IMGASMD

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Primip, less than 2 cms 7 AM induction = 2 AM c-section....happens all the time...

No, it’s for failure to progress and some decels in between. And now it’s an emergency!
And for us it’s usually a 5am c-section. By the time everyone is ready, it’s 6:15. Then shift change at 7, so somehow L&D always find reason for delay...... so it doesn’t happen until 6:50.... essentially then tie the overnight anesthesiologist until section is over.
 
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dr doze

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No, it’s for failure to progress and some decels in between. And now it’s an emergency!
And for us it’s usually a 5am c-section. By the time everyone is ready, it’s 6:15. Then shift change at 7, so somehow L&D always find reason for delay...... so it doesn’t happen until 6:50.... essentially then tie the overnight anesthesiologist until section is over.

Union shop.
 
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Coming from someone who takes a lot of in house call...don't do it.
 

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Pay is right around what you all are asking ... I'm OB trained so that's why this is appealing to me. But no extra time off, which does make it seem a little inflexible. To the person who said you wouldn't offer any extra time off, would you budge if that came out of the Pay.
 
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Arch Guillotti

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I wouldn’t do it without at least some time off in addition to a provision for covering holidays. If not I would need a whole lot more money. This job is a recipe for burnout.
 
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caligas

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Does anyone have any experience with overnight night float Anesthesia position. I’m looking at a new job which would offer seven days on , seven days off. It would be from 7 PM to 7 AM covering either OB or general surgery. Hospital has a moderate volume , and it sounds like I would be able to rest a few hours overnight. Benefits and salary are excellent so that’s less of a concern. I was just wondering if anyone had any thoughts into the feasibility of sustaining this ...any pros or cons that you can provide.

I’ll bet you $100,000 you don’t last 6 months doing that garbage job.

Needs to be 7 on 14 off. Then maybe...maybe.
 
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IMGASMD

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Pay is right around what you all are asking ... I'm OB trained so that's why this is appealing to me. But no extra time off, which does make it seem a little inflexible. To the person who said you wouldn't offer any extra time off, would you budge if that came out of the Pay.

Not sure what the number is? 400-450? And is that with or without benefit? 401k?
I personally think there should be no shame about sharing what we make and we can/should be more transparent. Perhaps a different conversation.

Certainly if you have an unicorn job, then maybe not.

For a 26 week on and 26 week off job. If you can shift around your schedule, maybe it wouldn’t be so bad. However do consider, if you want a month off, (yes it may not even be possible for some practices), you will have to work 2-4 weeks straight. And your counter part will have to do the same.....

If this is a hospital or even AMC type of job, when you’re essentially subsidized by some entities, it may be possible.
I think it’ll be hard pressed to find a PP that will find you a partner(s) that will pick up your slacks. Also if you don’t have a busy OB service, to really justify your existence, it will even be harder to find any sympathetic partner that will voluntarily do that kind of shift work.

And just to finish where I started, if we actually all know your salary, maybe we can try to give you some ideas as to how you may play your cards. Or guess how screwed you are.

I would suspect if you’re taking more time off, it will cost you about 20K a week. If you want to work more, they will perhaps give 15k for an extra week. (7 days * 12 hours)

My 2 cents
 

caligas

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Let’s be clear, this isn’t 5 straight nights of 8 hour shifts. It’s 7 straight TWELVE hour (plus lag time) pm shifts every other week. That’s BRUTAL for more than a few months. It’s totally unsustainable.
 
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chocomorsel

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Let’s be clear, this isn’t 5 straight nights of 8 hour shifts. It’s 7 straight TWELVE hour (plus lag time) pm shifts every other week. That’s BRUTAL for more than a few months. It’s totally unsustainable.
This is akin to what night time hospitalists do. Although in many places 12-13 shifts or so are considered full time. And I am not a buyer of 26 weeks off BS. Never have. Its like working 42 hours a week every week, 52 weeks a year.
No thank you.
 
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chocomorsel

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I remember seeing an advertisement a few months ago for a night float job in Albuquerque. It was four 10 hour shifts a week. And had vacation included I think of 9 weeks or so. That to me would be more appealing than the above. The pay I think was 400K which I thought was reasonable because the advertisement said you worked I think about half the night or so? Something where you got to sleep a few hours. Can't remember exactly.
You get real vacation on that one.
 
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secretasianman

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Is this a major hospital in a metropolitan area or a small community hospital in bfe? Makes a difference
 
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Shift work has been linked to certain chronic diseases and illnesses. Long-term night shift work is associated with an increased risk of certain cancers, as well as metabolic problems, heart disease, ulcers, gastrointestinal problems and obesity. Insufficient sleep has been shown to change metabolism and appetite, and studies have shown that shift workers have higher levels of triglycerides than day workers. Added to these biological factors, shift workers sometimes have irregular eating habits and poor diet—both of which could increase their risk of metabolic problems as well.





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After 22 years, researchers found that the women who worked on rotating night shifts for more than five years were up to 11% more likely to have died early compared to those who never worked these shifts. In fact, those working for more than 15 years on rotating night shifts had a 38% higher risk of dying from heart disease than nurses who only worked during the day.
 
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Right. Do this job as advertised and in 6 months your rectum will be as loose as a wizard's sleeve. You know.....from the constant.....yeah.....you get it.

 
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anbuitachi

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Does anyone have any experience with overnight night float Anesthesia position. I’m looking at a new job which would offer seven days on , seven days off. It would be from 7 PM to 7 AM covering either OB or general surgery. Hospital has a moderate volume , and it sounds like I would be able to rest a few hours overnight. Benefits and salary are excellent so that’s less of a concern. I was just wondering if anyone had any thoughts into the feasibility of sustaining this ...any pros or cons that you can provide.

who else is on with you. are you doing OB alone? or are you doing gen surg alone?
 
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chocomorsel

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the link to apply is not working!
Im impressed they can offer that much to cover nights. nights are such a bigger money loser for the group..
curious if its real and how bad the nights are
It's working for a CRNA company.
And they are saying "regional skills need to be sharp." What kind of cases are they doing at night besides emergency open fractures, c-sections, septic abdomens that are requiring regional skills? Unless they are just talking about spinals and epidurals that is. For OB patients. Which I loathe but could do on shift work.
Those are 13 hour nights. Long. And I refuse to work for a CRNA on principle alone. Because why are they looking for docs if they are just as capable, outcomes are "equal" and they are "cheaper?"
 
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dhb

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It's working for a CRNA company.
And they are saying "regional skills need to be sharp." What kind of cases are they doing at night besides emergency open fractures, c-sections, septic abdomens that are requiring regional skills? Unless they are just talking about spinals and epidurals that is. For OB patients. Which I loathe but could do on shift work.
Those are 13 hour nights. Long. And I refuse to work for a CRNA on principle alone. Because why are they looking for docs if they are just as capable, outcomes are "equal" and they are "cheaper?"
CRNAs are now dumping their junk hours on MDs?
You gotta respect their game :=|:-):
 
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Southpaw

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It's working for a CRNA company.
And they are saying "regional skills need to be sharp." What kind of cases are they doing at night besides emergency open fractures, c-sections, septic abdomens that are requiring regional skills? Unless they are just talking about spinals and epidurals that is. For OB patients. Which I loathe but could do on shift work.
Those are 13 hour nights. Long. And I refuse to work for a CRNA on principle alone. Because why are they looking for docs if they are just as capable, outcomes are "equal" and they are "cheaper?"

It’s also 1099. Take retirement and benefits out and a W2 equivalent is in the 200s. It’s probably the exact same as what the CRNAs make. Maybe even less. No thanks.

Still, kudos to @nimbus for finding it. It’s definitely 1 on 2 off. It certainly has an odd appeal.
 
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chocomorsel

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@chocomorsel , don't be silly there is no covid in texas!!

In all seriousness, you're still doing locums for ICU? Honestly the amount of COVID I've seen in Texas is so negligible compared to what we saw in NY back in April, I could see why it's so easy to deny it.

Keep safe! Hope you don't get sued over this.
This took me a while to respond because I was annoyed honestly. Covid is terrible in Texas. It's just not in the big four Metroplexes. It's horrendous in West Texas and now again becoming horrendous in South Texas, if it abated a little. Just that these are the Mexican populations and cities that people don't even ever really think or care about when you are living it up and good in the big four Metroplexes. These are towns that are 80-90% Hispanic and whose hospitals are filled to the brim and Convention centers and tents are opening up to take care of the extra load and there are a whole bunch of us working for the state helping out who are seeing it.

Texas is a huge state, and the Hispanics are taking the brunt of this illness. It's very sad.
Travel to El Paso, Lubbock, Amarrillo, Brownsville/McAllen, Corpus right now and then tell me it isn't as bad as NY. At least where I went outside of the city, it's pretty equal.
 
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I don't know why people are trying to push this race based agenda but covid isn't targeting blacks or hispanics specifically. NEJM is being especially bad about this recently.
 
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chocomorsel

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I don't know why people are trying to push this race based agenda but covid isn't targeting blacks or hispanics specifically. NEJM is being especially bad about this recently.
Puhleez. Give me a break. This is not pushing race based agendas. This is the reality of what we are living in.
I don't know why you think it's an agenda. The fact it, it is disproportionately affecting Blacks and Hispanics. Its a fact Jack. Why do you have a problem with it? Obviously there are factors why this is happening but it is happening. Just like HTN/HLD/DM2 affects Blacks and Hispanics more than it does Whites.
What the hell is wrong with you? You want to deny reality of what is happening, turn on Fox News.
But don't come on here with this BS.
 
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SaltyDog

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I think the biggest factor for the Hispanic population is that they are more likely to have large multigenerational families living together in the same home. Combine that with more obesity in certain Hispanic populations.
 
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Puhleez. Give me a break. This is not pushing race based agendas. This is the reality of what we are living in.
I don't know why you think it's an agenda. The fact it, it is disproportionately affecting Blacks and Hispanics. Its a fact Jack. Why do you have a problem with it? Obviously there are factors why this is happening but it is happening. Just like HTN/HLD/DM2 affects Blacks and Hispanics more than it does Whites.
What the hell is wrong with you? You want to deny reality of what is happening, turn on Fox News.
But don't come on here with this BS.

What is with the vitriol? You don't know me and your rhetoric is pretty offensive. Save your politics for the political threads.
 
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chocomorsel

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What is with the vitriol? You don't know me and your rhetoric is pretty offensive. Save your politics for the political threads.
You are the one turning this political. This isn't rhetoric. It's the reality I live in where I see plenty of Hispanics in my home state die.
You respond about this whole thing being an agenda after I write about it affecting Hispanics? While it's actual fact and not a friggin' agenda.
You are the offensive one here.
No one said it was "targeting" Blacks and Hispanics. It is "disproportionately" affecting them.
 
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There's no conspiracy by the coronavirus to infection certain people over others or by health care workers to treat patients differently causing differences in outcome.
 
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chocomorsel

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There's no conspiracy by the coronavirus to infection certain people over others or by health care workers to treat patients differently causing differences in outcome.
And who said there was? Or said anything about healthcare workers treating patients differently to cause differences in outcome?
Like I said, where is the article from NEJM of which you speak?
 
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chocomorsel

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@chocomorsel , don't be silly there is no covid in texas!!

In all seriousness, you're still doing locums for ICU? Honestly the amount of COVID I've seen in Texas is so negligible compared to what we saw in NY back in April, I could see why it's so easy to deny it.

Keep safe! Hope you don't get sued over this.
Here is a nice article for you. To remind you that Texas is not just the big four. Covid in Texas is far from "negligible."

 

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