How much is this job worth?

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TheLoneWolf

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Big city. Nice neighborhood. 7 continous days of night shifts in a community hospital with 8 ORs and L&D. 12 hour shifts from 7pm. Must be in house. Solo and no backup call. Unusual to work past midnight outside of labor and delivery. Low volume OB. Followed by 2 weeks off. Repeat.

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Big city. Nice neighborhood. 7 continous days of night shifts in a community hospital with 8 ORs and L&D. 12 hour shifts from 7pm. Must be in house. Solo and no backup call. Unusual to work past midnight outside of labor and delivery. Low volume OB. Followed by 2 weeks off. Repeat.
My best guess is they are paying you 500k for 17 weeks of work.

The way I calculate it is $350/hr x 84 hrs of work (around 30k per week) x 17 weeks of work.

So 500k for the 17 weeks of worth.

It’s not too bad if you like nights.
 
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What’s the ob volume? How many delivery rooms, deliveries…. If it’s busy no way, not for any amount of $
Everyone has a price they will work for …but it ain’t $400/hr overnight busy all the time. It would have to be much higher to work overnight consistently.

I like to sleep at home on beeper and get paid $400/hr continuously regardless if I get called in (which I occasionally do)

Work smarter, not harder.
 
Everyone has a price they will work for …but it ain’t $400/hr overnight busy all the time. It would have to be much higher to work overnight consistently.

I like to sleep at home on beeper and get paid $400/hr continuously regardless if I get called in (which I occasionally do)

Work smarter, not harder.
Where you getting 400/hr home call at let me know, or where you find places that let you do that. Otherwise it sounds fake
 
Where you getting 400/hr home call at let me know, or where you find places that let you do that. Otherwise it sounds fake
Everything is negotiable. You just have to ask. Some will say no, some will say yes.

Shoot your shot. You miss 100% of the shots you don’t take.

It’s like me telling peeps 10–12k per 24 hr call with escalators up to 70k a week. You gotta find the sweet spots. They are moving targets. One shop closes. Find another shop to loot. And I’m in Florida. It’s everywhere.

I’m working on a gig in GA for the summer as well.
 
I like Aneftp’s breakdown but I’m gonna say $400/hr assuming this is 1099 and round up to make it juicy and get a strong candidate

$600k
 
Night float is unhealthy.

If you do it, demand a fortune, and then get a better job before too long.
Depends on what stage of ur life and career.

Most of the night floats I know in Florida are
3/5/7p-7am every other day for 2 weeks. In house

Or straight 5p-7am beeper for
One week at a time. Than next week off.

Some version of that.

The real burn out factor is self inflicted. How much side gig work are the night float docs doing on the side with their time off. That’s the variable.

But straight night float especially with crnas in house is not too bad and no other extra work.
 
Big city. Nice neighborhood. 7 continous days of night shifts in a community hospital with 8 ORs and L&D. 12 hour shifts from 7pm. Must be in house. Solo and no backup call. Unusual to work past midnight outside of labor and delivery. Low volume OB. Followed by 2 weeks off. Repeat.
How low is low?
How are you solo with no back up if you have both OR and L&D to cover? What if you're in a ex lap and they call a stat section, who do you call?
 
pure night work should demand an incredible premium, even before the inclusion of OB. One bad night, god forbid two, in a week will make the rest of your stretch of shifts absolute hell with a hangover that lasts in to your “days off". I wouldn’t take this job at any pay, but I would’t recommend that anyone else take it at less than 450/hr.
 
I would consider a job like this for 400/hr. I'm less than 3 years out and in the wealth accumulation stage though. I'm also assuming low volume OB means less than 500 deliveries per year.

Could do something like:
Week 1: work this job
Week 2: off. Note that probably a few days of this is just wasted feeling like crap
Week 3: chill 1099 gig 3-5 days
Repeat

Obviously depends on your stage in the game and financial situation. No way I am taking this job if I'm in my 40s or older or 2m net worth or more.
 
My best guess is they are paying you 500k for 17 weeks of work.

The way I calculate it is $350/hr x 84 hrs of work (around 30k per week) x 17 weeks of work.

So 500k for the 17 weeks of worth.

It’s not too bad if you like nights.

Try 425,000
 
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What’s the ob volume? How many delivery rooms, deliveries…. If it’s busy no way, not for any amount of $

About 500-600 deliveries per year. Where I work now, busiest OB service in the city with a catchment of >1,000,000 so anything is an improvement
 
Everyone has a price they will work for …but it ain’t $400/hr overnight busy all the time. It would have to be much higher to work overnight consistently.

I like to sleep at home on beeper and get paid $400/hr continuously regardless if I get called in (which I occasionally do)

Work smarter, not harder.


Is that really out there? Highest I have seen to take home call is $200 an hour and you have to commit to a high number of hours.
 
Try 425,000
The solo in house ob kills the deal. No matter how light it it.

So 17 weeks work
35 weeks off (give or take)
Comes out to $300/hr

For night time coverage.

It’s really the consecutive nights in house that will grind on you. Has to be a premium for that. And you aren’t getting that premium.
Monday-Friday 7p-7a is more manageable deal. In my opinion
 
Is that really out there? Highest I have seen to take home call is $200 an hour and you have to commit to a high number of hours.
I negotiated my own nighttime rates at that one facility. Beeper. It’s hit or miss what they will approve. They just renewed it to Dec 31 2025. They approved another doc as well. We sometimes split up the nights and days to make it advantageous for both of us.

I always try to negotiate guarantees. Like this weekend I was at new place I worked for lowly $300/hr daytime 10 hrs guaranteed daytime. 7-5p solo. I did 7 hrs of work and got paid 20 hours. 9 min from my house. If I had gotten the regular beeper rate I’d would have been screwed doing nothing. Weekend and nights gotta have something enticing to do. I want guarantees. I analyzed the snapboard on epic how many cases they do each weekend. So there is some research into it before I commit.

You gotta find the secret sauce. It’s not always the highest hourly rate either. Workload, guarantees etc.
 
How low is low?
How are you solo with no back up if you have both OR and L&D to cover? What if you're in a ex lap and they call a stat section, who do you call?

425 annual w2. There is a PP group that has someone in house covering airway pager, otherwise sleeping. My guess would be they are the first point of contact for 2 simultaneous emergencies
 
Depends on what stage of ur life and career.

.
You just made that up didnt you?
At no stage of your life is night float not unhealthy. And it deserves to be paid as such.


Sure there are things that can make night float more unhealthy but that doesn't make NF healthy... dont encourage low ball offers for this
 
At no stage of your life is night float not unhealthy. And it deserves to be paid as such.
1000% this. There is a reason people feel like crap after nights. Everyone. Every single person. I challenge people who say they don’t by asking “Do you feel as good or better that when you only worked days?”

Why aren’t department chairs working nights? Because they SUCK.
 
Big city. Nice neighborhood. 7 continous days of night shifts in a community hospital with 8 ORs and L&D. 12 hour shifts from 7pm. Must be in house. Solo and no backup call. Unusual to work past midnight outside of labor and delivery. Low volume OB. Followed by 2 weeks off. Repeat.
Some of the hospitals in my area with envision are going to this model. 1 week of nights in house and 2 weeks off. They pay only around 400k and most of them have OB. If you can get 450-500 I think that’s a good deal If you are ok with nights.
 
1000% this. There is a reason people feel like crap after nights. Everyone. Every single person. I challenge people who say they don’t by asking “Do you feel as good or better that when you only worked days?”

Why aren’t department chairs working nights? Because they SUCK.
Department chairs don’t work daytime either!

Usually 2-5 admin days. Even clinical days are a joke. Work 645-12pm one day a week.
 
You just made that up didnt you?
At no stage of your life is night float not unhealthy. And it deserves to be paid as such.


Sure there are things that can make night float more unhealthy but that doesn't make NF healthy... dont encourage low ball offers for this
No. Night floats are by far the more popular jobs these days if administer correctly

Every other day for 12 days. 5p-7a plus 2 crnas are night to sleep for 500k plus benefits. Than off for 2 weeks. That’s a good night float.

One doc I know literally works 2 full time jobs right now making over 1 million this way.

Crna does something similar at same hospital. He’s got two full time night float jobs making 600k. Plus vacation time. And he’s like 64 years old. The doc is 60 years old. Neither of them divorced. Married 30 plus years. So it’s not money they need. They like to work.
 
No. Night floats are by far the more popular jobs these days if administer correctly

Every other day for 12 days. 5p-7a plus 2 crnas are night to sleep for 500k plus benefits. Than off for 2 weeks. That’s a good night float.

One doc I know literally works 2 full time jobs right now making over 1 million this way.

Crna does something similar at same hospital. He’s got two full time night float jobs making 600k. Plus vacation time. And he’s like 64 years old. The doc is 60 years old. Neither of them divorced. Married 30 plus years. So it’s not money they need. They like to work.


Night floats are def not the most popular. Your N=4 is not indicative of everyone. Night float sucks ass and people are accepting 500k for a week of nights are ******ed. You would have to pay me atleast 800k if you want me to work a week of night float with OB
 
425 annual w2. There is a PP group that has someone in house covering airway pager, otherwise sleeping. My guess would be they are the first point of contact for 2 simultaneous emergencies
I’m confused. So there is another anesthesia group in-house just to cover airways?

My question is how can you have no back up if you are expected to cover OB and OR cases?

Let’s say you are in the middle of an ex-lap with a slow surgeon and they call you for a stat C-section? Who covers the C-section? Is there a CRNA you could call?
 
Night floats are def not the most popular. Your N=4 is not indicative of everyone. Night float sucks ass and people are accepting 500k for a week of nights are ******ed. You would have to pay me atleast 800k if you want me to work a week of night float with OB
U need to convince admin for 4 night floats. Plus crnas to sleep at night. Only way it’s sustainable

I mention good desirable night floats. They are out there.

The op mention his current night float which is not desirable.

So night float desirability varies depending on the setup.

I’m fine with a night float setup I’m looking a gig with around 5p-7am beeper with crna usually done at 9pm. No ob. So crna does the or case at night. They are in house. 30 min response time for docs. They cover trauma and stroke but ob service got canned (great news). Is this overkill? Absolutely. I ain’t complaining.

The level one center down the road has the 3 doc night float slot like u mention. 7p-7am Monday-Wednesday (3 nights a week).
Thursday open slot for day docs to do 7p-7am so they can be post call Friday. Other night float doc takes over 7p-7a Friday -Sunday

So the night docs don’t cover all 7 nights.

That’s sustainable.

We got to get creative staffing in this day and age if u want w2 employees.

Locums 1099 docs know w2 docs are the enemy. Cat and mouse game with staffing
 
1099 around me would be 400x12x7 per week = $33600.
Assuming you want one per month = $403,200 for 12 weeks of night float a year.
Not a terrible job for mid-accumulation phase and young. But as others have posited, night float sucks.
 
Big city. Nice neighborhood. 7 continous days of night shifts in a community hospital with 8 ORs and L&D. 12 hour shifts from 7pm. Must be in house. Solo and no backup call. Unusual to work past midnight outside of labor and delivery. Low volume OB. Followed by 2 weeks off. Repeat.
How unusual? Big difference between 10% and 30%. Unless the call is very low % I don't really see the appeal of 1 week on 2 weeks off. You'll need time to recover, you won't be making that much compared to a regular job and you'll probably have worse health than a regular job. 500 deliveries a year is nothing, but the OR side can easily make or break this.
 
I see ads popping everywhere especially on the crna side. This one just popped up
500k/42 weeks 3-6 months rolling contracts (I know crnas who milk these jobs for 2-3 years in various places)

Indiana
No calls
No nights
No weekends.

Random 7-3/7-5/7-7p
Shift so they really only need to work 7 shifts every 2 weeks and still fly back home for 4 day weekends.

That’s where the crna market is going. Don’t settle for full time gigs especially nights.
 
Indiana. No wonder they're getting those rates. That place is the armpit of America.
 
Indiana. No wonder they're getting those rates. That place is the armpit of America.
My cousins and aunt and uncle from Indiana (Terre haute, some call it Indiana sewer lol). But it’s a great place to raise a family. My uncle was a professor there. I wouldn’t knock it. Lots of low cost living areas in all of America.
 
My cousins and aunt and uncle from Indiana (Terre haute, some call it Indiana sewer lol). But it’s a great place to raise a family. My uncle was a professor there. I wouldn’t knock it. Lots of low cost living areas in all of America.
They're low cost for a reason....
It may be for some people, just not me. I spent enough time in Indiana to know I'll NEVER return.
 
They're low cost for a reason....
It may be for some people, just not me. I spent enough time in Indiana to know I'll NEVER return.
Understand. I’ve lived in the city (NYC) and great place to visit. But I’d never live there again. Same with the actual city of San Francisco. Worked there for a bit. Can’t stand the city. Can’t believe my sister survived living 4 years at ucsf med there.

One of my cousins moved from Indiana to San Diego but she loved her childhood. The other cousin moved to Indianapolis.

But that’s what makes America great. I’ve lived in mid west , east coast, west coast. And the south.

Now if u were to ask me which city I would never return to work or live no matter what. It’s Memphis TN. I gave up my TN license almost 10 years ago.
 
What's so bad about Memphis? Isn't their locums market very busy now
The opening offer I got in Memphis last year was $450/hr, guaranteed 10-12hr shifts but "you can end later if you want." $500/hr OT. They said they wanted me to start taking CV and liver transplant call week one. Any place that has an opening offer that high with allegedly unlimited hours, and wants you to start taking Level 1 trauma and liver transplant call with unfamiliar surgeons on day one? That's gonna be a hard no from me no matter what the price. Sounds like you're walking into a disaster.

Recently I've heard rates have come down a bit. Also, I can't imagine how angry those surgeons must be dealing with a rotating cadre of locums people in their CV and liver transplant cases. You're already dealing with emotionally unstable surgeons, that's just prodding the bear with a taser....
 
Understand. I’ve lived in the city (NYC) and great place to visit. But I’d never live there again. Same with the actual city of San Francisco. Worked there for a bit. Can’t stand the city. Can’t believe my sister survived living 4 years at ucsf med there.

One of my cousins moved from Indiana to San Diego but she loved her childhood. The other cousin moved to Indianapolis.

But that’s what makes America great. I’ve lived in mid west , east coast, west coast. And the south.

Now if u were to ask me which city I would never return to work or live no matter what. It’s Memphis TN. I gave up my TN license almost 10 years ago.

For reference, I caught up with one of my coresidents a few years after graduation. He worked in TN. Major city. I asked how it was and he pointed his finger at me and said "bang, bang". Enough said.
 
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