Yes with maybe 3 EM shifts a month just to keep that skillset
If I had to choose between that and back to the pit it would depend on hours, call, and (by far most important) the surgeon/group.
Would there be the chance that enough skills are learned to lead to an independent practice in cosmetics?
I would not take a 50% pay cut to do something that I would likely enjoy less than my current work.
Oh wow. Yeah this is the question to ask. Wow.
I work some 24s to fill in. I’ll simply say it is boring. You can get a ton of stuff done. It’s not my favorite cause the pay isnt ideal for me. When you are seeing 8-12 patients per 24 there is a ton of sleep to be had. If you work 4 days a month you have 26 or 27 days off most months.
My father-in-law is an OBGYN who is getting up there in years. He sold his practice to another OBGYN but didn't want to retire yet, so he works 4 days/week purely in the office. No call, no OR time. Makes decent money for that amount and type of work and gets to keep working while funneling more patients who need surgery to the younger guys. It's to his mind a huge win-win for everyone involved.
100%. I remember taking a moonlighting gig out of state in residency and picked a rural single coverage ED in the middle of nowhere thinking it would be slow and easy. I can't count the "oh sh**" pucker moments while working that ED my last 2 years. Much respect for those places. Definitely where the cowboys live.
I would never do it. Just not my thing. I know a doc who finished her internship, never finished a residency, and is doing exactly that for an ENT who has a mostly cosmetics practice. Works for her. We had to create a special set of credentials for her as she wasn't a midlevel but she also couldn't qualify for ENT credentials. Dug some old GP credentials out of the filing cabinet I think. Only issue was how she introduced herself when rounding on patients in hospital. Introduced herself as Doc X from ENT. Which bothered some people on the medical staff.
I do some rural. I don't always sleep but I do thinks its fun. I get to do everything. Don't forget standard of care is based on what can be done at your facility not based on what can be done at the medical school 150 miles away. Plus I figure they might be better off with me as their doctor than some of their alternatives.
Well, that was me (as many staffers told me, during the day). However, when the nursing staff was beyond useless (esp at night), it was difficult to do this.
Standard of Care is based on whatever a plaintiff's attorney can convince a jury of your "peers" is standard of care
Which is why the vast majority of malpractice suits are in favor of the physician…. It is pretty hard for them to prove it was violated, if after whatever their ridiculous expert witness says, the defense, expert witness can often be much more convincing
The vast majority of malpractice suits settle out of court. The ones that make it to court are the ones plaintiffs have a hope shot for winning or go after big judgements.
And doctors still win 5/6 that do go to trial.
The counter view regarding claims that make it to court is that they are even more frivolous because the malpractice carriers appropriately believe that the suit is meritless and completely worth fighting. The fact that most physician defendants win at trial proves this correct.
Oh, def not doubting or discounting that!
