Somnia Anesthesia at Everett, WA?

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sky778

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Great pay, great sign on bonus. Decent hours. But CRNA independent (not sure how that works). Anyone have experience with the group? Please let me know thanks.
 
Review the Memphis convo to get an idea of the group.

They tend to come in and pick up places that are disasters. For locums sure, but I wouldn’t want to be part of that full time.

Also, I reviewed the advertised offer and I don’t see how that’s competitive in the market.
 
Gator7 said:
Review the Memphis convo to get an idea of the group.

They tend to come in and pick up places that are disasters. For locums sure, but I wouldn’t want to be part of that full time.

Also, I reviewed the advertised offer and I don’t see how that’s competitive in the market.
Click to expand...
Interesting! Also the advertised offer is 600k with sign on. Higher than other groups in the area for starting that is.
 
IIRC Somnia took over things at Everett almost 20 years ago, original model was something like this. No idea on long term, but guessing they are experiencing general labor market issues vs. wholesale department operations disaster.
 
secretasianman said:
Independent in everything but liability ? Can anyone speak to how any issues play out in court? Curious to know.
Click to expand...
They’re probably “independent” until something goes wrong. Then, ol’ “Dr. So and So”, who was “on backup call”, should have been available 5 minutes before, to help/etc. Surgeons and Gyns think they’re “experts” on anesthesia when they’re trying to push you to do a case. The second something goes wrong, it’s all “I’m not an Anesthesiologist. My training is in a different specialty, and I’m not qualified to make decisions about anesthesia! That’s the responsibility of the malpractice policy, er, specialist, over there!”.

If the hospital allows “independent practice CRNA’s”. Make SURE the CONTRACT states that the surgeons or the hospital are responsible for all liability regarding such “independent practicioners” (that THEY are independent of YOU).
 
secretasianman said:
Independent in everything but liability ? Can anyone speak to how any issues play out in court? Curious to know.
Click to expand...
If your name is on the chart you will be named if there is a lawsuit. I have family lawyers who have done medmal cases: they name every single person (nurse, tech etc) to get testimony. Then whoever has the most medmal insurance will be sued, anything over your medmal you're responsible for (typically over 3 mil) if it settles for more than that they go after personal assets. Most insurance companies settle, if 1/20 cases goes to trial and that one case settles for 10 mil it's easier to pay 100,000 to each; it's a numbers game for the insurers and law firms, it's easier for both to settle. I knew of an internal med doc who was being sued by a prisoner who was in for fraud, he had to fight his insurer to go to court and he won. It's a PITA for you who now has to report it and has it on their record for any job.

Some of the more egregious cases or more aggressive clients go to court. This is the dirtiest part, it takes the lawyers time/money for them to work a case and decide who to choose to go after, they get all your personal finance records if you settle or are found liable, they want a doctor with liquid assets, the courts decide the reasonable payment schedule (otherwise you're just paying them a monthly fee for the foreseeable future and they don't get the lump payout they want, but you can also forget about that vacation house). When I asked about it during my first few years as an attending my family member put it this way: you're fine, you've got a ton of debt and little liquid assets, in 5-10 years when your debt is paid and you have a house they can put a lien on it (yes this happens) and you can make monthly payment for the next 20-30 years, but the best is a close to retirement doctor who can sell their vacation home. It's dirty and also a business; this is why QZ billing is dangerous especially with cowboy/travel CRNAs who never call, you are the doctor on record, they'll call when their sats are in the 20s and blue, they will have called and trying to have a story that it was their clinical error won't matter, they're a nurse in the courtroom and you're the doctor there.
 
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That job has been posted for a few years now, which isnt a good sign.
I also wouldnt take that job.
$30/hour to hold the pager? thats 720 bucks for a 24 hour weekend call LMAOOOOO
That job needs to be $700 + 100k, 10 weeks.

Its nice that they have a 1099 option though.
Look at the pacific anesthesia job in Burien which is a little less drive time from seattle. youll get about 550k doing the average work. More if you take extra call. True PP. Just no sign on bonus.
 
Status Sciaticus said:
That job has been posted for a few years now, which isnt a good sign.
I also wouldnt take that job.
$30/hour to hold the pager? thats 720 bucks for a 24 hour weekend call LMAOOOOO
That job needs to be $700 + 100k, 10 weeks.

Its nice that they have a 1099 option though.
Look at the pacific anesthesia job in Burien which is a little less drive time from seattle. youll get about 550k doing the average work. More if you take extra call. True PP. Just no sign on bonus.
Click to expand...
I've gotten very smart about beeper call coverage.
We can't find CRNAs to even do $50/hr beeper plus time worked.

CRNAs are a lot smarter than docs when it comes to being paid. We had to work out a deal (everything is a deal these days) where they are on beeper for 12 hours but get credit for 8 hours worked the next day. Most of the time they rarely get called for OR in as I'm covering OB

So their beeper rate is 0.75 of their hourly rate if they are getting 8 hours of full credit for the next day without even working.
 
aneftp said:
I've gotten very smart about beeper call coverage.
We can't find CRNAs to even do $50/hr beeper plus time worked.

CRNAs are a lot smarter than docs when it comes to being paid. We had to work out a deal (everything is a deal these days) where they are on beeper for 12 hours but get credit for 8 hours worked the next day. Most of the time they rarely get called for OR in as I'm covering OB

So their beeper rate is 0.75 of their hourly rate if they are getting 8 hours of full credit for the next day without even working.
Click to expand...
agreed. that was the one thing i was neglecting. I would always look for the M-F no call locums jobs.
But I coincidentally found one and negotiated a 2k weeknight and 3k weekend call as second call.
so I get 3 second weekday calls during the weekday and 2 second weekend calls during the weekend. The calls alone add 12k per week while not even being on the hook to come in as first call. If i want to work and get that 500/hr callback rate, then I opt for first call.
 
Gator7 said:
Review the Memphis convo to get an idea of the group.

They tend to come in and pick up places that are disasters. For locums sure, but I wouldn’t want to be part of that full time.

Also, I reviewed the advertised offer and I don’t see how that’s competitive in the market.
Click to expand...
How is it not competitive? Other places I looked at pays less than 600k with 8 weeks vacation and similar work hours/call schedule.
 
Status Sciaticus said:
agreed. that was the one thing i was neglecting. I would always look for the M-F no call locums jobs.
But I coincidentally found one and negotiated a 2k weeknight and 3k weekend call as second call.
so I get 3 second weekday calls during the weekday and 2 second weekend calls during the weekend. The calls alone add 12k per week while not even being on the hook to come in as first call. If i want to work and get that 500/hr callback rate, then I opt for first call.
Click to expand...
You got that right.
The calls are the money ball

Even better is getting paid and low probability of getting called in.
 
Maverikk said:
If your name is on the chart you will be named if there is a lawsuit. I have family lawyers who have done medmal cases: they name every single person (nurse, tech etc) to get testimony. Then whoever has the most medmal insurance will be sued, anything over your medmal you're responsible for (typically over 3 mil) if it settles for more than that they go after personal assets. Most insurance companies settle, if 1/20 cases goes to trial and that one case settles for 10 mil it's easier to pay 100,000 to each; it's a numbers game for the insurers and law firms, it's easier for both to settle. I knew of an internal med doc who was being sued by a prisoner who was in for fraud, he had to fight his insurer to go to court and he won. It's a PITA for you who now has to report it and has it on their record for any job.

Some of the more egregious cases or more aggressive clients go to court. This is the dirtiest part, it takes the lawyers time/money for them to work a case and decide who to choose to go after, they get all your personal finance records if you settle or are found liable, they want a doctor with liquid assets, the courts decide the reasonable payment schedule (otherwise you're just paying them a monthly fee for the foreseeable future and they don't get the lump payout they want, but you can also forget about that vacation house). When I asked about it during my first few years as an attending my family member put it this way: you're fine, you've got a ton of debt and little liquid assets, in 5-10 years when your debt is paid and you have a house they can put a lien on it (yes this happens) and you can make monthly payment for the next 20-30 years, but the best is a close to retirement doctor who can sell their vacation home. It's dirty and also a business; this is why QZ billing is dangerous especially with cowboy/travel CRNAs who never call, you are the doctor on record, they'll call when their sats are in the 20s and blue, they will have called and trying to have a story that it was their clinical error won't matter, they're a nurse in the courtroom and you're the doctor there.
Click to expand...
It’s very rare for anesthesiologists to pay out of pocket for medical liability.
 
sky778 said:
How is it not competitive? Other places I looked at pays less than 600k with 8 weeks vacation and similar work hours/call schedule.
Click to expand...
My view of the market from personal experience and discussion with peers is average pay for a full time anesthesiologist is $600+ with 10 weeks vacation. And these jobs can be obtained with a good lifestyle as well.

So I’d say 600k, 8 weeks, and walking into probably a choatic situation and high supervision ratios is below market average.
 
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