Layoffs

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My hospital just ”temporarily” closed three of their multidisciplinary community clinics. Some of that staff will continue to get paid in full, for now. Anesthesia department cancelled all locum offers, which they used to rely on in the past to keep MD and NP capacity fine-tuned.


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My hospital just ”temporarily” closed three of their multidisciplinary community clinics. Some of that staff will continue to get paid in full, for now. Anesthesia department cancelled all locum offers, which they used to rely on in the past to keep MD and NP capacity fine-tuned.


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"Cuomo said hospitals that are not dealing with COVID are seeing very little activity because the stay-at-home order means fewer people are outside and fewer cars are on the road. That in turn means crime and accidents have plummeted, so traumas are down. Also, hospitals canceled elective procedures, too." I would think these trends would have affected outpatient rad onc too but I have been as busy or more as I've ever been in this past week so who knows.
 
Taking over a clinic that is staffed with a comp health locums for random coverage days. Am i obligated to use comp health if he continues to do locums days for the new company?
 
Taking over a clinic that is staffed with a comp health locums for random coverage days. Am i obligated to use comp health if he continues to do locums days for the new company?
Don't completely understand the question/situation, but I think the answer is most likely yes. They usually have non-compete clause that force you to go through them again. Even if they are brought on full-time, you likely would owe the staffing company a recruitment fee. These companies are true blood suckers. I think on par with tow truck drivers, IMO.
 
Don't completely understand the question/situation, but I think the answer is most likely yes. They usually have non-compete clause that force you to go through them again. Even if they are brought on full-time, you likely would owe the staffing company a recruitment fee. These companies are true blood suckers. I think on par with tow truck drivers, IMO.
Fortunately their bloodsucking will be sharply curtailed because of the new supervision rules!
 
Not only should the ER docs/nurses and ICU staff get paid, they should be getting paid more. No reason why this should be happening. It hasn’t even been one month yet.

I would gladly take a 5% cut so it could go to icu/Ed/anesthesia Doc or similar for the next 4 months. Would be great if the government would give health workers a tax break to be on front lines but as I noted elsewhere its all hot air, government and admin don’t care about health workers they just want to get past the next 4-6 months # of deaths be damned.
 
I would gladly take a 5% cut so it could go to icu/Ed/anesthesia Doc or similar for the next 4 months. Would be great if the government would give health workers a tax break to be on front lines but as I noted elsewhere its all hot air, government and admin don’t care about health workers they just want to get past the next 4-6 months # of deaths be damned.
They just want to keep us "Monitored."
 

From the musical Annie: We'd Like to Thank You, Herbert Hoover
 

sadly these are going to see some of the biggest bread lines we have ever seen. They will equalize us all, uber drivers, panera cooks, rad oncs, warm bodies, warm bread, you name it!
 
sadly these are going to see some of the biggest bread lines we have ever seen. They will equalize us all, uber drivers, panera cooks, rad oncs, warm bodies, warm bread, you name it!
You know, I used to think you were slightly tongue-in-cheek saying that about graduating rad onc residents, but Covid may literally put this years class in a breadline after June....
 
Layoffs?

Anybody else about to quit over the way their hospital administration has handled this?
I am dealing with a hospital that is actively trying to cover it up. They are not testing people. They are claiming (proudly) they have zero cases. They are claiming it is safe for staff and patients to come to the hospital. This is not true. They are lying to staff. They are basically instructing staff to lie to the press.

Don't even get me started on PPE. My therapists are treating without wearing masks. Do I have one for face-to-face encounters? Of course not.

The nurses in suits with University of Phoenix MBAs that run the place want total control over the situation. Physician input is not welcome and is met with yelling and threats.

It is an absolute disgrace. Turning down private practice opportunities and signing up to work as a hospital employee was the biggest mistake I have ever made. I have no geographic restrictions and nothing holding me back. COVID locums, here I come.
 
You know, I used to think you were slightly tongue-in-cheek saying that about graduating rad onc residents, but Covid may literally put this years class in a breadline after June....

Breadlines are a good thing. Didn't you know?

 
You know, I used to think you were slightly tongue-in-cheek saying that about graduating rad onc residents, but Covid may literally put this years class in a breadline after June....

I’m not worried about the class of 2020.

Class of 2021 is gonna have a hard time.
 
It is an absolute disgrace. Turning down private practice opportunities and signing up to work as a hospital employee was the biggest mistake I have ever made. I have no geographic restrictions and nothing holding me back. COVID locums, here I come.
It almost always is. You have to do due diligence to vet the groups, but hospital employed has just as many pitfalls.

Calling your own shots is the best thing ever, and it’s necessary to save medicine in America.
 
It almost always is. You have to do due diligence to vet the groups, but hospital employed has just as many pitfalls.

Calling your own shots is the best thing ever, and it’s necessary to save medicine in America.

I agree completely but I’m very concerned that covid-19 may mean the death of many private practices (not just focusing on Rad Onc but numerous othersub-specialties).Major projected revenue shortfalls over potentially a long time means sizeable loans for many practices to stay afloat even after layoffs/furloughs. Many private practices were already on razor thin margins pre-covid
 
Layoffs?

Anybody else about to quit over the way their hospital administration has handled this?
I am dealing with a hospital that is actively trying to cover it up. They are not testing people. They are claiming (proudly) they have zero cases. They are claiming it is safe for staff and patients to come to the hospital. This is not true. They are lying to staff. They are basically instructing staff to lie to the press.

Don't even get me started on PPE. My therapists are treating without wearing masks. Do I have one for face-to-face encounters? Of course not.

The nurses in suits with University of Phoenix MBAs that run the place want total control over the situation. Physician input is not welcome and is met with yelling and threats.

It is an absolute disgrace. Turning down private practice opportunities and signing up to work as a hospital employee was the biggest mistake I have ever made. I have no geographic restrictions and nothing holding me back. COVID locums, here I come.

If you are going to quit just make sure you do it around July-August when most new grads have already signed and most of the truly desperate have found something to do or are focused on clinical boards. They might be able to find someone or pay a ton for locums... but I wouldn't make it easy for them. I was already asked by my former Director if I would consider coming back.
 
If you are going to quit just make sure you do it around July-August when most new grads have already signed and most of the truly desperate have found something to do or are focused on clinical boards. They might be able to find someone or pay a ton for locums... but I wouldn't make it easy for them. I was already asked by my former Director if I would consider coming back.
Always good to burn a bridge, or blow a whistle to CMS/OIG after you've got a job lined up and pretty much ready to go.
 
Scott Weavil, a lawyer in California who counsels physicians and other health care workers on employment contracts, said he was hearing from doctors across the country who were being asked to take pay cuts of 20 to 70 percent.
The requests are coming from hospital administrators or private physician groups hired by the hospitals, he said, and are essentially new contracts that doctors are being asked to sign.



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Scott Weavil, a lawyer in California who counsels physicians and other health care workers on employment contracts, said he was hearing from doctors across the country who were being asked to take pay cuts of 20 to 70 percent.
The requests are coming from hospital administrators or private physician groups hired by the hospitals, he said, and are essentially new contracts that doctors are being asked to sign.



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Its ok.... once this is all over your compensation will return to normal.

This is the perfect opportunity for admins to lower your compensation permanently.

It really emphasizes the need for young physicians going forward to be mobile and willing to leave at a moment's notice. I know that's much easier said than done for most people but as long as we are willing to take it they will be willing to dish it.
 
Any private group with under 500 employees should be eligible to apply for the payroll protection program, the loans don't have to be paid back in some cases and essentially become grants. Afaik, eligibility is not based on annual income, just can't be employed by big group with > 500 employees

 
Layoffs?

Anybody else about to quit over the way their hospital administration has handled this?
I am dealing with a hospital that is actively trying to cover it up. They are not testing people. They are claiming (proudly) they have zero cases. They are claiming it is safe for staff and patients to come to the hospital. This is not true. They are lying to staff. They are basically instructing staff to lie to the press.

Don't even get me started on PPE. My therapists are treating without wearing masks. Do I have one for face-to-face encounters? Of course not.

The nurses in suits with University of Phoenix MBAs that run the place want total control over the situation. Physician input is not welcome and is met with yelling and threats.

It is an absolute disgrace. Turning down private practice opportunities and signing up to work as a hospital employee was the biggest mistake I have ever made. I have no geographic restrictions and nothing holding me back. COVID locums, here I come.

Sorry to hear this man. Since it's a hospital you can always go to the media anonymously. There's a physician FB group (Physician Community I believe) that is actively looking for situations like this to get media assistance.

You could also reach out to OSHA if you feel it is a truly unsafe position. Unfortunatley the admins sound like they are going to do what is cheapest, not what is best, for either their patients or their staff. Sometimes there are reasons that rural places (or any sub-standard places) have to keep cycling through grad after grad.
 
Sorry to hear this man. Since it's a hospital you can always go to the media anonymously. There's a physician FB group (Physician Community I believe) that is actively looking for situations like this to get media assistance.

You could also reach out to OSHA if you feel it is a truly unsafe position. Unfortunatley the admins sound like they are going to do what is cheapest, not what is best, for either their patients or their staff. Sometimes there are reasons that rural places (or any sub-standard places) have to keep cycling through grad after grad.
 
some of those stories are nuts. sounds like what KHE is seeing

admins need to be exposed
 
Never met an Admin that had any use.

If the LinkedIn says MBA with a focus in HealthCare, you’re dealing with a problem
 
Heard from an acuqaintance today, he is finishing an ENT fellowship on June 30 and had 2 written offers from UPenn and UMD. Both now are "on hold" as those universities are in a hiring freeze.
 
In our clinic dosimetry is working from home. Otherwise the therapist are now one week on and one week off and since they are hourly that is a 50% pay cut for them. None of the physics staff or physicians have been hit yet. Consults are way down this week with many patient cancelling or postponing.

I’m hosp employed and the patients are telling us they are staying home.
 
At my hospital (a large operation with satellites), yes, admins are pretty stressed out today about whether they can keep their jobs or not.

Friend of mine works at a staffing company as a patient satisfaction consultant...just got his pink slip. Thank goodness his life partner does something marginally more useful.

Would not be surprised if these big orgs look for potential real saving opportunities. Really helps you find out what is and is not important...unless you happen to find out hat your the one they can do without!! Lol
 
If the first person at your hospital system receiving a pay cut isn’t the CEO, who assuredly makes millions of dollars per year, you have my full permission to walk out.

I love it when they cut their salary down to $1.00. Then they’ll congratulate themselves on a job well done steering the ship through crisis and make it all back as a bonus with some on top.
 
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