Is there an easy out if anesthesia gets completely overrun in 15-20 years?

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chocomorsel said:
People like you lead to lowball offers for others.
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Seriously, luckily the OP has time to wise up, but dude REALLY needs to start thinking about the future and what his time/expertise is worth as a physician. We aren't in the position of "I'll take whatever I can get" just yet.
 
SnapperRocks said:
Don’t confuse starting salary with salary. A lot of times it’s just your salary.
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Yeah if nobody’s taking anything off the top, $/work is what is what it is. Starting=mid career=late career. The only way to make more is to work more. Many times the newest guys work the most and have the highest incomes.
 
mmag said:
300k for 60 hours a week is about ICU RN pay in SF* so yeah no trouble at all even in Nor Cal.

* Base pay of $170 for 3 12's a week and then the rest at 1.5x OT with full benefits and a pension.
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Many Santa Clara county nurses make even more. But remember it’s the land of million dollar tear downs.

'Clinical Nurse III' search results | Transparent California

Search California public, government employee, workers salaries, pensions and compensation
transparentcalifornia.com transparentcalifornia.com
 
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MirrorTodd said:
Seriously, luckily the OP has time to wise up, but dude REALLY needs to start thinking about the future and what his time/expertise is worth as a physician. We aren't in the position of "I'll take whatever I can get" just yet.
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I'm sure I'll have a better understanding of what a normal starting salary is after residency. I def would not take a pay cut or take less than what I thought I was worth. It was more of a "worst case scenario, I could do 60 hours for 300k to be near my family if that was the only option available" type of comment
 
yungspleen said:
I'm sure I'll have a better understanding of what a normal starting salary is after residency. I def would not take a pay cut or take less than what I thought I was worth. It was more of a "worst case scenario, I could do 60 hours for 300k to be near my family if that was the only option available" type of comment
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Your family needs to move with you if that's the only offer available (or unless they're pulling in way more than you to stay in that area). 300k for anything other than a 7-3 no call no wkends job is unacceptable simply from the standpoint that someone is exploiting your labor that badly.
 
vector2 said:
Your family needs to move with you if that's the only offer available (or unless they're pulling in way more than you to stay in that area). 300k for anything other than a 7-3 no call no wkends job is unacceptable simply from the standpoint that someone is exploiting your labor that badly.
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Well then what is a good starting salary in a large city in california if I worked 55-60 hours a week and had a cardiac fellowship? I'm talking first year out. I honestly don't know how significant of a role location/fellowship/prestige of residency/fellowship program plays in starting salary
 
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yungspleen said:
Well then what is a good starting salary in a large city in california if I worked 55-60 hours a week and had a cardiac fellowship? I'm talking first year out. I honestly don't know how significant of a role location/fellowship/prestige of residency/fellowship program plays in starting salary
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I can’t speak to private practice in California, but the UC system has given us the gift of public salary databases. Go to the UCLA or UCSF or UC Davis or wherever anesthesia website, peruse the faculty, find a junior cardiac person, and look up their salary from last year. Academics usually has decent starting salaries since the ceiling is so much lower.

In private practice your first year salary will vary widely on the buy-in system, types of benefits, etc, but you don’t need to be worrying about that right now. Also, your first year is a blink of an eye in a 25-30 year career. Keep your focus on the long game.
 
yungspleen said:
Well then what is a good starting salary in a large city in california if I worked 55-60 hours a week and had a cardiac fellowship? I'm talking first year out. I honestly don't know how significant of a role location/fellowship/prestige of residency/fellowship program plays in starting salary
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A good salary is $200-250/hr. A fair practice will allow you to earn that from the start. Prestige of a residency will play no role in your compensation once you get the job.
 
nimbus said:
A good salary is $200-250/hr. A fair practice will allow you to earn that from the start. Prestige of a residency will play no role in your compensation once you get the job.
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Except we all know about "you gotta know the right people" nepotism that is very rampant in medicine.
Such is life.
 
nimbus said:
Prestige of a residency will play no role in your compensation once you get the job.
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No, but it may help you get the job. More so than prestige though, are the connections you form by going to a strong program, preferably in the general area in which you intend to practice.
 
nimbus said:
A good salary is $200-250/hr. A fair practice will allow you to earn that from the start. Prestige of a residency will play no role in your compensation once you get the job.
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How common is $250/hr?
 
yungspleen said:
How common is $250/hr?
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200-250 is a ballpark. Many (most?) private practices in Ca will offer unit based compensation so it will vary day to day. If you get a lineup of high value cases with lots of lines and blocks and fast turnovers, you’ll get more than $250/hr. If you get a couple of low value cases with long turn over times in between, you’ll get less than $200/hr. Long turnover times will kill you.

Regardless, 60hrs/week is a lot. That’s working 7a-7p 5 days per week. It’s pretty rare that anybody works that much, especially these days.
 
yungspleen said:
I'd be fine working 55-60 hours a week for 300k starting salary in socal. Doable? Fellowship required?
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A CRNA working 60 hours per week would earn very close to that income. If you only earn $300K working that many hours I suspect that means your "advanced training" wasn't worth the paper it was printed on.

That statement is NOT valid for those on a 1-3 year track with partnership income exceeding $450K per year.
 
passthesashimi said:
can we unboard certify, erase MD, and become a nurse? Lol
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Hardly any English names there in the 300-500K range. Most are Filipino, Latino, Asian and African. Americans aren't trying to kill themselves. Bet these nurses live "good and eat good". That's an insane amount of money. I wonder what constitutes "other pay"?
I suspect if you decide to rent for a few years and work your butt off maybe a good five years, you can come off better than a doctor. With a lot less debt. Especially in Santa Clara County.
 
nimbus said:
200-250 is a ballpark. Many (most?) private practices in Ca will offer unit based compensation so it will vary day to day. If you get a lineup of high value cases with lots of lines and blocks and fast turnovers, you’ll get more than $250/hr. If you get a couple of low value cases with long turn over times in between, you’ll get less than $200/hr. Long turnover times will kill you.

Regardless, 60hrs/week is a lot. That’s working 7a-7p 5 days per week. It’s pretty rare that anybody works that much, especially these days.
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What's your group's blended unit? Just curious. Feel free to PM me if you like 🙂
 
It makes no financial sense to be a doctor over a nurse. Not when you consider the opportunity cost of working in your early to mid 20s as a nurse. Not to mention the protected nature of nursing with their strong unions and the ability to work for 1.5x pay with overtime.
 
passthesashimi said:
It makes no financial sense to be a doctor over a nurse. Not when you consider the opportunity cost of working in your early to mid 20s as a nurse. Not to mention the protected nature of nursing with their strong unions and the ability to work for 1.5x pay with overtime.
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I mean I just paid the tuition for the fall semester of my final year of medical school so obviously that doesn't make financial sense for me. Nor was it the question.
 
passthesashimi said:
It makes no financial sense to be a doctor over a nurse. Not when you consider the opportunity cost of working in your early to mid 20s as a nurse. Not to mention the protected nature of nursing with their strong unions and the ability to work for 1.5x pay with overtime.
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The cardiac CRNAs where I trained both times sat in the room and pushed what they were told, when they were told, at the doses they were told. They didn’t get to do echo, lines, blocks, etc. The regular CRNAs also had their scope limited, not as much as the cardiac nurses, but still.
I’d pay extra to have full scope of practice wherever I went. Nurses are really limited at many hospitals, and completely at the whim of the anesthesia department and/or hospital. Not appealing to me at all.
 
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