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AdmiralChz?! More like Captain Obvious.
Except for the job opening that was available if you accepted right after residency, but was already filled by the time you finished fellowship.
There is some truth to this... but I would recommend contacting groups early and letting them know your plans. My group held a spot for me bc they knew they’d have some with retirements over a few years. Others won’t be able to do that, but certainly can’t hurt to let them know that’s what you want to do.
Except you're on call more on cardiac because it's a smaller pool.
But call back for cardiac work is also often less than for general work.
That can be rough if the transplant phone rings often, or a well paid cush lifestyle if you just do scheduled cases with a surgeon whose patients don't bleed postop.
Contrary to whom? Most of us say that cardiac is the one fellowship worth doing. The only question is regarding Pain, given the drop in reimbursement and the poor quality of many jobs.
While CMS pays crap for cardiac anesthesia, they pay big bucks for open heart surgery, hence the former has strategic importance for hospitals and anesthesia groups. Pain doesn't.
Blade, the folks you know doing pain have been doing it for years. That doesn't hold true to a new grad straight out of practice. It's quite rare to own a center or part of it nowadays.Pain offers the opportunity to work ASC type hours without nights or weekends. In addition, you can own the center or part of the center where the procedures are performed generating more income. I disagree that PAIN isn't lucrative any longer circa 2020. The guys I know doing it full time are generating $400K-$800K in profit even with the reduced CMS reimbursements. The higher income Pain docs own their own clinic, ASC or are partners in a highly profitable ASC.
Anesthesiologist: Job Description, Salary, Skills, & More
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Recent grad from my program signed his contract during 3rd year and got a stipend the rest of residency that came out of his first year salary. Seems like a stellar idea to me given the tax benefits of spreading out that money.
If you get that signing bonus during residency or fellowship (like, the year before you graduate) before your income increases by more than 8 times in one fell swoop, you'll pay a lot less taxes overall on it.
...did they let you know they changed your contract before sending it to you to sign?
Nope. Total bait and switch. The changes were made by the new hospital administrators, the other docs had no idea (and had similar **** pulled with them at their next contact renewal). Unfortunately, I didn't read the final one closely enough to spot the differences, as I had already read through the prelim contact and the offer letter thoroughly. They also changed my non-compete radius to encompass several counties surrounding the hospital, ensuring that I couldn't go elsewhere without moving.
I've heard of it happening, but the way it was explained to me is that it wasn't structured as advance pay related to the future employment contract, but a loan from the group to the individual. They might even have charged interest, I don't know. Obviously still some risk in loaning a future colleague some money. But doing it this way avoids entangling the upfront cash with the job contract.
I tend to think of it another way.
