I am currently in my second year working as a Cardiologist on a salary with a private group. I have noticed that most other Cardiologists are on an RVU like system. To those of you who work for RVU's, what has your experience been? If you work at a busy hospital do you typically meet and maybe exceed what is required of you? What are typical salaries starting / 3 to 5 years out? Ive seen numbers online but they often seem exaggerated.
How do you feel this will play out long term. If there are experiences from both non-invasive and interventional docs, I would appreciate it.
Depends on a lot of factors obviously...
Salary usually is easier work at the expense of a ceiling for a salary. So better for older guys, guys that don't want to work as hard, those who want 6-10 weeks off, ect..
RVU models vary. I'm in a strict RVU pay only. I get a set dollar amount in my psa with no other support. So strictly eat what u kill.
The salary guys in my neck of the woods make 450-600 + benefits with range of 6-12 weeks off per year. The general guys make very similar to IC and EP so they're benefiting from this tremendously. But I know of some very busy IC who feel they should be making much more and are disgruntled.
I'm young and busy and with my RVU payout I can hit in 800-1 million zone, something I couldn't do in a salary model at the expense of no benefits, limited time off and a hustling work model (round, cath, clinic, cath, back to clinic, ect)..
With that said the strict RVU only payouts will likely all be phased out over the next 3-5 years I believe. Mine is going away in 18 months. They'll use the cms/macra "value based" payment as the reason so assume more and more will be salary.. Which I'm personally against due to the downward slope that usually entails over time..