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
Market in Austin, TX?
- Thread starter NewStreet
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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.
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
Yeah. Unless you have a duo income family where both spouses must be in a certain locality. It’s not a good play.
I mean 400k is pretty good with 50 hrs as long as it comes with 26 weeks off. But I doubt that’s the case.
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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.
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.
I don't have any connection to Austin. Can move anywhere. Looking to maximize my earnings over the next few years.
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 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
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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.
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I know someone who lives in austin but does locums elsewhere
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Same. She gave up on finding work locally in Austin.
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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.
How 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.
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It 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.
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?
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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.
Where did he leave? St Pete /tampa?
U only want to take a w2 job in Florida only if its massive weeks off
10 weeks off doesn’t cut it anymore even for 600k.
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Bro they don’t pay 550 in Austin nor do they offer 9 weeks of vacation
Are these docs stupid??? Uninformed?
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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?
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Isn't USAP orlando mid 500s?
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FWIW, usap was offering 1099 285/hr for direct prn work at a hospital here in San Antonio. Don’t know what Locums rates they pay.
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.
Do you know what cities offer this type of job (500k/26 weeks off)? Dallas or Phoenix by chance?
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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.
This is very doable if you’re willing to drive an hour out from those cities. Think Florence, not phoenix. Think McKinney, not Dallas
It’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.
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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.
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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.
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.
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Higher salary. Houston. I sent PM
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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.
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Advent will pay the $$. Cheaper to pay usap than to manage it themselves. Plenty of hospital systems finding this out the hard way.
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Can you elaborate more on the cost of the 26 week model? Typically, the cost is more because the new hires expect good compensation with benefits for those 26 weeks in the $400K range. They don't expect PTO but if you want them to take call the $$$ expectation still remains.
Many versions of the 26 weeks off. Smaller hospitals can do 6 x 24 calls. Some do 7 x 24 calls a month.
Some are night float 3p-7a (7 calls) in a 2 week period with 4 docs or 6p-7am with 3 night docs.
Some offer cardiac docs 26 weeks off (1 week 7-1/3pm cardiac on site than beeper then rest of the night x 5 week nights and all weekend very low cardiac volume less than 300 a year) than the following week off. Or cardiac docs can self switch to do 2 weeks on/2 weeks off. Call back is rare.
All pay between 500-550k on average. And the work hours aren’t crazy either
The 20 weeks off have integrated night float 5pm-7a for a week with extra week off, all beeper.
These are the trends. Every place has to figure out ways to recruit and make it enticing if the current recruitment isn’t working
