Graduating psych residents…Job offers

[calvnandhobbs68]

Depends on the state. I’m licensed in Montana and the Medicaid rates there are higher than any commercial insurance rates in California for solo practitioners (and this is after I negotiated up). Medicaid rates aren’t hidden so you should be able to verify the rates on your own pretty easily.

Yeah you can lookup your states Medicaid rates fairly easily through their website, it's not hidden info. Some state medicaid programs are better funded and more generous than others.

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[Psychferlyfe3000]

Yeah you can lookup your states Medicaid rates fairly easily through their website, it's not hidden info. Some state medicaid programs are better funded and more generous than others.

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?)

 

[jbomba]

Depends on the state. I’m licensed in Montana and the Medicaid rates there are higher than any commercial insurance rates in California for solo practitioners (and this is after I negotiated up). Medicaid rates aren’t hidden so you should be able to verify the rates on your own pretty easily.

Are you saying Medicaid in Montana pays more than commercial in California? I find that almost impossible to believe. Also work in CA.

Edit: just looked at cms rate tool for Montana...

99214Office o/p est mod 30 min0320201$128.05

That's not very high. What am I missing here?

 

[Atreides]

Are you saying Medicaid in Montana pays more than commercial in California? I find that almost impossible to believe. Also work in CA.

Edit: just looked at cms rate tool for Montana...

99214Office o/p est mod 30 min0320201$128.05

That's not very high. What am I missing here?

Where are you getting your numbers? The website shows $169.11 for a 99214 and $94.85 for a 90833

However, those numbers aren't accurate either because they have a separate fee schedule for psychiatrists. The psychiatry fee schedule is $189.40 for a 99214 and $106.25 for a 90833. That comes out to just shy of $300 for a 30 minute follow up.

 

[ObsequiousAplomb]

Where are you getting your numbers? The website shows $169.11 for a 99214 and $94.85 for a 90833

However, those numbers aren't accurate either because they have a separate fee schedule for psychiatrists. The psychiatry fee schedule is $189.40 for a 99214 and $106.25 for a 90833. That comes out to just shy of $300 for a 30 minute follow up.

hmm. Why can't Montana attract enough telepsych to balance that out?

 

[jbomba]

Where are you getting your numbers? The website shows $169.11 for a 99214 and $94.85 for a 90833

However, those numbers aren't accurate either because they have a separate fee schedule for psychiatrists. The psychiatry fee schedule is $189.40 for a 99214 and $106.25 for a 90833. That comes out to just shy of $300 for a 30 minute follow up.

I used cms tool on the government website to grab those numbers.

Why don't I (other people) get a Montana license and do tele psych from my home in CA?

If people are actually getting 600/hr to see Medicaid, this seems like a no brainer

 

[calvnandhobbs68]

Yeah time to get my montana license....

 

[Atreides]

hmm. Why can't Montana attract enough telepsych to balance that out?

Honestly, seems like Montana isn't great about advertising. I got licensed in Montana for forensic work, I had no idea about the high Medicaid reimbursements until well after I was licensed and doing forensic evals there. Forget about trying to get out of state doctors to get a Montana license and see Montana medicaid patients. No one ever reached out to me to try and convince me to enroll in Medicaid after I had a Montana license. It was a complete fluke that I found out. I was having a conversation with an NP from Montana who mentioned the Medicaid rates and was confused why I wasn't believing her.

 

[Atreides]

I used cms tool on the government website to grab those numbers.

Why don't I (other people) get a Montana license and do tele psych from my home in CA?

If people are actually getting 600/hr to see Medicaid, this seems like a no brainer

I think you're talking about Medicare. I'm talking Medicaid.

 

[jbomba]

I think you're talking about Medicare. I'm talking Medicaid.

For some reason I thought they paid the same. So if I wanted to see Medicaid in Montana and get this rates all I'd need to do is rent an office for an hour a month to have a local address I believe, yeah?

I imagine taking Medicaid I would fill up pretty quickly too..has that been your experience?

 

[Atreides]

For some reason I thought they paid the same. So if I wanted to see Medicaid in Montana and get this rates all I'd need to do is rent an office for an hour a month to have a local address I believe, yeah?

I imagine taking Medicaid I would fill up pretty quickly too..has that been your experience?

They definitely don't pay the same. In California, Medicare pays over $200 for a 30 minute follow up, Medicaid pays about $40.

As far as how long to fill up, no idea. I don't see patients in Montana, I only do forensic evals there. I found out about the rates after my practice filled up.

 

[jbomba]

They definitely don't pay the same. In California, Medicare pays over $200 for a 30 minute follow up, Medicaid pays about $40.

As far as how long to fill up, no idea. I don't see patients in Montana, I only do forensic evals there. I found out about the rates after my practice filled up.

I guess that's why my frame of reference was so off..i assumed Medicaid was awful everywhere. Interesting.

How long/painful is the Montana medical license process?

 

[brazilianpsych]

I am also interested, as I need to find a remote job or create one. Wondering now how fast would a practice fill with Medicaid in Montana, and how long would it take to join it.

 

[littlefred]

I am also interested, as I need to find a remote job or create one. Wondering now how fast would a practice fill with Medicaid in Montana, and how long would it take to join it.

There's already a big telepsych company that does it already. It's called Frontier.

I applied but never heard back.

 

[ObsequiousAplomb]

I was just offered $10k/week to provide locums coverage at a state hospital. Sharing a male forensic admitting unit with one of my peers from residency. 9-5 M-F, 9 month contract.

 

[jbomba]

I was just offered $10k/week to provide locums coverage at a state hospital. Sharing a male forensic admitting unit with one of my peers from residency. 9-5 M-F, 9 month contract.

250/hr. This could be very good depending on the state. In CA this would be lower end for a forensic unit.

 

[ObsequiousAplomb]

250/hr. This could be very good depending on the state. In CA this would be lower end for a forensic unit.

Mid-Atlantic. The local UHS hospital pays $220k/year. My wife works at the hospital that's offering the locums rate that I was offered as a W2, makes $340k/year. So while $250/hour sounds like a lot, the benefit package with W2 is very, very similar.

I can also say that this hospital is nowhere near as nice or safe as the CA forensic ones.

 

[littlefred]

Mid-Atlantic. The local UHS hospital pays $220k/year. My wife works at the hospital that's offering that rate as a W2, makes $340k/year. So while $250/hour sounds like a lot, the benefit package with W2 is very, very similar.

I can also say that this hospital is nowhere near as nice or safe as the CA forensic ones.

That's what happens when an area is saturated with psychiatrists. Absurd rates and peers that are willing to accept them.

 

[psychaccount101]

Mid-Atlantic. The local UHS hospital pays $220k/year. My wife works at the hospital that's offering that rate as a W2, makes $340k/year. So while $250/hour sounds like a lot, the benefit package with W2 is very, very similar.

I can also say that this hospital is nowhere near as nice or safe as the CA forensic ones.

I may just be dumb but I’m confused. Your wife makes 340k per year with benefits at a hospital that pays 220k per year? What are the benefits?

 

[ObsequiousAplomb]

I may just be dumb but I’m confused. Your wife makes 340k per year with benefits at a hospital that pays 220k per year? What are the benefits?

My wife works at the state hospital that I'm talking about. The $220k is for the UHS hospital in the same city.

 

[EastSide]

That's what happens when an area is saturated with psychiatrists. Absurd rates and peers that are willing to accept them.

Is this the future of psychiatry? Will the saturation bring down the market in 10+ years?

 

[jbomba]

Is this the future of psychiatry? Will the saturation bring down the market in 10+ years?

People were asking this same thing on here when I was starting med school. 9 years later and I'm pace to make nearly 900k year 2 as an attending. The money will be there for those that get creative with their work and stack jobs.

 

[drechie]

People were asking this same thing on here when I was starting med school. 9 years later and I'm pace to make nearly 900k year 2 as an attending. The money will be there for those that get creative with their work and stack jobs.

do you mind sharing some advice on how you've hit that number?

 

[brazilianpsych]

do you mind sharing some advice on how you've hit that number?

I am sure he is going to provide more info, but I think it's a combo of California high rates + pilling up jobs that can be done at the same time. If you double dip, then numbers can get pretty high. Like a chill CL job and a private tele psych practice on the side, for example. I will likely try to do the same next year, although unlikely to hit those numbers.

 

[jbomba]

do you mind sharing some advice on how you've hit that number?

Yes I'll lay it all out below...

I have jobs which I can do at the same time. I can easily see my correctional patients and field ED consults. I see these patients on my own time, like on the inpatient unit. So if I get a tele consult, I'll take a quick break and see it then go back to what I was doing. Ditto for days I work on the inpatient unit.

So for a corrections + ED day, it works out to ~6k day. If I'm feeling particularly motivated I'll schedule 3-4 outpatients and it'll approach 7k. Ill then go home and field the occasional tele consult until around dinner time.

More chill days are standard psych ER or inpatient coverage.So these are 2500 dollar days for 5 hours of work.

So my month looks something like this.

This works out to about 75k a month which is my goal. Some months I'll feel a little more motivated and pick up more in person inpatient or ED shifts. Other months I'll take a couple weeks off to go on vacation. I'm taking the month of August off so I'm pulling a lot more shifts this month to cover that. I'm not a salaried employee anywhere, all of this is 1099 so no having to beg or negotiate for vacation days.

If you're keeping track of how much I work, I am in person doing corrections and inpatient/er 12 days a month. I probably have 3 days a month where I am doing only ED telepsych and outpatient from home - these days are super chill. So that's about 15 days a month I am working. The other half I am either doing nothing, or maybe spending an hour or two in the morning seeing outpatients via zoom then free the remainder. The crazy thing is, if I wanted to "work like a surgeon", the work is out there. I could work another 8 inpatient/ed shifts a month + more outpatient and tele and I'd be pulling in close to 1.5M a year.

I feel like I do good work and don't have to cut corners because I'm not making my money by seeing 60 patients a day. I just found jobs that can be stacked pretty reasonably. Inpatient I'll see 14, tele psych ranges from 3-6 typically. Corrections ranges from 10-18. It's all very doable and I definitely don't feel overworked. I truly think I have the greatest gig in medicine.

*Edited out some details for more anonymity

 

[psychmd03]

Yes I'll lay it all out below...

I have jobs which I can do at the same time. I can easily see my correctional patients and field ED consults. I see these patients on my own time, like on the inpatient unit. So if I get a tele consult, I'll take a quick break and see it then go back to what I was doing. Ditto for days I work on the inpatient unit.

So for a corrections + ED day, it works out to ~6k day. If I'm feeling particularly motivated I'll schedule 3-4 outpatients and it'll approach 7k. Ill then go home and field the occasional tele consult until around dinner time.

More chill days are standard psych ER or inpatient coverage.So these are 2500 dollar days for 5 hours of work.

So my month looks something like this.

This works out to about 75k a month which is my goal. Some months I'll feel a little more motivated and pick up more in person inpatient or ED shifts. Other months I'll take a couple weeks off to go on vacation. I'm taking the month of August off so I'm pulling a lot more shifts this month to cover that. I'm not a salaried employee anywhere, all of this is 1099 so no having to beg or negotiate for vacation days.

If you're keeping track of how much I work, I am in person doing corrections and inpatient/er 12 days a month. I probably have 3 days a month where I am doing only ED telepsych and outpatient from home - these days are super chill. So that's about 15 days a month I am working. The other half I am either doing nothing, or maybe spending an hour or two in the morning seeing outpatients via zoom then free the remainder. The crazy thing is, if I wanted to "work like a surgeon", the work is out there. I could work another 8 inpatient/ed shifts a month + more outpatient and tele and I'd be pulling in close to 1.5M a year.

I feel like I do good work and don't have to cut corners because I'm not making my money by seeing 60 patients a day. I just found jobs that can be stacked pretty reasonably. Inpatient I'll see 14, tele psych ranges from 3-6 typically. Corrections ranges from 10-18. It's all very doable and I definitely don't feel overworked. I truly think I have the greatest gig in medicine.

*Edited out some details for more anonymity

That hustle in psych can be quite effective

 

[brazilianpsych]

Yes I'll lay it all out below...

I have jobs which I can do at the same time. I can easily see my correctional patients and field ED consults. I see these patients on my own time, like on the inpatient unit. So if I get a tele consult, I'll take a quick break and see it then go back to what I was doing. Ditto for days I work on the inpatient unit.

So for a corrections + ED day, it works out to ~6k day. If I'm feeling particularly motivated I'll schedule 3-4 outpatients and it'll approach 7k. Ill then go home and field the occasional tele consult until around dinner time.

More chill days are standard psych ER or inpatient coverage.So these are 2500 dollar days for 5 hours of work.

So my month looks something like this.

This works out to about 75k a month which is my goal. Some months I'll feel a little more motivated and pick up more in person inpatient or ED shifts. Other months I'll take a couple weeks off to go on vacation. I'm taking the month of August off so I'm pulling a lot more shifts this month to cover that. I'm not a salaried employee anywhere, all of this is 1099 so no having to beg or negotiate for vacation days.

If you're keeping track of how much I work, I am in person doing corrections and inpatient/er 12 days a month. I probably have 3 days a month where I am doing only ED telepsych and outpatient from home - these days are super chill. So that's about 15 days a month I am working. The other half I am either doing nothing, or maybe spending an hour or two in the morning seeing outpatients via zoom then free the remainder. The crazy thing is, if I wanted to "work like a surgeon", the work is out there. I could work another 8 inpatient/ed shifts a month + more outpatient and tele and I'd be pulling in close to 1.5M a year.

I feel like I do good work and don't have to cut corners because I'm not making my money by seeing 60 patients a day. I just found jobs that can be stacked pretty reasonably. Inpatient I'll see 14, tele psych ranges from 3-6 typically. Corrections ranges from 10-18. It's all very doable and I definitely don't feel overworked. I truly think I have the greatest gig in medicine.

*Edited out some details for more anonymity

I do wonder if you are able to do that because you are in California. We don't see anyone else being able to pull something similar at SDN. I am finding it harder to find a job than I thought it would be (I have one reasonable offer so far, 280k, up to 32 pts a day), but I am limited to only remote options.

 

[calvnandhobbs68]

I do wonder if you are able to do that because you are in California. We don't see anyone else being able to pull something similar at SDN. I am finding it harder to find a job than I thought it would be (I have one reasonable offer so far, 280k, up to 32 pts a day), but I am limited to only remote options.

It's a function of a California corrections paying very well and doing 2 jobs at once so basically doubling your hourly rate. If you noticed, he's doing tele psych ED consults while also technically being at a corrections or inpatient unit at the same time.

 

[jbomba]

I do wonder if you are able to do that because you are in California. We don't see anyone else being able to pull something similar at SDN. I am finding it harder to find a job than I thought it would be (I have one reasonable offer so far, 280k, up to 32 pts a day), but I am limited to only remote options.

32 patients a day for 280k? Are you serious? There is nothing reasonable about that.

I'm sure California helps, but I know there are good jobs in OR, NY because I've looked there too.

 

[ObsequiousAplomb]

It's a function of a California corrections paying very well and doing 2 jobs at once so basically doubling your hourly rate. If you noticed, he's doing tele psych ED consults while also technically being at a corrections or inpatient unit at the same time.

something that is definitely not allowed at any of the locations I've looked into trying to do it. Jbomba is just super lucky that the Beverly Hills PD is so desperate they're willing to let him do this.

 

[jbomba]

something that is definitely not allowed at any of the locations I've looked into trying to do it. Jbomba is just super lucky that the Beverly Hills PD is so desperate they're willing to let him do this.

This seems to be the norm in a lot of places, albeit in different formats. At many (most?) places they let the docs leave after rounding despite being on the clock. It's really no different to stay on site longer because I'm taking more frequent breaks to do something else.

If a place is cool with a doc being out of the hospital at noon to go play golf, they shouldn't have an issue with a doc staying to 3PM because he's taking more breaks during the day. I think that is how it can be argued when discussing these matters with hospital admin.

 

[brazilianpsych]

32 patients a day for 280k? Are you serious? There is nothing reasonable about that.

I'm sure California helps, but I know there are good jobs in OR, NY because I've looked there too.

Other offers are worse lol. Also a lot of places have no competes. I have 3 possibilities so far, 2 have no competes.

This is 45min intake and 15min FU, so possibly 32 a day but likely less. I am looking for July 25, so I am definitely hoping to find more opportunities. A tele CL like yours would be perfect as I could open my practice on the side. So far I couldn't find any, but I am always looking. Do you feel that there's more tele opportunities in California? Or as rare as in other places? I ask because I could go after a California license I guess.

 

[jbomba]

Other offers are worse lol. Also a lot of places have no competes. I have 3 possibilities so far, 2 have no competes.

This is 45min intake and 15min FU, so possibly 32 a day but likely less. I am looking for July 25, so I am definitely hoping to find more opportunities. A tele CL like yours would be perfect as I could open my practice on the side. So far I couldn't find any, but I am always looking. Do you feel that there's more tele opportunities in California? Or as rare as in other places? I ask because I could go after a California license I guess.

Just to put things in perspective for you, based on my (nothing special) negotiated insurance rates with a couple insurers here in CA in a major city, you would be earning well over a million a year seeing that many patients.

 

[Stagg737]

Other offers are worse lol. Also a lot of places have no competes. I have 3 possibilities so far, 2 have no competes.

This is 45min intake and 15min FU, so possibly 32 a day but likely less. I am looking for July 25, so I am definitely hoping to find more opportunities. A tele CL like yours would be perfect as I could open my practice on the side. So far I couldn't find any, but I am always looking. Do you feel that there's more tele opportunities in California? Or as rare as in other places? I ask because I could go after a California license I guess.

Unless you're putting very specific limitations on yourself, those jobs are terrible. For another example in addition to jbomba, I'm in academics and my current annual base is around $260k (will likely drop closer to $250k next quarter) which doesn't inlude extra pay for weekend call or bi-annual bonuses (which probably add another $50kish). I probably average around 8-10 patients per day for 3 weeks then have an admin week where I only do 5-6 paid hours. If I were seeing ~30 patients per day I'd be making over $800k/yr in academia...

 

[ObsequiousAplomb]

This seems to be the norm in a lot of places, albeit in different formats. At many (most?) places they let the docs leave after rounding despite being on the clock. It's really no different to stay on site longer because I'm taking more frequent breaks to do something else.

If a place is cool with a doc being out of the hospital at noon to go play golf, they shouldn't have an issue with a doc staying to 3PM because he's taking more breaks during the day. I think that is how it can be argued when discussing these matters with hospital admin.

It's not the norm in any of the correctional settings I looked into, because I was trying to do the same thing as you based on what some of my former attendings in residency mentioned they had done in the past. In the area I am, the correctional and state hospital gigs all demand a warm body on site that isn't occupied with other work. It's very unfortunate, because as you clearly demonstrate, it's not hard at all to do both jobs at once. There are too many non-physicians in the correctional settings that get upset to hear a doctor can double dip. They even make a big fuss about being on call for your own outpatients while working the correctional jobs.

 

[jbomba]

It's not the norm in any of the correctional settings I looked into, because I was trying to do the same thing as you based on what some of my former attendings in residency mentioned they had done in the past. In the area I am, the correctional and state hospital gigs all demand a warm body on site that isn't occupied with other work. It's very unfortunate, because as you clearly demonstrate, it's not hard at all to do both jobs at once. There are too many non-physicians in the correctional settings that get upset to hear a doctor can double dip. They even make a big fuss about being on call for your own outpatients while working the correctional jobs.

Gotcha, yeah that makes it hard. At my facility, all the docs cut out when they are done and field calls at home. This correctional facility may be unique. Now as far as inpatient units go, its probably a lot more common and easier to do there.

 

[brazilianpsych]

So to be fair I am extremely limited. For specific reasons, I cannot get a license in the state I live, so I have to get a license somewhere else and do tele. Academia here pays 230k for outpatient and a little more for inpatient, with a severe non compete. @jbomba are you seeing pts with telemedicine? I ask because getting a license in California and trying to do a tele practice is a possibility, although I do need something while I wait for the practice to grow. This 280k is the only thing I found so far that a) is remote b) does not have a non compete. I have another call lined for another possible job tho, so maybe things will improve by the time I am out of residency.

 

[jbomba]

So to be fair I am extremely limited. For specific reasons, I cannot get a license in the state I live, so I have to get a license somewhere else and do tele. Academia here pays 230k for outpatient and a little more for inpatient, with a severe non compete. @jbomba are you seeing pts with telemedicine? I ask because getting a license in California and trying to do a tele practice is a possibility, although I do need something while I wait for the practice to grow. This 280k is the only thing I found so far that a) is remote b) does not have a non compete. I have another call lined for another possible job tho, so maybe things will improve by the time I am out of residency.

I'm actually looking into getting a Montana license and doing Medicaid out there. I learned rates are better than private in CA. Might consider that.

 

[hamstergang]

So to be fair I am extremely limited. For specific reasons, I cannot get a license in the state I live, so I have to get a license somewhere else and do tele. [...] This 280k is the only thing I found so far that a) is remote b) does not have a non compete.

If you're looking at pure tele jobs, why do you care about the non-compete? You can easily enough move to a job 100 miles away, right?

 

[brazilianpsych]

If you're looking at pure tele jobs, why do you care about the non-compete? You can easily enough move to a job 100 miles away, right?

So Talkiatry has a national non-compete. Other possibility has a city non-compete, but if I decide to stay here next year I would be very limited. I cannot get a license now but will be able to get one in the future.

 

[psychmd03]

I do wonder if you are able to do that because you are in California. We don't see anyone else being able to pull something similar at SDN. I am finding it harder to find a job than I thought it would be (I have one reasonable offer so far, 280k, up to 32 pts a day), but I am limited to only remote options.

That’s absolutely garbage. Even seeing straight awful paying Medicaid that’s awful

 

[psychmd03]

I'm actually looking into getting a Montana license and doing Medicaid out there. I learned rates are better than private in CA. Might consider that.

It’s very easy to get and extremely cheap especially relative to CA

 

[jbomba]

So Talkiatry has a national non-compete. Other possibility has a city non-compete, but if I decide to stay here next year I would be very limited. I cannot get a license now but will be able to get one in the future.

Are these non competes even enforceable anymore?

 

[brazilianpsych]

Are these non competes even enforceable anymore?

I am not sure, but I'm not willing to go to court to figure it out. I'm just trying to avoid jobs that have one. Seems that the status of banning non-competes is unclear.

 

[Merovinge]

Are these non competes even enforceable anymore?

Almost assuredly going to depend on the elections in Nov.

 

[Mapplicant]

Are these non competes even enforceable anymore?

I believe in some states non-competes are already not enforceable such as California?

From what I've heard the FTC ruling so far does not appear to apply to non-profits and it's definitely going to get tied up in courts for sure. The calculus that docs will have to make is that would it be worth it for them to break that non-compete in their contract given their own specific circumstances...

 

[moto_za]

What's a good salary for inpatient psychiatry if seeing 10 patient per day vs 20 per day?

 

[mistafab]

What's a good salary for inpatient psychiatry if seeing 10 patient per day vs 20 per day?

Depends. I'll speak on a fresh grad.

10 is a low census. 20 is a high census. Typical is 14-18 per day, I'd say 14-16 is the sweet spot.

Round and leave is very different from butt-in-chair time.

The amount of support varies greatly per institution (family meetings, social history, discharges... verbal orders, etc.).

The amount of call (weekend rounding) and night call (from home) varies widely.

2-4 admits/discharges per day is very different than 4-6 admits/discharges.

Noncompete, non-solicit... important fine print here.

All those factors alter what would be reasonable compensation for a gig.

300k is my ballpark for a chill inpatient salary. I would not engage in unpaid call or nights. 275k may be a great job and 375k might be a horrible job. It depends on the contract, your desired lifestyle, and workload/payment balance.

 

[Stagg737]

What's a good salary for inpatient psychiatry if seeing 10 patient per day vs 20 per day?

Agree with Mistafab above. To give some actual numbers:

10-12 patients is typically going to be on the lower end. Typically in the $250k-$300k range but I've seen anywhere from $185k (academic) to $350k for that load with varying call schedule. VA where I did residency pays ~$240k for census of 8-12 patients with call Q6-8 weeks or something like that (backing up residents).

Imo 20 patients should never be below $400k unless there's significant production bonuses included or it's academic supervising residents. I've seen anywhere from $350k-$550k. I've seen one position where pay was $650k-$770k for 20 patients (after production bonus) without including other benefits. If I hadn't gotten my current job, I probably would have taken an inpatient position with census of 16-20 where base was $250k but lowest paid physician (of 3 at the time) was making around $475k after production bonuses.

Pay structure, call schedule, and turnover rate are all major factors that need to be considered when looking at these positions. Non-paid call can be acceptable if everything is reasonable. Example: $400k/yr for census of 10-12 with unit cap of 24 with call Q6 days and 1 weekend per month where you field 3-4 calls per shift with 1 call between 11pm-8am. Even better if you can just do verbal orders for everything overnight and just sign them in the morning.

 

[MedMan80]

Depends. I'll speak on a fresh grad.

10 is a low census. 20 is a high census. Typical is 14-18 per day, I'd say 14-16 is the sweet spot.

Round and leave is very different from butt-in-chair time.

The amount of support varies greatly per institution (family meetings, social history, discharges... verbal orders, etc.).

The amount of call (weekend rounding) and night call (from home) varies widely.

2-4 admits/discharges per day is very different than 4-6 admits/discharges.

Noncompete, non-solicit... important fine print here.

All those factors alter what would be reasonable compensation for a gig.

300k is my ballpark for a chill inpatient salary. I would not engage in unpaid call or nights. 275k may be a great job and 375k might be a horrible job. It depends on the contract, your desired lifestyle, and workload/payment balance.

Lets not forget area, HCOL/LCOL, desirable metro vs other..