Getting SCREWED

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Have you been screwed?

  • yes

    Votes: 7 36.8%

  • no

    Votes: 12 63.2%
  • Total voters
    19
M

militarymd

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So in the Sheridan thread, there is talk about GETTING SCREWED by a PP group...and how some folks would rather get SCREWED by an AMC than by a PP group....

Here's my question....how people who reads this board has bee SCREWED by a PP group?
 
I have to vote "yes" because I am currently being screwed... and I know it. Some people call it "paying your dues", though.

I signed-on, clearly, as an unknown entity. I'm having to "prove" myself all over again, despite that I've been doing this for the past 12 years of my life. Sure, things are a lot better now. And, the pay is still better. And, the promises are there. But, I know at any time the carpet can be jerked out from under me, so to speak, if the practice I'm at decides they don't want me.

Juxtapose that with a few of my co-graduates (whom I've kept in touch with) who got a pretty sweet deal - straight, equal share from Day 1 - and I that's why I feel I'm being "screwed" (even though I've done so willingly).

That's all.

-copro
 
coprolalia said:
I have to vote "yes" because I am currently being screwed... and I know it. Some people call it "paying your dues", though.

I signed-on, clearly, as an unknown entity. I'm having to "prove" myself all over again, despite that I've been doing this for the past 12 years of my life. Sure, things are a lot better now. And, the pay is still better. And, the promises are there. But, I know at any time the carpet can be jerked out from under me, so to speak, if the practice I'm at decides they don't want me.

Juxtapose that with a few of my co-graduates (whom I've kept in touch with) who got a pretty sweet deal - straight, equal share from Day 1 - and I that's why I feel I'm being "screwed" (even though I've done so willingly).

That's all.

-copro
Click to expand...

dude ...you do remember me offering you the same, right?
 
how about residency programs that are run by private practice groups? there are quite a few of those. are those residents being screwed?
 
militarymd said:
So in the Sheridan thread, there is talk about GETTING SCREWED by a PP group...and how some folks would rather get SCREWED by an AMC than by a PP group....

Here's my question....how people who reads this board has bee SCREWED by a PP group?
Click to expand...

I wasn't really screwed but definitely there was a discrimination regarding the case assignment. I was productivity paid and I was assigned to the cases with less RVU. I wasn't upset just frustrated because it was claimed that that group was a "democratic" one. After all though the payment wasn't bad and I learned a lot. My philosophy though is a little different - I was in the service and a chief is a chief. I knew what a boss means and I did everything that they asked and I did it at my best. It was not any talk back and resentment. I understood that they offered me a chance to show my capabilities and that they OWN the business. Now some of them work for me and I treat them with respect and consideration. I give them also lunch breaks (they used to tell me that an anesthesiologist eats only one time a day). I'm not such a bad boy...:laugh:
 
They tried to screw me, but I said screw you first, and then they really got screwed. It's nice once in a while when the little guy avoids being a sucker.

OK, details. They offered me a pending job IF they were to gain a new outpt. contract needing one more FTE to their practice. I would be offered about 1/2 pay for up to a few years and if it all worked out, about half pay again for up to a few more years in the "practice track," and then once making cash partner I still wouldn't be a voting partner until 2 others left the small group, all currently about my age.

It gets worse. even IF they get the new contract they were then in danger of losing their current biggest contract as the facility was being taken over by a hospital that already had an anesthesia group. So if I wasn't going to have any say in 4 to 5 years as a financial partner, I certainly wasn't going to have any say should they lose a contract and I'd be out on my ass in a bad market.

I said the Hell with this. Conclusion: they didn't get the new contract, they then lost their main contract, and I assume the other sucker they currently had been screwing in the practice track was let go because now instead of maybe needing a doc, they were one too many. Moral: if it really really smells like shet, then it probably tastes like shet, and it probably is shet.
 
Narcotized said:
OK, details. They offered me a pending job IF they were to gain a new outpt. contract needing one more FTE to their practice. I would be offered about 1/2 pay for up to a few years and if it all worked out, about half pay again for up to a few more years in the "practice track," and then once making cash partner I still wouldn't be a voting partner until 2 others left the small group, all currently about my age.
Click to expand...

My god, did they say all that with a straight face?
 
Narcotized said:
They tried to screw me, but I said screw you first, and then they really got screwed. It's nice once in a while when the little guy avoids being a sucker.

OK, details. They offered me a pending job IF they were to gain a new outpt. contract needing one more FTE to their practice. I would be offered about 1/2 pay for up to a few years and if it all worked out, about half pay again for up to a few more years in the "practice track," and then once making cash partner I still wouldn't be a voting partner until 2 others left the small group, all currently about my age.

It gets worse. even IF they get the new contract they were then in danger of losing their current biggest contract as the facility was being taken over by a hospital that already had an anesthesia group. So if I wasn't going to have any say in 4 to 5 years as a financial partner, I certainly wasn't going to have any say should they lose a contract and I'd be out on my ass in a bad market.

I said the Hell with this. Conclusion: they didn't get the new contract, they then lost their main contract, and I assume the other sucker they currently had been screwing in the practice track was let go because now instead of maybe needing a doc, they were one too many. Moral: if it really really smells like shet, then it probably tastes like shet, and it probably is shet.
Click to expand...

Wow!!! I'd rather work for an AMC owned by trial lawyers than take that offer! I'd might even join an AMC owned by trial lawyers and militant CRNAs to help them take those guys' contract! How do they look themselves in the mirror?
 
I heard this situation a couple of years ago, just to juxtapose how bad these guys narcotized is describing are at actually understanding the reality of the business world...

Hospital had a small PP group contracted to cover anesthesia, but was expanding coverage. The PP group needed two anesthesiologists yesterday to cover the expansion.

They offered $450K plus a one-year partnership track, with a $90K sign-on bonus. Yes, these guys were so desperate to keep their contract that they were willing to forgo some of their pay to keep their contract.

That's the difference. That's knowing what's important. That's having your nuts in a sling and willing, as partners, to make a sacrifice. Narcotized is describing either clueless dipsh*ts who don't understand a thing about the reality of running a business, or malignant greedy a**holes who knew the ship was sinking but were trying to stuff their pockets before they drowned.

Either way, only a desperate fool would take such a job.

-copro
 
The offer was is a very sturated desirable city where it is quite common in practices for the partners to milk the new guys for a good number of years. I forgot to mention they each took 13 weeks vacation. By adding a new facility and a new doc, any vacation I took would cut into their vacation time, so I was told I'd get about 5 weeks vacation. Some seriously greedy people out there.
 
Narcotized said:
The offer was is a very sturated desirable city where it is quite common in practices for the partners to milk the new guys for a good number of years. I forgot to mention they each took 13 weeks vacation. By adding a new facility and a new doc, any vacation I took would cut into their vacation time, so I was told I'd get about 5 weeks vacation. Some seriously greedy people out there.
Click to expand...

Atlanta? Sounds like Atlanta.

-copro
 
Narcotized said:
It figures the city I live in is so bad for getting screwed that it was the first one to roll off of your tongue.
Click to expand...

It's because your prospects of getting screwed (i.e., by some fine looking young lass) are very, very high in such a place... and they know it. So, the young guy gets the short end of the stick.

-copro
 
coprolalia said:
I heard this situation a couple of years ago, just to juxtapose how bad these guys narcotized is describing are at actually understanding the reality of the business world...

Hospital had a small PP group contracted to cover anesthesia, but was expanding coverage. The PP group needed two anesthesiologists yesterday to cover the expansion.

They offered $450K plus a one-year partnership track, with a $90K sign-on bonus. Yes, these guys were so desperate to keep their contract that they were willing to forgo some of their pay to keep their contract.

That's the difference. That's knowing what's important. That's having your nuts in a sling and willing, as partners, to make a sacrifice. Narcotized is describing either clueless dipsh*ts who don't understand a thing about the reality of running a business, or malignant greedy a**holes who knew the ship was sinking but were trying to stuff their pockets before they drowned.

Either way, only a desperate fool would take such a job.

-copro
Click to expand...

Dude, what state is this? Sign me up!! Seriously though, it is unbelievable what some of these groups offer with a straight face in competitive parts of the country.
 
I don't think I've been screwed. But there are a few non-partners in my group who think we are being screwed. I guess being screwed is in the eye of the beholder.
I get paid very well to do a job I love with people who are very good to work with. When I started about a year and a half ago, the compensation was supposed to be a little more during this and the next few years. In light of the economy, the partners have taken a big hit. To mitigate this, they have lowered, by a little, what the non-partners are making. They have also eliminated short term disability.
I say, so what? I still have a great job, and MILLIONS of other people have lost their crappy jobs in this economy. Have I been screwed? No, I've been lucky.🙂
LOL at the Atlanta comments. I was almost screwed by a "premiere" PP group there. No enlightenment during the interview process that they were negotiating a sale of the group. Fortunately, I went elsewhere, and found out later that year that the partners had sold out. I feel bad for the guys who were in the middle of their greatly extended partnership track.🙁
Tuck
 
tucker27705 said:
I feel bad for the guys who were in the middle of their greatly extended partnership track.🙁
Tuck
Click to expand...

In todays environment where hospitals often change their anesthesia group I think it's a tad naive to get buried in a "greatly extended" partnership track. That's not a risk I'm willing to take.
 
lol. Yeah. I looked at Atlanta PP gigs. It made me laugh. Then I moved on to greener pastures.

Those guys are ripping people off. Sure there were some groups on the outskirts that were ok. If you think 230K and 3 yrs to partner as fair.

Ofcourse, I moved on and found a better place.
 
If you have strong reasons that you need to live in a particular city, eg. spouses job, family location, etc., and that city is dominated by an group that is known to screw over the new guy, what do you do? Is it a realistic possibility that you approach a hospital to be hired as an employee to avoid mistreatment by the group or do you just have to give up because the anesthesiology equivalent of the mafia runs that town? I f you are unwilling to pay tribute to a gang, what other options do you have?
 
nolagas said:
If you have strong reasons that you need to live in a particular city, eg. spouses job, family location, etc., and that city is dominated by an group that is known to screw over the new guy, what do you do? Is it a realistic possibility that you approach a hospital to be hired as an employee to avoid mistreatment by the group or do you just have to give up because the anesthesiology equivalent of the mafia runs that town? I f you are unwilling to pay tribute to a gang, what other options do you have?
Click to expand...

This is a tough one. I gave up on Charlotte, NC because everywhere I turned Southeast Anesthesia Associates had the market. And the other groups were not hiring because everyone knew this and wanted to work for these other groups. You could always try going to a small town several hours outside of a big city. The groups tend to be smaller and from what I saw the docs were happier.
 
foxtrot said:
This is a tough one. I gave up on Charlotte, NC because everywhere I turned Southeast Anesthesia Associates had the market. And the other groups were not hiring because everyone knew this and wanted to work for these other groups. You could always try going to a small town several hours outside of a big city. The groups tend to be smaller and from what I saw the docs were happier.
Click to expand...

Is there anything wrong with southeast anesthesia associates? Do they have a reputation?
 
Well, let me tell you what I know. Which is very little. But when I was a CA-1, there was a recent CA-3 who stuck around a few months. Word was, she had a job with SE and somehow she got SCREWED. Our program director was rumored to be pissed. The former resident eventually got a job in Virginia, and I heard she was very happy there. Scuttle butt among the residents was to stay away from this group. For all the years I was there, nobody went there, or even seemed to have any interest in going there.
Again, this is all hearsay, so I don't know how dependable this info is.
By the way, the residency was Duke, also in NC (in case you didn't know:laugh:).
During my CA3 year a partner came to the state meeting and gave a talk to the residents. It was billed as some thing I don't remember, but what I recall is that he was essentially selling his group on us. The main message was, they make a lot of money. And work hard. He seemed very chipper.
T
 
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