Side Gigs

[Speed Racer]

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Hello Colleagues,

It has been on my mind for a bit that while medicine for all its warts is a great career. However, as the physician you are only getting income during the hours you are working. That being said, I think it would be interesting to see what are the different ways some of the SDN members get involved in side gigs and what their pro's and cons are.

I have added a poll for those who wish to remain anonymous. Select as many as you wish

SR

 

[diphenyl]

I actually used to help develop airway rescue devices for can't intubate/can't ventilate pt's

 

[suckstobeme]

Wanna get rich? All you need is a bedazzler and a dream.

 

[xaelia]

My side project is nominally money-making from Adsense...but at the moment, it's more like The Money Pit with the last phase of the redesign getting bogged down....

 

[BADMD]

I do floor consults, outpatient consults and some hyperbaric work.

 

[wobit]

I do floor consults, outpatient consults and some hyperbaric work.

Gah. I had this nightmare last night that the inpatient folks had decided that the EM folks were clearly best prepared to manage not only codes (as I hear they do in some community hospital), but any emerging complaint such as new chest pain. So part of my 4th year EM rotation would now include wearing the consult pager to get called up to the floors to differentiate between ACS and GERD, and then having to confer with the primary team and leave a detailed consult note. I woke up wondering if I really wanted to do EM after all ....

 

[southerndoc]

I've considered becoming a proceduralist. Seriously, it's got to be a nice gig doing nothing but central lines, intubations, LP's, paracentesis, thoracentesis, chest tubes, etc. all day long!

 

[Speed Racer]

I've considered becoming a proceduralist. Seriously, it's got to be a nice gig doing nothing but central lines, intubations, LP's, paracentesis, thoracentesis, chest tubes, etc. all day long!

Do you have to take out everything you put in? Do you become the owner of that device....not that I would imagine its difficult but we don't get much training in that.

I wonder if we can do conscious sedation or nerve blocks for cosmetic/dental procedures? Just a thought....

 

[southerndoc]

Do you have to take out everything you put in? Do you become the owner of that device....not that I would imagine its difficult but we don't get much training in that.

I wonder if we can do conscious sedation or nerve blocks for cosmetic/dental procedures? Just a thought....

Not sure. The proceduralist concept is a new one. I've only read about it.

I wouldn't care to take things out.

I have a feeling IR will be the proceduralists at most hospitals, although if IR is anything at your hospital like it is at mine, they are already overworked.

 

[Jeff698]

I wouldn't care to take things out.

I have a feeling IR will be the proceduralists at most hospitals, although if IR is anything at your hospital like it is at mine, they are already overworked.

Taking things out also wouldn't pay much since these are bundled charges. Not much incentive there.

IR at our place does most everything. LPs? IR. Central lines? IR. All manner of feeding tubes? IR. Lacs to scalp from in-hospital fall? OK, that's still me. At least I found out that our hospital does exist above the 2nd floor.

Take care,
Jeff

 

[AmoryBlaine]

Not sure. The proceduralist concept is a new one. I've only read about it.

I wouldn't care to take things out.

I have a feeling IR will be the proceduralists at most hospitals, although if IR is anything at your hospital like it is at mine, they are already overworked.

Not to hi-jack the thread but I've heard of this too. I think it will become more popular in the future. Our colleagues in IM and FP are (through no fault of their own) just not getting the training in invasive procedures.

 

[southerndoc]

Lacs to scalp from in-hospital fall? OK, that's still me.

Never thought about who takes care of that.

 

[gutonc]

Not to hi-jack the thread but I've heard of this too. I think it will become more popular in the future. Our colleagues in IM and FP are (through no fault of their own) just not getting the training in invasive procedures.

At least in IM training, none of these procedures are required any longer for completion of residency. PIVs and Pap smears, yes, central lines and intubation, no.

 

[Jeff698]

Never thought about who takes care of that.

Neither had I until I got the call. I sort of assumed everyone could take care of scalp lacs. Probably like all specialists automatically assume all doctors could take care of things in their specialty.

Take care,
Jeff

 

[Speed Racer]

I do floor consults, outpatient consults and some hyperbaric work.

Could you quantify/qualify the hyperbaric work and consults? Its always interesting to hear what our colleagues do outside of the ED.

 

[BADMD]

Could you quantify/qualify the hyperbaric work and consults? Its always interesting to hear what our colleagues do outside of the ED.

I've completed a fellowship in Toxicology. So I do floor and rare outpatient consults. Right now I'm getting paid a flat rate for that, which I'm hoping to change. I'm only doing that 4 days a months.

As part of fellowship I took a hyperbarics course. The hospital gave me privileges after that. I've been taking emergency call for them for several months. This month I'm handling routine hyperbarics for 3 days and emergency call one day. Pay is "you eat what you kill".

All this is in addition to my protected teaching time and 120 hours worth of ED shifts.

 

[JaggerPlate]

Isn't high volume of procedures the way to make good money in medicine any more?? It seems like someone who is a proceduralist just be doing all the high paying things, skipping the low paying gigs and making really good money??