Lifestyles of the (un) Rich and (un) Famous

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jetproppilot

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Thought I'd post my work hours for the last week or so to give you guys an idea of what a private practice anesthesiologist's schedule is like.

Thurs Dec 13th: At hospital at 0630. Do some preops. Cases until about noon then done. On call tomorrow so out early today.

Fri Dec 14th On call so arrive at hospital at 1500. Cases until about 2145. OB looks quiet so I leave. Beeper goes off at 0250 for labor epidural. Arrive about 20 minutes later. Put epidural in, write on chart. Back home in less than an hour. No more calls.

Sat and Sunday Off.

Monday Dec 17th Hospital at 0630. See some preops, cases until about noon-thirty then done. I'm going home early cuz I'm "late call" tomorrow.

Tues, Dec 18th Hospital at 0630, preops, cases until about 1930. Today is my "late call" day. The late call doc stays around until the "on call" doc can handle whatever is going on.

Wed Dec 19 Hospital at 0630, preops, start a few quick cases. Done and walking out of hospital at 0820.

Thurs and Fri of this week will be pretty typical days probably 0630 until 3 or 4pm.

We have some long days but they are offset by early days.
 
For this PGY1 being dragged by the feet across the razor sharp lava rock of internship, that sounds like the ocean paradise waiting on the other side of the rise.

*Sigh*

Must... be... patient...
 
Thought I'd post my work hours for the last week or so to give you guys an idea of what a private practice anesthesiologist's schedule is like.

Thurs Dec 13th: At hospital at 0630. Do some preops. Cases until about noon then done. On call tomorrow so out early today.

Fri Dec 14th On call so arrive at hospital at 1500. Cases until about 2145. OB looks quiet so I leave. Beeper goes off at 0250 for labor epidural. Arrive about 20 minutes later. Put epidural in, write on chart. Back home in less than an hour. No more calls.

Sat and Sunday Off.

Monday Dec 17th Hospital at 0630. See some preops, cases until about noon-thirty then done. I'm going home early cuz I'm "late call" tomorrow.

Tues, Dec 18th Hospital at 0630, preops, cases until about 1930. Today is my "late call" day. The late call doc stays around until the "on call" doc can handle whatever is going on.

Wed Dec 19 Hospital at 0630, preops, start a few quick cases. Done and walking out of hospital at 0820.

Thurs and Fri of this week will be pretty typical days probably 0630 until 3 or 4pm.

We have some long days but they are offset by early days.

Sign me up you sonofab!tch
 
For this PGY1 being dragged by the feet across the razor sharp lava rock of internship, that sounds like the ocean paradise waiting on the other side of the rise.

*Sigh*

Must... be... patient...

Did he mention he probably got more money for that schedule than we did the first 6 months of intern year?

Only 6 more months left bro..
 
Very nice schedule. Now is there a difference between the schedules of a new hire vs. a partner's at your practice? I've heard rumors of how new-hires are worked extra hours and taking extra calls to "take one for the team" in hopes of landing partnership. Is there any truth to that? If not, I am looking for a job to start in about 6 months, you guys hiring?? 😀
 
damn thats sweet. stayin till 8 1x week and leaving before 5pm most of the week is a sweeeeet deal.
 
I just finished residency in June - I am the new guy at my group and get treated the same as senior partners in terms of hours/call. Only difference is salary and vacation time. My schedule may not be as good as Jet's but I do keep track of my hours every day.

12/17 - second call (backup for first) 7AM - 12PM, no calls rest of day or night
12/18 - first call 7AM - 11:30AM, 6PM - 6:30PM, no calls for rest of evening or night
12/19 - post call, off
12/20 - will probably be regular day - 7AM till about 4
12/21 - supervising 3-4 CRNA's - 7AM till about 5

off for the weekend, in laws coming for Christmas holidays.

To all in residency - there is a light at the end of the tunnel. Work hard, be patient, get as much exposure as you can to big cases/sick patients while you are still practicing on someone else's license! You'll miss that.
 
Sounds great at first glance. The key questions:

-Do you have to live in BFE to get a job like this?

Pretty much.

Wow. Time off is great. However, I would constantly be freaking out, in private practice, about job security if I were making more than I'm billing. Do you private practice guys think you pull your own weight with the number of hours you work?

I (academic) work 6:30am to 6:30pm average. Beeper call q 4. 1 day off a week. ~48hrs /week. With my payor mix I'm not even sure I pull my own weight. Being a big Univ taking the hit, I'm not that worried.
 
Sounds great at first glance. The key questions:

- How much do you make?
- How many weeks vacation?
- Do all partners make the same and work as hard and have same voting rights?
-Do you have to suffer virulent CRNAs?
-How secure is the position, i.e. How long has the current anesthesia corporation had the exclusive contract for anesthesia services?
-Do you have to live in BFE to get a job like this?

I'm fortunate, Doze. I am geographically limited due to family issues, which is something I wouldnt suggest to the studs out there getting ready to get outta residency.

But things turned out alright for me.

This is my first year (March 07) with the group so I make fifty-large less than the partners. In March I'll be bumped up to what the partners make. To be honest I don't feel comfortable posting the exact amount but it is more than the national average, which I think is 300 or 350.

I get nine weeks vacation. All doctors except one take equal call. The head dude does 50% clinical and 50% administrative stuff. I think a few years ago I wouldnt've been able to handle that, even though we're talking about one dude outta fifteen....but I've been the head of an anesthesia department before, and one of my frustrations was the administration expected alotta administrative stuff outta me that I didnt have time for. And lets face it...if your group wants to stay at a hospital, the administration has to be happy. Head dude of my group was smart. He allotted the time. He is the one that strokes the administration. He goes to all the meetings. He is on most of the "important" commitees. Very politically savvy dude.

I just looked at my January schedule. I have 2 first calls, one weekend that is split with another MD, and 4 late calls. So my lifestyle is good. So the above paragraph, although it wouldda bothered me at some point in my career, doesnt bother me now.

We have no virulent CRNA issues. Politically savvy dude doesnt tolerate that and has fired a CRNA in the past for the issue you speak of.

Our group just renewed another five year exclusive contract.

I do not live in BFE. I live in a city with an NFL football team. Prior to living here I did live in BFE for eight years, and my hazardous duty pay for-same reflected that by about two hundred large more than I make now.

I enjoy getting up and going to work, which is priceless.
 
I work more than Jet, but I'm working on getting it so that I work less.
 
I work a little bit more than Jet too, but not too much. Since I'm new to the group, I make less than the senior members, but not significantly so. I get just over 9 wks vacation as well. The longest non-call day I work is 0630-1500. Average pre-call day would be in at 0630 and out between 0900-1400. On-call in at 1500, guaranteed off at 0700. These may change slightly as we acquire our new hospital next month, but we will be justly compensated for any "extra" hours. All told, assuming one weekday call, I would say I average 37-39 hours/week. Call varies, but is about q7. Have had as many as 7 call days in one month (including a weekend) and as few as 2 call days (this month). Compensation...as Jet said, don't want to put it out there exactly, but in the range that he described.

I, too, look forward to heading to work in the morning. Good gig.
 
Ok. Here is my schedule from last week.(to balance out jet's paradise 🙂..private practice M.D. with full range of anesthetics.
Monday: 630 AM. Preops. Ortho day. 4 TKA. All get Fem. N. Caths, spinals....Out by 3:30.
TUE: 0600: round on FNC pts. CABG/Aovalve replacement. Out by 3 PM
WED: On Call. 0615. round on FNC pts. Ortho again. 4 total shoulders, 2 ACL rep. 6 blocks. appy,lap chole,gyn add on. 2200. Labor epidural. 0100. Redose. 0300: Trauma gsw...exp. lap. 0500 done. d/c' fnc.
THU: Off post call.sleep.surf web.
Tomorrow: 0600 Redo CABG thoracatomy approach. Then Lobectomy, and AV fistual. Should be out by 1900.
SAT/SUN: OFF
typical week.

PS: very happy with my job. 6 weeks vac. pay is in the high range of the national average. N.CA.
 
Ok. Here is my schedule from last week.(to balance out jet's paradise 🙂..private practice M.D. with full range of anesthetics.
Monday: 630 AM. Preops. Ortho day. 4 TKA. All get Fem. N. Caths, spinals....Out by 3:30.
TUE: 0600: round on FNC pts. CABG/Aovalve replacement. Out by 3 PM
WED: On Call. 0615. round on FNC pts. Ortho again. 4 total shoulders, 2 ACL rep. 6 blocks. appy,lap chole,gyn add on. 2200. Labor epidural. 0100. Redose. 0300: Trauma gsw...exp. lap. 0500 done. d/c' fnc.
THU: Off post call.sleep.surf web.
Tomorrow: 0600 Redo CABG thoracatomy approach. Then Lobectomy, and AV fistual. Should be out by 1900.
SAT/SUN: OFF
typical week.

I hope you're getting paid a LOT.
 
Here's my typical week...

Sunday night, 6:00 - 8:00 PM: Call attending to discuss mornings cases and/or go in to pre-op inpatients. Read.

Monday, 5:15 AM:Get up, ****, shower, shave. Kick the sleeping rooster on the way out the door.

Monday, 5:45 AM: Arrive at hospital, get changed, set up room. Go see patient, start IV. Wheel patient back to room.

Monday, 7:25 AM: Have patient on table, monitors on, pre-oxygenated.

Monday, 7:51 AM: Call attending, who's starting case in other room, to come and induce while surgical attending stands there pissed waiting to start the case, because we're not allowed to do this on our own.

Monday, 11:13 AM: Finish first case, some relatively minor procedure that should've taken 1:15 total, in over 3 hours. Wake patient as last stitch is going. Fight with semi-awake bucking patient waiting for attending to show-up because we're not allowed to extubate without the attending present.

Monday, 11:37 AM: Finally arrive at PACU because surgical resident was dictating the op note while you were waiting for the chart and to transport.

Monday, 12:41 PM: Bring second case, which was booked to start at 10:30 AM, to room because case cart never came up and circulator had to have her mandatory 1/2 hour lunch break, which actually took 39 minutes.

Monday, 12:57 - 1:21 PM: Lunch consisting of soggy cafeteria food that you had to run to a different floor, stand in a long line just to have the privilege to consume, and that is better described as being inhaled instead of eaten.

Monday, 3:17 PM: Finish second case, find out that not only are you now 3 hours behind schedule, you've also been given an add-on. Forget the fact that you are pre-call.

Monday, 3:51 PM: Argue with attending who wants to paralyze and tube what should be a 15 minute EUA case because the patient is diabetic and has mild GERD. Do the case his way in over an hour instead of having the patient in PACU in half that time, despite the fact that you've done it the "other" way in dozens of other patients with similar presentation.

Monday, 6:07 PM: Finish final add-on case, look at tomorrow's list, and find out you have another in-patient you have to go pre-op.

Monday, 7:21 PM: Call attending from the hospital, go over cases, and go home.

Monday, 10:11 PM: Finally get up off the couch, where you passed out after eating a frozen dinner to a rerun of "Antiques Roadshow" (because all other Monday night TV is equally lame), and climb into bed.

Tuesday, 5:15 AM:Get up, ****, shower, shave. Kick the sleeping rooster on the way out the door....

Repeat, ad nauseum, throughout the week but but throw in a few calls where you're assured to get a maximum of 45 minutes of sleep between responding to traumas, codes, consults, and other random b.s. throughout the night. And, work two full weekends a month while your program director assures you that you are "still well below the 80-hour workweek" cutoff.

This is the "average" experience right now at my program. If they decide to substantially cut first-year salaries when I finish in a year-and-a-half, I'm finding the nearest and highest cliff.

-copro
 
So out of curiosity, for someone fresh out of residency with no geographic limitations, what areas of the country are good for anesthesiologists , in terms of compensation, malpractice issues, and job security?

I was thinking about doing locums for a bit but heard it's a gold mine out in Las Vegas, Nevada. I wouldn't mind settling down there, anesthesiologist by day, professional gambler by night. Sounds like fun. :laugh:
 
This past week for me

Monday on call... go in at 3 pm, OR's down by 11pm. 0100 and 0300 epidurals, really not a terrible night, supposed to leave at least by 9am, there till 11 tuesday (20 hrs)

Wednesday-next to the late person on schedule, hospital at 0545, 6-7 cases then to outpatient surgery center at 9, there til 1830 (about 12 hrs)

Thursday- (today) should be a relatively early day because of position on schedule but no dice, early start 0500, home at 1600 (about 11 hours), wife is starting to get pi$$ed

Friday- on call, will probably have to relieve post call guy early instead of going in at 1500 because of a busy schedule, wife will be even more pi$$ed, (probably about 18 hrs)

Saturday-off

Sunday- on call, there at 9, will be there some post call b/c Mondays suck too. But it is Christmas eve so we won't be too busy right? No, pretty much a full day. Wife is still pi$$ed. (about 22 hrs)

so lets see 20 + 12+11+18+22= misery

not every week is like this but most are 50-60+ hour weeks, pay is ok but probably not worth it
 
Thought I'd post my work hours for the last week or so to give you guys an idea of what a private practice anesthesiologist's schedule is like.

Thurs Dec 13th: At hospital at 0630. Do some preops. Cases until about noon then done. On call tomorrow so out early today.

Fri Dec 14th On call so arrive at hospital at 1500. Cases until about 2145. OB looks quiet so I leave. Beeper goes off at 0250 for labor epidural. Arrive about 20 minutes later. Put epidural in, write on chart. Back home in less than an hour. No more calls.

Sat and Sunday Off.

Monday Dec 17th Hospital at 0630. See some preops, cases until about noon-thirty then done. I'm going home early cuz I'm "late call" tomorrow.

Tues, Dec 18th Hospital at 0630, preops, cases until about 1930. Today is my "late call" day. The late call doc stays around until the "on call" doc can handle whatever is going on.

Wed Dec 19 Hospital at 0630, preops, start a few quick cases. Done and walking out of hospital at 0820.

Thurs and Fri of this week will be pretty typical days probably 0630 until 3 or 4pm.

We have some long days but they are offset by early days.


doesnt sound too enviable to me at all.. For me to get to the hospital at 630 in the morning more than once a week i need to see the dollars.. and not 300... im talking double that,...
I do 3 cases per day... maybe 4 out by 3 everysingle day...

i take call 4 times per month at a set fee for the hospitals.. and its reasonable.. there is no thoracic surgeon or vascular surgeon who is gonna bring me a disaster..
 
I see ALOT of variation on the schedules, work environments, compensation here.

Is the market that variable?
 
This past week for me

Monday on call... go in at 3 pm, OR's down by 11pm. 0100 and 0300 epidurals, really not a terrible night, supposed to leave at least by 9am, there till 11 tuesday (20 hrs)

Wednesday-next to the late person on schedule, hospital at 0545, 6-7 cases then to outpatient surgery center at 9, there til 1830 (about 12 hrs)

Thursday- (today) should be a relatively early day because of position on schedule but no dice, early start 0500, home at 1600 (about 11 hours), wife is starting to get pi$$ed

Friday- on call, will probably have to relieve post call guy early instead of going in at 1500 because of a busy schedule, wife will be even more pi$$ed, (probably about 18 hrs)

Saturday-off

Sunday- on call, there at 9, will be there some post call b/c Mondays suck too. But it is Christmas eve so we won't be too busy right? No, pretty much a full day. Wife is still pi$$ed. (about 22 hrs)

so lets see 20 + 12+11+18+22= misery

not every week is like this but most are 50-60+ hour weeks, pay is ok but probably not worth it

Your wife is pissed because you are going to work so that SHE has :

1) a roof to live under
2) money to pay the bills so that the house is heated
3) so that she can eat
4) so that she can have children
5) so that she has a car to drive
6) so that she can go on trips and vacation occasionally
7) so that she can have nice "stuff"

sounds like a very reasonable woman.
 
:laugh:

Your wife is pissed because you are going to work so that SHE has :

1) a roof to live under
2) money to pay the bills so that the house is heated
3) so that she can eat
4) so that she can have children
5) so that she has a car to drive
6) so that she can go on trips and vacation occasionally
7) so that she can have nice "stuff"

sounds like a very reasonable woman.
 
With all of our kids under three and her working pretty much full time (she is an MD too), I don't really blame her for wanting some help. Especially during a week when I am at work much more than I am at home. I was trying to present a more balanced picture of what private practice can really be like. Some jobs are great hours wise but the thing is in private practice, if you are not working you are not making any money. There has to be a balance between work hours, money, and lifestyle. That balance is different for everybody. For the residents on this forum, before you take a job, honestly answer what that balance should be for you. Also, when you look at that "paradise job" remember that the money has to come from somewhere. If you can make enough money to support yourself by 9 or 10 am great. If you are not doing too many cases and the hospital accounts for most of your salary then they always will be looking for a cheaper alternative and it may not be a stable gig. Keep the marriage advice coming, I do appreciate it.
 
Your wife is pissed because you are going to work so that SHE has :

1) a roof to live under
2) money to pay the bills so that the house is heated
3) so that she can eat
4) so that she can have children
5) so that she has a car to drive
6) so that she can go on trips and vacation occasionally
7) so that she can have nice "stuff"

sounds like a very reasonable woman.


I honestly don't think I have met a reasonalbe woman. They are either an extinct breed or never really existed in the first place. Kinda like bigfoot. But then again we have pictures and video of bigfoot.
 
So,
If you are single, no kids, no disgruntled wife, and you want to make serious bank for a couple of years to pay off loans faster and invest, etc., could you work pd4emergence-type hours and make a killing? Is this do-able in private practice or are you getting a flat yearly pay regardless of hours worked? Are you expected to put in more hours as an associate/junior partner or do you get remuneration for your efforts?
 
Thought I'd post my work hours for the last week or so to give you guys an idea of what a private practice anesthesiologist's schedule is like.

Thurs Dec 13th: At hospital at 0630. Do some preops. Cases until about noon then done. On call tomorrow so out early today.

Fri Dec 14th On call so arrive at hospital at 1500. Cases until about 2145. OB looks quiet so I leave. Beeper goes off at 0250 for labor epidural. Arrive about 20 minutes later. Put epidural in, write on chart. Back home in less than an hour. No more calls.

Sat and Sunday Off.

Monday Dec 17th Hospital at 0630. See some preops, cases until about noon-thirty then done. I'm going home early cuz I'm "late call" tomorrow.

Tues, Dec 18th Hospital at 0630, preops, cases until about 1930. Today is my "late call" day. The late call doc stays around until the "on call" doc can handle whatever is going on.

Wed Dec 19 Hospital at 0630, preops, start a few quick cases. Done and walking out of hospital at 0820.

Thurs and Fri of this week will be pretty typical days probably 0630 until 3 or 4pm.

We have some long days but they are offset by early days.

Wow...only one epidural ?!?!

That would never happen at the hospital I'm at. In fact just one call from OB at most hospitals in my area is almost never heard of. You must be at a community hospital with almost no OB. Most places I hear OB call is where people get almost no sleep.
 
So,
If you are single, no kids, no disgruntled wife, and you want to make serious bank for a couple of years to pay off loans faster and invest, etc., could you work pd4emergence-type hours and make a killing? Is this do-able in private practice or are you getting a flat yearly pay regardless of hours worked? Are you expected to put in more hours as an associate/junior partner or do you get remuneration for your efforts?

There are a ton of different ways to be paid. Some pay salary. Some pay salary plus incentive for productivity. Some are a blended unit. Some eat what you kill. Others pay an hourly wage. If you want to make $, go to a place where people generally don't want to live. Smaller town Midwest is a good place to look, as are some places in the South. Lots of $ to be made, if you want to pay the price (in hours, location, supervision), but I'd rather make less, work less, and live in a great place.
 
So, 1099 vs. W-2?

Discuss.

-copro
 
I'm fortunate, Doze. I am geographically limited due to family issues, which is something I wouldnt suggest to the studs out there getting ready to get outta residency.

But things turned out alright for me.

This is my first year (March 07) with the group so I make fifty-large less than the partners. In March I'll be bumped up to what the partners make. To be honest I don't feel comfortable posting the exact amount but it is more than the national average, which I think is 300 or 350.

I get nine weeks vacation. All doctors except one take equal call. The head dude does 50% clinical and 50% administrative stuff. I think a few years ago I wouldnt've been able to handle that, even though we're talking about one dude outta fifteen....but I've been the head of an anesthesia department before, and one of my frustrations was the administration expected alotta administrative stuff outta me that I didnt have time for. And lets face it...if your group wants to stay at a hospital, the administration has to be happy. Head dude of my group was smart. He allotted the time. He is the one that strokes the administration. He goes to all the meetings. He is on most of the "important" commitees. Very politically savvy dude.

I just looked at my January schedule. I have 2 first calls, one weekend that is split with another MD, and 4 late calls. So my lifestyle is good. So the above paragraph, although it wouldda bothered me at some point in my career, doesnt bother me now.

We have no virulent CRNA issues. Politically savvy dude doesnt tolerate that and has fired a CRNA in the past for the issue you speak of.

Our group just renewed another five year exclusive contract.

I do not live in BFE. I live in a city with an NFL football team. Prior to living here I did live in BFE for eight years, and my hazardous duty pay for-same reflected that by about two hundred large more than I make now.

I enjoy getting up and going to work, which is priceless.

That IS priceless Jet. IMO, that's the true measure of success.👍
 
You can't wake the pt until your attending is there? That could take forever, and NOT be to the pt's benefit. Someone needs to change that policy.

And as for the surgery resident, if he/she is holding up your turnover, SAY SOMETHING. You KNOW they probably complain whenever you start cases late.

Monday, 11:13 AM: Finish first case, some relatively minor procedure that should've taken 1:15 total, in over 3 hours. Wake patient as last stitch is going. Fight with semi-awake bucking patient waiting for attending to show-up because we're not allowed to extubate without the attending present.

Monday, 11:37 AM: Finally arrive at PACU because surgical resident was dictating the op note while you were waiting for the chart and to transport.


-copro[/QUOTE]
 
i usually talk to the surgery resident in a private situation about any problems I have. Since i was brought up in tx and say "yes sir/ma'am" to everyone and always use my manners, i find that many other residents find it harder to be rude to me when things are going against me. that being said, when I am holding somebody up ( I HAD to take a dump between ortho cases on a busy day. SORRY!), they will let me know, and if it is mother nature, i shrug my shuolders and say sorry i couldnt do anything about it
on the flip side, if they are doing something wrong in the OR, or taking too mcuh time, if you call them out in public, you are going to have a pissing contest for 4 years!
in the pre=op area, grab em on the side and say " hey i know u need to get dictations done, but maybe you can try to get that done in the post-op area/in a more timely manner b/c when you hold up transport to post-op, it reflects bad on my "wake up to PACU " time." and if they dont respond to this, or are rude (our surgery residents are really chill), then i would call them out like the $itch that they are in public. and if you rarely get on people about things, it will have a more profound effect when you do pipe up.
again, you are a PHYSICIAN. too many anesthesiology residents forget that, become to lacksadaisical, and we need to be more aggressive.
dont forget that surgery resident probably hasnt had time for some lovin at home in months, and you have. SEXYYY TIMEE
 
I honestly don't think I have met a reasonalbe woman. They are either an extinct breed or never really existed in the first place. Kinda like bigfoot. But then again we have pictures and video of bigfoot.

HaHaHa!!!
 
those are some sweet schedules in private practice - with me doing full time pain now i miss those schedules every once in a while - i also miss all that vacation time...

i have a friend out west who has similar light schedule but then moonlights in his down-time and weekends - he is makings gobs of money - he doesn't have kids yet and is hoping on making a big nest egg...
 
those are some sweet schedules in private practice - with me doing full time pain now i miss those schedules every once in a while - i also miss all that vacation time...

i have a friend out west who has similar light schedule but then moonlights in his down-time and weekends - he is makings gobs of money - he doesn't have kids yet and is hoping on making a big nest egg...

No, Tenes, he aint hoping.

He IS.

Concerning the nest egg.

Your buddy is a very smart dude.
 
Monday, 11:37 AM: Finally arrive at PACU because surgical resident was dictating the op note while you were waiting for the chart and to transport.
[/QUOTE]

That's when I hit the steer lever on the stretcher and start heading to the PACU myself.
 


That's when I hit the steer lever on the stretcher and start heading to the PACU myself.[/QUOTE]

Been there and DO that. Its my favorite. Just push open the OR doors and start pushing the huge inpatient bed into the hall myself. Smashing into crap as I try and steer the whale of a bed down the OR hall. F-em.
 
If they're going to hold onto the chart, they can bring the damn thing to PACU. Screw them. I'm not waiting.
 
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