As a private practice partner, yes. If you’re down in the coal mines of PE, the absolute ceiling is maybe $750k while seeing that workload.
That's really impressive. If you don't mind me asking, which geographic region / state do you practice in? Is it one of those chaotic EDs with limited resources in the middle of nowhere? I feel like the crappy work environment = higher hourly rate formula never fails. Also, I'm curious if you have a goal net worth in mind that you feel is enough to slow down with the hustling or even walk away from the field completely.
I don’t work PE, so I’m around 130 hrs and 10+ pph. Significantly better money and a say in how to run things.
As a dumb retina doc, I feel you.
UPMC fails. Very bigly. In fact, so much, they dumped the docs and replaced them with NPs at the last place I worked.
South, location is medium sized city that is 45-50 mins from a large city, low cost of living
Location dependent. Some markets dont have this. Thats what I will say. As you mentioned some of the SDGs are still making bank. Some SDGs are mediocre and imo some are crappier than a cmg.
Note the difference in net worth and investable assets. If your net worth is 1.5M but 500k of that is in a home thats not going to double as quickly.
Very close.
The part that makes me cry is the capital gains tax being applied to inflationary gains. It's a backdoor wealth tax. 🙁
We only hire people that want to be with us indefinitely. This usually works out. Occasionally it's a bad fit.
We do the same.. That being said my point is the wants of younger docs and older docs is different than it was. I am not judging if it is good or bad. Greed is an common problem. I did some consulting work for a group. They had multiple sites, they were RVU based and one of the sites was the most lucrative but all the old guys worked there and didnt open up room for the younger docs. The younger docs eventually had the numbers (plus the guys close to retirement) and basically forced a sale of the group. This is an extreme example but various bits of this happen in many gorups.
I never understood why covering nights was that difficult. My 1st job (Great job before being CMGed) bonused nights a flat $250 (I think) for nights that eventually increased to $500/nt. It was the most democratic and fair way. The money pot is what it is, and just the allocation changed. No one got short changed, no one got screwed, everyone had a choice. It is such a simple process that only has positives and no negatives.
A similar system was in effect at Kaiser NW while I was there – basically an auction-style where you could "give up" nights in exchange for working more monthly hours for the same salary, while other docs could "pick up" nights in exchange for working fewer hours.
Older guys may think.. hey man i did nights and no one paid me xtra. So many places have either no or a minimal delta. I tend to agree with you. I think it is simple.. but.. but.. what if there is no number. i wouldnt work an extra night for nearly any amount. I have my number, everyone does but with that comes its own set of issues. Lets say I want my 3 nights this month covered and doc A is happy to cover them for my 500. Suddenly though Doc Z also wants them covered and he will pay $1k. I can either pay the 1k or not. What if Doc Z is the scheduler. Do I want to piss them off? Etc. etc.
I am sure I have never thought of all the permutations but I worked in the hospitals for 18 years, 4 hospital systems, and 10 ERs. I only did nights b/c I picked the shift up for a big bonus. Like everything else, its all about supply and demand. If I offered $500 to cover my nights, it was typically covered without issues. If the demand for Night $$ is not enough, then a bump in the amount will created a balance in supply and demand.
🔥 🙇
Dude - when they say "live like a resident", they do not add "work like a resident"!!
Dude, that's insane. I've never seen anything like that in my life. I did that once as a resident and worked my entire 3 week vacation moonlighting but 3-4 years?!
1: assuming you're getting paid at least 280/hr (You are getting paid 280+/hr for all this travel and for nights I assume?) that means you're making over 1M/yr.
I assume no family/kids? Also, are you the unhealthiest person on the planet?
yea im gonna need a salary breakdown here, this is insane
1~ mil/yr from these jobs not including ROI from investments/rentals. I basically lucked out. My bosses are angels, the nurses like me (I think), and my locations aren’t county hospitals. Also, no kids (for now).
Im not gonna rain on your parade like others. You do you. There was a job posted in west Texas.. 8 24s a month and pay is 335/hr about 750k a year. Seems doable. Well under 1pph.
I've got bad news but you're underpaid.
With the emphasis likely on blow, cus there’s no way he’d have the energy for hookers otherwise
Im not into the locums world. My main job pays more than most locums. I sleep at home, see my family etc.
I probably am for the hours worked and potential differential I could have earned at other sites. However, I work in two major metros >2.5 million population and one “global city”. Pay are competitive for the locations. Obviously, these aren’t my only income streams so I compensate through other means like stocks. I probably will only do this for 1~ more year then do limited prn work. I do feel valued at work so it’s not bad. Feels nice to be needed and my bosses like the quality of my work.
