Is the week off after ICU not standard anymore?

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A few people have told me it's hard to find mixed PCCM practice jobs that give you a full week off after your ICU week especially as more doctors start to become employed by health systems/PE rather than private practice. Is this becoming standard nowadays? I'm only a student so I'm far from looking for jobs, but if it's bad now I don't anticipate it getting better by the time I become an attending. It's a bit concerning because I'm probably going to get burned out very quickly doing 7x12 hour ICU shifts then going straight into 8-10 hour clinic with only 2 days off at a time. It also doesn't make sense to me, because not having the week off should in theory be considered >1.0 FTE.

I'm in the northeast, maybe it's a regional thing? Anyone have insight?

 

[CCM-MD]

I've notice a trend towards separation of pulmonary and critical care positions in the non-academic world. It's too early for you to be worrying about attending jobs. Things are likely going to look very different by the time you get there - you may not even end up in pulm/crit or even IM. Focus on more immediate goals right now.

 

[HemeOncHopeful19]

A week off? A WEEK OFF?

You mean like… FREE VACATION? I think not Mr-Entitled-Doctor-Pants

- Your new ex-bedside-nurse “manager”

 

[ordersol7]

Its dependent on how much ICU time you do as part of your contract. My group we only work ICU 1 week in 6, so we dont necessarily get a full week off after ICU but we do get guaranteed 3 day weekends and our clinics are 4 days by default, not 5 with a good amount of PTO available. Full time ICU positions are still largely 7 on/7off or 14-16 shifts a month from what I can tell. I did interview with another group that always had a week off after ICU but they did ICU every 4th week.

 

[dozitgetchahi]

A week off? A WEEK OFF?

You mean like… FREE VACATION? I think not Mr-Entitled-Doctor-Pants

- Your new ex-bedside-nurse “manager”

The clipboard NurseBosses are some of the worst people in the medical industrial complex (aside from maybe only high-ranking hospital admin, insurance execs, etc ).

I’m so happy that I left behind hospital employment for PP. Now my office manager works for me and helps *me* get things done and get what I need - not the other way around.

 

[tartesos]

The clipboard NurseBosses are some of the worst people in the medical industrial complex (aside from maybe only high-ranking hospital admin, insurance execs, etc ).

I’m so happy that I left behind hospital employment for PP. Now my office manager works for me and helps *me* get things done and get what I need - not the other way around.

How’s it going in pp? How’s qol?

Headaches more or less with paperwork etc?

Vacation?

I think about it often lately.

 

[dozitgetchahi]

How’s it going in pp? How’s qol?

Headaches more or less with paperwork etc?

Vacation?

I think about it often lately.

I’m in a large multispecialty PP.

QOL is outstanding. I can take as much vacation as I want as long as I am clearing overhead (which is not an issue, because I am doing quite well financially in this setup). I took like 7-8 weeks last year, but could have taken more.

Headaches are generally less because you can define how you want a lot of things done, how many staff you have, etc. There is a degree of politics, but you can have a much bigger say in how things are done (you can join committees, run for the managing board, etc). I don’t agree with everything that happens, but in general my voice goes a lot further than it would in a hospital system. And as a rheumatologist, I’m making >3x my best year at a hospital.

It’s been a good experience.

 

[HemeOncHopeful19]

I’m in a large multispecialty PP.

QOL is outstanding. I can take as much vacation as I want as long as I am clearing overhead (which is not an issue, because I am doing quite well financially in this setup). I took like 7-8 weeks last year, but could have taken more.

Headaches are generally less because you can define how you want a lot of things done, how many staff you have, etc. There is a degree of politics, but you can have a much bigger say in how things are done (you can join committees, run for the managing board, etc). I don’t agree with everything that happens, but in general my voice goes a lot further than it would in a hospital system. And as a rheumatologist, I’m making >3x my best year at a hospital.

It’s been a good experience.

How big is your group and how many specialties out of curiosity?

 

[dozitgetchahi]

How big is your group and how many specialties out of curiosity?

About 80-90 docs, and probably another 30-40 midlevels and other providers (audiologists, oral surgeons, PT, OT, SLP, psychologists, etc). I haven’t counted out how many specialties we have, but we have every IM subspecialty, basically every surgical subspecialty, peds, neuro, psych, derm, radiology etc. Only major specialties we don’t have in house are pathology and rad onc. (And we used to have rad onc.)