That’s a valid concern, truly a terrible future if they do try to do that. Imagine an RN with a “specialty” cert in “imaging”
New non-academics job is already lined up.
This assumes that all mid level anesthesia providers desire independence and full spectrum of cases. This is not true, and has not been true. Just ask the crnas if they want zero backup and in room all day.
The current shortage is driven by lack of CRNA/AAs which will fix itself in a few years.
Do you think doctors will tolerate supervising higher ratios and not scale back/quit? Hasn’t held true in most practices. Certainly won’t help much at academic centers where no one will work if they are forced into 4:1 much less higher than that.
It’s the dirty answer but it’s the correct answer. It’s no different from professional athletes who make big salaries but are otherwise “service workers”
All directly hospital employed physicians should unionize. That’s the role the former private group which advocated for you.
I tend to disagree on unions for high skill workers. It drags down the averages and prevents anyone from standing out as more competent to demand higher rates or better practice conditions. I don’t want to be protecting the bottom feeders
Your last paragraph is interesting because that’s the very question I was asking in another thread about the advantages of being 1099. Given the perceived advantages it’s interesting that the majority of us aren’t ICs. I do agree with you that unions have pros and cons
Individual locums providers make far more than any partner physicians on an hourly basis. Whatever group benefit people get doesn’t appear to help them out earn the locums folks.
Unions in this case would only exist to protect the losers in these groups of workers. There is no difference in negotiating power compared to a regular anesthesia group in an individual hospital or hospital system.
Recency bias.
Was there a lump sum/buy out for partners to stay on? How many years? The original group is dissolved so there were no noncompetes or contracts to buy, right? Is new salary comparable to what partners were making? Hours less or more? Are there any terms in your new contract to prevent abuse of your hours if you begin hemorrhaging staff and want to leave yourself, but are committed due to buy out money? Thanks..
You seem insulted and angry. I apologize if I have offended you.
No buy out. Those days are long gone. The hospital as a non profit was up against fair market valuations with our salaries so we made some compromises. The partners will make a little less, the employees a little more. The partners will get an increase in baseline vacation by another week. My salary in 2025 won’t be as much as 2024 but it is what it is.
Can you go into specifics on the deal and area?
Sevos in Reno is the only one I know. Every other pp group I talked to or heard about had 2-3 year partnership tracks at a significantly reduced income.
There are at least two in Virginia (maybe only two). Ours, and last I looked Roanoke, are private groups with 1 year tracks and roughly financial parity from day one.
I wonder how much they playing the NYC / Boston post covid escapees from the city gamble. It’s quite the gamble but while seems some of these place may be hard to recruit on the surface, some younger folks or even midlife folks (raises hand) are starting kick the tires on that smaller town quasi rural-ish life.
Sure, but why not live in a better state than Massachusetts? Can get all that stuff in South Carolina, Utah or Georgia right?
We all have our preferences. I quite enjoy New England and for many reasons in spite of the tax bill would choose to live in that area of the country than those you listed, but to each their own.
We have tried but with minimal success. We do have some escapees from the concrete jungle paying less for their 5000sq ft home than they would for a 1000 sq foot apartment but we are just far enough away it’s not as tempting as you would think.
Midlife doc here who just left the big city grind for Florence Sc. Is that rural? Quasi rural? I’m not sure.
MA taxes aren’t as bad as many other NE states. The bigger problem is just that cost of living is so much higher which may or not be due to tax.
There are many rural areas in just about every state. Taxes are only one consideration.
Most of it is that outside of coastal northeastern areas, the cold weather is horrendous in the winter. Far worse winters in interior mass and upstate new York than in the coastal areas, and fewer of the benefits of the higher tax and cost of living in those rural places.
Fair enough, totally agree about the weather. I'm in Virginia and the few inches of snow we get per year are on the edge of what I can tolerate.
Exactly.
Pennsylvania is Philadelphia in the east, Pittsburgh in the west, and Alabama in the middle. aka Pennsyltucky.
I hear you. I’d like it to be more like The Office but I’m sure it’s more like Sons of Anarchy 😆
Only thing I really have heard about PA is that it's a pretty hostile place to practice medicine from a malpractice standpoint. (Based on hearsay and some studies showing the worst states to practice in for malpractice purposes) For example, living and working in small-town rural hospital, patient wants to sue for whatever reason (justified or not), case gets tried in Philadelphia (instead of in that rural area) where the juries are more likely to give a massive judgement to the patient.
www.rosenbaumfirm.com
Pennsylvania malpractice: Philadelphia and everywhere else.Only thing I really have heard about PA is that it's a pretty hostile place to practice medicine from a malpractice standpoint. (Based on hearsay and some studies showing the worst states to practice in for malpractice purposes) For example, living and working in small-town rural hospital, patient wants to sue for whatever reason (justified or not), case gets tried in Philadelphia (instead of in that rural area) where the juries are more likely to give a massive judgement to the patient.
Have a GI doc I work with who lives in PA and flies to Indiana to practice a week at a time specifically because of these sorts of things.
New Medical Malpractice Statistics by State
According to Medical Malpractice statistics from the past ten years, New York, California, and Florida have the highest amount of medical malpractice reports.
Wow.Only thing I really have heard about PA is that it's a pretty hostile place to practice medicine from a malpractice standpoint. (Based on hearsay and some studies showing the worst states to practice in for malpractice purposes) For example, living and working in small-town rural hospital, patient wants to sue for whatever reason (justified or not), case gets tried in Philadelphia (instead of in that rural area) where the juries are more likely to give a massive judgement to the patient.
Have a GI doc I work with who lives in PA and flies to Indiana to practice a week at a time specifically because of these sorts of things.
New Medical Malpractice Statistics by State
According to Medical Malpractice statistics from the past ten years, New York, California, and Florida have the highest amount of medical malpractice reports.
People who make ****ty graphs should be publicly flogged. Presenting data per state instead of per capita is dumb.New Medical Malpractice Statistics by State
According to Medical Malpractice statistics from the past ten years, New York, California, and Florida have the highest amount of medical malpractice reports.
