Emergency Physician Compensation Decreased Most Among Specialties Over Past 5 Years (Inflation-Adjusted), per MGMA '24

[Mount Asclepius]

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The business structure of these seemingly academic organizations isn’t always transparent. It’s occasionally (maybe even usually) not just an academic institution. It can be multiple separate entities including the medical physician group(s), the hospital(s)/system and even a different organization running the entire operation as a separate entity. The name implies it’s academic (likely for marketing purposes and brand appeal under the guise of quality), but it can be multiple organizations with some claiming to be non-profit that are still for profit hiding under an umbrella organization portraying itself as academic.

 

[WhatJobDoIPick]

Ironically U Colorado Medical Center just posted on the EM DOCS group for 250K salary positions.

Disabled the comment section after an hour after people started posting how terrible the rate is compared to all the other local jobs.

The best part is that its not even pure academics but rather its 50/50 shifts at their community hospitals that see 2 PPH without residents.

Also their contracts require approval for locums shifts outside the hospital system and you have to give them a percentage of profits.

Although these institutions are sketch AF, I place most of the blame at the feet of the willing participants who volunteer for this nonsense.

 

[WhatJobDoIPick]

The business structure of these seemingly academic organizations isn’t always transparent. It’s occasionally (maybe even usually) not just an academic institution. It can be multiple separate entities including the medical physician group(s), the hospital(s)/system and even a different organization running the entire operation as a separate entity. The name implies it’s academic (likely for marketing purposes and brand appeal under the guise of quality), but it can be multiple organizations with some claiming to be non-profit that are still for profit hiding under an umbrella organization portraying itself as academic.

Wow you described the system I just left. There was:

1) A Hospital system corporation, employing a few of the docs
2) A large multi speciality physician group that employed many, but not all of the physicians working for #1
3) The school of medicine, employing the physicians that worked at the mother ship

All with their own admins to be slurped and executives pulling 7 figure salaries. Any decision had to be run up 17 levels of command.

My chair was a slurper, placed there to be a yes man. Worked one shift / month in triage. Complete joke.

SDG is so much better. Yes, I'm working a bit harder and the other expectations are higher. My pay is very slightly lower (if not the same) on the partner track than when I was hospital employed; this will be eclipsed by a long shot when I'm (hopefully) a partner. But, things work, leaders lead, directors work shifts.. How can you know wtf is going on in your department if you don't work in it?

 

[alpinism]

In NYC hospitals specifically there's a large number of wealthy docs that choose to work for these rates.

Basically they come from these rich families that pay for everything with massive trust funds that make them set for life.

They don't need the money and so don't care if its 100/hr vs 1000/hr rates for their shifts. What they do care about is working a chill schedule nearby their 10 million dollar townhome in the city. So they usually work the bare minimum number of shifts and sell off the rest to other docs.
It's funny but you'd think with the low salaries and high cost of living most of the docs would be in the middle class but that's not the case and the parking lots for the physicians are filled with lots of 100K+ porsche sports cars.

 

[deleted1140701]

In NYC hospitals specifically there's a large number of wealthy docs that choose to work for these rates.

Basically they come from these rich families that pay for everything with massive trust funds that make them set for life.

They don't need the money and so don't care if its 100/hr vs 1000/hr rates for their shifts. What they do care about is working a chill schedule nearby their 10 million dollar townhome in the city. So they usually work the bare minimum number of shifts and sell off the rest to other docs.
It's funny but you'd think with the low salaries and high cost of living most of the docs would be in the middle class but that's not the case and the parking lots for the physicians are filled with lots of 100K+ porsche sports cars.

Why would you even work at that point? I’d just travel and drink and sit on the beach all day.

 

[voxveritatisetlucis]

Why would you even work at that point? I’d just travel and drink and sit on the beach all day.

It’s sort of like starting a nonprofit or something, doing some benevolence/charity of sorts

 

[CliveStaples]

Wow you described the system I just left. There was:

1) A Hospital system corporation, employing a few of the docs
2) A large multi speciality physician group that employed many, but not all of the physicians working for #1
3) The school of medicine, employing the physicians that worked at the mother ship

All with their own admins to be slurped and executives pulling 7 figure salaries. Any decision had to be run up 17 levels of command.

My chair was a slurper, placed there to be a yes man. Worked one shift / month in triage. Complete joke.

SDG is so much better. Yes, I'm working a bit harder and the other expectations are higher. My pay is very slightly lower (if not the same) on the partner track than when I was hospital employed; this will be eclipsed by a long shot when I'm (hopefully) a partner. But, things work, leaders lead, directors work shifts.. How can you know wtf is going on in your department if you don't work in it?

This just goes to show you how important leadership is.

I'm in a department where the chair and other leaders continue to work every kind of shift. It's essential to not become disconnected to the practice of medicine. Morale at my shop is a lot higher than the average at SDN as a result.

 

[alpinism]

Why would you even work at that point? I’d just travel and drink and sit on the beach all day.

It's a status thing for them mostly like when people brag about being a physician.

 

[alpinism]

It’s sort of like starting a nonprofit or something, doing some benevolence/charity of sorts

Plus it also makes their parents happy since they paid for their medical school.

 

[WhatJobDoIPick]

In NYC hospitals specifically there's a large number of wealthy docs that choose to work for these rates.

Basically they come from these rich families that pay for everything with massive trust funds that make them set for life.

They don't need the money and so don't care if its 100/hr vs 1000/hr rates for their shifts. What they do care about is working a chill schedule nearby their 10 million dollar townhome in the city. So they usually work the bare minimum number of shifts and sell off the rest to other docs.
It's funny but you'd think with the low salaries and high cost of living most of the docs would be in the middle class but that's not the case and the parking lots for the physicians are filled with lots of 100K+ porsche sports cars.

Oh yeah we had one of these in our residency. Indian princess, pretty privilege type. Not great clinician. I'm sure she's content letting residents see all her patients for 150/hr and living off her parents dime.