They did hire a few new full time people, but the overstaffing is due to over hiring locums.
This is good hospital management. I applaud them. Can’t nickel and dime. Probably costing them 750k in locums fees for 3 months ago. Just the cost of doing business.
The same thing happened in Midland. Credentialed something like 40 anesthesiologists for 8 spots per day.
The old docs are slowing coming back at contracts based on 40 hrs. Even administration is reading my post or talking to other administration who have figured out how to pay anesthesia docs.
This is the play book. When the hospital opens up the checkbook you hire anyone you can to make sure you cover everything. Those early days are the absolute best when you’re overstaffed and getting paid to do little. Then as you figure out who plays well with others (some refuse supervision, some refuse solo, some refuse certain cases) you get rid of them and you cut out the more expensive ones or the locums staffing agency.
Yup. I told some of my friends who went there that they were overstaffed- now they are scrambling last minute to find other gigs.
I have been posting about this for the last 12-15 months.
It worked out to $2750/hr for my friend Friday night.
This is what I have except I make about $600k. But it’s like working at a VA where’s really slow, call is super slow, and I leave early often.
What do you guys recommend if you live in an area where Envision dominates the market and rates are 250/hr w2 with them. People seem to consistently cover shifts for this type of compensation because they are tied to the area and there is nowhere else to work really.
Work the minimum that will get you benefits, then locums elsewhere; don't cover extra for CRNA rates.
Unfortunately some people are hard up for money.
NAPA is paying $225/hr W2- it is so insulting but someone will sign up for that. Envision has all these no Florida resident rules for the locum/PRN jobs to control the rates- it is self defeating because they are paying up the ass to get out of state people. And there is one south Florida job every locum company has been hitting me up for since the spring- obviously they are still having a hard time filling it up.
$225-hr w2 is like $146/hr post tax for an anesthesiologist in the 35% tax bracket.
Yup, they overhired locums. Some people were getting notice for full or partial cancellation of their weeks even before starting.
Self defeating is great for locums… no need to teach them
Wasn't there a non-compete? and why on earth would you go back to work at a place that didnt value you. People create their own problems.
Scope anesthesia in charlotte tried to be sneaky when atrium healthcare really funded the charlotte North Carolina and that brought about lawsuits and non compete with mednax. I think mednax just gave up on the end (2018)
i get what you're saying, but it doesn't cost that much to put together a lawsuit of this nature. It's simple stuff, very little discovery, or deposition time. All you need is a lawyer to send out a letter saying they are in violation of the contracts. Very little interms of discovery, depositions which is where the money adds up
This is exactly what happened. My first week in October there were days I literally did nothing. No cases for me or anything. Second week here much more appropriately staffed and I’m doing some work.
Locums is like a one night stand. Always be prepared to get plan B at the drug store just in case something goes wrong
I was trying to credential in Michigan and they told me they are full now.
Well my buddy does interventional pain including pain pumps and stimulators. And he’s not pain trained. He’s cardiac anesthesiologist who switched over to pain. Did some weekend courses etc. just leaned the ropes on his own. And this is all within the last 12 years when the anesthesia market got bad. So thats why he switched.
Well some of those $300/hr w2 extra pay aren’t bad. Many of the folks I know work 1-3 hrs and leave and still get the full 8 hrs. Works out to around $800-$1200/hr. Not a bad way at to make some extra cash. And 100% supervision.
were you at corewell? And how can locums absolutely kill it for a couple of months? even if its at 100k per month? That's 200k, which the govt will take A LOT of. I do not think being in that kind of environment is conducive to long term stability.
wtf does this story have to do with anything? Your posts are bananas
I’m saying EM docs can learn anesthesia on the fly. Some people are just natural are learned skills.
What's wrong with this? If you have kids/bills and want to hustle...
I think going from anesthesia or pain is different than EM to anesthesia. Pain medicine is literally a subspecialty of anesthesia just like ICU. We do ultrasound guided nerve blocks and landmark guided epidurals every day. It’s not that hard to learn how to do xray guided procedures. But I think it’s a stretch to say you can learn anesthesia on the fly as an ER doc.
Anesthesia ain't that hard. C'mon, even nurses have convinced everybody they are the real experts. And even some doctors are buying it. We are probably the least intellectual specialties.
EM docs do pain. PMR does pain. Neurologist do Pain.
Until someone with an actual brain and ability to think is needed, that’s when we show our value.
yes, but EM and PM&R do it with a fellowship.
U don’t need to do a fellowship to do a pain practice or open a pain practice.
Unfortunately this. This is why CRNAs can claim independence. Not because they are so great. Just that the job dosent require physician level skill and knowledge (for the most part). We all know that there are many attendings out there who practice at a “CRNA level” and get through their workday just fine.
These are the oddest statements ever.
Sadly I can’t disagree. It is all about malpractice coverage and making sure that if, or when, badness happens you aren’t stuck with your d*ck out in the wind.
These are human beings you’re “learning on”. You don’t work in a factory
I agree. I’m not saying it’s right.
I bet he is a big opioid prescriber. Easy money if you are okay sleeping at night under those circumstances. I wouldn't brag about this buddy.
It's all fun and games (and $$) until you get a medical board complaint and they quickly realize you have no formal training in your area of practice. Medical licenses are a luxury, I guess.
Probably similar to botox, fillers and cosmetic procedures. They may not have a formal fellowship but probably have a lot of “certificates” (weekend courses) they can point to. Not saying I would do it, but skills can definitely be learned outside of a formal acgme program.
The way I practice and go about cases (fluid management, intra op meds, emergence strategy etc is completely different from the way a nurse would handle it. And I DO think it matters but sadly at the end of the day the only thing that matters in our specialty is 1) did the case get done 2) is the patient alive. We smooth out the rough edges though in a major way with our presence. Without us, there would be a ton of cancellations, inappropriate consults, and sadly some deaths/ bad outcomes due to poor judgement due to lack of knowledge.
