This guy is a genius!
Can't PM you. Considering working in this area after finishing CT fellowship. Would appreciate any insights (please PM)
FWIW, I did a few months there in residency (about 2ish years ago) for our noncardiac intrathoracic cases as well as cardiac cases on days he didn't work. The thoracic surgeon is super chill, got his own special OR made up, his crew know each other well and they were easy to work with as a resident. The cardiac side was supervision of CRNA's and residents. Made it difficult to be part of the team and difficult to learn since the CT anesthesiologists would dip after the start of the case. The cardiac surgeons did not seem to like having residents and I heard multiple times through word of mouth that they prefer the CRNA's who #1 listen to what the surgeons want and #2 know the flow of the surgeries. I can't speak for the professional side since I was a resident and wasn't privy to how the group actually worked together etc.
Surprisingly, there's not much discussions over direct W-2 hospital employment. Since you are a 5+ year member, maybe you could give some help to new members? There's tons of you on this forum who want to 'stick it' to the hospital by doing locums, but for new docs who may end up working FT for the hospital, not much info is out there. Can you run some 'key word' search for us?
I think we ALL know the answer to that one.
It all varies the workload. Hospital W2 tend to have better benefits (if that matters ). But they can be just as greedy as AMC running anesthesia to the ground.
Super chill and super nice yet threw fellow doc residents under the bus in preference for nurses. As in he forgot he was once a resident and now seems to control the people on the other side of the drape instead of look at them as colleagues.
Really? Because USAP can take up to six months
Lol. I got credential with Usap in 6 weeks.
It’s a BS game for sure. But that’s what they are doing down here in the south.
I wasn't privy to any of that. Is that relatively recent?
This is EXACTLY the information I was looking for. Thank you, @pgg !
I quoted you. You said the cardiac surgeon did not like having resident and preferred CRNAs. You don't get it? Really?
I've been a hospital employee once, and the contract was super vague, with nothing spelling out call schedule, supervision duties, etc. At the time, the hospital basically left the details to the department, so we crafted everything to our benefit. Hoeven since the actual contract didn't spell any of that out, we would have been forced to do more, if people left. As is, the whole hospital collapsed, so we weren't forced into high ratios or lots of call. We had a ton of "standard language" in our contracts that were "not negotiable," and if I ever took another W2 hospital position, I would hire a good lawyer to specify EVERYTHING that I want (hours, rates, OT, rate for non-clinical extra duties, night/ weekend/ holiday, no supervision/ direction, OR vs ICU time, etc). Do not accept a standard, "this is exactly what everyone else signs" contract.
Oh I thought you were referring to the thoracic surgeon I mentioned.
This advice is worth its weight in gold.. really good nuggets of wisdom. Thank you!
Except that the contract your negotiating is with the hosptial and an administrator, and unless the hosptial is super desperate, simply is going to tell you they don’t alter the terms of their physician contract.
Then you get to decide if you're desperate enough to agree to their generic contract or walk away.
Many hospitals are desperate these days.
I was.
Ohh thanks for clarifying. In most places its one person who does both and that is what I read and understood.
Ok, I get it now. Different surgeons. Thought they were the same. In any case they forget they were once residents themselves and only want to work with CRNAs so they can boss them around. Jerks.
It’s basically corporate medicine.
Thank you
I don't have any insider intel but I'm also somehow familiar with the system. Why would they go with an AMC for some and in-house W2 for others, at the same time? You might be right but this is strange.. and they have been a napa system for a really long time (as the original poster posted) so it must be rather complicated at this point.
Fairfax has been an American anesthesiology/mednax system for a long time. NOT NAPA.
