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deleted1140701
Being a UPS driver is a better gig than going into peds.
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Depends, most people I know in academics aren't super interested in making a bunch of money. There's always going to be a nucleus of lifers in academics who are too settled to leave a city or do their own cases/manage CRNAs more routinely.
The benefit to 1099ers is that academic shops are not increasing their workloads that substantially in the places I know of. They're very little work for decent pay, which a bunch of people are willing to accept when the local market requires huge amounts of hours to be in partner tracks. This is siphoning off people from private groups and creating chaos in them.
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Couldn't disagree more; I love every day on peds, and while I wouldn't do it for free, it gives me far more joy than a day taking care of adults 🤷♂️
Strangely enough, my locums rates are probably higher than yours now, with the exception of aneftp ~
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deleted1140701
You're anesthesia though. I'm referring to general peds. It's tough to justify 7 years of post undergraduate training for 200k/year.
Personally I find pediatric cases miserable. Parents can be overbearing and procedures are a pain. I had to drain an auricular hematoma on a 5 year old and parents didn't want the kid sedated so we had to hold him down. Doing the block and getting a good cosmetic result with the kid kicking and screaming was challenging.
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It's not that great.
16 ER shifts per month at 10-12 hours each is over 2000 hours per year. That's comparable to or worse than a 50 hour per week anesthesiologist with 12 weeks off.
The worst part is that the timing of ER shifts is tilted toward the hours when they're busy: evenings, nights, weekends, holidays. ER docs spend substantially more time in the hospital during those painful hours than we do.
They don't have the option of home or pager call.
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Ah yes, for gen peds/peds ER, I get it!
Gotta love hurricanes. The new full time w2 doc was freaking out about taking call during hurricane and his home on the water. But he left town yesterday morning. So they asked if I could take hurricane call. Sure why not. Another 20K in a couple of days as locums doc. That's gonna to push me to 140k this month and I didn't even mean to work this week. I wasn't on the schedule at all, was taking time off this week. No elective cases during hurricane. They even gave me a crna in house as well. Usually it's just me. The w2 crna loves it too. They get hurricane pay continuously. 10K for them for 2 hurricane days. Lots of crnas volunteered for hurricane pay.
Honestly they probably locked down too early but I get the reasoning, they don't want people to have excuses they couldn't make it in due to changing weather conditions. Just means more billable hours for all of us.
Honestly they probably locked down too early but I get the reasoning, they don't want people to have excuses they couldn't make it in due to changing weather conditions. Just means more billable hours for all of us.
NicholasPavona
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Never miss an opportunity to capitalize on a disaster. My man! You selling $10 bottles of water as well?
It’s hard to turn down this type of money. It’s gonna to end. I just don’t know when. I’m as good as 30 days notice at many places.
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You are making $140K in a month ?
Yes for the last few months. Depends how much time i take off. Next month is a ginormous month. I’m staring at 180k for November with the schedule cause of my monster 80k thanksgiving week. I don’t care about thanksgiving to be honest. It’s a stupid holiday. I care about xmas more.
But I may give up two lucrative weekends due to kids activities. And settle for 130k.
But that’s how people make 2 million doing locums.
I will probably end up at 1.3 this year.
Family always comes first. It seems like I work a lot. And I do. But I have a lot of time off as well. I make it to 90% of kids activities.
If I didn’t have the kids. Yes. 2 million is within target.
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Arch Guillotti
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Sounds like a real time player. Just bugs out of town and expects someone else to pick up the slack.
He's actually the hardest working w2 doc. He was suppose to take tons of calls this week for extra w2 incentive. That's why I wasn't even suppose to work this week because they didn't need me.
Hurricanes especially those new to Florida can scare a lot of people. We had a crna want to leave early yesterday who wanted to prepare for the hurricane as well.
Arch Guillotti
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This is BS. I get it if he’s got to secure his house or whatever but he just left you high and dry (no pun intended).
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Haha— look at this dumb CRNA.. wanting to evacuate for a hurricane. Idiot. Doesn’t she know that there are TKAs to do?
The surgeon says everyone will be fine! It’ll just blow over!
We shouldn't blame that W2 guy for bugging out, especially if we don't know the details.
From personal experience, some hospitals (cough cough HCA) will do zero preparation leading up to these events and then expect staff to be available DURING LANDFALL for mildly urgent cases. Hospital admin tries to play the "do it for the patients" card, but they had ample time to protect those patients by forming a plan. And you definitely won't see anyone from admin or c suite at the hospital until the storm has subsided.
A few of the FL HCA facilities employ the anesthesia group, and if so the responsibility of staffing during crises falls to HCA and not necessarily the other employed physicians. If the hospital failed to make appropriate accomodations for staff and patients and just expected me to put myself in danger to be available for normal operations, I may have done the same thing as this W2 guy.
From personal experience, some hospitals (cough cough HCA) will do zero preparation leading up to these events and then expect staff to be available DURING LANDFALL for mildly urgent cases. Hospital admin tries to play the "do it for the patients" card, but they had ample time to protect those patients by forming a plan. And you definitely won't see anyone from admin or c suite at the hospital until the storm has subsided.
A few of the FL HCA facilities employ the anesthesia group, and if so the responsibility of staffing during crises falls to HCA and not necessarily the other employed physicians. If the hospital failed to make appropriate accomodations for staff and patients and just expected me to put myself in danger to be available for normal operations, I may have done the same thing as this W2 guy.
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Zero chance I’d stick around during a category 4 hurricane as a w2 unless every hour is paid huge. That’s hazard pay and that locums/w2 person will probably have to live in the hospital for a few days
Arch Guillotti
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Yeah just stick it to the next guy or whoever🙄
I'm really confused by your take. Maybe I'm just missing your sarcasm?
This hospital probably employs the group. Each one of them has the same ability to choose to risk staying versus evacuating same as the next. This is likely not a private group at risk of losing their contract if they don't maintain continuous coverage. This isn't dumping on a partner. Part of the inherent tradeoff of the hospital as employer is that coverage/scheduling ultimately falls on the hospital's lap.
Approaching this from an attitude of having to be the hero to ride out the storm, or to maintain face with the hospital, or not look weak or whatever is exactly what the hospital loves to use to keep squeezing more out of us for less.
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Well it’s different in my situation since I’m locums and he’s w2. I’m getting a ton more than him
Now If I were w2. If they didn’t compensated me extra I would not be happy. The better compromise if they don’t pay extra as w2 is to comp someone 2 extra days of leave time. That’s a fair compromise. In my opinion.
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Anyone who was around when Katrina hit, should absolutely NOT be chastising any other anesthesiologists. **** can go south fast.
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If the anesthesiologists are employed by the hospital, it’s up to the hospital to figure it out. Unfortunately, this is how our modern system has become. If you want to stay to be a hero, that’s on you. But no one will given a **** that you did it, especially the hospital admins.
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If you are scheduled to work and you say you won’t. Is that not patient abandonment?
If someone is being offered 10k plus a crna. Ain’t gonna to be no patient abandonment. 99% of the time. Someone will do the call.
There is a w2 doc taking hurricane call at another place I’m credentialed at and he’s taking $7000 for 24 hrs with 4 crnas. Money talks. He’s doing 2.5 days in a row.
No. Can't have abandonment without an established patient-doctor relationship.
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So theoretically the entire hospital staff can abandon the hospital to evacuate if they aren’t in the hospital?
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$7000 for 24 hours seems low ?
Most w2 docs will take it internal extra work without having to side hustle for another locums gig
Weeknight call plus extra pay plus post call day off plus not having to arrange for side gig. Plus lots of crnas in house with you.
Ask yourself. If you were w2 employed already and your boss says. “Yeah , would you take extra call for extra money?” Your boss will find someone w2 at that place to take the call.
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Yes, theoretically. Admin can send an email saying everyone who shows up for work tomorrow will receive $0 for their efforts. If no one shows it isn’t patient abandonment. If however you have a patient under anesthesia and admin comes to you and says ‘hey anesthesia this patient is uninsured and you’ll receive $0 for your efforts. Rest easy though…hospital will still bill for facility fees and send them to collections if we receive nothing’, you must continue caring for that patient through the end of surgery and anesthesia.
Not so cut and dry. Say you are on OB call and are suddenly unreachable for an emergency case and there is harm to the patient. Don’t think you are going to be able to try and get off the hook by saying “well, I had no prior relationship with the patient”. In fact, there was a doc in Florida that had their license suspended specifically for this, not being reachable on call resulting in patient harm.
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Yeah if you’re on call you’re obligated to fulfill those requirements. You can’t just dip mid-call and be like ‘whups muh bad’. However if you’re leaving town and won’t fulfill future call requirements, or any staffing requirements, once you tell the holder of the anesthesia contract that you’re out it becomes their responsibility to fill the hole. If it’s the hospital that employs the docs then it’s on them.
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Protecting yourself is not patient abandonment. If an active shooter comes into an OR, you are not expected to stay. The same goes for a hurricane barreling down on you. If it is safer for you to evacuate then you are free to protect yourself. We had many anesthesiologists sitting on the sidelines during the early days of Covid when the hospitals were getting swamped. They abandoned their colleagues, but not patients.
I’m not sure about that. Florida laws are different
They tried to go after the school cop for the school shooting when he ran away. The only reason he got acquitted was because police union has better legal protection from abandonment than doctors. If a doctor did this. Abandonment. They don’t have thar same protection (unless they worked for the federal or state government)
Florida deputy's legal team says he didn't have an obligation to stop Parkland school shooter
The attorney for a former Florida sheriff's deputy is arguing that his client had no legal duty to confront the gunman who murdered 17 people and wounded 17 others at Parkland's Marjory Stoneman Douglas High School nearly six years ago.
www.pbs.org
Telling the hospital he was not willing to cover call with ample time to find a replacement (you) is not abandonment.I’m not sure about that. Florida laws are different
They tried to go after the school cop for the school shooting when he ran away. The only reason he got acquitted was because police union has better legal protection from abandonment than doctors. If a doctor did this. Abandonment. They don’t have thar same protection (unless they worked for the federal or state government)
Florida deputy's legal team says he didn't have an obligation to stop Parkland school shooter
The attorney for a former Florida sheriff's deputy is arguing that his client had no legal duty to confront the gunman who murdered 17 people and wounded 17 others at Parkland's Marjory Stoneman Douglas High School nearly six years ago.
Saying nothing to the hospital and then ditching his call may be, but I don't think that's what we're talking about right? The police deputy thing would be akin to being with a patient in the OR, not able to handle a life threatening situation (e.g. intubation), then responding by walking out of the OR.
Life happens. Things come up. I guess everyone has their own priorities, but I'm actually very surprised/sad at some of the responses here belittling a guy I presume was putting the care of his home and family ahead of the business interest of the hospital.
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I’m not sure about that. Florida laws are different
They tried to go after the school cop for the school shooting when he ran away. The only reason he got acquitted was because police union has better legal protection from abandonment than doctors. If a doctor did this. Abandonment. They don’t have thar same protection (unless they worked for the federal or state government)
Florida deputy's legal team says he didn't have an obligation to stop Parkland school shooter
The attorney for a former Florida sheriff's deputy is arguing that his client had no legal duty to confront the gunman who murdered 17 people and wounded 17 others at Parkland's Marjory Stoneman Douglas High School nearly six years ago.
I’m not trained in taking on an active shooter, a cop is. It’s not my job. I’ve spoken with hospital risk management, malpractice lawyers, and ethics people and they all unanimously agree. Self preservation is not only a societal given human right, but a natural instinct. If you want to put yourself in harms way for a patient, have at it, hoss. Not me. I’ll take my chances with a jury.
Dont worry about it... and besides you don't have to list every single job / hospital you have been to especially for a very short period. **** happens consider yourself lucky you were able to exit and not held to the fire to complete an assignment that you do not like... it is much harder to exit an assignment with short notice... rather it is easy but some institutions may make up "damages" you need to pay them which is of course nonsense.
If you do not intend to work there voluntarily relinquish your privileges before someone tries to do it for you.....
I think he is a bit too overconfident in his descriptors to every message... no you can't get credentialed in 2 days even these days... those days are gone.... take it with a grain of salt.
Bravo!!!!
line_jockey
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I'm currently analyzing the full-time and locums markets across the US. I'm working on my processing logic now for the extracted data from job listings. Gaswork seems to have the most. I've also come across bagmask.com, scrubhunt.com. Each locums company and national firm has their own listings on their sites, but these are usually repeated on gaswork. Are there any other anesthesiology job listing websites in use? [first time poster; not admin/agency; done two circ arrests this week]
NicholasPavona
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Sure. Make sure to stop by deeznuts.com
line_jockey
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computer blocked it. Please advise.
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get a computer with more chutzpah?
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Garbage in, garbage out.
hopefulraddaddypls
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Anyone know rads locum rates?
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This is the way... skills I need to work on still. Much of medicine is not actual medicine 😆
Agree
Reminds me of a time when I was asked to urgently intubate someone at the request of a pulmonologist somebody likely with TB. I couldn’t find the proper PPE to don prior to entering the room. It took many minutes for me to get some (idiots didn’t have any outside of the room for some reason ), even as the patient was decompensating. I was going to make sure I had protection first before I did anything.
