Hiring anesthesiologist

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Piebaldi

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Hi Gas folks,
I am in the process of opening a couple of Ketamine clinics. Will probably run one, but I will need to hire an Anesthesiologist on a PRN/part time basis for the other. Can anyone elaborate on what would be a fair rate for this type of outpatient part time/PRN position?

Where would I post for such a position? Any insight would be appreciated. Thanks!
 
IMGASMD said:
The going rate for PRN anesthesiologist is somewhere between 200-300/hr. If you cannot guarantee hours, or stable income, it may be harder.
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Ok, thank you. Yeah I was thinking in the 200$ range.
 
Beach bum said:
Um so why is it so absurd? Oh I see looking to find the cheapest.....maybe check with state board and see who is on probation?
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Because it's a ridiculous rate. Physicians in general don't get paid "a couple grand an hour" when employed. Is this really a serious questions? I don't know a single physician who is employed that makes a couple grand an hour. It's about a fair rate - not a made up rate.

If you want to make a "few grand an hour" then you'd have to be self employed and if you can pull off that many procedures/ or whatever that allows you to make that good for you. No one is going to pay you a few grand an hour. I don't need to find someone on probation - 99.9% of anesthesiologists likely fall within what the above poster said of 200-300 bucks an hour.

I don't think that's even a reasonable question.

Good luck.
 
Just wanted to establish who you were....note that we have now ascertained u r shopping for discount services, I.e. 200 an hour....again refer to prior answer....
 
Piebaldi said:
Hi Gas folks,
I am in the process of opening a couple of Ketamine clinics. Will probably run one, but I will need to hire an Anesthesiologist on a PRN/part time basis for the other. Can anyone elaborate on what would be a fair rate for this type of outpatient part time/PRN position?

Where would I post for such a position? Any insight would be appreciated. Thanks!
Click to expand...

agree with above. if you can guarantee set # of hours on most days, its about 250 a hr, varies depending on location. if you can't guarantee hours, schedule, or if your business will be alive few months from now, its going to be higher
 
You covering the malpractice? Do you have some reasonable guaranteed hours? If not, be ready to pay more or a guaranteed minimum.
 
anbuitachi said:
agree with above. if you can guarantee set # of hours on most days, its about 250 a hr, varies depending on location. if you can't guarantee hours, schedule, or if your business will be alive few months from now, its going to be higher
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Ya that makes sense. Probably will guarantee 2-3 days/week.
 
AdmiralChz said:
You covering the malpractice? Do you have some reasonable guaranteed hours? If not, be ready to pay more or a guaranteed minimum.
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Yes I will be covering malpractice. Yep I'd guarantee 2-3 8 hour days.
 
Beach bum said:
Wait a minute . Dude omens on here with that kind of question, then says he was looking to pay some schmuck 2 bills an hour and I’m the “douche”?!!! Lol. Fwiw really didn’t think this was serious post...
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First I'm not a dude. Second - how much do you think anesthesiologists in an outpatient chill gig make? In most places I've been, the daily rate for an 8 hour day for anesthesiologists is about $1800-2k. Not sure why you are pretending that it's sky high. I'ts not. So please stop.
 
You did say, ”any insight would be appreciated”. Personally I wouldn’t do it for 200per but hey that’s me, the douche!!
 
Beach bum said:
You did say, ”any insight would be appreciated”. Personally I wouldn’t do it for 200per but hey that’s me, the douche!!
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What would you expect? And don't be a douche please - don't say a few grand an hour - that's stupid. i assumed everyone on here would be reasonable. So if you can give a reasonable rate I'm game to hear it.
 
Piebaldi said:
First I'm not a dude. Second - how much do you think anesthesiologists in an outpatient chill gig make? In most places I've been, the daily rate for an 8 hour day for anesthesiologists is about $1800-2k. Not sure why you are pretending that it's sky high. I'ts not. So please stop.
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That's a very optimistic estimate.
 
What's the location? A metro area will have a larger pool of more part time people. Send me a PM, I can't send you one bc your profile doesn't allow it.
 
Piebaldi said:
Yes I will be covering malpractice. Yep I'd guarantee 2-3 8 hour days.
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You’re severely underestimating the amount of time and money it takes to set up a successful Ketamine clinic. You’re gonna be waaaay upside down on this venture especially if you’re planning on paying someone else to staff it.
 
Consigliere said:
That's a very optimistic estimate.
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Well more to the point that rates are not " a grand or two" an hour. But again that's roughly what I have seen where I cover for my old group in IL and in FL area also. So for a chill gig where the anesthesiologist would do a consult, and start up an Iv with the monitoring of the patient and otherwise no heart dropping excitement or anything I wasn't planning to pay a sky high rate. I'm also in a super saturated area where there are probably hundreds of anesthesia peeps (with 6-7 med schools, and countless residency progarms) so it's not like there is a dearth of people to hire. I do want to be fair as I would like a fellow physician to be fair if they hired me, but not willng to be ripped off. I was thinking in the $200 range which I personally think is fair.
 
Out of pocket pay. 500 dollars to 2000 dollars per infusion according to google. How many pts per day? Even if you treat 10 pts a day at 500 thats 5000 right there. 8 hour day (if it lasts that long) at 200 per hour thats 1600. So the 3400 dollars of the 5000 going towards overhead. Skimming 68%? GTFOH.
sounds like 200 per hour is too low.
 
Maverikk said:
What's the location? A metro area will have a larger pool of more part time people. Send me a PM, I can't send you one bc your profile doesn't allow it.
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Ok thanks. I won't be ready to hire until a number of months from now, but gathering information to know realistically what I will need in terms of $$$. I'm in the Chicagoland area.
 
Piebaldi said:
Because it's a ridiculous rate. Physicians in general don't get paid "a couple grand an hour" when employed. Is this really a serious questions? I don't know a single physician who is employed that makes a couple grand an hour. It's about a fair rate - not a made up rate.

If you want to make a "few grand an hour" then you'd have to be self employed and if you can pull off that many procedures/ or whatever that allows you to make that good for you. No one is going to pay you a few grand an hour. I don't need to find someone on probation - 99.9% of anesthesiologists likely fall within what the above poster said of 200-300 bucks an hour.

I don't think that's even a reasonable question.

Good luck.
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You kinda get the Business advice you pay for. 🙂
 
Modanq said:
Out of pocket pay. 500 dollars to 2000 dollars per infusion according to google. How many pts per day? Even if you treat 10 pts a day at 500 thats 5000 right there. 8 hour day (if it lasts that long) at 200 per hour thats 1600. So the 3400 dollars of the 5000 going towards overhead. Skimming 68%? GTFOH.
sounds like 200 per hour is too low.
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Probably more like 6-8 patients a day, in the $800/treatment range - clinic will be in a wealthy suburb. It will be my clinic. Not sure how you figure that a part time employee wold make thousands. Why would an employee get paid more than what they would at any other surgicenter/outpatient clinic?
 
SaltyDog said:
You’re severely underestimating the amount of time and money it takes to set up a successful Ketamine clinic. You’re gonna be waaaay upside down on this venture especially if you’re planning on paying someone else to staff it.
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How do you figure that? A consultant is being hired - most of the "behind the scenes" work is already set up. Location, personnel is the next step. Ketamine clinics are a much lower cost to run type of business than other things.
 
Piebaldi said:
Probably more like 6-8 patients a day, in the $800/treatment range - clinic will be in a wealthy suburb. It will be my clinic. Not sure how you figure that a part time employee wold make thousands. Why would an employee get paid more than what they would at any other surgicenter/outpatient clinic?
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Exactly!! Great points! Might I suggest advertising on “pimp a doc”. Websites!!!
signed
The Douche
 
Omg ppl r making 200-300 dollars an hour?... I think I’m being taken advantage of.


Good luck on your clinic. Honestly sounds like it could be a good gig for those of us who don’t wanna work full time
 
Beach bum said:
Wait a minute . Dude omens on here with that kind of question, then says he was looking to pay some schmuck 2 bills an hour and I’m the “douche”?!!! Lol. Fwiw really didn’t think this was serious post...
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i make less than 2 bills an hour 🙁
 
MoMoGesiologist said:
Omg ppl r making 200-300 dollars an hour?... I think I’m being taken advantage of.


Good luck on your clinic. Honestly sounds like it could be a good gig for those of us who don’t wanna work full time
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Yes that's what I thought. I figure aside from the consultation, setting up the IV, it's a lot of down time - obviously patients need to be monitored during the infusion, but unless something goes awfully wrong, not a lot of excitement in terms of potential danger and lots of down time once the infusion starts. And for follow up patients getting infusions, even more chill. So I would imagine for a lot of peeps who want to do a part time gig in a relaxed environment in a saturated city it's not too bad. everyone wins! the patient, me, the anesthesiologist. 🙂
 
Piebaldi said:
Yes that's what I thought. I figure aside from the consultation, setting up the IV, it's a lot of down time - obviously patients need to be monitored during the infusion, but unless something goes awfully wrong, not a lot of excitement in terms of potential danger and lots of down time once the infusion starts. And for follow up patients getting infusions, even more chill. So I would imagine for a lot of peeps who want to do a part time gig in a relaxed environment in a saturated city it's not too bad. everyone wins! the patient, me, the anesthesiologist. 🙂
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Can’t u have a nurse supervise? Or even CRNA? How dangerous is a low dose ketamine infusion where you need a BC anesthesiologist available on site?
 
MoMoGesiologist said:
Can’t u have a nurse supervise? Or even CRNA? How dangerous is a low dose ketamine infusion where you need a BC anesthesiologist available on site?
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It's not. But I want good patient care. I am a doctor and just like I see doctors if I have a medical problem, I'd want my patients to see a doctor also - not a nurse. Also arent you an anesthesiologist? Why would you suggest me to hire a nurse vs an anesthesiologist?

This may be the reason why anesthesiologists are being slowly replaced
 
$200/hr is reasonable but that assumes someone else is paying the MD’s practice and travel costs. Good luck finding someone that wants to work only when you want them to and is willing to eat all the costs.

Locums companies will provide you someone for $300/hr.
 
ryanjmy said:
$200/hr is reasonable but that assumes someone else is paying the MD’s practice and travel costs. Good luck finding someone that wants to work only when you want them to and is willing to eat all the costs.

Locums companies will provide you someone for $300/hr.
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Practice and travel costs? not sure what that means. I will hire one of the probably thousands of local anesthesiologists in the area. I have already said that I'll probably guarantee 8 hours either 2-3 days/week. Not sure what "costs" there would be to eat. it's a job like any other - you go in, you get your med mal covered, and you make x amount for x number of hours.
 
IlDestriero said:
$250/hr guarantee 8 hours. You’ll get someone if you’re paying for the medmal.
When you’re ready to franchise it out give me a pm.
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Haha. 🙂 I have thought about that - but baby steps.
 
Piebaldi said:
It's not. But I want good patient care. I am a doctor and just like I see doctors if I have a medical problem, I'd want my patients to see a doctor also - not a nurse. Also arent you an anesthesiologist? Why would you suggest me to hire a nurse vs an anesthesiologist?

This may be the reason why anesthesiologists are being slowly replaced
Click to expand...
it sounds like you want someone to put in IVs and monitor vitals, doesn’t really scream needs a medical degree to me. Unless you want MDAs to diagnose depression and write scripts?
 
I talked to one of my good friends who is a psychiatrist about this idea a couple years ago. It looks like we missed the boat. He can diagnose and approve treatment and I could drop and IV and watch the monitors. And count the doubloons.
 
MoMoGesiologist said:
it sounds like you want someone to put in IVs and monitor vitals, doesn’t really scream needs a medical degree to me. Unless you want MDAs to diagnose depression and write scripts?
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presumably he wants someone capable of dealing with whatever problems may arise rather than just document the pre-mortem
 
Piebaldi said:
Practice and travel costs? not sure what that means. I will hire one of the probably thousands of local anesthesiologists in the area. I have already said that I'll probably guarantee 8 hours either 2-3 days/week. Not sure what "costs" there would be to eat. it's a job like any other - you go in, you get your med mal covered, and you make x amount for x number of hours.
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i think what people here are saying is it depends on what the responsbilities are. if you are the MD responsible for diagnosis/treatment/follow up then you'll get someone for 250/hr. basically the anesthesiologist is there to do the anesthesia/ketamine infusion, and thats it.
 
IlDestriero said:
I talked to one of my good friends who is a psychiatrist about this idea a couple years ago. It looks like we missed the boat. He can diagnose and approve treatment and I could drop and IV and watch the monitors. And count the doubloons.
Click to expand...

i talked about it friends but seems like its not as easy as it is, since insurance dont cover, and not many depressed patients have the cash to pay 1000$ per treatment.. i think thats why there aren't ketamine clinics everywhere yet. the population who needs and can afford is simply not that high in most areas to make it profitable to start own clinic
 
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MoMoGesiologist said:
it sounds like you want someone to put in IVs and monitor vitals, doesn’t really scream needs a medical degree to me. Unless you want MDAs to diagnose depression and write scripts?
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Umm no. I won't be diagnosing depression - this set up is for psychiatric patients with an already established diagnosis of depression, or for pain patients. For psych patients they need to have documentation of their diagnoses. I will also do non diagnostic infusions - ie - non ketamine. But obviously don't need an anesthesiologist for that.
 
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