I was wondering what the state of anesthesia in Florida is. Is the pay/lifestyle good for a practicing physician, and are there good residency programs at UF, Miller, or USF
Practicing Anesthesia in Florida
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Florida is like any other state. Good and bad jobs.
Doesn’t even seem like you are even a resident. So I wouldn’t even think about local job markets if you are 4 years out from even thinking of becoming an attending.
Residencies UF Gainesville and um have been around a long time.
Use hca residencies as backup programs.
Doesn’t even seem like you are even a resident. So I wouldn’t even think about local job markets if you are 4 years out from even thinking of becoming an attending.
Residencies UF Gainesville and um have been around a long time.
Use hca residencies as backup programs.
NicholasPavona
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Graduate from med school first kid.
Things are changing so rapidly. I don’t know what I’m doing every 90’days. And I have a full time w2 job.
Thanks guy
Florida sucks unless you are old or old and rich
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Land of the newly wed and nearly dead.
NicholasPavona
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No problem pal.
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This is such a hard question to answer because your question is so vague.
The market is different from other states, but also varies widely between cities in terms of who the big employers are: Private Equity, hospital systems, smaller surgicenters/etc, group/etc. Overall, compensation is going to be "OK" but only because of the lack of state income tax, which is offset by high property taxes and insurance. It'll be a bit lower than other parts of the SE due to its perceived favorable location.
I don't know of many MD-only jobs unless you are doing adult cardiac, but I'm sure some exist if that's what you want. It does seem fairly heavy on AA/CRNA medical direction, which can be OK depending on the hospital and work environment.
Regarding residencies, I believe the more established ones you mentioned will set you up well; I would avoid anything related to HCA because I worked at an academic hospital that inherited a few from a previously failed program and they were WAY behind when they came in as CA-2s.
Tampa proper has a program in the works which I would avoid, and Tampa General. The latter is a department where attendings supervise at a 4+,6/8? ratio so I'm not sure how they can staff rooms with residents and stay in compliance. Case acuity and complexity are high there, however.
property taxes vary by each Florida county.
Overall it’s not bad. Around 1.5% for a “new” homeowner of real purchase sale price in most urban counties.
Some counties as low as 0.8% of real new 2025 purchase real value I mean the actual price u purchased in 1025. Some counties can be high as 1.6-1.7%.
Florida has portability laws plus homestead laws for
Primary homes (which is where it differs from California). Property taxes reset if you give it up as a primary residence (u can move from area to area in Florida and still maintain tax benefits as long as it’s ur primary home)
But Florida has higher insurance like car and homeowners cause lots of insurance scams going on. Many car owners purchase the bare minimum 10k property tax damage which doesn’t cover most car accidents. That increases the premiums for everyone.
And Florida has lots of hidden fees like the stupid 13-14% “telecommunications tax” aka streaming internet tax. So while the sales taxes is 6% (6.5-7%) depending on county tax supercharge
Lots of hidden taxes and increased insurance premiums.
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The details matter, but I stand by my statement that depending on what you buy and where, the purported "no state income tax" isn't as big a benefit as it seems when you factor in those costs. My auto insurance literally tripled and I'm not willing to go with another agency than USAA whose customer service has always done right by me. I couldn't even get a quote from some of the AFLAC/All State type agencies as they flat out refused anyway.
Regarding homeowner's, you're right in that there are ways to mitigate your bill, but in the end, you're paying for most likely ****ty homeowner's and flood policies from companies you have never heard of, that will most likely be insolvent in the case of any future major disasters.
Again, off topic, as the OP was asking about FL jobs and residencies.
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Generally, Florida pay has been low in the desirable cities. In undesirable areas, the pay is so-so. Locums people are able to do fine playing that game.
Midlevels everywhere. USF’s “nurse anesthesiologists” running the show is a great example.
There’s an abundance of PE owned groups, although more hospital employed anesthesiologists recently.
If my future life was geographically limited to Florida, it would make me less inclined to choose anesthesiology as a speciality.
There are a lot of residencies. Plenty of them are at least good enough. HCA as a backup is good advice. There’s always a push and pull between providing education and extracting labor, but the HCA setup is especially prone to favoring labor.
Midlevels everywhere. USF’s “nurse anesthesiologists” running the show is a great example.
There’s an abundance of PE owned groups, although more hospital employed anesthesiologists recently.
If my future life was geographically limited to Florida, it would make me less inclined to choose anesthesiology as a speciality.
There are a lot of residencies. Plenty of them are at least good enough. HCA as a backup is good advice. There’s always a push and pull between providing education and extracting labor, but the HCA setup is especially prone to favoring labor.
Florida paid well up to the mid 2014 era. The massive buyouts in urban and suburban cities of orlando Tampa and Jacksonville and even the smaller panhadle Tallahassee area drastically reduced the income potential. Partners made 600-900k in most of those buyout areas. Many uneven partnership made 1.5 million plus working 40-45 hrs week. Jr partners made 1 million. Lots money being spread around 2000-2012 era.
Miami-palm beach always been an enigma to be the last 25 years. Pockets of good paying jobs over the year. (600-800k before the amc monopoly) driving w2 salaries to high 200s/low 300s in 2015.
A few sold out of private equity like mednax in FLL. Sheridan started down there. Payor mix has been so so especially being a retiree state so tons of Medicare in south Florida but it has lots of younger people these day.
Most of the regular w2 jobs these day average 45 hours including calls is around 500-550k and 8-10 weeks off before extra pay incentives. (So most w2 docs make 600k with extra pay)
How much is it in other states? With amc driven? Or employee of hospital?
My friends in upstate New York with Napa hit around 700k with their extra pay but 8% state income taxes ($600k base pay)
Is that that much more different?
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Lower pay than other regions of the country, poorly designed highway infrastructure with too many people can lead to long commutes, very dangerous for bicyclists and pedestrians, highest auto insurance rates in the country due to a high percentage of uninsured in traffic accidents and the sheer number of accidents (74/day in Pinellas County alone), high home owners insurance with roofing insurance scams epidemic, home costs are extremely high directly on the coast and many tiny box houses sell for millions on the coast. Hurricanes can be an issue, especially directly on the coast that can wipe out homes completely, usually from flooding. Benefits: sunshine sunshine sunshine! No state income taxes. Reasonable med mal insurance costs. Excellent strategies available to protect property and funds from malpractice or civil lawsuits (unlimited amounts protected by owning property on <0.5 acres in an incorporated area or up to 120 acres in an unincorporated area, use of tenant by entirety forms of bank account and property ownership, retirement accounts, etc.).
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Can anyone that is familiar speak about the medical malpractice laws of Florida and why they are considered to be notorious and/or bad? Compensation aside, I do have family that moved to Florida and would consider moving there in the future. I am currently in a MD-only model on the West coast and I understand Florida tends to be mostly a AMC run, CRNA-supervision model but any glaring differences otherwise from a day-to-day perspective compared to other states in the South?
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Can anyone speak to the chronic pain market in Fl?
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I do surgery center locums and only supervise CRNAs once every three months for a day. Medium and Large size hospitals are almost all CRNA supervision, but lately I have been assigned to do my own cases occasionally in hospitals. Regarding malpractice laws, the legislature weakened the law making it easier to sue for a gazillion dollars, but if asset protection is used via primary home, bank accounts and retirement funds set up properly, then they can only go after your assets outside those areas. Investments in a irrevocable trust are also protected completely if the trust was set up and funded prior to the act triggering the malpractice suit. Investments and assets in the spouses name are not protected and neither are foreign accounts, LLCs or corporation assets. Many docs in Florida have low malpractice coverage (250/750k) or no malpractice coverage- a situation that must be covered by effectively a bond by the physician.
Hit or miss. Florida is a big state. Some friends make 1.2-1.5 million. Some friends make 600k with pain. All of them work 4 days a week. Some days can drag to 6-7pm in those 4 days. Off Fridays. Depends on the practice structure if you one shares of surgery center you are good to go
Nothing is given. You gotta hustle. Many hospital employed pain docs start in the 400k range plus rvu incentives and its and escalator clause year 1 and year 2 etc. so you can make 1 million plus being hospital employed but its not immediate.
Very few people setup up irrevocable trusts as they are still living and want to maintain control of their assets.
Agree with homestead asset protection and Florida actually strengthened laws on retirement accounts like sep ira years ago (which used to not be protected) unlike employer 401k which are asset protected
I stopped putting any more new money into my taxable accounts 2 years ago. Everything is into mega backdoor Roth and standard pretax or post tax Roth 401k/403/457b and pretax 401a accounts or my kids 529 accounts.
