How much would you want for this job

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Yea - was thinking it would be a nice stable part time job for someone to do lots of Locums- seems like most people these days want some stability and then 1099 Locums freedom
 
amyl said:
If it were supervision would you want less?
Click to expand...

Not necessarily. You’re still overseeing CRNA’s regardless. I guess I’m just considering the daily toll of the job. It sounds miserable on paper already, adding direction just adds to that. Can you imagine being present on induction whenever a CRNA pushes the prop for every egd/colonoscopy?
 
The issue I find with that job is not the pay. It’s the pace/workload.

I cover a hospital place where I occasionally cover 3 GI rooms (not 4) and it’s around 20-30 GI procedures). Around patient 26 I start to get tired. Some are very sick patients.


I can’t imagine covering 4 GI rooms every day. That’s a min of 40 GI patients each day.

Have I preop 80 GI patients by myself? 1:4 stand a lone outpatient generally healthy. Yes I have. I did it on/off for 6 months. It was very taxing work.

It’s just a lot of stupid busy work and pray u don’t get a big aspiration or airway problem. More patients more liability.
 
This type of job needs to be shared among 3 people IMHO. A max of 2 days per week covering GI especially 4 rooms. I am no longer young enough or hungry enough to want such a position even for $500K 0700-1500. I imagine the burn out factor will be so high that the person won't last more than a year,
 
BLADEMDA said:
This type of job needs to be shared among 3 people IMHO. A max of 2 days per week covering GI especially 4 rooms. I am no longer young enough or hungry enough to want such a position even for $500K 0700-1500. I imagine the burn out factor will be so high that the person won't last more than a year,
Click to expand...
500k 7-3p (5 days a week) no real early days would suck even with 24 weeks off

I mean on paper that’s a solid 17k/18k a week extrapolated to hourly wages per week ($446/hr) based on 40 hours for 28 weeks of work.

500k/28 weeks worked equals $17800 per week worked based on 40 hrs.

Someone would take that job if it were in Houston or Dallas or some other big city. ….but it’s not.

Im sure someone will take it in South Carolina.
 
Yeah I don't think the issue here is with money, the issue is with the type of work. You're going to be looking for a small group of people who would actually want to do this. To everyone else you could offer 800k and I doubt you'd have any better luck filling the position. The reality is that this job offer just sucks. No one wants wants to be a pre-op machine and manage a circus at the same time.
 
Dr. Anonymouss said:
Yeah I don't think the issue here is with money, the issue is with the type of work. You're going to be looking for a small group of people who would actually want to do this. To everyone else you could offer 800k and I doubt you'd have any better luck filling the position. The reality is that this job offer just sucks. No one wants wants to be a pre-op machine and manage a circus at the same time.
Click to expand...
Yea I get it. I’d do it for 800 but they’ll never pay that… this was kind of a fact finding mission for me. I suspected these would be the responses.
 
amyl said:
Yea I get it. I’d do it for 800 but they’ll never pay that… this was kind of a fact finding mission for me. I suspected these would be the responses.
Click to expand...
I’d like to know the reason why this job even exists? Was it an older doc who wanted to do it?

Whose idea was as this? And no. I don’t think ii would do it for 800k. It’s close to my magic number for this job I would do it. And I love good gigs that pay a lot.
 
In my former group, we kept track who did endo each week because we all disliked it. Even though it was only 1 set of stairs above our office, it was still going up there to see some patients only to need to head back up 20-30 minutes later to see the next "batch." Also, we all know GI scopes anyone and everyone who they get consulted for, some of which are highly inappropriate on very sick patients who can barely breathe let alone tolerate any sedation and a scope shoved down their mouth.

Fairest is to treat your day time folks the same with similar case mixes and loads.
 
aneftp said:
I’d like to know the reason why this job even exists? Was it an older doc who wanted to do it?

Whose idea was as this? And no. I don’t think ii would do it for 800k. It’s close to my magic number for this job I would do it. And I love good gigs that pay a lot.
Click to expand...
Yes. Theres a guy who holds this job now that loves it…. He’s a great guy and we will miss him lots when he retires next year. I agree just fairest to split a day of GI infrequently for the rest of us but most of the group would just like to hire a replacement for him. 🤷‍♀️
I’d do it for 800 for sure - it’s not that bad for 28 weeks of work…. But I’m sure admin won’t go for that 🤷‍♀️
 
amyl said:
Yes. Theres a guy who holds this job now that loves it…. He’s a great guy and we will miss him lots when he retires next year. I agree just fairest to split a day of GI infrequently for the rest of us but most of the group would just like to hire a replacement for him. 🤷‍♀️
I’d do it for 800 for sure - it’s not that bad for 28 weeks of work…. But I’m sure admin won’t go for that 🤷‍♀️
Click to expand...
I’ve seen this doc in most hospitals I’ve worked at. They’re older and not comfortable in the OR so they much rather do this kind of work day in and day out. Those docs don’t frequent SDN so you won’t find their opinion here lol but they absolutely exist and make our lives easier.
 
Crazy high workload job. I’d probably do 1 week a month if 7-3 and 450/hr 1099. 2 weeks a month I’d want about 600/hr.
 
CubsDynasty said:
I’ve seen this doc in most hospitals I’ve worked at. They’re older and not comfortable in the OR so they much rather do this kind of work day in and day out. Those docs don’t frequent SDN so you won’t find their opinion here lol but they absolutely exist and make our lives easier.
Click to expand...
Everyone has their strengths and weaknesses. I figured it was an older doc ready to ride into the sunset. They just pushing paper at this point in their careers and maybe put some flames out if needed.

If it’s epic. Makes the GI preop much easier. Paper is horrendous for GI preops.

I’m covering 2 gi busy rooms (22 cases) and one gi specials room (5 cases) (ercp/eus) and 2 vascular rooms tomorrow at my side gig (working post trauma call as usual…ha ha ) and rolling right back into call at 5pm again.

Once in awhile it fine for with me. I can’t image doing it in every day.
 
You are insane. This is what you guys don’t realize when aneftp posts his $ numbers. Hes running 5 rooms all day post and pre call…. I could never do it… I’d be hostile… I need by beauty sleep
 
amyl said:
Yes. Theres a guy who holds this job now that loves it…. He’s a great guy and we will miss him lots when he retires next year. I agree just fairest to split a day of GI infrequently for the rest of us but most of the group would just like to hire a replacement for him. 🤷‍♀️
I’d do it for 800 for sure - it’s not that bad for 28 weeks of work…. But I’m sure admin won’t go for that 🤷‍♀️
Click to expand...
Have you asked him what he's getting paid currently?

If he's getting 600k, I think asking for 700k isn't unreasonable to keep it a smooth transition

But if he's getting 400k currently, then zero chance they're giving you anything near 800k
 
amyl said:
28 weeks of work (with the ability to pick up extra if you wanted for more $). No call no weekends. Days only….medical direction 4:1 with great crnas…. Gi cases only. W2 w benefits
Click to expand...
Inpt or outpt? Inpt Gi is some of the sickest pts in the hospital. That’s where most of the quality reviews are generated.

The outpt GI centers I’m familiar with are midlevel only. If you can get an RN to prefill the Preop, outpt gi could be a fairly easy job. Ideal for a mommy gig or pre retirement.
 
He’s retiring so paying him more isn’t an option. It’s both inpatient and outpatient
 
amyl said:
He’s retiring so paying him more isn’t an option. It’s both inpatient and outpatient
Click to expand...
I get it. Some old timers like the routine of doing just GI and mainly just GI preops

I doubt they would like to do 20 inpatient GI cases solo day in and day out for 8 hrs-10 hrs. That’s a different mentality

Right now they are just on the dumb down retirement path.
 
What’s the actual purpose of this job besides being a liability sponge for the CRNAs? basically a glorified preop monkey. The CRNAs you are “directing “ here will question your existence there everyday and why they even need you. This job exactly what leads to all their talk about how they deserve complete independence
 
Last edited:
sevo00 said:
What’s the actual purpose of this job besides being a liability sponge for the CRNAs? basically a glorified preop monkey. The CRNAs you are “directing “ here will question your existence there everyday and whey they even need you. This js exactly what leads to all their talk about they deserve complete independence
Click to expand...
What is there to direct anyway in GI?
 
Arch Guillotti said:
What is there to direct anyway in GI?
Click to expand...
My real question is why don’t the GI docs themselves sign off on the crnas in the hospital.

After all crnas have taken over GI centers at most centers anyways.

Hospitals can employ or pay crnas directly to cover certain lines of services. I just don’t get why they don’t do that. It’s safe anyways according to many big associations like the American association of nurse anesthesiology.
 
Well i disagree- I think there is lots to direct… which ones need to be intubated, which ones are too sick for a big slug of propofol and require creativity…. I think maintaining an anesthesiologists presence is always important and we should not give up any turf at all. The generation of anesthesiologists ahead of me sold us all out to hide in the lounge… there’s probably enough anesthesiology left to support the rest of my career but there’s probably not for the generation behind mine….
 
CubsDynasty said:
I’ve seen this doc in most hospitals I’ve worked at. They’re older and not comfortable in the OR so they much rather do this kind of work day in and day out. Those docs don’t frequent SDN so you won’t find their opinion here lol but they absolutely exist and make our lives easier.
Click to expand...
Someone call my name?
 
Details would matter: are you out everyday before 3? Are you lingering till last patient leaves phase 1? What’s the patient population, a day of asa1/2s in endo is completely different than everyone’s who failed the asc plus inpatient disasters
 
That's a pre-retirement, put-out-to-pasture job for someone that doesn't care about patient care and just wants to sign charts. And makes a difference being done at 3pm versus 5pm every day.
 
Maz777 said:
That's a pre-retirement, put-out-to-pasture job for someone that doesn't care about patient care and just wants to sign charts. And makes a difference being done at 3pm versus 5pm every day.
Click to expand...
I wouldn’t call it pre retirement job. Would u do it?

But I would agree it’s just a sign chart and he a fireman job. And u don’t necessarily have to be near retirement to do that job. Many places that use locums 1099 docs actually put those locums docs in GI hospitals pre ops 30-40 a day. Those 1099 locums docs despise HOSPITAL based GI preops.

Usually 25 “outpatient” GI preops from asa 3 private insurance or Medicare patients gi docs docs don’t want to do at their own ASC (bad payor mix or high asa status (aka bmi over 45). So they dump those patients to the hospitals. And than 8-10 in patient GI preops. Obviously those are sick as well.

So if locums docs don’t want to do those GI preops. It’s not necessary a “pre retirement “ job. It’s a busy job so locums docs don’t like to be busy plus higher risks of liability with the volume sicker GI preops
 
I will say the case mix is diverse. There are lots of healthy outpatient screening colonoscopies. Theres a specials room w ercps etc. it is lots of cases. The crnas are very good with one exception
 
Pre retirement Solo Md for fast paced Gi would go over like a ton of bricks. Most won’t be able to keep up…
 
aneftp said:
I wouldn’t call it pre retirement job. Would u do it?

But I would agree it’s just a sign chart and he a fireman job. And u don’t necessarily have to be near retirement to do that job. Many places that use locums 1099 docs actually put those locums docs in GI hospitals pre ops 30-40 a day. Those 1099 locums docs despise HOSPITAL based GI preops.

Usually 25 “outpatient” GI preops from asa 3 private insurance or Medicare patients gi docs docs don’t want to do at their own ASC (bad payor mix or high asa status (aka bmi over 45). So they dump those patients to the hospitals. And than 8-10 in patient GI preops. Obviously those are sick as well.

So if locums docs don’t want to do those GI preops. It’s not necessary a “pre retirement “ job. It’s a busy job so locums docs don’t like to be busy plus higher risks of liability with the volume sicker GI preops
Click to expand...
Definitely not. I'm not a chart-signer, sit-in-my-office type of anesthesiologist. I prefer to do my own cases whenever possible and enjoy variety.

A few of our mid-career/end-of-career anesthesiologists generally prefer staffing GI cases with CRNAs. They don't see any patients for an entire day. Win for them.
 
IlDestriero said:
You guys work too hard. I’d move and do my own cases before I took on the liability of 4 CRNAs, GI or anything else, but definitely not GI! 😆
Click to expand...
Every MD solo place is different. I don’t think u would like to work at some MD only places that routinely run 3 ORs past 7pm and 2 OR past 9pm. Call doc who’s been working since 645am may get done at 11pm than pray 30% call back rate.

Working 14-15 hrs plus continuously plus taking over call is a liability in itself week after week. The weekend doc worked to 3am this morning solo. Now gonna to work to at least 7pm on a Saturday. And still has Sunday 24 hr to go for his 72 hr weekend solo gig.
 
aneftp said:
Every MD solo place is different. I don’t think u would like to work at some MD only places that routinely run 3 ORs past 7pm and 2 OR past 9pm. Call doc who’s been working since 645am may get done at 11pm than pray 30% call back rate.

Working 14-15 hrs plus continuously plus taking over call is a liability in itself week after week. The weekend doc worked to 3am this morning solo. Now gonna to work to at least 7pm on a Saturday. And still has Sunday 24 hr to go for his 72 hr weekend solo gig.
Click to expand...
Brutal. Hope they making 700k
 
ucladoc2b said:
Needs to be much more than that for that workload. Try 900.
Click to expand...
That’s why I do locums there.

For those docs who say “MD” only is the safest way. I absolutely agree. But some MD only situations are atrocious. So u just can’t brag about MD only practice without some context. Like cases done at 7pm most days. Or weekends have 1-3 cases.

Not a 50% chance of going 12 hrs or more each and every weekend. It’s brutal to be on salary.
 
ERRES2288 said:
Lol
Click to expand...

I’ve seen worse, believe it or not.

Solo MD is overrated in most practices. The per hour compensation generally is crap.

getyarn.io

Show me the money!

Jerry Maguire (1996) clip with quote Show me the money! Yarn is the best search for video clips by quote. Find the exact moment in a TV show, movie, or music video you want to share. Easily move forward or backward to get to the perfect clip.
getyarn.io getyarn.io
 
You must log in or register to reply here.

Similar threads

7
Looking for Peds cardiac job
Replies
9
Views
2K
ucladoc2b
U
patriot6
South Louisiana job -- DM for more details
Replies
0
Views
2K
patriot6
patriot6
N
Job search.
Replies
46
Views
5K
nitroglycerine
N
S
Phoenix job market?
2
Replies
53
Views
8K
Dawkter
Dawkter
J
  • Locked
Job in South Carolina
Replies
1
Views
2K
amyl
A
Top