Originally Posted by militarymd
Take away the costs of benefits and vacation, that great paying LT job salary just dropped to 250,000.....
250K + benefits equals 375K, sound like a lie an anesthesia management company liar would say to you after working for a year without getting the imaginary bonus payment.
Exclusive of retirement and malpractice, even the best anesthesia groups benefits plan is only worth 10K max. Malpractice is almost uniformly paid by the locums agency while the majority of contracts and offers I have seen for permeant employment attempt to dump the tail on you or force you to get your next employer to cover the cost of a tail.
Your 40k retirement is most likely a lie; I have seen several contracts where if you read the language carefully you will see the retirement money is far from guaranteed. I have talked to a dozen or more different anesthesiologist in several different groups who told me how their employers stole their retirement money. Until that money is in an account that only you and your banker or broker control it is just another empty promise. Something as lucrative as Retirement money is just too much for the anesthesia management company liars to pass up.
Yes locums do not get paid vacation but if you take all of the call time and the hours after 1500 you are forced to work most permanent jobs quickly adds up. So if you get 8 weeks vacation but work 60 hrs per week you are actual working the equivalent of 66 weeks per year 44 * 1.5 = 66wks. So as a locum to make the same 375K working the same 60 per week you would need only to work 36 weeks and could take the remaining 16 week off.
Locums get paid 1099 income so if you are wise enough to form a corporation and pretend to reside in a no state income tax state i.e. (NH,TN,FL,TX,ND,WY, WA,NV,AK) you can take advantage of the tax laws that are more favorable to businesses and create a benefits plan that is far better than what you will find anywhere else. You can structure you income and benefits to avoid the AMT. Without the risk of being tied to an expensive house, I do not own a house and have not rented an apartment for over two years. I seldom drive my own car, Why was money on unnecessary things that the locums agency will provide.