280?
So either Atlanta or Miami, probably the latter since ATL is pretty dead on average for COL. That PTO doesn't "kinda suck", it just sucks. Also lol at $40/pt for extra patients. Otherwise sounds decent if the salary is right, especially for a mostly telehealth position.
Yeah same for Houston, Dallas, Tampa all very average CoL. Basically saying it's Miami.
Can only be Kasier!
Are they really saying that a 7 year commitment is only worth $100k?
Were you able to negotiate at all?
Holy commitment Batman
I have seen these type contracts both for ED and inpatient attendings but there are obvious limitations and the quality hasn't been good so they were cut early at two hospitals. Its a good gig if you can get it though. I know a guy across the country working as attending max 2-3h day for full salary. If you want true part time weekends would be the most common option.
If doing 40hr a week you could be earning more than double that annually taking insurance in the bay area.
That’s a fair point i didn’t even think about
Yes I agree the PTO year 1 sucks. year 2 the holidays + PTO is approaching a full month per year ( 3 wk + 8 day). These positions are “lunch and admin time when you want” so you could do 6.5 hours in a row 4 x per week at home and be done. Most other telepsychs working for the man are pushing 15-20 min follow ups and 40 minute new which adds more burnout. - plus they do complicated collection / rvu targets that rarely pay you what they say.
Since I essentially said they suck I'm not going to name names. I would start by googling ED psychiatrist telemedicine jobs or something like that as ED seems to be more plentiful than inpatient. Keep in mind although extremely small sample size 2 were excused early and the third is expensive and not especially impressive so I doubt they will make a full year. It seems to me these contracts tend toward troubled services and once local staff is obtained they are no longer desirable.
agreed, lots of issues with these positions from what I've seen and these are NOT stable long-term positions.
If you're actually averaging $440/hr base then that's ~$350/hr for admin to cover most responsibilities. That's very solid if staff are good without other red flags in the practice.
I would guess that I average around 20 patient facing hours per week. Academic mostly supervising residents with ~6-10 clinical non-supervised clinical hours per week with an admin week every 4th week where I have probably 5 total clinical hours (non-supervising) during that week.
Ketchikan most likely = PeaceHealth
Okay, great. One thing I forgot to put in the post is that I do answer any medically related patient inquiries.
Also, do you have any examples of red flags that might not be obvious before starting a job?
sounds like... jam-packed schedule, hoping there is nothing to really talk about and that they are completely stable at every visit.
Group insurance-based PP - ~27 patient-facing hours each week, 90-min news, 30-min follow-ups. I usually take an hour lunch + hour of admin total each day (30 min in the AM, 30 min in the PM). I aim to only work 46.5 weeks/year. For time I'm seeing patients, probably average around $300/hr. W2 with great benefits and support staff (including 401k and match). This is before any partnership benefits (including yearly bonuses, which depending on the year can be 50k+). See a mix of virtual/in-person but really up to me and what my patients want how I structure this.
Oh wow. This sounds really good tbh! What region of the U.S.?
Do you actually enjoy doing the work remote or is it mostly so that you can work out/do chores/play video games during downtime when census is low? Particularly with high risk/high acuity patients I find remote work very challenging/less rewarding, but I may also just be on my way to dinosaur town before hitting 40...
With that patient volume $380k sounds more accurate. Possibly even low depending on other benefits with that kind of PTO.
This. My gig has very solid benefits and every 4th week for me is a full admin week. Plus around 80% of my clinical F2F hours are supervising residents and sub-is, so I don’t write most of my notes other than my 5-6 outpatient hours per week. Probably average 8-12 patients per day total. Guaranteed base for my first year was $210k, after that moved to production based on a look back and I average around $240k/yr base now. Yes, it’s low, but there are plenty of opportunities to supplement that income and with the benefits the total package is much higher.
Sounds pretty solid for academic/academic adjacent. You said 80% remote. Is that basically coming in to round and then taking care of everything else from home? If so that’s a pretty sweet set up.
It's actually outpatient so 4d WFH, 1d office. Since my caseload is mostly forensic and/or treatment-resistant SMI, +/- TBI, IDD, and ASD, there can be compelling reasons to see them in person and also to see them remotely, and I get schedule control over these decisions. As for rewarding - given the nature of my population, I tend to focus on process over outcomes. If they're doing well for about 12-16 mos we transfer them to a lower acuity outpatient service. The ones who stick around are often pretty sad cases. Chances are if I really connect w/ a client and they get what I'm doing and why it's so different/how it's helping them, they're going to want to stick with me and that usually means I'm going to have to discharge them to routine outpatient care. =|
I did, but it did not bear any resemblance to the numbers I was shown. Does it matter who implements it too (eg, medicaid implemented by BCBS?)
