Easy ASC Job in Southern Connecticut, 10 Weeks Off, 2-4 days per week

[BPTANES]

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Members don't see this ad.

Not looking for a locum doc, but for a REGULAR doc long-term (at least for a year or more)

Must credential at 2 Surgical Centers in Southern CT, about 1 hour from NYC.

Need a doc at least 2 days per week every week except for 10 WEEKS VACATION

Choose whichever works best: 2,3,4 days per week.

Compensation on an hourly basis, or with benefits is available:

2 days per week = 200k plus benefits and 10 weeks vacation
3 days per week - 300k plus benefits and 10 weeks vacation
4 days per week - 400k plus benefits and 10 weeks vacation

275/hr x 10hr guarantee per day (if you do not want benefits)

No call, No weekends, days typically end by 5 and often earlier.

Cases include: Eyes, GI, Pain, Oculo-plastics

1-2 cases requiring GA per day if any at all.

Supervising CRNAs (who are employed by the group) usually 1:3, rarely 1:4

Small, private, physician-owned group.


Please message me if you are interested to discuss further

 

[sevo00]

damn 275/hr with no benefits sucks ass

 

[centdoc]

Ain’t nobody showing up for less than $350/hr. I doesn’t matter how easy. At 1:3 at a busy surg ctr, it won’t be an “easy” gig.

 

[dmk5n]

free vitamin D supplements and Sunlight spa membership.

 

[GravelRider]

Looks like the hourly rate is $238/hr for benefits (I assume benefits are malpractice and health insurance?). That seems pretty low and not competitive in this current market. I think at $275/hr you should include benefits and the job should be pretty easy. Without benefits, I think you need to be around $325/hr to get serious interest. That’s just my opinion.

 

[aneftp]

Looks like the hourly rate is $238/hr for benefits (I assume benefits are malpractice and health insurance?). That seems pretty low and not competitive in this current market. I think at $275/hr you should include benefits and the job should be pretty easy. Without benefits, I think you need to be around $325/hr to get serious interest. That’s just my opinion.

1099 rate general over tax load is estimated to be effective 15-18% depending how aggressive someone is with their deduction. 10% effective tax rate on 1099 income is super aggressive.

You w2 effective rate generally is 25-28% overall

As in life. W2 vs 1099 “depends” on what exactly the w2 benefits are.

Considering it’s a small private group the benefits likely suck. (Bad health care, min retirement match?) the benefits likely are not worth going w2

 

[AKMD_1984]

No.
Not market competitive.

People think that ASC jobs are “Cush”. That’s a fallacy.

If you look at the rvu’s and schedule at some of these places and questionable pre op work up and surgeon owned entities that really just keep pushing cases, and you’re dealing with it on the day of - it’s not really that exciting.

Don’t get me wrong, I like working at ASCs, but I only do it to keep up with my regional skills. Two weeks ago Thursday, I was at an ASC and pre op’d over 30 patients and blocked around 8 cases.

The worst of it is that it’s electronic charting which they implemented and none of the h/p data transfers over like epic. I was there starting 630 and we got done at 530.

That kind of labor and squeeze it’s not worth even 350/hr.

The above “employment” job will only make sense if you offer a production incentive after certain cases, or shares or partnership in ASC.

Those days of hiring a doc and doing beatdown on them are done.

That’s why this ASC is unable to recruit.

As I have mentioned multiple times, good gigs don’t need to be sold or advertised. They fill up by reputation and networking.

Just my 2 cents on the above job.

 

[nimbus]

No.
Not market competitive.

People think that ASC jobs are “Cush”. That’s a fallacy.

If you look at the rvu’s and schedule at some of these places and questionable pre op work up and surgeon owned entities that really just keep pushing cases, and you’re dealing with it on the day of - it’s not really that exciting.

Don’t get me wrong, I like working at ASCs, but I only do it to keep up with my regional skills. Two weeks ago Thursday, I was at an ASC and pre op’d over 30 patients and blocked around 8 cases.

The worst of it is that it’s electronic charting which they implemented and none of the h/p data transfers over like epic. I was there starting 630 and we got done at 530.

That kind of labor and squeeze it’s not worth even 350/hr.

The above “employment” job will only make sense if you offer a production incentive after certain cases, or shares or partnership in ASC.

Those days of hiring a doc and doing beatdown on them are done.

That’s why this ASC is unable to recruit.

As I have mentioned multiple times, good gigs don’t need to be sold or advertised. They fill up by reputation and networking.

Just my 2 cents on the above job.

Doing 30 preops sounds like clinic and I went into anesthesia specifically to avoid clinic.

 

[AKMD_1984]

Doing 30 preops sounds like clinic and I went into anesthesia specifically to avoid clinic.

Yeah that’s what I felt like.
At least in clinic I run the show - here you’re literally the surgeon’s bitch. Not to forget can’t leave to get lunch which is the best time of my day

 

[sevo00]

Will OP ever return to this thread? Lol

 

[NicholasPavona]

Will OP ever return to this thread? Lol

No. They have been shamed into hiding.

 

[BPTANES]

Will OP ever return to this thread? Lol

I have been following along. It has been mind-opening to hear the current compensation rates. If compensation is your only issue with this job then feel free to message me and we can work something out. The truth is that the monotony of the cases has been more of a limiting factor in our recruiting. I have approval to offer an increased rate as outlined below:

"Easy" cases means you do the pre-op and then >90% of the time you don't see that patient again as its a MAC cataract or GI done by a CRNA.
No blocks. Rare GA LMA 1 per day maybe, 2-3 per week max. 20-30 cases per day, rarely 35 plus cases during 4 room days (once/twice per month). It can be a busy place and you have to move along and smile and nod. Some days will end by 2-3pm, latest days 530pm.

We are open to:

260k/yr for 2 days with benefits and 12 wks vacation,
390k/yr for 3 days with benefits and 12 wks vacation.

Benefits are Anthem. Profit share/match is 7% total paid by us. Malpractice paid by us.

We would be open to 350/hr x 10hr 1099 or w2 no benefit shifts if we could find someone to commit to 2-3days per week at that rate.

**We would also be open to weekly coverage: 18k per week for all 5 days** and no benefits here it would be 1099 or w2.
Can be one week per month for a total of 12 weeks. Would accept up to 18 weeks spread throughout the year in a schedule we could discuss.
Maybe this would appeal to someone coming in from out of town, work for the week and then leave town.

Appreciate your feedback all and let me know if those numbers move the needle for anyone you may know.

 

[aneftp]

No.
Not market competitive.

People think that ASC jobs are “Cush”. That’s a fallacy.

If you look at the rvu’s and schedule at some of these places and questionable pre op work up and surgeon owned entities that really just keep pushing cases, and you’re dealing with it on the day of - it’s not really that exciting.

Don’t get me wrong, I like working at ASCs, but I only do it to keep up with my regional skills. Two weeks ago Thursday, I was at an ASC and pre op’d over 30 patients and blocked around 8 cases.

The worst of it is that it’s electronic charting which they implemented and none of the h/p data transfers over like epic. I was there starting 630 and we got done at 530.

That kind of labor and squeeze it’s not worth even 350/hr.

The above “employment” job will only make sense if you offer a production incentive after certain cases, or shares or partnership in ASC.

Those days of hiring a doc and doing beatdown on them are done.

That’s why this ASC is unable to recruit.

As I have mentioned multiple times, good gigs don’t need to be sold or advertised. They fill up by reputation and networking.

Just my 2 cents on the above job.

Well I got u beat. I did 13 blocks by 12pm last month. 545am-615pm at busy ortho center for $350-hr

1:3 coverage. Crnas barely have enough time to pee. I gave 2 (10 min lunch breaks). Things do slow down by 2pm but it was a zoo at the busy ortho center I covered last week

U are right. They can’t find a full time or if they find a full tim guy , the full time guy won’t last more than a year.

The ortho center as says “10 minutes from the beach, enjoy ASC lifestyle no calls no weekends , 4 days a week for 500k/8 weeks off” with 3 days weekends every week

To someone from northeast (the doc is from cold weather state). Beach, outpatient , 4 days , no calls, no weekends. Sign me up.

So the ortho ASC is closer to a 700k a year job workload wise.

They will some get some docs who are adverse to taking calls. I’m telling the full time doc to go to hospital 15 min away. No ob. No peds no trauma for 585k and 10 weeks off. Work 35 hrs a week. But he doesn’t want to take call.

I get it. Call can suck. We all been There. But hospital pace is different than ASC pace.

 

[AKMD_1984]

Yeah with paper charting I had templates made of paper on photocopies

I had learned to be extremely efficient

Just attach the ultrasound image and sticker and date you’re done


the emr (echarts) at this asc is ridiculously inefficient. I have to manually enter preop data like “hypertension” and all their h/p data that is typically uploaded by ma at checkin

They refuse to do that for anesthesia so we are on our own

Asc only benefits the owners and surgeons

It’s not all that for an anesthesiologist tbh

 

[AKMD_1984]

I have been following along. It has been mind-opening to hear the current compensation rates. If compensation is your only issue with this job then feel free to message me and we can work something out. The truth is that the monotony of the cases has been more of a limiting factor in our recruiting. I have approval to offer an increased rate as outlined below:

"Easy" cases means you do the pre-op and then >90% of the time you don't see that patient again as its a MAC cataract or GI done by a CRNA.
No blocks. Rare GA LMA 1 per day maybe, 2-3 per week max. 20-30 cases per day, rarely 35 plus cases during 4 room days (once/twice per month). It can be a busy place and you have to move along and smile and nod. Some days will end by 2-3pm, latest days 530pm.

We are open to:

260k/yr for 2 days with benefits and 12 wks vacation,
390k/yr for 3 days with benefits and 12 wks vacation.

Benefits are Anthem. Profit share/match is 7% total paid by us. Malpractice paid by us.

We would be open to 350/hr x 10hr 1099 or w2 no benefit shifts if we could find someone to commit to 2-3days per week at that rate.

**We would also be open to weekly coverage: 18k per week for all 5 days** and no benefits here it would be 1099 or w2.
Can be one week per month for a total of 12 weeks. Would accept up to 18 weeks spread throughout the year in a schedule we could discuss.
Maybe this would appeal to someone coming in from out of town, work for the week and then leave town.

Appreciate your feedback all and let me know if those numbers move the needle for anyone you may know.

18k / week would make sense pending hours are reasonable.
You can probably sell that.

But are you starting plastics cases at 4 pm and expecting the MD to do that solo, and then come back in the morning to do medical direction during that week??

I’m getting quite wary of fixed pay for undefined work these days. I look at actual labor and infrastructure and support staff too.

I have moved away from “per hour” conversation a lot specifically for this reason.

Yes most asc is medical direction.

Pain is a big drag down - these are Medicare patients and cases are being done in asc to capture facility fee even though they can very well be done in office setting under local. I’m talking about basic bread and butter esi, mbbs, joint injections.

At the end of the day, nothing Beats Solo cases with a good surgeon that you have a working relationship with.

I’m glad we are discussing these topics over and over here.

It’s nothing personal against your offer but I’m sharing my personal experience as a 100% independent doc. This is my bread and butter.

 

[centdoc]

At the end of the day, nothing Beats Solo cases with a good surgeon that you have a working relationship with.

This 1000%

 

[Volatile]

No.
Not market competitive.

People think that ASC jobs are “Cush”. That’s a fallacy.

If you look at the rvu’s and schedule at some of these places and questionable pre op work up and surgeon owned entities that really just keep pushing cases, and you’re dealing with it on the day of - it’s not really that exciting.

Don’t get me wrong, I like working at ASCs, but I only do it to keep up with my regional skills. Two weeks ago Thursday, I was at an ASC and pre op’d over 30 patients and blocked around 8 cases.

The worst of it is that it’s electronic charting which they implemented and none of the h/p data transfers over like epic. I was there starting 630 and we got done at 530.

That kind of labor and squeeze it’s not worth even 350/hr.

The above “employment” job will only make sense if you offer a production incentive after certain cases, or shares or partnership in ASC.

Those days of hiring a doc and doing beatdown on them are done.

That’s why this ASC is unable to recruit.

As I have mentioned multiple times, good gigs don’t need to be sold or advertised. They fill up by reputation and networking.

Just my 2 cents on the above job.

Exactly. Many new grads see $500k for ASC work, no nights or weekends and jump on it. In reality it can be awful, running around covering 4 busy rooms, staying until patient leaves pacu means a lot of late nights. I’d rather be on call and get the post call days. ASC work can be an absolute grind day in and day out.

 

[aneftp]

Exactly. Many new grads see $500k for ASC work, no nights or weekends and jump on it. In reality it can be awful, running around covering 4 busy rooms, staying until patient leaves pacu means a lot of late nights. I’d rather be on call and get the post call days. ASC work can be an absolute grind day in and day out.

W2 Salary only works if you get a ton of weeks paid off (20-30 weeks off). That’s the only real protection. Because you don’t know the hours worked or the work load.

 

[FatKid]

Let’s be real…most ASC jobs are basically running around crazy being a pre-op bitch and block jock…$400/hr or no thanks