There’s a lot of mystery in physician pay. We can already see in this thread. We typically don’t like to talk about pay in front of other physicians, certainly not in presence of nurses/patients.
I think it’s even more mystifying for anesthesiologists. If I get a nickel (quarter now with inflation) every time I hear “they don’t understand anesthesia billing”, I’d be somewhat a rich man.
Private practice historically has this “partnership track” ranging from 1-5 years. Sometimes longer. During those years, historically you make less. Sometimes a lot less. So partners don’t really want you to know, which added to this culture of not being transparent. As you can also see from above posts, people don’t want you to know what your unit values are. Because that’s considered “trade secrets”. What I get from united, atena, BCBS, is none of your business.
Most real “hardcore” academic places, everyone supposedly work for the medical school and/or hospital system with a set salary and defined call burden. (Hardcore is quotes because now a lot of places that I know are starting with these hybrid models of “community” or “physician group” way of running anesthesia programs….)
Then you come to this market, with a whole new generation of anesthesiologists coming out, who have totally different mind set. Not only they never seen true private practice, nor have they seen anything other corporate medicine at a AMC level and hospital system level. Adding gasoline to the fire is the anesthesia market right now. We all want to make 300+/hr without taking any calls. So does everyone that’s coming out of residency.
I am out for five years and like I said in the other thread, had two failed partnership track jobs. Both ended in AMC taking over the hospitals. A lot of people with ties to the community, would rather take that job security and steady paycheck from AMC. While some of the younger anesthesiologists are more welling to pick up and do locums. In that equation, no one is welling to put in the time to rebuilt the practice. Moreover, the admins are taking a cookie cutter approach to anesthesia (or medicine in general), like an assembly line. We can plug anyone into the position, as long as the price is right…..
Don’t get me wrong, I am making a decent living. I suppose this is what physician mental and emotional burnout feels like.
Saw this on Reddit yesterday. Good for a few laughs.
https://www.tiktok.com/@wannaft_banana/video/7235593605220420890