practice models

[militarymd]

---

Members don't see this ad.

There is this practice in Florida where there are 2 attendings who do all the preops....and I believe that's all they do....while the rest of the attendings just do the cases...like CRNAs.

Except at night when the person on call does actually get to be like a real doctor.

Any of you attendings/residents out there willing to take such a job?

 

[OB1🤙]

If I wanted to be in clinic all day, I woulda done FM.

I'd (almost) rather go back to managing my Taco Bell than doing nothing but preops all day.

 

[Pilot Doc]

Any of you attendings/residents out there willing to take such a job?

If I had a compelling medical issue (substance abuse, one arm, etc.)

 

[toughlife]

There is this practice in Florida where there are 2 attendings who do all the preops....and I believe that's all they do....while the rest of the attendings just do the cases...like CRNAs.

Except at night when the person on call does actually get to be like a real doctor.

Any of you attendings/residents out there willing to take such a job?

How much does it pay? 😀

 

[bigeyedfish]

There is a job like that near me at a GI clinic. The pay is well above average and all you would do is preops for scopes all day long, well, from 7 to 3. They can't seem to fill it.

Personally, I'd shoot myself if I had to only do preops all day.

 

[militarymd]

What about the position where you do the cases but don't do the preops?

One of my partners looked at the practice and came to me, but she knows some people who went to this job.

The preop ers are the owners...they make $$$. The schmucks doing the cases....well, they're the schmucks.

If anyone here works there...sorry.

 

[Noyac]

Well you know Mil, everyone has their price. I'd do it for the right money in the right location. Unfortunately, those numbers never come into play in these jobs.

Someone (owners) doing my pre-ops and me doing the cases is fine, until it isn't. If they do a good job (unlikely in the scenario you describe) then fine. If they clear someone that I disagree with then they can do the case.

 

[militarymd]

like you said...for the right money, I'll wash your car while I put the patients to sleep.

but I doubt the money will EVER be right for a gig like this.

The guys in the rooms are making money for the 2 guys doing the preop s....I feel sorry for them....that they can't get real jobs....

but i suspect they're also the kind of anesthesiologists who shouldn't be anesthesiologists.

 

[SleepIsGood]

How does this work though?

Is all they do preops? Or do they rotate?

If they rotate then I would totally get involved in something like this... I know anesthesiology is about high paced, acute, and quick thinking. However, I have to admit that I both miss and love talking to patients and having that 'extra' time with them. Let me repeat not to the extent that primary care docs do, but somewhere in between.

That's why if they rotate days I would love to do something like this. This way you also keep up to par your internal medicine skills and have some time away from the OR...

I think this adds value to the group as well. Surgeons would just send pts to your group for everything. They dont have to consult a 'medicine' doctor to get preop evaluation. Who better to give clearance than an anesthesiologist. I think this model definitely adds 'value' to the anesthesia group. Plus all labs and info would be easily obtainable since the information is all at one place (ie you dont have to call the PCP's office to fax over a copy of xyz lab or a copy of that echo/ekg).

 

[Noyac]

like you said...for the right money, I'll wash your car while I put the patients to sleep.

but I doubt the money will EVER be right for a gig like this.

The guys in the rooms are making money for the 2 guys doing the preop s....I feel sorry for them....that they can't get real jobs....

but i suspect they're also the kind of anesthesiologists who shouldn't be anesthesiologists.

Bingo.

You and I have both seen enough anesthesiologists that can only practice in this sort of group acting like a glorified crna. Locums is the other type of practice they are suited for.

 

[fakin' the funk]

You and I have both seen enough anesthesiologists that can only practice in this sort of group acting like a glorified crna. Locums is the other type of practice they are suited for.

I thought Mil was talking about the owner-preop-ers?

 

[militarymd]

I thought Mil was talking about the owner-preop-ers?

no...I'm talking about the losers who would work in a group like that where they just sit on stools at the direction of the 2 owners.

 

[thegasman]

in my practice supervising 4 crnas at a time I spend too much of my time dealing with preops and not in the or

 

[urge]

no...I'm talking about the losers who would work in a group like that where they just sit on stools at the direction of the 2 owners.

I don't think there is anything wrong with being the one on the stool. In fact I wish I got to do that every once in a while. There is no one bothering you. No beeper,no stat calls, no codes, no nothing. Just you and a book/internet. If money is decent I could do it. I could do the preops too, but if someone wants to fill out the paperwork for me I'm not going to complain.

Why do you say they are at the direction of the preopers? Are they being medically directed?

 

[militarymd]

I don't think there is anything wrong with being the one on the stool. In fact I wish I got to do that every once in a while. There is no one bothering you. No beeper,no stat calls, no codes, no nothing. Just you and a book/internet. If money is decent I could do it. I could do the preops too, but if someone wants to fill out the paperwork for me I'm not going to complain.

Why do you say they are at the direction of the preopers? Are they being medically directed?

not in the legal sense....but essentially have no input in planning the care of the patient.

 

[zippy2u]

Gig it up like this: 4 room ASC with 6 docs. Everyone rotates. 1 guy does the preops and other guy on vacation. Surgeons and anesthesia docs get paid cash, check or credit card from the pt. Let the ASC get paid however they want. We wrap up this whole ball of wax and set it down in the caribbean like maybe St.Kitts or St. Lucia. 300Gs guaranteed to start for each gas doc. Need hearty visionaries for this utopian practice model not staid, hospital sheepsters. Yo,Yo,Yo, Got Game? Regards, -----Zippy