For those weeks on, how many hours do you think you log on average? And is there a typical day such as show up at 8am and leave at 6pm? And shorter on weekends?
Thank you for sharing! How often are you getting calls at night? Do you have PTO built into your contract? How hard would it be if you wanted to take extended time off (> 1 week)?
region?
Wow, that's great pay. This might be a silly question but do you get to pick your schedule for locums? Also, what region are you in?
That's a great set-up. Are these TeleNeuro shifts Telestroke? Outpatient? And is your research affiliated with an academic institution or private? I'm wondering how you were able to make this work.
Thank you so much for this thoughtful and insightful reply. Navigating the job market is not something we are taught enough of in our training and reading posts such as this provides invaluable insight into locums (I'm sure others would agree). A few questions:
All "Emergency TeleNeuro", no scheduled patients / outpatient. My research is at a major academic institution.
Interesting that you have a mix of inpatient and outpatient with an M-F schedule. Is that q2 weekend call common? Has that been sustainable for you?
I asked if this was possible a while ago on here, and the response I got back then was that it wasn’t possible to do research at an academic institution while doing telestroke as an independent contractor because the academic institution would put a non compete. Did you have a similar experience, and if so how did you circumvent it? Because this honestly sounds like a dream in terms of % of time in research and pay.
I show up to work at 9-930 and leave before 3 most days. I do a lot of charting and note writing from home tho. Still put in about 10 hours a day including time spent on answering phone calls from the ED
Negotiate everything up-front. Many centers have strict non-competes, many do not. I am appointed in a non-clinical, basic science academic department, which means they could care less about how their people do independent contracting work, as long as it does not interfere with research. My department is concerned with which researcher is doing IC work that will lead to a billion-dollar device, not with a doctor doing some clinical work to keep her credentials active.
On a daily basis, my volume is not super high. And we have tele stroke set up, so the hospital/ER doesn’t page me much in the late evenings/overnight.
450k starting off just as a neurohospitalist is rare but possible. One of my friend pulls 450, but has a census over 20 daily. Another friend does 10-12 patients in the morning as inpatient and other 8-10 in the afternoon in clinic. Also reads few EEGs/Sleep studies weekly. Did close to 9000 wRVUs. He got paid around 500k. But 350k +/- 50k are the typical offerings for new grads.
I wonder if that was me lol.
Got two offers straight out of residency for gen neurology outpatient in SoCal without nights or weekends. 300-350k plus benefits and a generous PTO time
That is cush!
Haha sorry! These posts provide some glimmer of light at the end of the tunnel for me.
Hey bro, did you decide not to go with a fellowship? I noticed you're already on the market for jobs, and if I'm not mistaken, you just graduated residency, right? If so, what made you go that route? I know the extra year of training is daunting, and I'm also undecided whether I wanna do a fellowship or not.
I’ll PM you
WOW... that's a great set-up!
whats the patient load? Also how many EMGs would you say you do a week?
16-24 pts a day. 2-5 EMGs a day.
That seems alot. I hope you are >400k+
I’m glad you’re happy with your job
I see. Missed that. Then makes sense.
correct. I don't feel that undervalued. Currently employed but option to move to eat-what-you-kill model later. bonuses make up the differences. Anticipate making 400-700 in a few years.
That's true but the trend I've been seeing is these large corps buying out the little guys. Starting your own practice comes with more stress such as the overhead and hiring/managing other employees. Even with these flaws, I believe it's worth it (especially if you can add something extra to your practice eg blocks for migraines and maybe build a niche practice?)
Starting your own is hard. But every city has some group of independent physician owns practices. Join those.
