Gaswork Job of the Week Two

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AdmiralChz said:
This is a strange posting. “Negotiable” supervision?? What practice is set up like that?
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One where there are way more docs than CRNAs. Where the CRNAs are delegated to cases like eyes, epidurals, pain etc. So you can do all your own cases if you hate supervising and choose to occasionally supervise or not.
 
Apparently no supervision the MD does their own epidurals and C sections when they are on OB and cases. It is production only model with blended units.
 
I don’t see why this is a great job, really. or what sets it apart from any other production-based 1099.
 
I’m not sure how many different groups there are in South Bend, but I know that one of the groups there absolutely kills it. If it’s this one, and you can stomach the location, it’s a phenomenal gig.
 
User21218 said:
It’s a bad gig because According to this forum, phenomenal opportunities don’t get posted on gaswork
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If you filter the recruiter and AMC nonsense then there is a decent chance that the chunk that's left (academics, PP, hospital employed) will range from average to good. Most of the "best" will either show up very occasionally or not at all since they hire through word of mouth and fill fast. At least in my neck of the woods.
 
That group I heard is not ideal. I heard the hospital wants them to be employed. More locum so taking more calls than usual.
 
User21218 said:
It’s not phenomenal if it’s in BFE.
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That’s a matter of perspective.
A) some like it in flyover country
B) if I were single and kidless, I’d take a lucrative BFE gig with lotsa of vacation in a heart beat. Work hard play hard.
 
SaltyDog said:
Beyond f***ing Egypt.

See also: middle of nowhere
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Ummm Salty, the term is Bum F Egypt, because it's so out in the middle of nowhere there are no better things to do than to become sodomites like they do in Egypt. While others claim it's because it's so middle of nowhere you can BumF and no one would see. Either way, the term is BumF Egypt, with emphasis on the bum.

Urbandictionary BFE

User21218 said:
How would you get laid in BFE? That Tinder radius would have to be ENORMOUS. They don’t call it BFE because it’s desirable
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Also, this. Irony is there isn't that much BumFing in BFE.
 
dchz said:
Ummm Salty, the term is Bum F Egypt, because it's so out in the middle of nowhere there are no better than to do than become sodomites like they do in Egypt.
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Ummm listen man - whatever you do behind closed doors is your business. I’m not one to be judgy.
 
User21218 said:
How would you get laid in BFE? That Tinder radius would have to be ENORMOUS. They don’t call it BFE because it’s desirable
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That’s what all the vacation time is for.

Besides, South Bend is a college town. Plenty of coeds runnin around that’ll be easy to impress as the rich big city Dr.
 
User21218 said:
So you’ll be the old creep. Yup, BFE sounds really desirable
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Of course BFE itself isn’t desirable. But for enough money and enough time off in a good practice environment, the pros can outweigh the cons. It’s all about priorities.
 
User21218 said:
Well, that sounds like postings in more desirable areas with lower pay. All about priorities. Pros vs. cons. Like all the other gaswork postings.
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The mantra has always been:

Location
Lifestyle
Money

You get to pick 2/3.

Although with many once quality PPs falling to AMCs, it’s now more like pick 1.5/3 if you’re lucky.
 
SaltyDog said:
The mantra has always been:

Location
Lifestyle
Money

You get to pick 2/3.

Although with many once quality PPs falling to AMCs, it’s now more like pick 1.5/3 if you’re lucky.
Click to expand...

Not to mention, the original listing is with "Southeast Anesthesiologists/ Northern Indiana Division". Sounds suspiciously similar to a budding AMC, or a few groups packaging themselves for AMC sale. So in this case you may get 0.75/3.
 
dchz said:
Ummm Salty, the term is Bum F Egypt, because it's so out in the middle of nowhere there are no better things to do than to become sodomites like they do in Egypt. While others claim it's because it's so middle of nowhere you can BumF and no one would see. Either way, the term is BumF Egypt, with emphasis on the bum.

Urbandictionary BFE



Also, this. Irony is there isn't that much BumFing in BFE.
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I have never thought to ask why it’s called that nor ever heard this explanation. Oh my. Seriously?
Eye opening. Really has something to do with sodomy? Are you making this up?
 
It is not an AMC. Southeast Anesthesiologist was started In Indianapolis. The group merge together to share overhead and prevent mid level encroachment and being bought out by a hospital or Northstar for that matter. It is a standard PP gig. Two year partnership.
 
Doughy315 said:
It is not an AMC. Southeast Anesthesiologist was started In Indianapolis. The group merge together to share overhead and prevent mid level encroachment and being bought out by a hospital or Northstar for that matter. It is a standard PP gig. Two year partnership.
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Excuse me, we're having an interesting thread about Egypt here. I'd appreciate it if you didn't derail the thread and got back on topic.

chocomorsel said:
Don’t see anything relating to Butt f......g.
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You're also missing the Egypt part. Did you know Egypt is geographically located in the African continent, but it's considered to be a part of the middle east politically??? You know what they say, when in Egypt...
 
SaltyDog said:
Well, I for one feel better knowing we have an international sodomy expert here on the board.

@dchz is like the Anthony Bourdain of butt sex.
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dchz said:
Excuse me, we're having an interesting thread about Egypt here. I'd appreciate it if you didn't derail the thread and got back on topic.



You're also missing the Egypt part. Did you know Egypt is geographically located in the African continent, but it's considered to be a part of the middle east politically??? You know what they say, when in Egypt...
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Get your mind out of the gutter. I said a thread about EGYPT.
 
Why do we continue to entertain these type of posts? Anyone can click on gasworks themselves...
 
tennessee2244 said:
Why do we continue to entertain these type of posts? Anyone can click on gasworks themselves...
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There is benefit for others. Newer grads and residents get to learn about what is good and what is bad, common gimmicks, phrasing and euphemisms to watch out for, etc. You can also not click on this thread 😛

sevo00 said:

GasWork.com - Reference #300267

Reference #300267
www.gaswork.com www.gaswork.com

900k in northeast?
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Probabaly 900k if you don't go home and sleep in house? also, this is what we call cold BFE.
 
It’s also 1099 and/or partnership track. (?)

It’s not much of NE, more north than east........

900k? No vacation and on call for weeks at the time?
 
dchz said:
There is benefit for others. Newer grads and residents get to learn about what is good and what is bad, common gimmicks, phrasing and euphemisms to watch out for, etc. You can also not click on this thread 😛



Probabaly 900k if you don't go home and sleep in house? also, this is what we call cold BFE.
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If you’re supervising 3:1 and no AMC is taking a cut, 900k seems like a reasonable ballpark.
 
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IMGASMD said:
It’s also 1099 and/or partnership track. (?)

It’s not much of NE, more north than east........

900k? No vacation and on call for weeks at the time?
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900k assumes u work all the time with very little vacation.

It’s great money for new grads who want to make money

we got a lot of millennial on these message boards these days. They want instant money with as little work as possible but to go on vacation.
 
aneftp said:
900k assumes u work all the time with very little vacation.

It’s great money for new grads who want to make money

we got a lot of millennial on these message boards these days. They want instant money with as little work as possible but to go on vacation.
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I assume these are the BFE jobs that we talked about? Or I am just severely underpaid...... I think I am.....
 
nimbus said:
If you’re supervising 3:1 and no AMC is taking a cut, 900k seems like a reasonable ballpark.
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Ok, plenty of jobs where people are supervising and NOT making 900k. One of the people on this board that had told me he/she makes 750k total supervises 4:1.
900 k is unicorn money.
 
Making well over $1,000,000 per year doing your own cases (no supervision) can be done, assuming you're 1099 and you don't take any vacation, and your payor mix is favorable.
 
Correct me if I’m wrong but it’s Q3 call, over an hour from nearest city (which isn’t a large city), probably has a significant subsidy, supervision (probably high ratio), it’s 1099, reasonably high income tax state, and the range is 450-900k.

Everyone seems to be looking at the 900k but not the 450k...Couldn’t that 900k be for 70-80 hours a week with no vacation?
 
Mikkel said:
Making well over $1,000,000 per year doing your own cases (no supervision) can be done, assuming you're 1099 and you don't take any vacation, and your payor mix is favorable.
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Very hard to do solo anesthesiologist. It’s possible. But biggest groups have more negotiating power over private insurance. My brother in California says $60-65 a unit is considered good there. That’s private insurance.

Vs me in Florida where $90-100 a unit is considered good (in network)

just do the match when you have to combine Medicaid plus Medicare plus private insurance averages. Especially in urban areas in north East and west coast.

Your average billing per unit. You got to have at least 60% private payor mix.
<(^_^)> said:
Correct me if I’m wrong but it’s Q3 call, over an hour from nearest city (which isn’t a large city), probably has a significant subsidy, supervision (probably high ratio), it’s 1099, reasonably high income tax state, and the range is 450-900k.

Everyone seems to be looking at the 900k but not the 450k...Couldn’t that 900k be for 70-80 hours a week with no vacation?
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Upstate New York pays well. My buddy lives up there. Super high real estate taxes just to warn people. Close to 3% real estate property taxes despite “cheaper housing upstate”. That 700k doctors house (fancy for upstate New York) will cost you easily 20k a year in property state.

Plus 8% state income taxes. And you can’t deduct anyone property/state income tax over 10k anymore.

as for working 1 hour away. Depends what your goals are and if it’s beeper call

My previous jobs were in a smaller town in Florida. around 45 min and 1 hour from my house in suburbs of major metro area. It’s doable even with 5-6 beeper calls a month. Works out to q 4/5 plus lates 4/5 times a month. I just get a cheap hotel. Some guys rent an apartment. 3/4 of the staff doesn’t live within 30 min call back time and have been there 15-20 years. So lots of people who Don’t hate the place. They complain about work but they grind it out since there are perks to the place.

as long as the job is easy and you get lots of free time off. It may be worth it. We got 10 weeks paid off. Plus tons of light or no work days priority out by 10-11am. So even with 1 hour commute. I’m home at 12pm on my priority non call/pre call days

I sleep 90% of time on beeper call after 8-9pm no trauma. No ob at one hospital. Other hospital has ob but crna in house.

so these little “bfe” boonies hospitals sometimes are a gem to work at. Less corporate. More laid back.

we would all love to work at nice hospitals with 10-20 min commute with great hospitals and great pay and lots of time off. That’s just not life.
 
aneftp said:
Very hard to do solo anesthesiologist. It’s possible. But biggest groups have more negotiating power over private insurance. My brother in California says $60-65 a unit is considered good there. That’s private insurance.

Vs me in Florida where $90-100 a unit is considered good (in network)

just do the match when you have to combine Medicaid plus Medicare plus private insurance averages. Especially in urban areas in north East and west coast.

Your average billing per unit. You got to have at least 60% private payor mix.


Upstate New York pays well. My buddy lives up there. Super high real estate taxes just to warn people. Close to 3% real estate property taxes despite “cheaper housing upstate”. That 700k doctors house (fancy for upstate New York) will cost you easily 20k a year in property state.

Plus 8% state income taxes. And you can’t deduct anyone property/state income tax over 10k anymore.

as for working 1 hour away. Depends what your goals are and if it’s beeper call

My previous jobs were in a smaller town in Florida. around 45 min and 1 hour from my house in suburbs of major metro area. It’s doable even with 5-6 beeper calls a month. Works out to q 4/5 plus lates 4/5 times a month. I just get a cheap hotel. Some guys rent an apartment. 3/4 of the staff doesn’t live within 30 min call back time and have been there 15-20 years. So lots of people who Don’t hate the place. They complain about work but they grind it out since there are perks to the place.

as long as the job is easy and you get lots of free time off. It may be worth it. We got 10 weeks paid off. Plus tons of light or no work days priority out by 10-11am. So even with 1 hour commute. I’m home at 12pm on my priority non call/pre call days

I sleep 90% of time on beeper call after 8-9pm no trauma. No ob at one hospital. Other hospital has ob but crna in house.

so these little “bfe” boonies hospitals sometimes are a gem to work at. Less corporate. More laid back.

we would all love to work at nice hospitals with 10-20 min commute with great hospitals and great pay and lots of time off. That’s just not life.
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Indeed, was mostly saying that it’s not 900k guaranteed, it’s 450-900k with things like Q3 call and unknown vacation. Making twice as much sounds great until you have to work twice as much 🙂. Thanks for sharing more details about what that life ends up being like in practice. How busy the calls seems like the obvious variable that could make or break a job like that.

PS: Is there a way of finding average insurance reimbursement per unit by state? Even super rough figures would very useful. Can’t PM you.
 
Mikkel said:
Making well over $1,000,000 per year doing your own cases (no supervision) can be done, assuming you're 1099 and you don't take any vacation, and your payor mix is favorable.
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You need to lay off the Peyote. While doing this may be possible, it would be exceedingly difficult. You're talking billing 20K units per year at a blended unit value of $50 to hit $1,000,000 in revenue - don't forget you then have to pay your billing agency. That's essentially well over 80 hours/week with no vacation. Thing is, the places that have unit values that high or better typically don't support the volume to burn through that many units (think ASC's), and the places where you can turn that many units usually involve a good degree of government pay (think cardiac heavy practice).

The only way I see this being feasible is at a group that is HEAVILY subsidized by the hospital and has a strong payer mix. I know there are a few such practices out there so it is technically possible. But even then, it's gonna take a lot more than just skipping out on vacation, you're gonna have to work yourself into the ground every single day too.
 
sevo00 said:

GasWork.com - Reference #300267

Reference #300267
www.gaswork.com www.gaswork.com

900k in northeast?
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A lot of details missing, but could be ok if you can stomach living in upstate NY.

Upstate NY is not really the northeast...more like Canada South with a lot more Confederate flags and heroin. It’s not an easy place to live without having ties. The weather is bad and the skiing is crummy. Outside of a few pockets of prosperity near universities, much of upstate NY is a hollowed out ghost town with weathered “For Sale” signs on a lot of houses.
 
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