OC/LA Groups (Sanitized Version)

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I had a call with Cedars. Call burden was very high with many late nights. “Q3 in house.” Moving to supervision. 550+ was for liver call. Not sure about generalists.
supposedly this person is 500+ with no nights or weekends. doing pain maybe general as well. left kaiser saying she'll be making double while working less who knows. grass is always greener somewhere else i guess.
 
I had a call with Cedars. Call burden was very high with many late nights. “Q3 in house.” Moving to supervision. 550+ was for liver call. Not sure about generalists.
USC is something like 425k to start, 40 hr week (includes call hours). Usually 4-6 weeks off, benefits, etc
 
USC is something like 425k to start, 40 hr week (includes call hours). Usually 4-6 weeks off, benefits, etc

Wow that makes Kaiser even less attractive with like $300k to start for 40 hours. Those benefits aren’t as great as people rave about as someone above has said. Lifetime healthcare is no longer offered.
 
Wow that makes Kaiser even less attractive with like $300k to start for 40 hours. Those benefits aren’t as great as people rave about as someone above has said. Lifetime healthcare is no longer offered.


That's one of the many reasons Kaiser is always recruiting and is never staffed appropriately.
 
Yup. The county generally has excellent benefits so it's good to be tied into that system
Anyone know if this data is accurate? (you have search "phys spec anesthesiology" in top right box)


There are assistant professor level staff that are ~450k base with 150k+ "overtime/other earnings". With benefits some are chasing almost 700k total within 5 years of employment. Am I missing something here?
 
Anyone know if this data is accurate? (you have search "phys spec anesthesiology" in top right box)


There are assistant professor level staff that are ~450k base with 150k+ "overtime/other earnings". With benefits some are chasing almost 700k total within 5 years of employment. Am I missing something here?
Yeah some of these total compensations are mind boggling. Pretty jealous tbh.
 
Anyone know if this data is accurate? (you have search "phys spec anesthesiology" in top right box)


There are assistant professor level staff that are ~450k base with 150k+ "overtime/other earningsAnyone know if this data is accurate? (you have search "phys spec anesthesiology" in top right box)

Harbor-UCLA and Oliveview are also run by the county. And their pay is very good. Especially for the old timers who must have gotten yearly incremental raises.

In Santa Clara county, several of the top 10 highest paid county employees are anesthesiologists with total compensation >$800k.
 
Harbor-UCLA and Oliveview are also run by the county. And their pay is very good. Especially for the old timers who must have gotten yearly incremental raises.

In Santa Clara county, several of the top 10 highest paid county employees are anesthesiologists with total compensation >$800k.
How many hours do they work per week?
 
USC is something like 425k to start, 40 hr week (includes call hours). Usually 4-6 weeks off, benefits, etc
What is the pay differential between fellowship trained and non-fellowship trained anesthesiologists? Does County USC post salaries online?
 
What is the pay differential between fellowship trained and non-fellowship trained anesthesiologists? Does County USC post salaries online?
I am not aware of USC paying salaries since it is a private institution.

Los Angeles County hospital is a public facility so the compensation for public employees is available for anyone to see. You can search by names.


For the University of California system (UCLA etc) you can search the following:

 
I am not aware of USC paying salaries since it is a private institution.

Los Angeles County hospital is a public facility so the compensation for public employees is available for anyone to see. You can search by names.


For the University of California system (UCLA etc) you can search the following:

To clarify, my question was about Los Angeles County hospital, not the private USC hospital known as Keck. Or Olive View for that matter. Is there a difference in salary between fellowship-trained and non-fellowship-trained anesthesiologists? I don't know any names so I cannot look up their compensation. Thank you.
 
To clarify, my question was about Los Angeles County hospital, not the private USC hospital known as Keck. Or Olive View for that matter. Is there a difference in salary between fellowship-trained and non-fellowship-trained anesthesiologists? I don't know any names so I cannot look up their compensation. Thank you.
Yes, I don't think it's massive though..20k maybe

A small bump, along with incremental increase based on years of experience too
 
Wow that makes Kaiser even less attractive with like $300k to start for 40 hours. Those benefits aren’t as great as people rave about as someone above has said. Lifetime healthcare is no longer offered.

Starting base is certainly an important component of job evaluation, but it's not everything. The pension is worth $150,000/year after 20 years of service. That would cost $3 million to purchase as a SPIA at age 58. You would need to invest $75,000/year at a 7% rate of return for those 20 years to get to that number. Please name these other SoCal groups that have "great" benefits by your definition. I am genuinely curious.

After a few years you will make around $450-500k (approaching 600k total compensation) for 50 hrs/wk with no trauma or transplant call, 8.5 weeks PTO, sick leave, paid holidays, and as predictable a schedule as you can get in this line of work. Is it for everyone? Is it the best job out there? Of course not. I just really don't get the criticism around these parts. There are many worse jobs.
 
Starting base is certainly an important component of job evaluation, but it's not everything. The pension is worth $150,000/year after 20 years of service. That would cost $3 million to purchase as a SPIA at age 58. You would need to invest $75,000/year at a 7% rate of return for those 20 years to get to that number. Please name these other SoCal groups that have "great" benefits by your definition. I am genuinely curious.

After a few years you will make around $450-500k (approaching 600k total compensation) for 50 hrs/wk with no trauma or transplant call, 8.5 weeks PTO, sick leave, paid holidays, and as predictable a schedule as you can get in this line of work. Is it for everyone? Is it the best job out there? Of course not. I just really don't get the criticism around these parts. There are many worse jobs.
$600k for 50 hours a week with Actually taking 8.5 weeks off a year I’d love to see proof of that.
 
Starting base is certainly an important component of job evaluation, but it's not everything. The pension is worth $150,000/year after 20 years of service. That would cost $3 million to purchase as a SPIA at age 58. You would need to invest $75,000/year at a 7% rate of return for those 20 years to get to that number. Please name these other SoCal groups that have "great" benefits by your definition. I am genuinely curious.

After a few years you will make around $450-500k (approaching 600k total compensation) for 50 hrs/wk with no trauma or transplant call, 8.5 weeks PTO, sick leave, paid holidays, and as predictable a schedule as you can get in this line of work. Is it for everyone? Is it the best job out there? Of course not. I just really don't get the criticism around these parts. There are many worse jobs.
Problem is..that's "if" you make partner which is far from guaranteed. I know several stellar anesthesiologists who got strung along and didn't make partner because of some issue with a crna, or the politics of the overall group.

Not to mention the 2-3 year partnership track at a lower pay at $160/hr (may be slightly more now) which can amount to several hundred thousand in lost income vs PP and the fact that you have to supervise crnas..

Its certainly not the worst job, but certainly not the best. Kaiser is it's own world and it works well for some and not for others
 
Starting base is certainly an important component of job evaluation, but it's not everything. The pension is worth $150,000/year after 20 years of service. That would cost $3 million to purchase as a SPIA at age 58. You would need to invest $75,000/year at a 7% rate of return for those 20 years to get to that number. Please name these other SoCal groups that have "great" benefits by your definition. I am genuinely curious.

After a few years you will make around $450-500k (approaching 600k total compensation) for 50 hrs/wk with no trauma or transplant call, 8.5 weeks PTO, sick leave, paid holidays, and as predictable a schedule as you can get in this line of work. Is it for everyone? Is it the best job out there? Of course not. I just really don't get the criticism around these parts. There are many worse jobs.

I think you're obfuscating a lot of the information about the job.

"A few years" is really a decade and it's not exactly 8.5 weeks of true vacation. You start with 18 vacation days and only get to 28 days after 10 years of service. The 8.5 weeks number you're referring to also includes 5 days for CME and 10 days for sick leave. Not exactly vacation.

As for the compensation, I won't argue with that number since it's certainly possible. But you're not including the number of late nights and in-house overnight calls you need to take each month to trigger the differential multiplier and get to that number. I can tell you that it is more than most private practices.

Finally with regards to the pension, it's only calculated on your base pay and it's not indexed for inflation. As with all pensions, it becomes less valuable each year. A good private practice group that has a cash balance plan is a better alternative.

For those interested, the benefits handbook is readily available online:

As I said above, it's a perfectly fine job for some, just not for me. I seriously considered Kaiser, but decided that at the end of the day, I could do better from both a personal lifestyle and financial perspective at a private practice group across the street.
 
$600k for 50 hours a week with Actually taking 8.5 weeks off a year I’d love to see proof of that.

450k + 70k (value of pension) + 20k (health/vision/dental for family of 4) + disability + malpractice + bonus gets you pretty close to 600k.


Problem is..that's "if" you make partner which is far from guaranteed. I know several stellar anesthesiologists who got strung along and didn't make partner because of some issue with a crna, or the politics of the overall group.

Not to mention the 2-3 year partnership track at a lower pay at $160/hr (may be slightly more now) which can amount to several hundred thousand in lost income vs PP and the fact that you have to supervise crnas..

Its certainly not the worst job, but certainly not the best. Kaiser is it's own world and it works well for some and not for others

Yep, if you want the highest starting base and don't care to look at total compensation, it's probably less attractive to you. Yes, like any other partnership track, nothing is guaranteed. I agree, not for everyone. You want to stay at least 10 years to get vested in the pension.

I think you're obfuscating a lot of the information about the job.

"A few years" is really a decade and it's not exactly 8.5 weeks of true vacation. You start with 18 vacation days and only get to 28 days after 10 years of service. The 8.5 weeks number you're referring to also includes 5 days for CME and 10 days for sick leave. Not exactly vacation.

As for the compensation, I won't argue with that number since it's certainly possible. But you're not including the number of late nights and in-house overnight calls you need to take each month to trigger the differential multiplier and get to that number. I can tell you that it is more than most private practices.

Finally with regards to the pension, it's only calculated on your base pay and it's not indexed for inflation. As with all pensions, it becomes less valuable each year. A good private practice group that has a cash balance plan is a better alternative.

For those interested, the benefits handbook is readily available online:

As I said above, it's a perfectly fine job for some, just not for me. I seriously considered Kaiser, but decided that at the end of the day, I could do better from both a personal lifestyle and financial perspective at a private practice group across the street.

1. By year 4 on, that's taking 2-3 overnight calls a month. Is that more than most private practices? You tell me. I think it's pretty reasonable with no trauma/transplant.

2. Our group gets an extra 10 days for edu leave in lieu of "admin" time. So after year 1 you get 3.5 weeks vacation+3 weeks ed. After 4 years, you are at 5.5 weeks vacation + 3 weeks ed leave = 8.5 weeks PTO. Max out year 10 at 9.5 weeks. Again that's before sick leave and holidays. If you read the benefits handbook all the way through, attaining partnership adds 1 week of vacation to those numbers you are citing. My understanding is that the increased educational leave is at some but not all locations. So the place you interviewed is probably in the other category.
 
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450k + 70k (value of pension) + 20k (health/vision/dental for family of 4) + disability + malpractice + bonus gets you pretty close to 600k.




Yep, if you want the highest starting base and don't care to look at total compensation, it's probably less attractive to you. Yes, like any other partnership track, nothing is guaranteed. I agree, not for everyone. You want to stay at least 10 years to get vested in the pension.



1. By year 4 on, that's taking 2-3 overnight calls a month. Is that more than most private practices? You tell me. I think it's pretty reasonable with no trauma/transplant.

2. Our group gets an extra 10 days for edu leave in lieu of "admin" time. So after year 1 you get 3.5 weeks vacation+3 weeks ed. After 4 years, you are at 5.5 weeks vacation + 3 weeks ed leave = 8.5 weeks PTO. Max out year 10 at 9.5 weeks. Again that's before sick leave and holidays. If you read the benefits handbook all the way through, attaining partnership adds 1 week of vacation to those numbers you are citing. My understanding is that the increased educational leave is at some but not all locations. So the place you interviewed is probably in the other category.
Curious..what happens to the pension when you die?
 
450k + 70k (value of pension) + 20k (health/vision/dental for family of 4) + disability + malpractice + bonus gets you pretty close to 600k.




Yep, if you want the highest starting base and don't care to look at total compensation, it's probably less attractive to you. Yes, like any other partnership track, nothing is guaranteed. I agree, not for everyone. You want to stay at least 10 years to get vested in the pension.



1. By year 4 on, that's taking 2-3 overnight calls a month. Is that more than most private practices? You tell me. I think it's pretty reasonable with no trauma/transplant.

2. Our group gets an extra 10 days for edu leave in lieu of "admin" time. So after year 1 you get 3.5 weeks vacation+3 weeks ed. After 4 years, you are at 5.5 weeks vacation + 3 weeks ed leave = 8.5 weeks PTO. Max out year 10 at 9.5 weeks. Again that's before sick leave and holidays. If you read the benefits handbook all the way through, attaining partnership adds 1 week of vacation to those numbers you are citing. My understanding is that the increased educational leave is at some but not all locations. So the place you interviewed is probably in the other category.

Would you happen to know if anesthesiologists who work for Kaiser qualify for PSLF as it is a "non-profit"? I've heard cases where physicians are not actually employed but rather contracted by Kaiser and therefore don't qualify.
 
Would you happen to know if anesthesiologists who work for Kaiser qualify for PSLF as it is a "non-profit"? I've heard cases where physicians are not actually employed but rather contracted by Kaiser and therefore don't qualify.


Kaiser docs in California are not employed by Kaiser but by SCPMG or TPMG so I doubt they would qualify.
 
anyone know anything about Anaheim regional medical center? Group called Anesthesia specialists of OC i believe. Thanks
 
Five anesthesia groups blocked from merging in the name of price fixing? How quaint. What would this justice dept think of regional medical centers and AMCs?


Yeah very quaint. Probably involved 150-200 doctors tops. It was a different time.
 
I read True-Dat's reviews of Riverside County anesthesia groups with great interest. I thank him (or her) for his review.

I figure I'd follow his lead--though I don't worry about being found out, so I'll give you the straight dope without fear. I moved to Southern California late in my career, and couldn't find any reliable info on individual groups. Some sucked in a fashion I wouldn't have believed possible--many of them are still (years later) running the same pleading ads on Gaswork. Anybody with even a whiff of local knowledge knows better than to waste with the bottom two-thirds of these groups. But there are sure to be other outsiders who might find these reviews helpful. This is, obviously, not a complete list. Feel free to add insight about these and other groups.

In general order, starting with the very worst:

IAMG (Grade IV Mets All Over)

These guys suck. They suck. And I mean suck. They aren't exactly a group, but more like a management company for the anesthesia groups at Prime Healthcare facilities, which all criminally suck. In addition to being dishonest and unscrupulous, they also have terrible contracts and no stipends. This is where only unemployable end up. They also recruit via PacificHealthWorks and New Venture, using recruiters that won't tell you unit values or monthly generation. On the (very limited) brightside, I don't think they employ CRNAs.

Orange Coast Anesthesia (Orange County Global Medical Center, and also in Glendale and Victor Valley)

These guys suck even harder than IAMG, but their hospitals aren't quite as awful as Prime Hospitals. The president is an arrogant horse's @$$. He has a fast-talking toadie who is almost as loathsome.
Their pay is almost as bad as Fountain Valley, and yet their ads act like they are a picky group. They are not. They are desperate. Don't bother with them.

They excel in the "Bait and Switch." They run ads for "great location outside LA" or "Southwest OC," utilizing at least three different accounts on Gaswork. They will even invite you to an interview at their "flagship" hospital, Orange County Global Medical Center, even though the job they have been trying to fill for at least the last two years is outside of Victorville. In their ads they claim to be the premiere private practice group in Orange County. That is not possibly the case, though it does tell me that they are only trying to recruit people who are moving to Southern California without knowing anybody or anything. Do not be fooled.

May, 2020 Edit: Orange Coast Anesthesia is a different (and worse) group than the group which works at Orange Coast MemorialCare Medical Center. Elsewhere you will read that the group that works at Orange Coast MemorialCare is a decent group. I don't doubt it.

Century Anesthesia Medical Group (Encino, Glendale, Little Armenia)

This isn't a group. It's one guy (an unimpressive DO) who has a patchwork of shi++y contracts to cover shi++y extra rooms in and around Encino and Glendale. Don't waste your time. He cuts a huge management fee off the top of what are shi++y days with shi++y payors.

Envision (Grade IV Mets All Over)

Or Emcare. Or Sheridan. Or TIVA. Or Vista. Or whatever they will call themselves tomorrow. I give this outfit maybe five more years. They are continually on the run from their terrible reputation, as they shuffle their terrible hacks from one dismal failure of an anesthetic department to the next, like desperate dioceses trying to trade away their hot potato pedophiles. There are undoubtedly some decent (maybe even honest) schmucks caught up in the middle of their little shell game, but there's no way to overcome the corporate greed, incompetence, and inefficiency.

Bay City Pain (Beverly Hills)

Cobbled together from some of the more business-savvy remnants of Cedar, these guys seem smart enough to realize there are some incredibly unsophisticated anesthesiologists hungry for work who will agree to work for $28/unit. If somehow you can make ends meet for $28/unit, working for these guys may be less bad than working for St. Vincent.

Fountain Valley (aka PCAMG aka FVAMA aka Premiercare) Fountain Valley Regional Hospital

The worst pay in all of Orange County--if not North America--is Fountain Valley. They were friendly enough and seemed to be busy enough, but their blended unit was between Medicaid and Medicare rates--$18 or $19, as though that difference even matters. There is no reason to think they are shady or dishonest, just working with a disadvantaged payor mix. A simple Google search proves they operate under three different business names, which is, umm, odd.

St. Vincent Anesthesia Medical Group (San Gabriel/Coast Plaza/East LA...maybe others)

Honest and to the point. Transparent, but hardly stable. They seem to be where lots of young graduates start before they get called up to Kaiser. Recently lost one of their bigger (and better) hospitals--Lakewood--to Envision. They offer new hires $27/unit. I didn't bother asking what they pay partners, because $27/unit didn't interest me. YMMV.

May 2020 update: They are out of business.

Allied Anesthesia (Fullerton, Irvine, Upland, San Antonio, Apple Valley, Victorville)
Not exactly one "group," these guys have better hospitals and worse hospitals. Their flagship hospital is St. Joseph Hospital in Orange, though most of those guys also cover St. Jude's in Fullerton (and one spot in a not-quite-a-hospital in Placentia); and their network extends into Pomona, Apple Valley, and Upland. The group has a bias against CRNAs and AMCs, which makes them attractive (to me, anyway). However, they are suffering from growing pains as the better hospitals are tired of keeping the worse hospitals afloat. "Growing pains," of course, is a good problem to have. Unfortunately, their growth over the last few years has been into hospitals (more call, more Medicaid) and away from surgical centers (stable, privately insured cases M-F).

Almost every anesthesiologist (or surgeon) you will meet in Orange County has a horror story to tell about Allied. It might just be their size, of course.

Verduga Hills Anesthesia Group (VHAG)

Cool little hospital in a cool little setting with super nice anesthesiologists, but below average caseload/unit value in a hospital with an unsure future. A recent branding arrangement with Keck has kept the hospital from being purchased by bottom-feeding Prem Reddy, but you should know that when Prem Reddy is a possible suitor, things are bad.

Landmark (St. Francis, DTLA)

Upfront. Honest. Busy. Disadvantaged patient population. Hospital was recently sold, is currently bankrupt, and has just sold again, this time to KPC. I am speculating here, but I bet that Orange Coast (who serves other KPC hospitals) is going to try to absorb Landmark. If so, that's a hard pass. If Landmark is able to stay independent (a big IF) and negotiate a generous stipend from the new owners (an even bigger IF), it might be worth a look, but I would not hold my breath.

City of Hope (Duarte)

The president of this group had to step down for billing fraud. If that's the extent of the damage, the remaining corps might survive as an above-average group. As of this writing, it's too early to tell. Nobody needs to think that only the president was committing fraud, after all. City of Hope is unusual in that anesthesiologists are invited to join the City of Hope Medical Foundation.

Baldwin Park SCPMG (Kaiser)

Only on this because they are a physician-only anesthesia department, which is unique for a Kaiser Permanente Hospital. Other than that, I know nothing. I've met a handful of their stringers, who seem to think it is the best Kaiser has to offer. More than one has expressed to me that they prefer hiring females who have no aspirations to be anything other than per diem workers. They hire exclusively through a 6+ year per diem track. They pay their per diem workers only $150/hr.


Samaritan Anesthesia Medical Group (DTLA)

Busy. By no means a racially diverse group. I'm not saying that the group actively discriminates against Indians and Europeans, just that the group is homogenous. Good Samaritan is an older hospital in downtown LA that gets a wide range of patients from all over the globe--plenty of uninsured/indigent, a few cash-paying millionaires from the far East, and an occasional near-celebrity. They also have a sparkling new outpatient surgical center. I heard--but can't confirm--that they recently added independent CRNAs. Take that for what you will. I think they are a training hospital for surgical specialties. (That should be easy to confirm, if it matters to anybody.)


Buena Vista Anesthesia Medical Group BVAMG (Holy Cross Burbank, Holy Cross Valencia)

This seems to be the place to go if you are Eastern European. Transparent. Collegial. Equal access to cases. They cover two hospitals. Five year partnership track. Blended units that bump up once or twice in value before partnership. Weekend and evening units pay a premium versus weekday units.

Bayside Anesthesia Medical Group BAMG (Providence St. John's Santa Monica)

The partners here have it pretty sweet because they are skimming plenty from the non-partners. They recruit via a 3-year 1099 pre-employee track, then still another two years as employee (what they call "junior partner") before partnership. The group must be desirable to make those kinds of demands. I wasn't going to slum for five years enriching older partners at this point in my career, but I know you could do much worse right out of training. They pay more per hour than Kaiser, but when the hourly rate didn't start with a "2," I lost interest. Again, if I were just out of training and had to look for jobs from Gaswork, this would be on the short list.


Wow things have gotten a lot better in a few years.

BVAMG has an ad up now.

 
BVAMG "minimum" income is $500K according to GasWork.

Bayside in Santa Monica is $400-$450K according to their website.

Both numbers seem low to me.
 
BVAMG "minimum" income is $500K according to GasWork.

Bayside in Santa Monica is $400-$450K according to their website.

Both numbers seem low to me.

They bragging about Santa Monica life when you can only afford a miserable lifestyle with salary. Are they (group owners) so out of touch or we are so dumb?
 
BVAMG "minimum" income is $500K according to GasWork.

Bayside in Santa Monica is $400-$450K according to their website.

Both numbers seem low to me.
We all know you have to put in the work to get the salaries we dream about. The math has been done on here enough but assume a unit value of $50 (which most wont complain about) a 40 hr work week and 8 weeks vacation puts you a 350k (425k if the unit value is $60 which great for most pp), and that's not including call stipends if there are any. So a minimum being 500k isn't crazy. I think the moral is we could all use bigger pay to keep up with the current inflated economy where everything is expensive even to people who make good money. Most LA citizens don't make anywhere near 500k/year
 
We all know you have to put in the work to get the salaries we dream about. The math has been done on here enough but assume a unit value of $50 (which most wont complain about) a 40 hr work week and 8 weeks vacation puts you a 350k (425k if the unit value is $60 which great for most pp), and that's not including call stipends if there are any. So a minimum being 500k isn't crazy. I think the moral is we could all use bigger pay to keep up with the current inflated economy where everything is expensive even to people who make good money. Most LA citizens don't make anywhere near 500k/year

Your point is valid in general but Los Angeles is a whole different game. Housing is very expensive and with that salary range you won't get anything decent even after 20 years. So these groups live in a denial state offering such ridiculous salary to young doctors. No wonder they are always short.
 
Right, but if I can put words in Twig’s mouth, that high salary requires money that has to come from somewhere other than billing. Where? Maybe the group hasn’t been able to compel the venues to pony up?
 
Your point is valid in general but Los Angeles is a whole different game. Housing is very expensive and with that salary range you won't get anything decent even after 20 years. So these groups live in a denial state offering such ridiculous salary to young doctors. No wonder they are always short.
I think it's more that young doctors need to be realistic about what salaries actually are in the field. Keeping in mind that more money comes from more work (daily hours and call, with call being generously compensated by the facility, as cchockal said above). Working 7-5 with an occasional call working almost anywhere is a 500k salary, maybe more unpopular areas.
 
There’s actually a position open in OC in Riverside for 650-700 cardiac on gaswork- I was looking at it because looking to relocate in the next few years. Don’t want to be in LA proper, maybe OC or San Diego…


Riverside is not in OC. And that’s an average rate for cardiac all over Southern California. There are many places you can do better.
 
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Riverside is not in OC. And that’s an average rate for cardiac all over Southern California. There are many places you can do better.
Yes sorry in my head I was picturing Oceanside. This may be too far inland for what I want. Hoping to be able to be within walking distance to the beach…. Yeah I know FL is an option but I was in San Diego for a bit and I can’t shake the climate it’s so perfect.
 
Yes sorry in my head I was picturing Oceanside. This may be too far inland for what I want. Hoping to be able to be within walking distance to the beach…. Yeah I know FL is an option but I was in San Diego for a bit and I can’t shake the climate it’s so perfect.

Riverside is about 60 miles from the beach. I don't even think there's a close by river.
 
There’s actually a position open in OC in Riverside for 650-700 cardiac on gaswork- I was looking at it because looking to relocate in the next few years. Don’t want to be in LA proper, maybe OC or San Diego…
Riverside is considered an undesirable part of CA to live in. Compensation is generally higher out there across all specialties to recruit. Even then a lot of people would rather take the pay cut to live in OC/SD and not deal with 100+ degree heat.
 
There’s actually a position open in OC in Riverside for 650-700 cardiac on gaswork- I was looking at it because looking to relocate in the next few years. Don’t want to be in LA proper, maybe OC or San Diego…
If I had to live in Riverside, I'd rather just move out of California
 
If I had to live in Riverside, I'd rather just move out of California
I honestly think physicians taking jobs out there and providing care should get a state tax break…won’t ever happen but the fact that docs pay CA state tax regardless of where they live in the state totally sucks. COL is way less but at that point you might as well just leave the state. Hard to justify living in the Central Valley or Inland Empire unless theres strong family ties or the job is insanely lucrative
 
I honestly think physicians taking jobs out there and providing care should get a state tax break…won’t ever happen but the fact that docs pay CA state tax regardless of where they live in the state totally sucks. COL is way less but at that point you might as well just leave the state. Hard to justify living in the Central Valley or Inland Empire unless theres strong family ties or the job is insanely lucrative

very true. No point to live in IE or Fresno and pay CA taxes. AZ and NV stand out better.
 
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