So despite all these issues with Crna's are Gas docs still making 350K?

[Tenesma]

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Justin... you sound very unhappy...

1) you don't like the board exam process

2) you don't like anesthesia groups

what next.... you will start hating cute puppies?

I, personally, think partners are entitled to the extra money.... They had to put forth risk in order to create and grow a group, run an organization, pay the bills for the administration of said group, and maintain a relationship with the hospital in order to keep their contract alive.... no easy task... and the skimming off the top that happens as an associate before you make partner is technically not always "skimming"... Instead, it is a payment system for you to be able to buy into the group.

of course there are some groups that just massacre you...

 

[militarymd]

JD,

What groups are you looking at and where? I went through the interview process a couple of years ago before I got out of the Navy, and I looked all over the country.

Every group I looked at had short partnership tracks (1 year or less), and all were willing to treat me fairly very early on.

You need to be looking a little harder.

My group currently gives parity on day ONE....that's right....PARITY in profit sharing from day ONE....even to non-board certified folks...new grads, etc.

Fair groups are out there. You just need to look for it.

Administration of a variety of benefits can be cheaper in a group setting: health insurance, malpractice insurance, benefits plan, accountant costs, billing costs, pager/communication costs, etc.

 

[jetproppilot]

Hi Doctors,

First of all I am not a juris Doctor.. JD are my initials..............

Second, there are NOT plenty of hospitals that you can work independently. Absolutely NOT. All of the hospitals in my area and most areas are served by groups who have exclusive contracts with the hospital. WHich means, NOBODY can provide anesthesia services at most hospitals unless they are part of the groups in place. Try calling medical staff offices and saying if you can get on staff at the hospital as an anesthesiologist.. They will say call the group.
These groups typically have contracts with you and of course they low ball you big time. they extend your partnership track etc. and you have no choice if you want to work at a big hospital because all of them have similar set ups. So there is absolutely no going on your own. really sucks.. i would not have gone into anesthesia if i Knew this. .These are the things you need to know prior to selecting a specialty.

The way it should be is that you do a case and you bill for the case and you get reimbursed for said case. BUt the group bills for said case and typically return you 30-40 percent of said reimbursement whatever contract you signed. SO joe group partner is making money on you and he has not even done any of the work. Meanwhile you are working your ass off for peanuts compared to what he/ or she is making. ANd they say well we pay your health insurance and malpractice.. How expensive can that be? Just get your hands out of my pocket and business. These are serious things to think about. We are physicians because we worked hard and trained hard for it, and we should have the autonomy. These groups have you under their thumb. You have to clear almost everything with them, even probably when you can go to the bathroom.. so I think anesthesia groups is a BAD BAD thing for anesthesiologists and a good good thing for hospitals and surgeons. which is prob why they exist.. this is why i am independent going to the offices making about 250 doing it with about 10 weeks vacation and total autonomy. But i will never work at a hospital which sucks because I was very adept at doing the big inpatient cases..

MOVE TO ANOTHER AREA DUDE.
The group benefits far outweigh the tradeoffs. Wanna be a solo anesthesiologist? Great. Go for it. You're on call 24 hours a day, seven days a week. I'd rather work at Taco Bell. Again, there are MANY groups out there that will offer you a fair deal.

 

[zippy2u]

Justin, Relax you're gettin' too up tight bout all this. To make serious coin in anesthesia you use the groups to your advantage. First you gotta live in a community that has about 1 million people at least. The need for a solo anesthesiologist will probably be there. Talk to several groups and tell them you want to work part-time. Be rather accomodating. Your goal is to work part-time for several groups and get paid on a hourly rate like $200/hr. What is really sweet is pulling OB shifts supervising CRNAs at say $175/hr. Call at a non busy hospital may get you $120/hr. The cash register opens when you walk in the front door and closes when you leave. You don't for any reason go to any of those crazy dept. meetings, board meetings, etc. If the hospital wants you to go to a meeting , let them pay you $200.00/hr. to attend. No politics for you. Shun JHACO certification time- work in another hospital during this time. Don't ever bill for your own cases -way too much headache because nowadays you just spend time and resources chasin money that somebody owes you.Let the groups you work for deal with the billing nightmares. A bad week for me is if I don't bring home $8000 dineros. Think like an attorney and the money will flow. Regards ---Zippy

 

[jwk]

Justin, Relax you're gettin' too up tight bout all this. To make serious coin in anesthesia you use the groups to your advantage. First you gotta live in a community that has about 1 million people at least. The need for a solo anesthesiologist will probably be there. Talk to several groups and tell them you want to work part-time. Be rather accomodating. Your goal is to work part-time for several groups and get paid on a hourly rate like $200/hr. What is really sweet is pulling OB shifts supervising CRNAs at say $175/hr. Call at a non busy hospital may get you $120/hr. The cash register opens when you walk in the front door and closes when you leave. You don't for any reason go to any of those crazy dept. meetings, board meetings, etc. If the hospital wants you to go to a meeting , let them pay you $200.00/hr. to attend. No politics for you. Shun JHACO certification time- work in another hospital during this time. Don't ever bill for your own cases -way too much headache because nowadays you just spend time and resources chasin money that somebody owes you.Let the groups you work for deal with the billing nightmares. A bad week for me is if I don't bring home $8000 dineros. Think like an attorney and the money will flow. Regards ---Zippy

Ah, professionalism...........

At least you're honest about your motivation and intentions. Just don't expect much respect along the way during your career.

 

[toughlife]

Justin, Relax you're gettin' too up tight bout all this. To make serious coin in anesthesia you use the groups to your advantage. First you gotta live in a community that has about 1 million people at least. The need for a solo anesthesiologist will probably be there. Talk to several groups and tell them you want to work part-time. Be rather accomodating. Your goal is to work part-time for several groups and get paid on a hourly rate like $200/hr. What is really sweet is pulling OB shifts supervising CRNAs at say $175/hr. Call at a non busy hospital may get you $120/hr. The cash register opens when you walk in the front door and closes when you leave. You don't for any reason go to any of those crazy dept. meetings, board meetings, etc. If the hospital wants you to go to a meeting , let them pay you $200.00/hr. to attend. No politics for you. Shun JHACO certification time- work in another hospital during this time. Don't ever bill for your own cases -way too much headache because nowadays you just spend time and resources chasin money that somebody owes you.Let the groups you work for deal with the billing nightmares. A bad week for me is if I don't bring home $8000 dineros. Think like an attorney and the money will flow. Regards ---Zippy

Keep that info coming. The ability to know the system well is always number one priority for me. The more intricacies and details we know about the field , the more successful we can be in making things work in our favor. Always remember that knowledge is power!

 

[Monty Python]

Justin, Relax you're gettin' too up tight bout all this. To make serious coin in anesthesia you use the groups to your advantage. First you gotta live in a community that has about 1 million people at least. The need for a solo anesthesiologist will probably be there. Talk to several groups and tell them you want to work part-time. Be rather accomodating. Your goal is to work part-time for several groups and get paid on a hourly rate like $200/hr. What is really sweet is pulling OB shifts supervising CRNAs at say $175/hr. Call at a non busy hospital may get you $120/hr. The cash register opens when you walk in the front door and closes when you leave. You don't for any reason go to any of those crazy dept. meetings, board meetings, etc. If the hospital wants you to go to a meeting , let them pay you $200.00/hr. to attend. No politics for you. Shun JHACO certification time- work in another hospital during this time. Don't ever bill for your own cases -way too much headache because nowadays you just spend time and resources chasin money that somebody owes you.Let the groups you work for deal with the billing nightmares. A bad week for me is if I don't bring home $8000 dineros. Think like an attorney and the money will flow. Regards ---Zippy

This is a forthright and accurate suggestion of one way to have an anesthesia paycheck --- that is, until somewhere around 2010-2015, when our current "bubblegum and chickenwire" health care system totally crashes and Uncle Sam nationalizes our healthcare. At that point, we'll all be defacto employees of Big Brother.

 

[CambieMD]

Ah, professionalism...........

At least you're honest about your motivation and intentions. Just don't expect much respect along the way during your career.

My take on the on the OPs comments were that he found a way by which he could maintain a certain amount of autonomy and still make a decent living.

CambieMD

 

[jwk]

My take on the on the OPs comments were that he found a way by which he could maintain a certain amount of autonomy and still make a decent living.

CambieMD

My take was that he didn't want to do anything that didn't involve making money. No hospital obligations, nothing to do when JCAHO comes around, etc. He wants the cream, no less. Let someone else have the headaches - money is his only concern.

 

[Justin4563]

Ah, professionalism...........

At least you're honest about your motivation and intentions. Just don't expect much respect along the way during your career.

Ideas like the above is what they are banking on.. Its all about the cash.. Of course you take care of patients well. so you should be well compensated... One who accepts sub standard pay is substandard individual or clinician