How to make 7 figures in anesthesia

Healthcare jobs with pay you can see.
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btbam said:
I know a guy who owns multiple pain clinics who just sold a majority stake in them for $30 mil so there’s always that route...
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Who buys these pain practices? I understand anesthesia management companies purchasing groups, but pain practices?
 
anbuitachi said:
why is that hard to believe? 240$/hr x 10 x 5.. 50 hrs a week and thats 12k. Now choco mentioned OT too, so could reach 12k in less than 50 hrs
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Its hard to believe because I am very familiar with what is out there.
240/hr is not common it IS out there though. Just not very common.
working that much is not tenable as a locums.
and the point is You didnt stay 46 weeks. Because they would not allow it.
I would believe it more if you didnt say academics. If you said it was a critical access hospital whose only anesthesiologist fell off of a roof.
then they have no choice.
Still possible, but not very common

So how long did you stay at this 12k per week job?
 
Mr.S said:
Ok then what is?
I know dozens and dozens of docs in different groups in different parts of the country and I know how much they make.
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well apparently you don't know people in the good jobs
 
Mr.S said:
I simply do not believe that you were making 12K per week. I just dont. and if you were . break it down for me.
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the standard rate we see for locums is 2K per day or 10K per week. I'm sure there are some out there paying a bit more.
 
Mr.S said:
I simply do not believe that you were making 12K per week. I just dont. and if you were . break it down for me.
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Some of the locums work I've done over the years has been under $200/h. I think the lowest I've ever accepted was $170/h, but that was offset by a large call stipend ($4500 for weekend home pager call). So even then, at the low end of what I've been paid, a 40-50 hour week plus some pager call would be in the $11-13K range.

I am extremely constrained in both time and geography because I have always needed to fit my locums work around my military day job. At present I have two contracts in different medical systems with the same terms. Guaranteed 8 hour minimum each day for $2K, $270/h overtime. Usually work about 10-12 hours per day. These weeks always exceed $15K.

There is a huge amount of variability in locums hours and wages. I have a full time position already, so I am free to be picky. I ignore or turn down emails from locums agencies several times per week.

As @Mman wrote above, $2K/day is about the standard. Usually this is a 7-3 day with an overtime rate. Some places are more aggressive than others about getting the locums guy out at 3 to avoid the steeper OT rates.

There are downsides to locums of course, it's never a paradise job. Everyone looks at you with doubt and skepticism, because there is a small but visible cohort of terrible locums guys out there who just absolutely suck and are doing locums because they are too terrible to hold a day job. Every time I start a new locums job I see it in the wary eyes of every single person from the most senior anesthesiologist to the youngest tech. I often set aside my preferred way of doing things to fit into the local practice standards, to keep the surgeons and nurses in their comfort zones. It's always a struggle to build credibility as a part-timer. And then, when they finally recognize that you're not a hazard to the lives of patients, they don't need you any more and you move on to start over.

But the pay is good.
 
pgg said:
Some of the locums work I've done over the years has been under $200/h. I think the lowest I've ever accepted was $170/h, but that was offset by a large call stipend ($4500 for weekend home pager call). So even then, at the low end of what I've been paid, a 40-50 hour week plus some pager call would be in the $11-13K range.

I am extremely constrained in both time and geography because I have always needed to fit my locums work around my military day job. At present I have two contracts in different medical systems with the same terms. Guaranteed 8 hour minimum each day for $2K, $270/h overtime. Usually work about 10-12 hours per day. These weeks always exceed $15K.

There is a huge amount of variability in locums hours and wages. I have a full time position already, so I am free to be picky. I ignore or turn down emails from locums agencies several times per week.

As @Mman wrote above, $2K/day is about the standard. Usually this is a 7-3 day with an overtime rate. Some places are more aggressive than others about getting the locums guy out at 3 to avoid the steeper OT rates.

There are downsides to locums of course, it's never a paradise job. Everyone looks at you with doubt and skepticism, because there is a small but visible cohort of terrible locums guys out there who just absolutely suck and are doing locums because they are too terrible to hold a day job. Every time I start a new locums job I see it in the wary eyes of every single person from the most senior anesthesiologist to the youngest tech. I often set aside my preferred way of doing things to fit into the local practice standards, to keep the surgeons and nurses in their comfort zones. It's always a struggle to build credibility as a part-timer. And then, when they finally recognize that you're not a hazard to the lives of patients, they don't need you any more and you move on to start over.

But the pay is good.
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You give me hope for when I finish residency and pcs to my first duty station.
 
The real money in anesthesia isn’t in locums or the boonies. Just need to be a partner in a busy PP group with a good payor mix doing the right cases (lots of spine, GI, OB will help). Plenty of high six figure jobs out there, and I’m sure a lot of people are breaking a million—but I bet they’re working their tails off for it. Most of these jobs are in desirable suburban locations.
 
MirrorTodd said:
You give me hope for when I finish residency and pcs to my first duty station.
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Unfortunately, in the military, the ability to moonlight is entirely up to your command. Hopefully, you'll have a hospital commander that realizes that your time is your own, and that you need to maintain certain skills that you may not be able to do at your hospital. I highly recommend, starting the approval process shortly after boards are out of the way. You're going to start with a huge leave balance, and you might as well use those days and get paid extra to offset the ****ty military pay. Figure out if you can do something local, and if not, work with an agency and travel elsewhere.
 
Mr.S said:
I simply do not believe that you were making 12K per week. I just dont. and if you were . break it down for me.
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I really don’t care what you believe. I notice that you just like to debate. Maybe you are bored. Were you captain of the debate team in school?

Do the math.
 
ScarfTheVerb said:
The real money in anesthesia isn’t in locums or the boonies. Just need to be a partner in a busy PP group with a good payor mix doing the right cases (lots of spine, GI, OB will help). Plenty of high six figure jobs out there, and I’m sure a lot of people are breaking a million—but I bet they’re working their tails off for it. Most of these jobs are in desirable suburban locations.
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Are you making high six figures in your scenario?


While I agree theoretically that is how you make 7 figures however all of those practices have been acquired and bought by Corporate entities. So they can make the money NOT YOU.
And even before those scenarios were available the groups were so top heavy that a new person in the group would stand no chance.

So where are we?
mid 400s gve or take 75 K (thats where everyone is).

Can you make 600? Maybe, without ANY vacation.
You cant do this job without at least 6-9 weeks away.

That is my assessment.
DO i know it all? Not even close.
 
Mr.S said:
While I agree theoretically that is how you make 7 figures however all of those practices have been acquired and bought by Corporate entities. So they can make the money NOT YOU.
And even before those scenarios were available the groups were so top heavy that a new person in the group would stand no chance.

So where are we?
mid 400s gve or take 75 K (thats where everyone is).

Can you make 600? Maybe, without ANY vacation.
You cant do this job without at least 6-9 weeks away.

That is my assessment.
DO i know it all? Not even close.
Click to expand...

We still bring in new partners that will probably make near 7 figures by the time they become partner (assuming we aren't in single payer healthcare).
 
Mr.S said:
Its hard to believe because I am very familiar with what is out there.
240/hr is not common it IS out there though. Just not very common.
working that much is not tenable as a locums.
and the point is You didnt stay 46 weeks. Because they would not allow it.
I would believe it more if you didnt say academics. If you said it was a critical access hospital whose only anesthesiologist fell off of a roof.
then they have no choice.
Still possible, but not very common

So how long did you stay at this 12k per week job?
Click to expand...
What do you care? You don’t believe it. I made it up.
 
chocomorsel said:
And as a locums you can work at much or as little as you want. What’s so untenable about that?
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Listen Mr or MS MORSEL:

I understand the benefits and drawbacks of Locums.
WOrking as little as you want wont make you 500 plus
I just dont think an hourly rate of 240 an hour is out there until you hit 500 pls especially at an academic center.
My apologies if you made 560.
send me your 1040 if you want me to believe you
 
Mr.S said:
Are you making high six figures in your scenario?


While I agree theoretically that is how you make 7 figures however all of those practices have been acquired and bought by Corporate entities. So they can make the money NOT YOU.
And even before those scenarios were available the groups were so top heavy that a new person in the group would stand no chance.

So where are we?
mid 400s gve or take 75 K (thats where everyone is).

Can you make 600? Maybe, without ANY vacation.
You cant do this job without at least 6-9 weeks away.

That is my assessment.
DO i know it all? Not even close.
Click to expand...


Are you interested in joining one of these groups that make upper 6 with 10 wks of vacation or are you just on here to deny that they exist?
 
Also, the keys to making upper six figures are:
1) good payout mix
2) high unit value
3) good hospital stipend
4) take plenty of call
5) no cap on OB
6) busy OR with high variety of case

If you have all of most of those you’ll definitely make a killing
 
Twiggidy said:
The person making close to a 700-1mil with 8 weeks of vacation isn't on SDN to brag about it because said person likely does not exist. If they do exist likely they aren't on SDN or Gasworks because likely they do not exist.
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I fixed your statement

Short of getting a locums gig in the middle of nowhere and working non-stop, taking all these risks, ob call, doing peds, all comers in the main OR or being a partner in a TOP HEAVY group this is not a reality no longer. There are MULTIPLE publicly traded companies whose ONLY job is to find those practices, invest in them and hire docs at 50cents on the dollar to dog-walk them. They do this every minute of every day night and day. How are YOU going to beat them?
 
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Mr.S said:
Listen Mr or MS MORSEL:

I understand the benefits and drawbacks of Locums.
WOrking as little as you want wont make you 500 plus
I just dont think an hourly rate of 240 an hour is out there until you hit 500 pls especially at an academic center.
My apologies if you made 560.
send me your 1040 if you want me to believe you
Click to expand...
Who do you think you are? Why do I give a damn if you choose not to believe me?
 
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Mr.S said:
I fixed your statement

Short of getting a locums gig in the middle of nowhere and working non-stop, taking all these risks, ob call, doing peds, all comers in the main OR or being a partner in a TOP HEAVY group this is not a reality no longer. There are MULTIPLE publicly traded companies whose ONLY job is to find those practices, invest in them and hire docs at 50cents on the dollar to dog-walk them. They do this every minute of every day night and day. How are YOU going to beat them?
Click to expand...

beat them??? Work for a group that did not sell out to them.
 
Mr.S said:
I fixed your statement

Short of getting a locums gig in the middle of nowhere and working non-stop, taking all these risks, ob call, doing peds, all comers in the main OR or being a partner in a TOP HEAVY group this is not a reality no longer. There are MULTIPLE publicly traded companies whose ONLY job is to find those practices, invest in them and hire docs at 50cents on the dollar to dog-walk them. They do this every minute of every day night and day. How are YOU going to beat them?
Click to expand...
Again, those groups and physicians keep a low profile for a reason. Notice I’ve almost never talked salary is any of my posts
 
Twiggidy said:
Again, those groups and physicians keep a low profile for a reason. Notice I’ve almost never talked salary is any of my posts
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OK now that you have intrigued us all. How much money do you make? and how do you make close to 7 figures.?
 
Mman said:
beat them??? Work for a group that did not sell out to them.
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Any group that is that successful is waiting to sell. They are entertaining offers.
They are not taking people in on a partnership track LOL.
Or maybe they are. if you are naive enough to accept.
 
Mr.S said:
OK now that you have intrigued us all. How much money do you make? and how do you make close to 7 figures.?
Click to expand...
Twiggidy said:
Also, the keys to making upper six figures are:
1) good payout mix
2) high unit value
3) good hospital stipend
4) take plenty of call
5) no cap on OB
6) busy OR with high variety of case

If you have all of most of those you’ll definitely make a killing
Click to expand...

I’ll add....possibly do your own cases but that could be arguable

Regarding how much I make......

I’ll say this....I complain about a lot of stuff regarding my career and work.....but money isn’t one of them

Edit: but I also work more than some others would prefer.
 
Mr.S said:
Any group that is that successful is waiting to sell. They are entertaining offers.
They are not taking people in on a partnership track LOL.
Or maybe they are. if you are naive enough to accept.
Click to expand...

we are not.

It's clear that you do not personally know of any great private jobs. That's OK. But that doesn't mean they don't exist.
 
Any of these locums willing to take folks for random 1 week stints?

Job recently cut back on our OT ability and I have a ***LOT*** of time off.

Also, OP is the guy who took over a practice straight out or residency, starts random threads about money/business (check his history), then talks condescendingly to anyone who realizes he doesn’t have a clue what he’s talking about or doing, and then always suggests he’s just “checking out” what everyone else is doing and tries to brag on himself.

Oh and then he’ll PM for help with student loan refinancing. Clown.
 
You could therorecally make a mill if you were willing to do peds, cards or trauma locums and can negotiate well and did nothing but work. If I absolutely had to I think I could pull it off.
 
Mr.S said:
Any group that is that successful is waiting to sell. They are entertaining offers.
They are not taking people in on a partnership track LOL.
Or maybe they are. if you are naive enough to accept.
Click to expand...

So at this point of the thread, maybe half a dozen people have directly contradicted your assertions. The things you say you don't believe in, exist. The things you say you don't believe happen, are happening.

This is much like most of the threads you post in. You get repeatedly corrected, by many different people, and you just LOL or double down. Is there a point at which you'll simply admit you're wrong, and move on?

Are you simply trolling?
 
How would one go about joining mman's group? Just a general question to the audience.
 
Psai said:
How would one go about joining mman's group? Just a general question to the audience.
Click to expand...

we usually hire from personal connections which is how most private groups do it. Which is why I always suggest someone do residency near where they want to ultimately work since that will be your best bet to make connections nearby.
 
Mr.S said:
Are you making high six figures in your scenario?


While I agree theoretically that is how you make 7 figures however all of those practices have been acquired and bought by Corporate entities. So they can make the money NOT YOU.
And even before those scenarios were available the groups were so top heavy that a new person in the group would stand no chance.

So where are we?
mid 400s gve or take 75 K (thats where everyone is).

Can you make 600? Maybe, without ANY vacation.
You cant do this job without at least 6-9 weeks away.

That is my assessment.
DO i know it all? Not even close.
Click to expand...
Dude, you're way out of your element. I've been at two places making way above what you're saying, with both 8 weeks vacation. Both in the NE near major metro areas. Also had a job offer in metro area in Midwest making in the 7s, 2 yr to partner. Jobs are out there... Not everyone is making 400k. Not even close.
 
Mman said:
we usually hire from personal connections which is how most private groups do it. Which is why I always suggest someone do residency near where they want to ultimately work since that will be your best bet to make connections nearby.
Click to expand...
This is great advice that I also give to anyone who will listen. Life is all about connections. The closer you are geographically, the more connections are available to you...
 
Mr.S said:
Any group that is that successful is waiting to sell. They are entertaining offers.
They are not taking people in on a partnership track LOL.
Or maybe they are. if you are naive enough to accept.
Click to expand...
You literally have no idea what you're talking about.
 
pgg said:
So at this point of the thread, maybe half a dozen people have directly contradicted your assertions. The things you say you don't believe in, exist. The things you say you don't believe happen, are happening.

This is much like most of the threads you post in. You get repeatedly corrected, by many different people, and you just LOL or double down. Is there a point at which you'll simply admit you're wrong, and move on?

Are you simply trolling?
Click to expand...
I stand corrected. Everyone except me is making 1 million dollars doing anesthesia.' I can name 5 states off the top of my head that have ZERO traditional private practices. Maybe I am looking at the wrong states and have to move to florida or california..
 
facted said:
Dude, you're way out of your element. I've been at two places making way above what you're saying, with both 8 weeks vacation. Both in the NE near major metro areas. Also had a job offer in metro area in Midwest making in the 7s, 2 yr to partner. Jobs are out there... Not everyone is making 400k. Not even close.
Click to expand...
Are you making 700 k right now? Forget the job offers.
 
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