LOCUMs rates 2024

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Also, even though I'm classified as a "locum" by the hospitals, I don't actually work for any 3rd party locums agency. They are trash and should be avoided. The last time I worked for a 3rd-party agency was ten years ago. I can't imagine how bad they are now. I negotiate directly with the hospital or CMG that staffs the hospital. This is how you get the best pay and best protection.

Three months into any job, I usually get offered a full-time job, but I always decline. I enjoy my freedom.

Same - my prn gig where i do 2-3 shifts per month was direct negotiation with the CMG. Getting $300/hr for a 7500 annual volume shop (~21 patients per day). A locums company was completely unwilling to even present me to the CMG for $300/hr for 2-3 shifts a month. When i called them directly and gave then my number, they instantly said yes - which means i probably left some money on the table 😂😂😂

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Same - my prn gig where i do 2-3 shifts per month was direct negotiation with the CMG. Getting $300/hr for a 7500 annual volume shop (~21 patients per day). A locums company was completely unwilling to even present me to the CMG for $300/hr for 2-3 shifts a month. When i called them directly and gave then my number, they instantly said yes - which means i probably left some money on the table 😂😂😂

$300 for <1pph is a rare find. Keep it.
 
Again, I wonder how much of this is location dependent. It seems to be working out great for you. I’m happy about that. The future for EM as a whole is uncertain. I have found my unicorn.. it’s great. I get few will attain what I have. So I come at it from a “standard” job model.

Some jobs are negotiable. Some are not. My SDG when we hire new people there is 0 room to negotiate.. Then again we have at least 2 people interview for every spot we have. This year 100% of our offers were accepted. Last year i think it was over 90%.

I do believe most of this is location dependent. But I also know a guy in Nashville that is still doing PRN jobs moving around nabbing ridiculous bonuses. This still exists in mid size cities in TX as well. I'm only giving information that I personally know of. Nothing anecdotal.
 
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I do believe most of this is location dependent. But I also know a guy in Nashville that is still doing PRN jobs moving around nabbing ridiculous bonuses. This still exists in mid size cities in TX as well. I'm only giving information that I personally know of. Nothing anecdotal.
Dude, that is the literal meaning of anecdotal. No shade, just saying.
 
EM is showing up to shifts, seeing patients, and going home. Your explanation makes sense for a locums outpatient GI doc, or a surgeon for instance, but the marginal administrative burden for another ER doc on staff who can pick up some shifts here and there is incredibly low. What issues is the hospital punting to the locums agency other than malpractice and maybe payroll since they can just pay the company instead of the doc directly? The hospital is responsible for credentialing, training, any issues that arise in shift, etc, regardless of whether there’s an locum agency involved. And medmal and a somewhat simpler payroll doesn’t seem worth the extra cost of a staffing agency, so there must be some hospital admin reason that is not as immediately obvious.

I've asked our admin before and the main reason was that its easier to find docs and fill the schedule ahead of time which serves to avoid the possibility of them having to offer those famous last minute 500/hr rates when there's no coverage for the holidays.
 
Haha. You got me. But what I said still rings true. These are good friends.
Welp.. I’ll just say the jobs near me are pretty full. I think there are some good gigs in Kentucky and maybe parts of TN. That being said things seem pretty full. One thing I wish we could do is put real numbers out there. We all use pseudonyms on here but still no one wants to put real numbers out there for their actual bonuses / pay. I get why but it weakens us all.

one thing Ill point out from my long ago experience. No one is calling and offering these bonuses without haggling. I LOVE haggling. That being said i dont want to do that for my job. A car.. sign me up.. A foreign market or local flea market.. Sign me up.. but for work.. its not for me.. When i was younger and really needed the dough.. yep.. obviously my personal situation is quite different as i am in an SDG and there is none of that but compensation is quite strong.
 
I do believe most of this is location dependent. But I also know a guy in Nashville that is still doing PRN jobs moving around nabbing ridiculous bonuses. This still exists in mid size cities in TX as well. I'm only giving information that I personally know of. Nothing anecdotal.
Again, I’ll say.. i wonder how one defines “ridiculous bonuses”. I had a good friend who years back would make 1k/hr around the phoenix market. One day he worked from 2a to 6am. Which seemed crazy until he told me the pay. IMO 500/hr+ is “ridiculous” that being said i know of docs who have made 100k+ a month not working crazy hours.
 
Welp.. I’ll just say the jobs near me are pretty full. I think there are some good gigs in Kentucky and maybe parts of TN. That being said things seem pretty full. One thing I wish we could do is put real numbers out there. We all use pseudonyms on here but still no one wants to put real numbers out there for their actual bonuses / pay. I get why but it weakens us all.

one thing Ill point out from my long ago experience. No one is calling and offering these bonuses without haggling. I LOVE haggling. That being said i dont want to do that for my job. A car.. sign me up.. A foreign market or local flea market.. Sign me up.. but for work.. its not for me.. When i was younger and really needed the dough.. yep.. obviously my personal situation is quite different as i am in an SDG and there is none of that but compensation is quite strong.

I don't see it as haggling. I see it as being self employed and you're making a bid to do the work. Sort of this is what I'll work for take it or leave it. I have declined bonus offers that were low. I set the rates I work.

No one wants to give out numbers because maybe no one wants to just do all the legwork and have some keyboard junkies soaking it up. Get out there and try if you're interested. It doesn't matter what others are getting, it matter what YOU can get. Anything is negotiable based on demand.
 
I don't see it as haggling. I see it as being self employed and you're making a bid to do the work. Sort of this is what I'll work for take it or leave it. I have declined bonus offers that were low. I set the rates I work.

No one wants to give out numbers because maybe no one wants to just do all the legwork and have some keyboard junkies soaking it up. Get out there and try if you're interested. It doesn't matter what others are getting, it matter what YOU can get. Anything is negotiable based on demand.
Nah. I make good money. Not interested in traveling etc. No one offer I have ever haggled for even came close to my hourly rate tbh. I value knowing my schedule, making well above avg hourly rates and having a commute i can control. Any hospitals within 60 mins from my house dont pay remotely close enough to make it worth my while. The further ones also dont pay enough per the people i know who work locums there. It is enough for them but not a number i would consider.
 
Nah. I make good money. Not interested in traveling etc. No one offer I have ever haggled for even came close to my hourly rate tbh. I value knowing my schedule, making well above avg hourly rates and having a commute i can control. Any hospitals within 60 mins from my house dont pay remotely close enough to make it worth my while. The further ones also dont pay enough per the people i know who work locums there. It is enough for them but not a number i would consider.

Well you don't need "real numbers" then do you.
 
$240-$260 per hour base, bonus $1,500 to $2,500 (rarely $3,000), 10-12 hr shift, I work 6-10 shifts like this a month.

Beats being the full time guy next to me making $220 per hr.

Region has 2 SDG - one is off limits, the other is slave labor for unknown years at BFE hospitals for $280 per hr (decent non-partner rate but I make more).
 
Bonuses are still out here for those willing to play the game and be reliable when it hits the fan. I don't need the cash since I'm a full-time fairly well compensated critical care doc so this allows me to largely work ED when the bonus money makes it worthwhile.

I am working for two major groups PRN. One has sites within 1 hour from my home and I've been PRN for a long time. $200/hr base with extra night diff of $10/hr plus possible $20/hr for quality but is currently giving me $2000 bonus before I hit the door for every 12 hour shift I work from July through the rest of the year due to shortages. Works out to $367 base before potential quality and night diff. Working mix of days and nights.

The other pays about $250/hr target rate (about $150 + stupid RVU formula that equals about $100) and gives me $1000-$2000 per shift when I go. Not as enjoyable a work environment and a little further from house but I can live with it. They just gave me $2000 for a random night shift. Assuming I hit the target rate (usually hit it), $5000 for a night isn't bad.

Working 6-9 ED shifts per month with my ICU obligation through rest of year - been a couple hard but very financially worthwhile months. Allowing for a couple of toys without messing with financial goals.

Plus allows me W2 and 1099 income which is absolutely essential in my opinion.
 
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Bonuses are still out here for those willing to play the game and be reliable when it hits the fan. I don't need the cash since I'm a full-time fairly well compensated critical care doc so this allows me to largely work ED when the bonus money makes it worthwhile.

I am working for two major groups PRN. One has sites within 1 hour from my home and I've been PRN for a long time. $200/hr base with extra night diff of $10/hr plus possible $20/hr for quality but is currently giving me $2000 bonus before I hit the door for every 12 hour shift I work from July through the rest of the year due to shortages. Works out to $367 base before potential quality and night diff. Working mix of days and nights.

The other pays about $250/hr target rate (about $150 + stupid RVU formula that equals about $100) and gives me $1000-$2000 per shift when I go. Not as enjoyable a work environment and a little further from house but I can live with it. They just gave me $2000 for a random night shift. Assuming I hit the target rate (usually hit it), $5000 for a night isn't bad.

Working 6-9 ED shifts per month with my ICU obligation through rest of year - been a couple hard but very financially worthwhile months. Allowing for a couple of toys without messing with financial goals.

Plus allows me W2 and 1099 income which is absolutely essential in my opinion.
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I am curious.. for those getting large bonuses, did you join, et credentialed and then wait for the bonuses or did you get credentialed knowing you would get bonus pay. I know how it works by me. Curious if it is the same across the country.
 
Also, one guy I know who is getting $240 plus the $2000 bonuses worked like a maniac this past summer and had a over $100,000 month.

These are hard but not terrible places to work. Opportunities out here folks
If you are willing to travel i agree. I know a dude at a west coast SDG made 180k in a month. Worked a lot and group has strong collections. Still the highest i have heard but i know of 4 different ED docs who made over $1m in a year.. it’s doable but no one is handing that out on a silver plate. The high earning SDGs will make 4-500+/hr depending on set up etc. that’s not the norm or even common but im talking crème de la creme. No turnover in those groups and usually very insular.

I say this to make sure people know what is out there. The high flying SDG groups can earn 200-250/pt, throw in working hard and some MLP money and voila you can earn very well. Most SDGs make 130-140/pt the cmgs used to make 160-170/pt though some sites def more and it doesnt include stipends. Just some context for the group to discuss if someone wants to crunch some numbers.
 
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I am curious.. for those getting large bonuses, did you join, et credentialed and then wait for the bonuses or did you get credentialed knowing you would get bonus pay. I know how it works by me. Curious if it is the same across the country.

Joined originally years ago for the rate and a PRN position to keep my ED skills with my regular ICU job. I don't generally believe in giving up hospital privileges to places once I get them given the annoyance of credentialing processes. This leads to me being on the roster of available people when the need arises. I don't generally work for ED rate anymore though I occasionally will. So more the former for me.

I know people who try to get credentialed knowing they will get bonused but a lot of the time the bonuses are gone by the time the privileges go through unless they do emergency process which hospitals hate to do.
 
Would also like to add that, to me, locums isn't necessarily about having these huge monthly take home pays (especially for those with families) It gives me the opportunity for schedule control, work LESS per month and have the time opportunity for side gigs that are more passive. Schedule control is number one so if you can get that without locums then maybe that's the way to go even with taking less pay.
 
Also, one guy I know who is getting $240 plus the $2000 bonuses worked like a maniac this past summer and had a over $100,000 month.

These are hard but not terrible places to work. Opportunities out here folks

But what’s the point killing yourself like that?

what’s the lifestyle difference between a 500k income vs a 800k income? 40-50 percent, depending on your state, of each marginal dollar over 600k goes to uncle sam anyway.
 
I think the supply of MDs around here has made the bonus events described above uncommon. I can find you multiple decent PRN locums shops giving 275-300/hr shifts in a 1hr drive, but in exchange for solid base rate and what I understand is reasonable scheduling… I don’t hear of many “have $2k extra to show up!” Events.

Granted I’m also not currently tuned into the market more 2-3hr away, and some people understandably like to keep these opportunities secret.
 
But what’s the point killing yourself like that?

what’s the lifestyle difference between a 500k income vs a 800k income? 40-50 percent, depending on your state, of each marginal dollar over 600k goes to uncle sam anyway.
I think this sort of depends. In general yes.. However, if that extra 300k is money you dont need and you put that money into a defined benefit / cash balance plan then it is a very quick way to get to retirement that much sooner. The amount you can put in is variable but if you have a decent plan at your job and you are in your 40s you can put in between 120-180k a year.. That helps you get to FI much quicker and doesnt impact your tax bill. Of course that money is semi tied up like a 401k.
 
I think this sort of depends. In general yes.. However, if that extra 300k is money you dont need and you put that money into a defined benefit / cash balance plan then it is a very quick way to get to retirement that much sooner. The amount you can put in is variable but if you have a decent plan at your job and you are in your 40s you can put in between 120-180k a year.. That helps you get to FI much quicker and doesnt impact your tax bill. Of course that money is semi tied up like a 401k.

I agree a defined benefit plan can be absolutely incredible, if you are in a high tax bracket.

But my personal understanding of a defined benefit plan is that the returns on a defined benefit plan are usually mediocre as the investments are usually in very safe vehicles. And it can also put increasing pressure to continue working as you may be REQUIRED to put in very large amounts.

So it might get you to FI, but you will likely not get you to FIRE. A taxable account is truly what’s needed to be able to get out early and have real financial freedom.

The other black box that none of us really knows is the tax brackets in the future. Putting money in a 401k is done with the expectation that our future tax rate will be lower since we’re in our peak earning years. With increasing levels of national debt that are getting to unsustainable levels, the rich will likely get taxed more and more. Between now and 30-40 years later, there will be several Democratic presidencies and the push to tax the rich with each of those. Who knows where the tax brackets will be for wealthy people.
 
My interactions with locums docs is they are bad docs and have major personality issues and do it as an end of career / burned all the bridges type folks. No one worth keeping around. My interactions have been limited but all negative. Literally all.. 100%.. Again N is small.

As mentioned hospitals use locums because they need them for the continued work. I am sure if the hospital does this it would ruin their rep. I also wouldn’t be shocked if there is something in their locums agreement that prevents this.
I think this is mostly true. Even the good docs eventually become bad because its a race to the bottom. I mean a good Locums doc who can move the meat and well liked typically looks around wondering why they are working so Hard. Make 3-400/hr was the same if I worked hard or worked as hard as the other guys.

I did locums for 2 years and staff always liked when I worked. Did overnights and when the new guy came in, place was cleaned out. When I came in for the am shift, place typically was a wreck. But it sure was hard to be motivated when the other docs generally stunk including the full timers.

Heck, I was there for 6 months and was offered to be the medical director which likely would have been a pay cut with lots of admin work.
 
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I agree a defined benefit plan can be absolutely incredible, if you are in a high tax bracket.

But my personal understanding of a defined benefit plan is that the returns on a defined benefit plan are usually mediocre as the investments are usually in very safe vehicles. And it can also put increasing pressure to continue working as you may be REQUIRED to put in very large amounts.

So it might get you to FI, but you will likely not get you to FIRE. A taxable account is truly what’s needed to be able to get out early and have real financial freedom.

The other black box that none of us really knows is the tax brackets in the future. Putting money in a 401k is done with the expectation that our future tax rate will be lower since we’re in our peak earning years. With increasing levels of national debt that are getting to unsustainable levels, the rich will likely get taxed more and more. Between now and 30-40 years later, there will be several Democratic presidencies and the push to tax the rich with each of those. Who knows where the tax brackets will be for wealthy people.
So you can have a ton of flexibility with a DB plan if you are the sole person in it. One option is to just shut it down and roll that money into your 401k. My point is while you are right.. to get to the RE portion of things you need money in a taxable account. My point is making that extra 200-300k can be very valuable and you don't have to pay 50%+ of your taxes on that money. It also helps to some degree cause at 59.5 you will have a ton more money and there are a number of ways to extend out your other money if you know you have a huge windfall coming at 59.5.

The tax discussion is always interesting. I think what is sometimes lost is this.. Lets say you are married and your AGI is 487k so every dollar you saved in retirement was at the 35% bracket. It is unlikely too many EM docs who are married are in the 37% bracket unless married to a doc also. This is the exception and not the rule IMO. to get to 731k would require 2 docs in non primary care specialties making good money as this is post retirement.. So lets stick with 35%.

Lets keep in mind that the brackets keep growing with inflation. But for the sake of the discussion lets assume at age 60 I pull out 229k from my 401k.. I will get some tax breaks 29k in standard deduction.. may be higher if I have other deductions.

That brings my AGI to 200k. I likely have a few other things there but we will keep it simple for the purpose of this discussion.

I pay 10% on the first 23k (2300 in tax), then 12% from 23k to 94K (71k x 12%) $8400. On the next 106k I am paying 22% which is 23k. So on the 230k I pulled out I will pay $33,700. My effective tax rate is $33,700/ $230,000k which is under 14.7%.. So I saved 20% on my tax bill. It is likely though no one knows that rates on the lower income brackets doesn't move much. Being a high earner it is hard to justify not saving because of fear of taxes.

Yes at 70+ you will have required minimum distributions and if you don't retire early enough that number could be huge... that being said that's a different discussion.

If you don't make a ton of money then the math gets tighter and the risk increases but you will pretty much always come out ahead saving.

I don't think there are a ton of us who will be pulling out 230k in today's dollars in retirement.. Maybe I'm wrong.. Using the 4% rule you are talking about a lot of money in those retirement accounts.
 
Again, I’ll say.. i wonder how one defines “ridiculous bonuses”. I had a good friend who years back would make 1k/hr around the phoenix market. One day he worked from 2a to 6am. Which seemed crazy until he told me the pay. IMO 500/hr+ is “ridiculous” that being said i know of docs who have made 100k+ a month not working crazy hours.
I am not sure if this is still available. I know when I did locums 7 years ago, I would not pick up a shift unless they offered a 2k bonus. Rate was 275/hr so my 10 hr shift typically started around 475/hr or 4750/shift. I did about 8/month and was pocketing 38k/month which wasn't bad.

I had a place that had a base of 325/month with 2x rate for many shifts. When the full timers was scheduled there would be 30-60 open shifts a month. For 12 hrs, I made 7800/shift. I could have easily hit 1M/yr if I pulled 11 shift a month but man those were brutal shifts. I know some locum friends who were making well over 1M/yr going all over the place. Crazy times.
 
But what’s the point killing yourself like that?

what’s the lifestyle difference between a 500k income vs a 800k income? 40-50 percent, depending on your state, of each marginal dollar over 600k goes to uncle sam anyway.

There’s a lifestyle difference if you live in HCOL city. I’d even argue there’s a lifestyle difference if both spouses make 800k vs 500k each. And if not a lifestyle difference, there’s a difference in how long it takes to hit coast FIRE. And if expenses don’t increase from 500k to 800k, that’s a bigger proportion of disposable leftover income that can get put into index funds.
 
The locums companies aren’t pocketing the entire margin though. Malpractice, admin costs, commission for the rep, etc etc add up. That’s why it’s so rare to get a 400/hr rate even if the hospital is ok paying the locums company 500/hr. Google says they have a 5% profit margin after all is said and done.

Not to say people should accept crap rates. Always negotiate up. The advertised pay is always going to have wiggle room. But there’s a reason 450/hr is unicorn pay and it’s not just because docs don’t negotiate.

One question I have never found an answer for is why hospitals are so reluctant to directly hire locums. I know that they sometimes will but anecdotally it seems rare. For an EM doc who doesn’t need an office and is just another warm body to have on shift, it doesn’t make sense that these locums companies offer a ton beyond setting up malpractice insurance, yet health systems don’t want to directly contract with docs.
Some do if you reach out. I got an offer for a casual position at effectively the same rate as the locums offer.
 
How did they swing that? I imagine some of the full time/part time people would be upset.
Weird circumstances. A nearby hospital closed, the regulars didn't like the increase in volume despite increasing coverage so most of them abruptly quit. I'm semi-local and it turns out the locums company was basically offering what the hospital's normal casual rate is anyway. Rate drops for full time because of benefits. But in this case the agency was trying to sell people a job at the actual rate of the job and pocket the difference.
 
How did they swing that? I imagine some of the full time/part time people would be upset.
physician reimbursement rates are down, hospital reimbursement rates are up, more hospital volume (surgery, scopes, caths)

The hospital is covering the difference
 
When I cut back to 8 shifts per month split between the two part time jobs I knew made me happy I made sure to list my contact info with all the locums companies. I get contacted pretty much every week asking if I'm available. I say, "Sure for the right price" Then when they ask my price I pretty much always say "$400/hr plus all expenses including travel, housing, licensing, DEA, etc." Most of the time they say "we'll let you know". Some of the time they try to negotiate and I just say no. Then I go back to hiking, skiing, paddling with my time off. But, sometimes they say yes. As infrequent as it is I wouldn't try to make a living that way but I can live on income from my other jobs and the locums money is my splurge money. I'm going to the mid Atlantic area for some shifts a bit after Thanksgiving. They offered me $600/hr for the Christmas week but I'd rather be with my family.
 
Going back to do another round at the $400/hr place. Wasn't a sh!* show. Well resourced. Good docs. Staffed at less than 2 patients per hour. Told them I would do it until this summer. Then we'll see. Probably going to do a 40 day backpacking trip instead. Next fall I might up my rate.
 
I work at a northern california kaiser and we pay $235/hr day shift, $295/hr on weekends, and $345/hr for nights. It's a great gig. Just in Fresno which is a hard for some people. We have 3 regular locums docs who travel from far away and work few nights in a row and then fly back home
That's way underpaid, nurses in Northern California make above $100 an hour and as far as I can tell they basically do nothing between patient caps and meal breaks. And that's without shift differentials etc.
 
The effects of oversaturation are being felt in CA. We have a lot of programs in this state, along with a considerable set of EM residents who want to either come back to CA (for whatever reason) or temporarily live in SF, LA, SD etc.

Wage depression will accelerate even faster soon
 
Going back to do another round at the $400/hr place. Wasn't a sh!* show. Well resourced. Good docs. Staffed at less than 2 patients per hour. Told them I would do it until this summer. Then we'll see. Probably going to do a 40 day backpacking trip instead. Next fall I might up my rate.

200+/pt is insanely good. You making more than the full timers?
 
My avg this month is $350 per hour for 246 hrs. Next month is $305 per hour for 226 hrs.

Why be full time?
 
My avg this month is $350 per hour for 246 hrs. Next month is $305 per hour for 226 hrs.

Why be full time?
I'm more impressed by the hours than I am the rates (which are still good). Taking the average of those over a year is > 900k pretax. If the work is sustainable that's pretty impressive.
 
I'm more impressed by the hours than I am the rates (which are still good). Taking the average of those over a year is > 900k pretax. If the work is sustainable that's pretty impressive.
I get to sleep in my own bed, so it is sustainable. No air plane travel for me.
 
It's been a while since I've seen something that looked so absolutely awful.

Eh, the job is not bad (working conditions). But I also worked before medical school making $13.65 an hour. I know what the other life is like. I have been doing this for years. I also see our field as decreasing over time, thus I have to mine for gold while I can.
 
You may have said this before but whats the goal? I am pgy 15 or so.. 0 interest in working 200+ hours in a month..
The goal is options in life. Money is the greatest tool ever invented. We replaced the evil institution of slavery with the smiling face of Benjamin Franklin on paper. Right now I am living a life of money, but I want to live a life of wealth (5 more years).

I still am home with my wife and kids plenty (it would never be enough even if I worked only 120 hrs). Working PRN gives me complete flexibility with holidays/weekends/family demands.
 
Who needs options trading when you have this work ethic?

What is your secret to sustain this? Some people are just built differently.
Sleep room, wife is SAHM, young kids, good health, I laugh more at work than most docs, good hospitals, home gym, hired someone to clean the house, hired someone to mow the lawn, hired someone to help with the kids

But I would say my superpower is being able to sleep.

Bad hospitals = I say no thanks - until they jack up the price
 
Sleep room, wife is SAHM, young kids, good health, I laugh more at work than most docs, good hospitals, home gym, hired someone to clean the house, hired someone to mow the lawn, hired someone to help with the kids

But I would say my superpower is being able to sleep.

Bad hospitals = I say no thanks - until they jack up the price

Bruh my wife is SAHM with young kids too and she'd throttle me if I did this. I'm feeling more burned out at 140ish hours/month making about 280-285/hr for usually 1.5-1.8 pph not super high acuity most of the time so it's not like my job is horrible, but I'd be straight up dead either from my wife or a noose if I did that many hours. You must be built different.
 
The goal is options in life. Money is the greatest tool ever invented. We replaced the evil institution of slavery with the smiling face of Benjamin Franklin on paper. Right now I am living a life of money, but I want to live a life of wealth (5 more years).

I still am home with my wife and kids plenty (it would never be enough even if I worked only 120 hrs). Working PRN gives me complete flexibility with holidays/weekends/family demands.

Sleep room, wife is SAHM, young kids, good health, I laugh more at work than most docs, good hospitals, home gym, hired someone to clean the house, hired someone to mow the lawn, hired someone to help with the kids
It doesn't sound like you're home plenty if you have to hire someone to help with the kids.

Anywho, while money is certainly a tool. Freedom is still the greatest thing ever invented. While money can by some freedom, don't forget that you're missing prime time with young kids by being at work. I think there's definitely a happy medium there but 240 hours a month isn't it.
 
It doesn't sound like you're home plenty if you have to hire someone to help with the kids.

Anywho, while money is certainly a tool. Freedom is still the greatest thing ever invented. While money can by some freedom, don't forget that you're missing prime time with young kids by being at work. I think there's definitely a happy medium there but 240 hours a month isn't it.

Why not have someone help with the kids? It’s nice to have someone make the lunch while I play dolls with them. It’s nice to have someone pick up their toys while I put them down for a nap. It’s nice to have someone watch their sleep monitors while I walk the dog and my wife works out. It’s nice to have someone get the bottles ready while I read to the older ones.

You should try it. Imagine a life with no mundane activities and pure quality time. Yes, I miss some quality time but that is unavoidable in life.
 
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