Can anybody comment on how the current market in Austin, TX, looks? Jobs on Gaswork don't look great. I saw a job posting offering "top of market" pay of 440k. Is this standard for this city? Thanks
Supply and demand. People want to live in Austin proper.Can anybody comment on how the current market in Austin, TX, looks? Jobs on Gaswork don't look great. I saw a job posting offering "top of market" pay of 440k. Is this standard for this city? Thanks
Probably worst jobs in country for the cost of living.Supply and demand. People want to live in Austin proper.
If u look further out like 30-40 min u may find better opportunities.
And don’t focus on salary alone Focus on hours worked, work load and time off.
Yeah. Unless you have a duo income family where both spouses must be in a certain locality. It’s not a good play.Probably worst jobs in country for the cost of living.
Only 2 choices. Both are terrible.
USAP central Texas..used to be capitol. Still trying to make junior “partners” take less than 350k, 3 year buy in, no signing bonus, drive around town and buy usap “stock”
Napa. The better of the two but still awful. No buy in at least and start you over 400 but little ability to move up or increase your salary
Both jobs will make you work over 50 hours a week, tons of call, no ownership, only to barely afford to live there
I used to live there. We have guys that locum at my shop three hours away to supplement their income. I don’t envy their jobs at all. Certainly wouldn’t give up what I got to live in Austin again. Id rather work half as hard for double the money.Can anybody comment on how the current market in Austin, TX, looks? Jobs on Gaswork don't look great. I saw a job posting offering "top of market" pay of 440k. Is this standard for this city? Thanks
And that’s why I have zero interest living in Miami Florida proper as well. Lower income potential. Supply and demand. Even locums sucks for the most part in Miami and it’s not cheap to live there anymore.I used to live there. We have guys that locum at my shop three hours away to supplement their income. I don’t envy their jobs at all. Certainly wouldn’t give up what I got to live in Austin again. Id rather work half as hard for double the money.
I don't have any connection to Austin. Can move anywhere. Looking to maximize my earnings over the next few years.And that’s why I have zero interest living in Miami Florida proper as well. Lower income potential. Supply and demand. Even locums sucks for the most part in Miami and it’s not cheap to live there anymore.
Just do 15-20 weeks of locums outside of Austin. Make 400k pretty easy. Take 30 plus weeks off.
Win win is what I recommend.
Now does OP have a spouse and kids? That’s the real question how badly they need/want to be in Austin.
As long as u are board certified. And no ties anywhere. I’d just do locums. Taking a full time w2 job in Austin is stupid.I don't have any connection to Austin. Can move anywhere. Looking to maximize my earnings over the next few years.
Then look into smaller cities. I found a great job in a smaller city in South Carolina. Lots of $ for not much work - The Midwest is also lucrative.I don't have any connection to Austin. Can move anywhere. Looking to maximize my earnings over the next few years.
The never changing big Three metrics:Then look into smaller cities. I found a great job in a smaller city in South Carolina. Lots of $ for not much work - The Midwest is also lucrative.
Same. She gave up on finding work locally in Austin.I know someone who lives in austin but does locums elsewhere
How many private practices are truly making double what PE is offering?I grew up in Austin, so did my wife. Both our parents are still there as well as siblings and extended family too. I’d love to live there for that reason but the jobs are just so bad I can’t do it. I prefer private practice with no PE, along with double the pay and double the vacation in a smaller place several hours away (which is what I opted for). I don’t feel bad about not spending hours a day in my car either driving between multiple sites (this was the case when I interviewed). It all depends what your priorities are but the posts above are correct, there are two big PE groups that are both pretty bad jobs. I like Austin and family is there but it is way over-hyped. At the end of the day it’s a big hot city with lots of traffic.
Monopolies are slowly crumbling. It’s a slow deathIt should be a hot market, but it's not for some reason (likely because USAP is all over). I think St David's (might be wrong about hospital) group took a huge dump and a ton of people left. Some of them are doing locums here in San Antonio.
That's kinda hilarious cause there's a guy here doing locums who I believe just left there because they were expecting more and more without increasing compensation.Monopolies are slowly crumbling. It’s a slow death
The key is the crnas to the death of the pe
As much as we despise some crnas. They are way ahead of the game in terms of fair compensation
There is no way to cover so many sites once crnas leave in those localities.
Crnas will and can force markets to change.
I don’t have a clue about Austin besides what my Texas friends tell me. Are they MD only or act?
I rolled into st Pete/tampa last month and it’s a crap
Or are the more senior original partners still running the show that sold out?
Where did he leave? St Pete /tampa?That's kinda hilarious cause there's a guy here doing locums who I believe just left there because they were expecting more and more without increasing compensation.
I'm not sure about act vs MD only. I'll have to ask.
Bro they don’t pay 550 in Austin nor do they offer 9 weeks of vacationHow many private practices are truly making double what PE is offering?
If usap is paying me 550k/9 weeks off. Working around 50-52 hrs a week (true offer with calls hours included)
Is private practice offering 1.1 million with 9 weeks off and 50 hrs a week??
Very few true private practice make that much with those hours.
Are these docs stupid??? Uninformed?Bro they don’t pay 550 in Austin nor do they offer 9 weeks of vacation
Supply vs Demand. As long as the next idiot is willing to accept $400 in a high cost of living area then things won't ever change. Once the majority of new hires say "no mas" then the AMC is forced to give up the contract or get a larger subsidy from the hospital. The end result is the same for the new hire: More money and less work. But until the supply dwindles significantly by partners leaving and new hires not signing on things won't get better. Orlando USAP continues to lose partners who went through the 3 year track. The work load gets worse while the money dwindles. Eventually USAP Orlando will collapse unless the Advent system kicks in a larger subsidy. Advent has the money and resources to pay USAP and keep that model afloat. The question is will they?Bro they don’t pay 550 in Austin nor do they offer 9 weeks of vacation
Isn't USAP orlando mid 500s?Supply vs Demand. As long as the next idiot is willing to accept $400 in a high cost of living area then things won't ever change. Once the majority of new hires say "no mas" then the AMC is forced to give up the contract or get a larger subsidy from the hospital. The end result is the same for the new hire: More money and less work. But until the supply dwindles significantly by partners leaving and new hires not signing on things won't get better. Orlando USAP continues to lose partners who went through the 3 year track. The work load gets worse while the money dwindles. Eventually USAP Orlando will collapse unless the Advent system kicks in a larger subsidy. Advent has the money and resources to pay USAP and keep that model afloat. The question is will they?
Yes but the usap workload is crazy. Running around multiple floors. You can easily do 20k steps a day on call.Isn't USAP orlando mid 500s?
Do you know what cities offer this type of job (500k/26 weeks off)? Dallas or Phoenix by chance?Yes but the usap workload is crazy. Running around multiple floors. You can easily do 20k steps a day on call.
5 years old it was in the low 400s but really doing 900k of work
So now it’s mid 550s doing 1 million dollar of work
The partners still make good money 750-800k depending how much worth. But doing 1 million dollars worth as well.
It’s better to take an amc job for 500-550k/26 weeks off 40 hr work week during those 26 weeks u actually work. (Yes there are jobs like that ) they get taken up quickly. My friend loves her job. She leaves between 1-3 pm every weekday she works and has occasional day off as well. Technically she’s on beeper but she ain’t getting called in. The night float doc won’t call her in. Last week she worked 3 out of 5 days. 7-2pm on average. And she’s off this week.
Some amc leadership are getting smart. This is how u change and recruit.
Now on her week off. I hooked her up with locums assignment. Easy 20k weekday no call locums assignment week assignment 1 hr from her house to make extra (she didn’t want to take calls)
So she can easily make 750k (550k plus 200k locums) plus still keep 12-14 weeks off with no stress.
Time off folks. That’s what everyone should shoot for.
Almost no major cities have jobs like this in the urban cores. You’ll need to check outlying suburbs in most cases or smaller isolated towns.Do you know what cities offer this type of job (500k/26 weeks off)? Dallas or Phoenix by chance?
It’s expanding. These jobsAlmost no major cities have jobs like this in the urban cores. You’ll need to check outlying suburbs in most cases or smaller isolated towns.
This is very doable if you’re willing to drive an hour out from those cities. Think Florence, not phoenix. Think McKinney, not Dallas
What I’m referring to is the majorIt’s expanding. These jobs
This massive weeks off. 26 weeks off. 20 min from non stop major international airport flights to Dubai, South America like Brazil , most of Europe like France, Iceland UK, Germany Ireland etc non stop flights
This ain’t no boonies
Sounds urban core to me. lol
Just wait. This is how u recruit docs.
We must advance the future of anesthesia staffing.
I can see Advent start going to a hospital employee model- probably not the main sites but the smaller ones in Lake County and then slowly work its' way to the the Orlando campus.Supply vs Demand. As long as the next idiot is willing to accept $400 in a high cost of living area then things won't ever change. Once the majority of new hires say "no mas" then the AMC is forced to give up the contract or get a larger subsidy from the hospital. The end result is the same for the new hire: More money and less work. But until the supply dwindles significantly by partners leaving and new hires not signing on things won't get better. Orlando USAP continues to lose partners who went through the 3 year track. The work load gets worse while the money dwindles. Eventually USAP Orlando will collapse unless the Advent system kicks in a larger subsidy. Advent has the money and resources to pay USAP and keep that model afloat. The question is will they?
You are wrong. That’s all I’m gonna to say. My friends work there ….26 weeks off. The other is 20 weeks off. Not all of them offer them…the ones that are advertised are never full. Because they don’t run the same schedules. It’s expanding the number of places offering them.What I’m referring to is the major
hospitals of a given city near the downtown areas. Tampa general doesn’t have jobs like this and probably never will. Neither will Orlando health, or other big facilities like that.
Higher salary. Houston. I sent PMDo you know what cities offer this type of job (500k/26 weeks off)? Dallas or Phoenix by chance?
aneftp is correct. The 26 weeks off model is catching on all over the place and will be the norm soon enough. It's easy to recuit and is actually more cost effective when you actually crunch the numbers.You are wrong. That’s all I’m gonna to say. My friends work there ….26 weeks off. The other is 20 weeks off. Not all of them offer them…the ones that are advertised are never full. Because they don’t run the same schedules. It’s expanding the number of places offering them.
Advent will pay the $$. Cheaper to pay usap than to manage it themselves. Plenty of hospital systems finding this out the hard way.Supply vs Demand. As long as the next idiot is willing to accept $400 in a high cost of living area then things won't ever change. Once the majority of new hires say "no mas" then the AMC is forced to give up the contract or get a larger subsidy from the hospital. The end result is the same for the new hire: More money and less work. But until the supply dwindles significantly by partners leaving and new hires not signing on things won't get better. Orlando USAP continues to lose partners who went through the 3 year track. The work load gets worse while the money dwindles. Eventually USAP Orlando will collapse unless the Advent system kicks in a larger subsidy. Advent has the money and resources to pay USAP and keep that model afloat. The question is will they?
Can you elaborate more on the cost of the 26 week model? Typically, the cost is more because the new hires expect good compensation with benefits for those 26 weeks in the $400K range. They don't expect PTO but if you want them to take call the $$$ expectation still remains.aneftp is correct. The 26 weeks off model is catching on all over the place and will be the norm soon enough. It's easy to recuit and is actually more cost effective when you actually crunch the numbers.
Many versions of the 26 weeks off. Smaller hospitals can do 6 x 24 calls. Some do 7 x 24 calls a month.Can you elaborate more on the cost of the 26 week model? Typically, the cost is more because the new hires expect good compensation with benefits for those 26 weeks in the $400K range. They don't expect PTO but if you want them to take call the $$$ expectation still remains.
Big if true, I’ve been on different job searches myself the past 5 years so I’m not as versed on some sorts of jobs as I once was. I’ll defer to you on thisYou are wrong. That’s all I’m gonna to say. My friends work there ….26 weeks off. The other is 20 weeks off. Not all of them offer them…the ones that are advertised are never full. Because they don’t run the same schedules. It’s expanding the number of places offering them.
It’s a rapidly changing job market. This is where good leadership earns their money. Bad leaders stuck on dogma of q4/5 calls do not understand change.Big if true, I’ve been on different job searches myself the past 5 years so I’m not as versed on some sorts of jobs as I once was. I’ll defer to you on this
This is the problem if you are a day doc in a group with night float/nocturnists. As a day doc you are working every day. Will you stay til 3, til 5? Maybe you'll get off at 1pm, you never know. Can't make plans/appts/errands like that. Complain to chiefs/admin and their response is: "but you don't have to take any overnight call." Some older docs like this model and they are fine coming in every day for a daily grind and feel safer with more staff around (other day had an older doc call me in their room for a new CO2 absorber. Flows were up, but inspired CO2 was still over 5. In reality patient was overbreathing/bucking the vent but he didn't realize it).It’s a rapidly changing job market. This is where good leadership earns their money. Bad leaders stuck on dogma of q4/5 calls do not understand change.
Night float jobs are more desirable for many younger docs.
But day docs get burned out at daily grind. Such as the original OP’s friend getting stuck with the same day crap.
Need true days off not a peel off schedule not knowing when they will leave.
But the day docs need to be doing (4) 10s and not (5) 8s. Only if the are near retirement and those docs only want to be 0.5 fte and off the rest of the year.
I see the future of staffing. It’s dynamic.
Not everyone can be forced to work a one size fits all call schedule or daytime model anymore
Does this require more manpower? Yes!
Just like the new generation of surgeons don’t work like the old generation of surgeons. Is it costly? Depends how you look at it. If you want to hire more locums. That’s costly also. Pay the w2 people more money or more time off. These days I’d choose more time off. My choice to work extra or not. Not the employers choice.
Change is hard. It’s a power struggle between hospital administrators and “providers”. Something has got to give.
Day docs is best for mommy docs 0.5 fte and near retirement docs 0.5 fteThis is the problem if you are a day doc in a group with night float/nocturnists. As a day doc you are working every day. Will you stay til 3, til 5? Maybe you'll get off at 1pm, you never know. Can't make plans/appts/errands like that. Complain to chiefs/admin and their response is: "but you don't have to take any overnight call." Some older docs like this model and they are fine coming in every day for a daily grind and feel safer with more staff around (other day had an older doc call me in their room for a new CO2 absorber. Flows were up, but inspired CO2 was still over 5. In reality patient was overbreathing/bucking the vent but he didn't realize it).
I am all for the lifestyle approach. The caveat is more time off = more ways to blow your money. Unless you, stay single, don't buy a house and use all that time off playing Warcraft in your parent's basement. Each person has to decide what they want in life. Grind early when you're young for a physician (30-early 40s) and have the energy to maximize you're earning potential so you can reach FIRE status or have fun & travel when you're young and single and work longer in your career. I did the latter and now my financial advisor says I'm behind in my retirement goals. If you want to do both, then stay single or don't get divorced.I tell everyone before I got married. 2007-2008 was fun part of my career. I literally traveled for 10 out of 12 months. Met some great people who I still am in contact with all these years. I had 7 state medical license. That was before the interstate compact licenses.
Locums was paying $200/250/hr during those times.
These days it’s $350/hr at the bottom in many markets to $450/hr just for daytime.
Have fun. Travel
I work in Austin w/ napa. PM me if you want detailsCan anybody comment on how the current market in Austin, TX, looks? Jobs on Gaswork don't look great. I saw a job posting offering "top of market" pay of 440k. Is this standard for this city? Thanks
Or don’t get married lol or have kids lol. That’s fool proof how to blow money when u are younger and still be able to be financially well off by mid 40s.I am all for the lifestyle approach. The caveat is more time off = more ways to blow your money. Unless you, stay single, don't buy a house and use all that time off playing Warcraft in your parent's basement. Each person has to decide what they want in life. Grind early when you're young for a physician (30-early 40s) and have the energy to maximize you're earning potential so you can reach FIRE status or have fun & travel when you're young and single and work longer in your career. I did the latter and now my financial advisor says I'm behind in my retirement goals. If you want to do both, then stay single or don't get divorced.
My wife makes more than me, makes saving oodles for retirement downright easy.Or don’t get married lol or have kids lol. That’s fool proof how to blow money when u are younger and still be able to be financially well off by mid 40s.
But there is no way to live one life. It’s your choice.
No one can tell you what to do.
But the most docs who don’t have kids or never married are in a better financial spot
Got this email 26 weeks off. Just briefly looking at the ad, this is NOT A GOOD 26 weeks off job. Needs to be 500k for 26 weeks off but it’s $374k in phoenix area. The devil is always in the details
500k/1 million is approximate pay these days for 26 weeks off. (40 hr work week) during those 26 weeks worked. If u wanna recruit docs.
AMN Healthcare is seeking a skilled and experienced Anesthesiologist to join an established practice in the Phoenix Arizona area. This 100% member-owned anesthesiology group serving Arizona is seeking a part-time anesthesiologist to join their dedicated team. This role offers an exceptional work-life balance with a 14-on/14-off schedule and the opportunity to become a shareholder, giving the incoming physician a real voice in the practice. The position also includes an excellent benefits package.
*There is a full time option as well*
- · Great quality of life – work 26 weeks, approximately 1100 hours per year.
- · MD-only care model
- · Competitive income – 726K for full time, 374K for part time
- · Schedule flexibility - Ability to pick-up additional shifts, post-call day and at-home call.
- · Shareholder opportunity with profit sharing
- · Unique 1099 opportunity WITH benefits (Health, vision, disability, malpractice, etc.)
It’s a bad deal. Similar places in Florida paying $550k for similar Md only night beeper coverage 7p-7a (usually done at 9pm weekends, weekends hit or miss) for 26 weeks offAssume this is night coverage
$500k for 40 hours with 26 weeks off is $480/hr. Is that actually a normal hourly rate? I don’t think locums are even getting that nowadays.Got this email 26 weeks off. Just briefly looking at the ad, this is NOT A GOOD 26 weeks off job. Needs to be 500k for 26 weeks off but it’s $374k in phoenix area. The devil is always in the details
500k/1 million is approximate pay these days for 26 weeks off. (40 hr work week) during those 26 weeks worked. If u wanna recruit docs.
AMN Healthcare is seeking a skilled and experienced Anesthesiologist to join an established practice in the Phoenix Arizona area. This 100% member-owned anesthesiology group serving Arizona is seeking a part-time anesthesiologist to join their dedicated team. This role offers an exceptional work-life balance with a 14-on/14-off schedule and the opportunity to become a shareholder, giving the incoming physician a real voice in the practice. The position also includes an excellent benefits package.
*There is a full time option as well*
- · Great quality of life – work 26 weeks, approximately 1100 hours per year.
- · MD-only care model
- · Competitive income – 726K for full time, 374K for part time
- · Schedule flexibility - Ability to pick-up additional shifts, post-call day and at-home call.
- · Shareholder opportunity with profit sharing
- · Unique 1099 opportunity WITH benefits (Health, vision, disability, malpractice, etc.)
Why do u think those w2 jobs fill up fast in Florida that I’ve been tell people$500k for 40 hours with 26 weeks off is $480/hr. Is that actually a normal hourly rate? I don’t think locums are even getting that nowadays.
This is true, the market is correcting...hospital pays 375-450/hr + travel etc for a locums...eventually get some bad locums/bad outcomes, surgeons go berserk and blame admin.Why do u think those w2 jobs fill up fast in Florida that I’ve been tell people
It’s far cheaper than dealing with turnover of staff and paying docs locums plus locums fees and travel.
Pay the w2 docs to make it attractive enough