Manpower?

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BLADEMDA said:
hourly compensation is so good we don’t need to up our hours much even with this stock market
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High compensation is definitely contributing to staff shortage. To make the same amount $, one needs to work much less. Instead of 100%, people work 80%.

I made good $ from the full time locum. Plan to take the July off.

Same for nurses. Traveling nurses are taking sweet vacations.

Folks, don't work too hard. Enjoy your time with family and friends. Extra $ are taxed at 50%. Why bother? Maintaining a relative shortage is good for us.

Workers of the World, United! lol
 
Mman said:
if you do it right, you should be able to weather at least 5 years of major downturn by drawing from things like bonds/cash/treasuries. I suggest never having money you might need in the next 5-10 years in stocks.
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Bond/Treasury? They dropped as much as stocks.
 
pgg said:
Mostly I'd guess a series of divorces and/or an obsession with keeping up with the Joneses next door (when Jones is an ortho spine surgeon) ...

Or maybe some people just like putting in epidurals at 3 AM. There's no accounting for taste. 🙂
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Honestly, I think with the older generation of physicians these days, it’s probably that they just don’t have a clue what the heck they would do outside of work. These are people who have defined their adulthood and identity around being a physician, so it’s not easy to step aside and walk way.

The younger generation seems to see being a physician as more of a job than a calling, so the attitude toward retiring before you’re entirely senile is more accepted among us.
 
thinkorswim said:
Honestly, I think with the older generation of physicians these days, it’s probably that they just don’t have a clue what the heck they would do outside of work. These are people who have defined their adulthood and identity around being a physician, so it’s not easy to step aside and walk way.
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it probably has less to do with generations and more simply that if that is all you have done for 30+ years you might not know what else to do. That is common across professions. There are plenty of 60 year old docs with lots of hobbies that can't wait to retire.
 
BLADEMDA said:
Still a wide open market with shortages in staffing I have never seen in 30 years. The thing is many of you just don’t know the market for services is so strong you can almost dictate hourly rates. This specialty needs the folks like me to stay in the game because there aren’t enough providers to go around
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I 100% agree with you that we can be terrible negotiators but I think some places will look at what you ask for and just say "no thanks we'll just keep limping along", especially when it comes spring and early summer and a new batch of new grads hit the market. Maybe I'm wrong.
 
thinkorswim said:
The younger generation seems to see being a physician as more of a job than a calling, so the attitude toward retiring before you’re entirely senile is more accepted among us.
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I think this right here will be a problem for the boutique private practice in the future. The more this field as seen as "just a job" (which it is) the more people will just do locums, academics, or the AMC just so they can collect their check and go home. I personally get a feeling people are losing steam hoop jumping for partnership tracks, especially since there's no love and no gold stars award in this field. just my opinion though
 
Twiggidy said:
The more this field as seen as "just a job" (which it is) the more people will just do locums, academics, or the AMC just so they can collect their check and go home.
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the academic practices near me work longer hours than the private practices. Academics is less intense work (covering fewer ORs at a time) but has a different type of stress since you might have quite junior residents, but they also work longer hours.

I understand this might not be true in other areas, but from what I've seen academic docs aren't ever going home at 9 AM no matter how not busy the day is.
 
Mman said:
the academic practices near me work longer hours than the private practices. Academics is less intense work (covering fewer ORs at a time) but has a different type of stress since you might have quite junior residents, but they also work longer hours.

I understand this might not be true in other areas, but from what I've seen academic docs aren't ever going home at 9 AM no matter how not busy the day is.
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I totally agree. It's a different type of stress. It's a difference between working solo and personally dealing with all the personalities we run into in the field (nurse, surgeons, patients) versus having a buffer between all of that and worrying about if the resident/crna is killing the patient. Also depends on how much you like teaching.
 
Twiggidy said:
I think this right here will be a problem for the boutique private practice in the future. The more this field as seen as "just a job" (which it is) the more people will just do locums, academics, or the AMC just so they can collect their check and go home. I personally get a feeling people are losing steam hoop jumping for partnership tracks, especially since there's no love and no gold stars award in this field. just my opinion though
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Yea 3 year track and no pay for several months? AMCs be paying 550+ from the get go no thanks
 
GassYous said:
Money is better at the beginning. More time to compound and more expenses at a younger age
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This is really only true for large buy-ins before partnership, not so much for a 3-4 month ramp up in regular compensation. The latter scenario is just a temporary cash flow headache for living expenses. But the upside to this model is you’ll still get some income if you need to take 1-2 months off work for some unexpected reason.
 
I wish the era of very long partnership tracks would come to an end. The average radiology partnership track is 4 years 50 miles from my zip code. It's too long given the instability in the markets today.
 
gcc322 said:
For real?! “Partner tracks” get more like Ponzi schemes everyday on this board. I’m a good doc and paid my dues..plus I ain’t teaching any oldies how to use the ultrasound. Treat me as an equal or I’m moving on.
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Trying to teach old people to use ultrasound is not something I would consider ever doing again. Live and learn.
 
maxxor said:
I wish the era of very long partnership tracks would come to an end. The average radiology partnership track is 4 years 50 miles from my zip code. It's too long given the instability in the markets today.
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In my area Radiologists don't just become partners in the billing but they also buy into all the real estate holdings which includes a lot of premium imaging centers.
 
Twiggidy said:
I think this right here will be a problem for the boutique private practice in the future. The more this field as seen as "just a job" (which it is) the more people will just do locums, academics, or the AMC just so they can collect their check and go home. I personally get a feeling people are losing steam hoop jumping for partnership tracks, especially since there's no love and no gold stars award in this field. just my opinion though
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I’m newly in charge of recruiting and thus have talked to LOTS of residents and fellows lately. There may be a selection bias in my sample but I haven’t come across one resident that wants a day doc position. Everyone I’ve talked to does want the partnership track. Again selection bias maybe I don’t know.
It may help that I tell them what I make though and offer to share my w2 when we get serious.

It floored me that other groups expect people to sign up for a partnership track with a vague promise of “it’s lots” when you make partner.

That’s not starting out on the right foot with a potential new partner in my book.
 
amyl said:
I’m newly in charge of recruiting and thus have talked to LOTS of residents and fellows lately. There may be a selection bias in my sample but I haven’t come across one resident that wants a day doc position. Everyone I’ve talked to does want the partnership track. Again selection bias maybe I don’t know.
It may help that I tell them what I make though and offer to share my w2 when we get serious.

It floored me that other groups expect people to sign up for a partnership track with a vague promise of “it’s lots” when you make partner.

That’s not starting out on the right foot with a potential new partner in my book.
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Same. A lot of our new hires willingly work like dogs. Some are even chomping at the bit to do OB. VHCOL area may have something to do with it.
 
gcc322 said:
For real?! “Partner tracks” get more like Ponzi schemes everyday on this board. I’m a good doc and paid my dues..plus I ain’t teaching any oldies how to use the ultrasound. Treat me as an equal or I’m moving on.
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Maybe some - ours is two years with high percentage of production for those first two years. Some of the older generation are opening up things to us gen xers to run things a little differently. I’m encouraged as at least in my group the baton is being passed a little. For example -
Historically one guy was in charge of the hiring - now I’m going to get candidates in front of every partner I can.
Hiring a partner is a bigger commitment than marriage - both sides need to know it’s going to be a good fit for them. We hope to hire people, make them partner and finish their careers with us.
And even our old guys all know how to use the ultrasound ;-)
 
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