of any physician administrator who no longer works clinically. They’re just an administrator at that point.
I will say there are different "admin" roles. Being the president of an SDG is not the same as being the medical director of a site. How much you interact with the hospital matters. Some medical directors are still more in service of the docs especially with SDGs.
