Phoenix market

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1. What made you choose the Phoenix market?

2. How do you feel about surgeon-directed anesthesia where anesthesia-surgeon relationships can make or break you?

3. As a first year attending, how did you adjust to being totally independent in a situation where your partners can't always be counted on to help you out?

4. How do you feel about being on staff at multiple different hospitals and possibly traveling between hospitals on the same day?
Today 07:39 PM/QUOTE]

1. I am single and had a friend in residency who was from the area and recommended I check it out. I took a weekend trip to Scottsdale and thought it was pretty cool and unlike anywhere I'd lived before. I didn't really want to go back and live in my home town at least initially. I kind of felt that if I was going to make a life changing move of this magnitude now was the time to do it.

Also, I went into anesthesia to do anesthesia. I enjoy it. I am not very interested in supervision for many reasons. One of which is that I wanted to have experience practicing on my own before possibly supervising down the road.

To be honest, I didn't expect to procure a position out here. But the stars aligned and I was fortunate to land a spot in a very well respected group. After analyzing all facets of each offer ( I had three job offers in three states) I felt that I would most regret passing on the Phx position.

2. This is really sort of a non-issue. Our group has pretty much weeded out the surgeons we don't want to work with. It is actually very nice. I talk with friends all the time who have to cover the "a-hole" surgeon that is on hospital staff because their group has the hospital contract. Our group really has developed personal relationships with most of our surgeons. I really enjoy this aspect. It does make expanding coverage to new surgeons a bit difficult. This is because they have usually been using another group and then someone else loses business when you gain it. I find it to be quite territorial.

It does get on my nerves a bit. I don't get to do a lot of peds even though I had a ton of experience and almost did a fellowship. I also don't get to do many neuro cases and I haven't done a crani or any OB or hearts in over a year. I don't totally miss those things, but still I think everyone can see where I'm coming from. Our group does cover OB, but it is lucrative and the people who are more senior have it on lockdown.

3. I was a bit nervous about this, but I have big balls. Just kidding (not really), but seriously it was a bit of a concern. There has never been a time where I needed help and someone wasn't available. Even between groups there is a professional attitude that exists. I have actually helped a couple of my partners a few times. Also, now that cellphones are in full force I can always call one of my partners if I have a question.

4. This is something I go back and forth with. Most of the time I enjoy getting out of a ASC or hospital and going somewhere else. It is nice to get out in the AZ sun. Traffic between places is never bad. Sometimes I've had to go to 3-4 places in a day, and sometimes even back to a place I had been earlier. That is the rare occasion, and I can't speak as to how this works for other groups. I'd imagine Valley Anes. are able to stay at locations all day and maybe vary locations each day.

Originally, it was an adjustment to figure out the details between institutions and get familiar with nursing staff. That was a little stressful. Now everything is gravy.

All in all, being 1099 with pretty fair scheduling (again I can't really complain seeing as how I'm fresh out), ability to make my own schedule and volunteer for more work if I want it is a good deal. In fact, I find that I am the type of person that if I'm on salary I reach my "ready to be done with the day" mentality much faster. As it is now if I work I make $, if I don't I don't.

I find this situation fits my personality very well as I have no one to blame for my income but myself.
Click to expand...
 
Nice post BDanes. Seems that things are working out for you in AZ. That's pretty sweet.

I also like 1099. If you are not bringing in $$$ it just means you are out playing in the outdoors. If you work hard you bring home bank. Doing your own cases right out is absolutely the way to go. At my shop, we don't have a floater although someone can be found if necessary. So far, I have not needed any backup for any particular case. I don't think most anesthesiologist need back up, yet I was concerned about this once I started. You get used to it quickly and if things go south, you handdle it. Period.

Most of all, this,

sedona72rescut.jpg


this,

snowbowl1.jpg


and this,

grand-canyon-couple.jpg


is all at your fingertips.

And.. you are a fresh doc who is single?... ahhh how nice.
AZ is an awesome state. I think you made a phenomenal choice. I don't care what people say about it.

Cheers to your new chapter in life. 🙂
 
BDanes said:
1. What made you choose the Phoenix market?

2. How do you feel about surgeon-directed anesthesia where anesthesia-surgeon relationships can make or break you?

3. As a first year attending, how did you adjust to being totally independent in a situation where your partners can't always be counted on to help you out?

4. How do you feel about being on staff at multiple different hospitals and possibly traveling between hospitals on the same day?
Today 07:39 PM/QUOTE]

1. I am single and had a friend in residency who was from the area and recommended I check it out. I took a weekend trip to Scottsdale and thought it was pretty cool and unlike anywhere I'd lived before. I didn't really want to go back and live in my home town at least initially. I kind of felt that if I was going to make a life changing move of this magnitude now was the time to do it.

Also, I went into anesthesia to do anesthesia. I enjoy it. I am not very interested in supervision for many reasons. One of which is that I wanted to have experience practicing on my own before possibly supervising down the road.

To be honest, I didn't expect to procure a position out here. But the stars aligned and I was fortunate to land a spot in a very well respected group. After analyzing all facets of each offer ( I had three job offers in three states) I felt that I would most regret passing on the Phx position.

2. This is really sort of a non-issue. Our group has pretty much weeded out the surgeons we don't want to work with. It is actually very nice. I talk with friends all the time who have to cover the "a-hole" surgeon that is on hospital staff because their group has the hospital contract. Our group really has developed personal relationships with most of our surgeons. I really enjoy this aspect. It does make expanding coverage to new surgeons a bit difficult. This is because they have usually been using another group and then someone else loses business when you gain it. I find it to be quite territorial.

It does get on my nerves a bit. I don't get to do a lot of peds even though I had a ton of experience and almost did a fellowship. I also don't get to do many neuro cases and I haven't done a crani or any OB or hearts in over a year. I don't totally miss those things, but still I think everyone can see where I'm coming from. Our group does cover OB, but it is lucrative and the people who are more senior have it on lockdown.

3. I was a bit nervous about this, but I have big balls. Just kidding (not really), but seriously it was a bit of a concern. There has never been a time where I needed help and someone wasn't available. Even between groups there is a professional attitude that exists. I have actually helped a couple of my partners a few times. Also, now that cellphones are in full force I can always call one of my partners if I have a question.

4. This is something I go back and forth with. Most of the time I enjoy getting out of a ASC or hospital and going somewhere else. It is nice to get out in the AZ sun. Traffic between places is never bad. Sometimes I've had to go to 3-4 places in a day, and sometimes even back to a place I had been earlier. That is the rare occasion, and I can't speak as to how this works for other groups. I'd imagine Valley Anes. are able to stay at locations all day and maybe vary locations each day.

Originally, it was an adjustment to figure out the details between institutions and get familiar with nursing staff. That was a little stressful. Now everything is gravy.

All in all, being 1099 with pretty fair scheduling (again I can't really complain seeing as how I'm fresh out), ability to make my own schedule and volunteer for more work if I want it is a good deal. In fact, I find that I am the type of person that if I'm on salary I reach my "ready to be done with the day" mentality much faster. As it is now if I work I make $, if I don't I don't.

I find this situation fits my personality very well as I have no one to blame for my income but myself.
Click to expand...

Very well put. Thank you very much for taking the time on this post.
Click to expand...
 
Thanks everyone, especially BDanes, for your fantastic posts! They are very informative and shed a lot of light on fee-for-services markets. I really appreciate it.
 
cfdavid said:
IlDestriero, I'm pretty sure he's not arguing against your point, but rather for it.

My contention is that the victors write the history books, and shape the debate for the forseeable future.

There's a lot of evidence that Churchill had advanced knowledge (MI5/6 were the best in the world) that Pearl Harbor would be attacked. Yet, he had, LITERALLY, the entire British Empire at stake (read that again. THE ENTIRE BRITISH EMPIRE AT STAKE). And he was head of state. So, if you were Churchill, WITH THAT REALITY FACING YOU, would you provide advanced notice to your would-be-allies??? Those same "allies" whom until then had a rather isolationist approach to another European War, at a time when the America First movement was sweaping the country??

OR, might you forgoe advanced warning, consider Pearl Harbor as collateral damage, and succeed in advancing the U.S. into the war, which you were losing rapidly???

That is my point. The winners write (dictate) the history books....... We absolutely have to be more sophisticated in our approach to conventional knowledge. Because, conventional knowledge is not a coincedence, but rather a priority by some. Think this through.

cf
Click to expand...

It still doesnt change history that Japan was the aggressor. There was Manchuria, China, Vietnam, Korea... etc.

Originally Posted by dr doze
Germany and Japan lost more people than the US and Great Britain in WW2. Yet they were and are considered the aggressors in that conflict. Just for the record.

I think that has something to do with them being the aggressors and trying to invade everybody than the victors re-writing history. How about comparing the casualty they did where the battlefields took place... like China.
 
Urge - are you ok??!

Political reasons come and go, look at QOL. Not to mention most opinion polls show the vast majority of respondents AGREEING with AZ's immigration bill.

For goodness sake, I live in AZ and am a minority and am HAPPY about it.

Less judgy, more worky?

I've heard about the casa grande job - nothing really bad to say about it. I live further south than that and love my job here.
 
Ya I've found it interesting that those who have experience living in AZ (specifically Phoenix) don't seem to displeased with the new law. Many of the more liberal residents aren't exactly happy but the biggest uproar over the thing is from those who live outside of AZ (armchair politicians😉).
 

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IlDestriero said:
They were not available when I was being hunted. Jaguar XK and Mercedes SL.😀
Click to expand...

Were you caught? 😉

TeamZissou said:
Hahahahaha, is it red?

If so you may as well get a bumper sticker announcing it👍
Click to expand...

Red is actually not a very popular color for them here, as far as I can see. I see more white and light colors. Mine is a very dark pine green with basketball color leather interior. My color is not available at local dealers so its *special*. 😀
 
pgg said:
Bet that's hot in the summer March - October ... 🙂
Click to expand...

Not really....or at least I haven't noticed. The AC works well, I park in a garage at the hospitals, and most of the time when I leave the office (where there isn't a garage), its pretty late and cooler outside. On weekends driving around I haven't noticed its any hotter...but on further reflection I realize I've never owned a light color car. Maybe I should try one and see if it is cooler. :prof:
 
Winged Scapula said:
Not really....or at least I haven't noticed. The AC works well, I park in a garage at the hospitals, and most of the time when I leave the office (where there isn't a garage), its pretty late and cooler outside. On weekends driving around I haven't noticed its any hotter...but on further reflection I realize I've never owned a light color car. Maybe I should try one and see if it is cooler. :prof:
Click to expand...

Heh, it's a huge difference. Simply put it takes your August dark green and makes it into a October dark green.

And black is worse.
 
Any Anesthesiology positions in Phoenix? Preferably Valley Anesthesia Consultants.
 
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