militarymd said:
If we had 18 MDs , we would make 100,000 each + benefits....That is working post call and no vacation.
I'll tell you right now, that is less than what the hospital pays the CRNAs.
And I'll tell you right now, my hospital does not want to employ physicians, and they don't want to stroke a check to us to improve our income in an all MD model.
That's life in the South...I don't make the rules.
How would you solve this?
way to go bud...cant read either huh?
I asked for the monetary brkdown because I wanted to know the 'pool' of money the hosp is spending for anesth personell. you said 18 anesthetizing locations...that could mean 18 hosp, 18 rooms, 18 what?
Slick, want to know the best way to solve the problem...atleast the financial one? Of course, because of unworkables like you it would be hard to pull of.
The 'group' leader of the anesthesiologist group goes to the admin of the hosp and states...look if in two weeks we do not have more MDs, and if we arent compensated (for argument sake 300K) we will be forced to go on strike. Furthermore, we want CRNAs ONLY to be working on MAC cases, preop/scut care (liek starting IVs, sticking in foleys, dumping urine, etc). If these terms arent meant....the 'group' will be on strike. Guess what this entails....UNITY and LOYALITY among the group. You think you would do that...prolly not because you ahve no sense of that. If the anesthesiologists went on strike and were asking for more $$, more MDs, less CRNAs....then NO surgeries would go on. Surgeons would be pist. The hosp would get BAD publicity. do you think a hosp this day and age would want that? use some common sense. A hospt would NEVER want that.
So you think they'll hire X nubmer of Anesthesiologists. well they may try to. but first of all, the hosp would want to have a sit down w/ the group leader and negotiate. 9/10 times given the severe consequences they would concede. But for argument sake let's say the hosp hires a few MDs when they find that you are going to go on strike. Well, these guys will be 'black balled' from the anesthesiology community and would never have a chance at a local group. would they actually want to be put into that situation?
So.....going back to what I said. This kind of set up would not occur unless there was UNITY and LOYALTY among group members. Outliers could not exist. is it balsy? certainly. would it work? absolutely. By doing this, more MDs would have jobs in 'non rural areas'. CRNAs would then be shoved of to PODUNCT,etc. Give this idea to the local CRNA lobby group, they'll do it in a flash. How many times have I seen hosp personel (aside from MDs) go on/threaten strikes and the hosp actually implements change? happens alot these days.
YOu want to know what kind of business I got into at the ageof 19 right? I'll give you a clue. Let's take a series of 5 exits on a MAJOR highway. Let's take X amount of hotels which inlcude holiday inns, motel 8, brand X hotel whatever. Let's say the owners of all the hotels got together and said look...we all want to increase revenue. None of us want to go broke. IF ALL of us that own hotels on these 5 exits charge at a MINIMUM $70 for a 2 adult room, we can all profit. What did that mean? IT WAS AN ALL OR NONE deal. We all had to charge the same minimum, infact 'raising' the bar. You want to know what happened slick? I'm sure you've got common sense to figure it out.
In a similar manner....if all the MDs in the area/hosp/region got together and decided...LOOK these are the working conditions and THIS is how we are going to run our practices....GUess whats going to transpire??
doesnt take a genius SLICK, just some business savvy. this is why there are sooo many docs going out of business and getting raped by the CRNAs...when it comes to soem basic economics, some ppl just dont get it.
it's because anesthesiologists historically have never stood up and held firm ground that we are at the position we are in right now. It's nto common to talk to anesthesiologists (esp older ones) who say that the field is nto 'respected'. They say that they get no repect from the OR nurses, the srugeons, etc. Part of that could be because many of the 'older' anesthesiologists were female/DO/FMGs,etc beign under the mercy of the 'Caucasian" dominating surgeon (you could refer to the article sited by a Univ of Chicago prof that I previously posted on a thread to verify). There was a study done on who best to administer Abx preoperatively. Who's pt and who's job was it initially to do this? The surgeons. Guess what the surgeons said....screw that, let the preop nurses do it. Then those nurses said, "we're soooooo busy, blah blah" we dotn have time...the Anesthesiologists should do it. Guess who finally gets shafted w/ administering Abx (oh and dont forget to chart it....) even though he/she has X nubmer of OTHER perioperative issues to deal w/.
Like I said...it's time for this new generation of anesthesiologist to have steel balls. Step up to the plate. When jobs that should be doen by others are handed down...show resistance IN NUMBERS. thats how things get done.
