I agree with this. I’ve seen some awful locum docs and equally horrid crnas. You think it’s easy cause you’re well trained and professional. There are many different ways to eff up and have a bad outcome.
I dunno. These days some of the locums docs and locums crnas are often times better than the regular employed w2 staff.
Definitely agree; there used to be a stigma there, but there are more and more very capable anesthesiologists who have discovered the locums world, where you can earn closer to what you deserve, without working alongside some of the game playing, scheming W2 colleagues that always seem to be able to manipulate the schedule to benefit them, where everyone is making the same.
I should have clarified that I am a locums doc. I didn’t mean any disrespect to any kind of physician locums or otherwise
Don't you think it's the same for any employed anesthesiologist in any setting (PP, employed, academic)? The best clinicians, the hardest working ones that are the most skilled, most able/willing and able to give 4 morning breaks and 4 lunch breaks (wow what a ****ty job LOL) are paid the same as the laziest, least competent folks that hide in a corner at 2:30/4:30 when relief is most needed? Locums/Perm doesn't matter, nor did it ever, because the folks in academics are always in the race to do the least clinically while having the most free time off doing *mostly* nothing while their clinician educators do all the revenue generating work.
This is why everyone should be on production. Everything you do should be reimbursed. So if you wanna be lazy, your pay will reflect it. Breed the commie right out of you.
Unworkable system. We have no control over our productivity. I don’t want to be penalized because I’m assigned to a slow surgeon or some offsite location where efficiency is not a priority
True. This also leads to manipulation of the case assignments and hostility among group members because there will always be the "haves" and the have nots" and the case assignments will be used to play favorites. There does not appear to be a perfect system where a slacker cannot hide. It is why hiring the right person is so important. You must be able to trust your colleagues to do the right thing and work hard, but there will certainly be instances where a slacker gets shielded.
What exactly does this mean you have slackers hiding. Your job is to either sign CRNA charts or sit an a comfortable chair yourself while the surgeon works. Cancelling cases? That usually take more work than just doing them.
Uh, I’d never want to do anesthesia work but the idea of an experienced ER doc pooping their pants because of, what, a crashing patient? Bad airway? A million backup ppl not around? Who do you think is the only doc in the hospital after hours in most non-tertiary hospitals? Come on man, get over yourself. It’s not the ER docs you should be worried about…
Work Hours matters more Production is a thing of the past with lower reimbursements.
I think the discussion was surrounding people who do not contribute to the overall mission of getting the work done, such as showing up late, delaying starts due to consent or preop issues, difficult to find when time to be present for induction (causing others to have to show up to keep the train moving), or not helping with breaks (if that is the culture). Additionally, when it is time to work the order off list, they may be late to respond when asked to take over a room, but quick to respond when it is their room to be taken over. Each noted instance may be only 5 to 10 minutes each, but there are multiple opportunities in a day and if someone is frequently unavailable or unresponsive to calls, it really can add a lot of frustration (and time) to a team's day. That is my take on it. Others may have other things to add.
That's it in a nutshell; the perfect description of a non team player.
The group leader is often the biggest slacker. They wont say anything.
Noted. but there is a difference between being present to see a preop every 15 mins or so and being present chilling in your office covering rooms. The slacker will always have a list with 2 patients vs 6 patients. Multiply that by 3 or 4 rooms.
Dont come after me until you start with your own colleagues trying to replace us...
You want a case? Here's one... the anesthesia machine has a leak. Pls fix it. You have 3 minutes... there is no one to call...
I'm not sure how this devolved into an "Anesthesiology vs. Emergency Medicine" attending squabble, but I'm pretty sure the hospital admins love it. From my understanding, this was limited to endo, and while that is a bit outside of their scope for something like covering 4 endo rooms with 20 procedures each, I don't believe anyone was asking the ER to staff the OPERATING ROOM.
Few points.
How is this different than docs practicing plastics or aesthetics? I’m in Florida. I walk by a lot of bs aesthetics places. They push the limit on the plastics portion. We all who will start doing breast implants etc who aren’t plastics trained. First it’s starts with Botox which anyone can do. Than it keeps expanding till they start doing real procedures. Most get away with it until there is a major complication.
All valid points, why are you being so hostile? I'm a board certified anesthesiologist and proud of our specialty.
I am very opposed to the ER docs doing this, but I think some of your arguments are flawed. Namely numbers 4-6.
I dont disagree, these things are very rare and often dont go right to the OR but these aren't nurses apeing us. These are attending "sedation" physicians and billing for it. I dont really see why they should be allowed do the easy part of a procedure but then expect someone to do the hard part. They're not good Samaritans why spare them the hard side of our job?
That’s easy. Duct tape… next question.
The problem with your theory is whoever is paying the 600 dollars an hour is acutely aware of the pain it is to pay one doc this much money so they will make your stay there as short as possible. They will get rid of you as soon as they have a solution. I dont need to make 600 an hour for 1-2 weeks. I need to make 600 an hour for YEARS. Look at Grand Rapids. Sounds like they righted the ship real quick and the mercenaries are out on the phone dealing with those scummy locum recruiters.
That’s why u have mutiple gigs going at a time.
Agreed.
Yeah. Does nobody have a wife and kids. Don’t think iowa one month then onto Michigan the next and who knows after that would work for me.
Yes. I trust no one in the locums world.
are you credentialed with a bunch of different Locums companies? And then you see a job you like and ask to get credentialed at the specific hospital?
