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.