hospitalist job salary?

[SOCalXtine]

• 21 full time physician program, hospitalists rotate and pick up shifts at both facilities
• ▪ Open ICU – No procedures required
• ▪ Cerner EMR system
• ▪ Manageable workload and manageable encounters
• ▪ Clinical Performance Nurse and Program Manager to facilitate workflow and administrative details
• ▪ Admitting medical and surgical patients 16 years of age and older (adult)
• ▪ Culture of integrity, honesty, support and amazing retention rates among physicians and nurses
• ▪ 7 on/7 off block schedule
  o Full Time is 15.2 shifts per month / 182 shifts per year. Expect 128 days, 18 swings, and 36 nights/year
• ▪ Shifts hours as follows:

o Days: 7:00am -7:00pm
o Swing:12:00pm-12:00am o Nights:7:00pm-7:00am
▪ Excellent Compensation Plan: o DayShiftRates:
▪ 0-2 Years of Experience = $400.00/shift + $34.00/wRVU
o Swing Shift Rates:
▪ 0-2 Years of Experience = $650.00/shift + $34.00/wRVU
o Night Shift Rates:
▪ $1200/shift regardless of level of experience $34.00/wRVU

Does this look ok?

Edit: Most physicians leave around 4pm (dont stay for whole shift) and they said the average salary for someone 0-2 years of experince is 291K

can. that actually be true? the medical director says average for is 1600 a shift

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[chessknt]

• 21 full time physician program, hospitalists rotate and pick up shifts at both facilities
• ▪ Open ICU – No procedures required
• ▪ Cerner EMR system
• ▪ Manageable workload and manageable encounters
• ▪ Clinical Performance Nurse and Program Manager to facilitate workflow and administrative details
• ▪ Admitting medical and surgical patients 16 years of age and older (adult)
• ▪ Culture of integrity, honesty, support and amazing retention rates among physicians and nurses
• ▪ 7 on/7 off block schedule
  o Full Time is 15.2 shifts per month / 182 shifts per year. Expect 128 days, 18 swings, and 36 nights/year
• ▪ Shifts hours as follows:

o Days: 7:00am -7:00pm
o Swing:12:00pm-12:00am o Nights:7:00pm-7:00am
▪ Excellent Compensation Plan: o DayShiftRates:
▪ 0-2 Years of Experience = $400.00/shift + $34.00/wRVU
o Swing Shift Rates:
▪ 0-2 Years of Experience = $650.00/shift + $34.00/wRVU
o Night Shift Rates:
▪ $1200/shift regardless of level of experience $34.00/wRVU

Does this look ok?

No this looks like they are trying to not pay a subsidy and make you assume the risk if the hospital has low census. Even with 12 patients billing an average of 2 wrvu each you are bearly pulling 1200/shift which is like 100/hr--PAs make more than that.

 

[SOCalXtine]

No this looks like they are trying to not pay a subsidy and make you assume the risk if the hospital has low census. Even with 12 patients billing an average of 2 wrvu each you are bearly pulling 1200/shift which is like 100/hr--PAs make more than that.

Just to give more info they said the avg census is 17 pts a shift and 34 RVUs the med director says the hospitalist usually make 1600 a shift. Also FYI VHCOL (one of the coasts)

 

[chessknt]

Just to give more info they said the avg census is 17 pts a shift and 34 RVUs the med director says the hospitalist usually make 1600 a shift. Also FYI VHCOL (one of the coasts)

You might not have much choice then--shop around and see if it is comparable but this exposes you to significant downside without much upside. What if the hospital is half empty and your paycheck is half sized--are you ok with that?

 

[DrMetal]

• 21 full time physician program, hospitalists rotate and pick up shifts at both facilities
• ▪ Open ICU – No procedures required
• ▪ Cerner EMR system
• ▪ Manageable workload and manageable encounters
• ▪ Clinical Performance Nurse and Program Manager to facilitate workflow and administrative details
• ▪ Admitting medical and surgical patients 16 years of age and older (adult)
• ▪ Culture of integrity, honesty, support and amazing retention rates among physicians and nurses
• ▪ 7 on/7 off block schedule
  o Full Time is 15.2 shifts per month / 182 shifts per year. Expect 128 days, 18 swings, and 36 nights/year
• ▪ Shifts hours as follows:

o Days: 7:00am -7:00pm
o Swing:12:00pm-12:00am o Nights:7:00pm-7:00am
▪ Excellent Compensation Plan: o DayShiftRates:
▪ 0-2 Years of Experience = $400.00/shift + $34.00/wRVU
o Swing Shift Rates:
▪ 0-2 Years of Experience = $650.00/shift + $34.00/wRVU
o Night Shift Rates:
▪ $1200/shift regardless of level of experience $34.00/wRVU

Does this look ok?

Edit: Most physicians leave around 4pm (dont stay for whole shift) and they said the average salary for someone 0-2 years of experince is 291K

can. that actually be true? the medical director says average for is 1600 a shift

For California, this is about right. Take it while it lasts, these numbers will be cut in half in about 10 years.

 

[SOCalXtine]

For California, this is about right. Take it while it lasts, these numbers will be cut in half in about 10 years.

Do you think their lying about the 290?

 

[SOCalXtine]

You might not have much choice then--shop around and see if it is comparable but this exposes you to significant downside without much upside. What if the hospital is half empty and your paycheck is half sized--are you ok with that?

not at all ok with that ur giving me a lot to think about

 

[CCM-MD]

Honestly, this is not a bad set up. Essentially you are getting paid for the amount you work. If the hospital is half empty, no employer is going to keep paying you the same to do half the work. They are either going to reduce the staffing or reduce the pay.

I’m in an area that is popular with snowbirds and the corporate hospitalist group frequently reduces hospitalist staffing during low census summer months. So the risk of the hospital being half empty exists for any hospitalist job.

 

[SOCalXtine]

Honestly, this is not a bad set up. Essentially you are getting paid for the amount you work. If the hospital is half empty, no employer is going to keep paying you the same to do half the work. They are either going to reduce the staffing or reduce the pay.

I’m in an area that is popular with snowbirds and the corporate hospitalist group frequently reduces hospitalist staffing during low census summer months. So the risk of the hospital being half empty exists for any hospitalist job.

It also rotates between two hospitals if it makes any difference?

 

[chessknt]

Honestly, this is not a bad set up. Essentially you are getting paid for the amount you work. If the hospital is half empty, no employer is going to keep paying you the same to do half the work. They are either going to reduce the staffing or reduce the pay.

I’m in an area that is popular with snowbirds and the corporate hospitalist group frequently reduces hospitalist staffing during low census summer months. So the risk of the hospital being half empty exists for any hospitalist job.

Well if the contract says X shifts/month and they cant give you that many then they are in breach.

This contract sucks ass in the middle scenario though where your census is ~10-12 people and your paycheck is 70% of normal. Awesome deal for the hospital--they pay a bargain basement subsidy, get to pay you medicare RVU rates and pocket the difference on private insurers, and get to keep the PE portion of the RVUs.

 

[CCM-MD]

Well if the contract says X shifts/month and they cant give you that many then they are in breach.

This contract sucks ass in the middle scenario though where your census is ~10-12 people and your paycheck is 70% of normal. Awesome deal for the hospital--they pay a bargain basement subsidy, get to pay you medicare RVU rates and pocket the difference on private insurers, and get to keep the PE portion of the RVUs.

"Due to the nature of the specialty of inpatient medicine, Employer and Physician hereby expressly acknowledge and agree that from time to time there may be deviations from the Monthly Average of Shifts. Physician recognizes that the requirements of Employer’s medical practice are such that Physician must work on an irregular schedule. Therefore, the number of shifts assigned to Physician by Employer may vary from month to month."

Sure lower census = lower pay, but higher census = higher pay. At least thats fair. Versus in a non productivity model, census will be designed to stay high with no benefit to the employee.

 

[chessknt]

"Due to the nature of the specialty of inpatient medicine, Employer and Physician hereby expressly acknowledge and agree that from time to time there may be deviations from the Monthly Average of Shifts. Physician recognizes that the requirements of Employer’s medical practice are such that Physician must work on an irregular schedule. Therefore, the number of shifts assigned to Physician by Employer may vary from month to month."

Sure lower census = lower pay, but higher census = higher pay. At least thats fair. Versus in a non productivity model, census will be designed to stay high with no benefit to the employee.

That is something you negotiate on then--under that language they could work you 27 shifts or 0 shifts in a month so build guardrails in or some kind of language to protect yourself because that clause is straight bull****. In my first contract as an intensivist I negotiated a guaranteed minimum number of shifts each month and when they unexpectedly lost a contract 4 months after I started guess who was still working full time when everyone else got their shifts cut down?

 

[CCM-MD]

Corporate groups/large health systems in a VHCOL area where the OP is looking are unlikely to budge on something like this. Also probably more opportunity for individualized negotiation in 6 doc Intensivist group than for 30 doc hospitalist group. They'll say no thank you and move on to their next victim... I mean physician.

 

[collegestud2013]

Just to give more info they said the avg census is 17 pts a shift and 34 RVUs the med director says the hospitalist usually make 1600 a shift. Also FYI VHCOL (one of the coasts)

Pay is decent, as long as the census doesn't drop too low. The pay structure here weighs most of the pay on RVUs (and with a low base pay) so volume will be key, and at least you'll get somewhat compensated when census is high. Remember that CMS changed the RVU weighs this year so follow-ups and discharge summaries are worth more (and H&Ps are worth less). Would see if you can ask the other hospitalists that have been working there (besides the medical director) if low volume has been an issue. Of course overall workload also depends on how well the hospital is staffed including subspecialist support and ancillary services.

My guess is you're in a saturated coastal area, so your ability to negotiate individually (especially as a new grad) will be low (unless you're into nocturnist positions, which tend to have more negotiating room).

Also looks like there's around 5 weeks of nights required per year so make sure you' okay with that since that's quite a bit. Night shifts can be a dealbreaker for some, especially since many hospitals that are poorly staffed at night. Find out if you have any additional support (eg NP/PA) at night for cross coverage and to rotate on admissions. And if you're at an open ICU hospital, make sure you have appropriate intensivist coverage, especially at night.

 

[collegestud2013]

Do you think their lying about the 290?

$291K sounds about right based on the pay structure and volumes they're quoting if you did only day shifts (with no swing or night shifts). 17 follow-ups/discharges seems on the light side for 12-hr shift at hospital with full subspecialty support so not surprised that people leave way before 12 hrs is up. However, IMO you should be making more than $291K per year once you factor in all the swing and night shifts you have to do.

 

[Splenda88]

For California, this is about right. Take it while it lasts, these numbers will be cut in half in about 10 years.

Lol. You are such an alarmist.

 

[Splenda88]

Do you think their lying about the 290?

You should always assume these people are lying.

When I was negotiating my contract, they kept telling me the contract is standard and salary is the same across the board for everyone, and then come to find out there are 3 hospitalists in the group that make 30k more than us.

 

[DrMetal]

Lol. You are such an alarmist.

I prefer 'realist'. We're too expensive. Ok, maybe our salaries wont be cut in half in 10 years . . .maybe they'll be cut by a quarter, or cut in half in 20 years (just as soon as the AI bots, NPs/PAs take over).

 

[Splenda88]

I prefer 'realist'. We're too expensive. Ok, maybe our salaries wont be cut in half in 10 years . . .maybe they'll be cut by a quarter, or cut in half in 20 years (just as soon as the AI bots, NPs/PAs take over).

Even PA/NP salary is bloated. Our night NP got paid 140k+ to do 2 admissions and cross cover ~70 patients.

 

[wamcp]

Even PA/NP salary is bloated. Our night NP got paid 140k+ to do 2 admissions and cross cover ~70 patients.

Yeah there is a reason all hospitalist midlevels were terminated all of a sudden a few years back at one of our hospitals. Execs did the number crunching and realized how inefficient they were for their compensation vs docs

 

[scoopdaboop]

Yeah there is a reason all hospitalist midlevels were terminated all of a sudden a few years back at one of our hospitals. Execs did the number crunching and realized how inefficient they were for their compensation vs docs

isnt everything tracked anyways. The length of stay, chart auditing etc. that's a hurdle. A hospital system getting flagged by CMS for "subpar care" based on whatever arbitrary metric they use, won't be too happy. Also, online degree trained NP's don't really feel comfortable going the route of inpatient medicine especially independent hospitalist early on. They only feel comfortable once trained by actual physician hospitalists. The online mill degree peoples would much prefer outpatient FM. I do think that hospitalist as a whole is more susceptible to independent NP/PA though compared to a subspeciality, where they essentially function as a role of a second year resident rotating in say cards.

 

[FlaringRaynauds]

isnt everything tracked anyways. The length of stay, chart auditing etc. that's a hurdle. A hospital system getting flagged by CMS for "subpar care" based on whatever arbitrary metric they use, won't be too happy. Also, online degree trained NP's don't really feel comfortable going the route of inpatient medicine especially independent hospitalist early on. They only feel comfortable once trained by actual physician hospitalists. The online mill degree peoples would much prefer outpatient FM. I do think that hospitalist as a whole is more susceptible to independent NP/PA though compared to a subspeciality, where they essentially function as a role of a second year resident rotating in say cards.

When physicians stop training the endless supply of online degree NP's the uncontrolled scope creep will subside.

 

[Splenda88]

When physicians stop training the endless supply of online degree NP's the uncontrolled scope creep will subside.

We are just hoping the job market remains or even got better in the next 10 yrs. I am glad the hospitalist that I am acquainted with won't work for < 300k FT or $2200/day 1099/locum.

 

[Entadus]

36 nights a year and not even cracking $300k? Press 'F' in the chat.....

 

[Osteoth]

isnt everything tracked anyways. The length of stay, chart auditing etc. that's a hurdle. A hospital system getting flagged by CMS for "subpar care" based on whatever arbitrary metric they use, won't be too happy. Also, online degree trained NP's don't really feel comfortable going the route of inpatient medicine especially independent hospitalist early on. They only feel comfortable once trained by actual physician hospitalists. The online mill degree peoples would much prefer outpatient FM. I do think that hospitalist as a whole is more susceptible to independent NP/PA though compared to a subspeciality, where they essentially function as a role of a second year resident rotating in say cards.

Most midlevels inpatients are likely to kill people if not properly supervised…