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deleted109597
So, looking around at topics, and finding the only close one sort of applying to moonlighting, I am starting this thread for those that are looking for jobs.
Note, this is not about specific geographic areas, although I am sure there are some specific questions that apply more in certain areas than others (border states, tourist areas, etc).
The whole purpose is so that we can discuss what to ask about on the interview. I sort of know what I want, but even working at 5 different hospitals during my life, there are a myriad of things I have no idea about that are behind the scenes. Most important are the "everyone should ask and know about these things" such as non-compete clauses, etc. The guys out there that have done this a time or two can really help us new guys not have to quit a job after 6 months (or less), or not make partner after 2 years and have to leave town because of some ****ty contract.
I've added the topics from the moonlighting thread.
1. What benefits are offered?
2. What type of contract (hospital employee, IC, etc)?
3. What is the average patient per hour rate?
4. Any call?
5. How does calling in sick work?
6. Is there a partnership tract?
7. How many people have left/quit in the last x years? (How do you ask that one?)
8. Is Press-Ganey or something else just as evil used?
I would add something about EMR, but since it is effectively mandated and everyone will have it by 2014, I guess you could ask what EMR they're going to use.
Note, this is not about specific geographic areas, although I am sure there are some specific questions that apply more in certain areas than others (border states, tourist areas, etc).
The whole purpose is so that we can discuss what to ask about on the interview. I sort of know what I want, but even working at 5 different hospitals during my life, there are a myriad of things I have no idea about that are behind the scenes. Most important are the "everyone should ask and know about these things" such as non-compete clauses, etc. The guys out there that have done this a time or two can really help us new guys not have to quit a job after 6 months (or less), or not make partner after 2 years and have to leave town because of some ****ty contract.
I've added the topics from the moonlighting thread.
For my group, I'll sporadically work in one of our outlying hospitals. Other things to ask about:
1) Where are STEMI's transferred to?
2) How do you manage acute CVA's in the window for lytics. You're not going to get an expeditious neuro consult...even via the phone.
3) Will your hospital admit rule out MI's? Do they even have the capability of stress tests as an inpatient?
4) Do you have V/Q scans?
5) What will you do with your r/o DVT's when U/S is not available? Lovenox and come back in the morning? Transfer to another facility emergently?
6) Where will you send finger amputations?
7) Who admits kids?
8) What airway rescue devices do you have? Bougie, LMA's, Combitubes? Cric kits?
9) Are the nurses familiar with how to setup a chest tube for suction? Are you prepared to setup the pleurovac yourself?
10) What do you do with OB/Gyn emergencies? I'm assuming you don't have OB/Gyn consultations available.
11) Kidney stones needing instrumentation...who gets those?
Truly, the list goes on and on. My best advice:
1) Ask your medical director what consultants you have available for in-house consultation and for ER follow-ups. The two are not necessarily the same.
2) Ask how to transfer patients and to where.
3) Ask the medical director for his/her home phone and cell phone numbers.
To which I will of course add the following:things to add to the above list....
find out what labs you can and cannot get. i can't order a lipase or a d-dimer at my moonlighting gig without having a courrier drive the blood to the bigger hospital 45 minutes away.
find out what common meds you don't have access to. found myself wanting meds I commonly used for common pathology (GI bleed really stood out), and they didn't have it. made me feel like an idiot when I called the transfer hospital and hadn't really initiated much treatment yet.
find out if there is an u/s machine, and if so, will they let you use it. i'm signed off to sit for the RDMS exam, yet I was unable to use the ultrasound machine sitting in the next room. pissed me off. would've been extremely helpful, particularly in the OB traumas that get wheeled in.
1. What benefits are offered?
2. What type of contract (hospital employee, IC, etc)?
3. What is the average patient per hour rate?
4. Any call?
5. How does calling in sick work?
6. Is there a partnership tract?
7. How many people have left/quit in the last x years? (How do you ask that one?)
8. Is Press-Ganey or something else just as evil used?
I would add something about EMR, but since it is effectively mandated and everyone will have it by 2014, I guess you could ask what EMR they're going to use.