Where is this?
Redwood City, California
Wow this was NorCal too. Rates have really increased.
You have to live in California though right?
My guess is none of these are remote all in person?
Let me check real quick:
Are these community psych patients? Mainly psychosis and bipolar?
Correctional safety varies by setting. Overall, it's safe. It's still safe but less so in a setting where larger proportions of the patients are new to that location, withdrawing, and won't be at that location much longer.
Yes, we treat community/underserved Psychiatric patients. We treat adults and C/A suffering from a variety of disorders including depression, anxiety, bipolar and psychosis. Many of the C/A patients suffer from ADHD.
I did not do a forensic fellowship, and a forensic fellowship isn't helpful for correctional work. I did do my residency at a forensic hospital, though.
Depends on how many factors like w2 vs 1099, location etc
One of the positions I posted previously is HCA in the midwest. Copied it here:
For 20 patients a day, that's not great money. I know places in the Midwest where inpatient doctors are making close to 750k for seeing 20 patients a day. I still think that's too many patients to do a good job but seeing 20 patients a day AND making around 450k is a raw deal.
That seems bad and surprising for HCA. 20 patients a day is plus weekends is like 11000 RVUs which at median (and if you're going to work for HCA you should AT LEAST get the 60% percentile) should be around $650k. Here the HCA hospital is paying $350k base for no weekends and 11 - 12 patients.
Yeah, I have a friend at one as well. They offer $350k+ to graduating residents, but the work just doesn't seem rewarding. He got the impression that either you had to not care what went on there or you had to burn yourself out trying to do right by patients while simultaneously getting them out the door quickly.
On your own is what I heard. I also hear suicide is high in some of those facilities.
You do pay taxes in CA if the work is done in CA
So, uh, how do we get in on this remote consultant gig?
remote consultant sounds like a sweet deal indeed, sounds like you are a reviewer for medical insurances? (basically approving or denying prior auth requests and such?)
Good post, I think I would be more concerned walking down the street in Stockton than being inside the prison given the area.
This is a larger tele company isn’t it? I did something like this for a little bit but realized I can’t stand the shift and waiting for things to happen for me to make money I preferred to have it all lined up. But for an easy way to increase your income and can be good. It will likely take a while to fully spin up to the point you get full volume so take that into account.
I think this is really bad, you’re essentially on call for free and they can call you for any reason without a consult and you don’t get paid. You should have a base pay just for being on call
You’re the on call psychiatrist..good luck defending yourself when they call with questions and your response is “no questions only consults” and there’s a bad outcome and they document that
You don't know that that's the set up. They very well may only call the psychiatrist to see new patients and otherwise the ED doc manages the other established patients over night. Not every system has an on-call psychiatrist to manage everything.
Yeah the only way I could see this being acceptable is if I'm already required to be on-site somewhere (like twiddling thumbs at a TMS clinic) or I'm already on-call for somewhere else. Of course, they'd all have to be okay with that setup.
Yeah that's true. Although im thinking more along the lines of taking something like a 7p to 1 a shift. I'll be hanging a t home after dinner with the family anyways. I can still get to bed and get my 7 hours. Seems like not a bad way to bring in an extra 50 to 100K a year.
You aren't hanging around your family for **** if you are taking 5 ED consults from 7pm-1am. That's a busy evening and as much work as my friend did in an average 8 hour shift being in-person in a psych ED. I have no idea how anyone could see that as being a relaxing evening to be doing the most acute/litigious work possible in our field where you don't even have the advantage of knowing the case managers/social worker/ED team well.
The median salary for a psychiatrist is about 275-280k. Thus half of psychiatrists make more than that, and half make less. Over 400k is going to be in the 90th percentile for psychiatrists. There are of course huge geographical differences and other variables. As I've said before, this forum tends to have the proverbial Schrödinger's psychiatrist who is losing his job to an NP freshly graduated from an online diploma mill while simultaneously earning a million a year working 10 hours a week.
This is exactly why I stopped doing that job similar to the one listed. They paid $30 an hour or something to have you there. Which I am sorry my time is worth more to me than that.
You would qualify even as a 1099?
would you have to stay all 8 hours everyday? Or could you leave early once rounding is complete?
Any opportunity for overtime work if you wanted?
