Sunshine State Anesthesiology- new HCA group in florida.

[deleted899865]

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Anyone have any insight into this new group that popped up on GasWorks? Appears to be HCA hospitals only. Looks like they may be bringing anesthesiologists in house. Does that mean they are kicking out Team health/Envision?

My guess is pay and benefits are terrible.

 

[Endee]

Team Health got kicked out and HCA took the group in house just like you suggested.

 

[Beach bum]

Anyone have any insight into this new group that popped up on GasWorks? Appears to be HCA hospitals only. Looks like they may be bringing anesthesiologists in house. Does that mean they are kicking out Team health/Envision?

My guess is pay and benefits are terrible.

The real question is was team health/envision compensation anything stellar???

 

[BLADEMDA]

The real question is was team health/envision compensation anything stellar???

Below Median pay for above median work. The pay is extremely low like 10-14 years ago type pay. This field is headed in the wrong direction in terms of Physician compensation. Good Luck

 

[castafari]

Don’t know what the docs compensation is but crna 200k plus profit sharing.

 

[IMGASMD]

Don’t know what the docs compensation is but crna 200k plus profit sharing.

So probably 250 with one weekend a month and Q3 and work post call days.
/s

 

[Yellow345]

Don’t know what the docs compensation is but crna 200k plus profit sharing.

Not for long... plan for HCA is to increase residencies and replace CRNA with anesthesia residents

 

[castafari]

They took over 11 sites, one of which already has a small anesthesia residency. Realistically how many more programs can they open ?

 

[Southpaw]

Realistically how many more programs can they open ?

Hopefully none. But that may not stop them from trying. Nothing good comes from flooding the field w trainees (see EM and Rad Onc for examples).

 

[Justice4all]

So probably 250 with one weekend a month and Q3 and work post call days.
/s

That is awful. Florida is not that attractive to tolerate that insult

 

[BLADEMDA]

That is awful. Florida is not that attractive to tolerate that insult

Pay is around $360 for Generalists vs $390 for Cardiac plus you get HCA type benefits. The Cardiac people typically only cover 1:2 or 1:3 (rare) so they have it much better than their non cardiac colleagues. But, they also have to cover Cardiac call.

 

[BLADEMDA]

They took over 11 sites, one of which already has a small anesthesia residency. Realistically how many more programs can they open ?

They will open as many as they can and fill them with bodies. The goal is cheap labor and to drive down the cost of hiring HCA attendings. For example, right now a new attending costs $360k plus benefits but in 4-5 years HCA is hoping to drive that down to $325k.

 

[IMGASMD]

Hopefully none. But that may not stop them from trying. Nothing good comes from flooding the field w trainees (see EM and Rad Onc for examples).

There is a thread on Reddit about a Midwest hospital let go of their np/pa to let unmatched students to work as assistant physicians. And at some point they get first dip for next years match.

I personally think even if HCA flood the market with cheap anesthesiologists, it’s still better than wasting time/energy/money to fight with nurses.

It may not sound great for people who are making 700k (by whichever means) but it certainly doesn’t sound bad for someone whose ceiling is probably high 4’s to low 5’s. Even as Blade suggests 325 to start. If I don’t ever have to deal with nurses in a Physician only practice with a “reasonable” life? (Location/work-life balance). I really would be happier.

 

[Southpaw]

There is a thread on Reddit about a Midwest hospital let go of their np/pa to let unmatched students to work as assistant physicians. And at some point they get first dip for next years match.

I personally think even if HCA flood the market with cheap anesthesiologists, it’s still better than wasting time/energy/money to fight with nurses.

It may not sound great for people who are making 700k (by whichever means) but it certainly doesn’t sound bad for someone whose ceiling is probably high 4’s to low 5’s. Even as Blade suggests 325 to start. If I don’t ever have to deal with nurses in a Physician only practice with a “reasonable” life? (Location/work-life balance). I really would be happier.

You're assuming MDs and CRNAs would compete for stool sitting jobs should there be a flood of MDs. That isn't the case in many areas, but it would certainly mean salaries would be driven down over time for anesthesiologists especially in hospital employed positions. Now, if there comes a time where CRNA positions are being advertised (openly or not) and lots of MDs are applying, then that changes the game a bit. But I've yet to hear of that occurring anywhere on a large scale.

 

[deleted126335]

You're assuming MDs and CRNAs would compete for stool sitting jobs should there be a flood of MDs. That isn't the case in many areas, but it would certainly mean salaries would be driven down over time for anesthesiologists especially in hospital employed positions. Now, if there comes a time where CRNA positions are being advertised (openly or not) and lots of MDs are applying, then that changes the game a bit. But I've yet to hear of that occurring anywhere on a large scale.

Agree. Didn’t happen in the mid 90s when there were lots of under employed docs. What happened then is doc controlled private groups were calling the shots and didn’t want a bunch of young hungry docs around looking to cut the old guys throats and the old guys certainly didn’t want to sit for cases. Especially since supervising 1-2 or occasionally 1-3 was the norm then. What’s different this time is that more docs are employed and employers of anesthesiologists might make a different call.

 

[IMGASMD]

Are we saying the numbers of nurses, midlevel out there doesn’t matter? It shouldn’t be part of the calculation? If it (number of crnas) matters, what do you all think is the right number? Too many of them, too few, just right at this moment in time?

If there are no crnas, or job prospect is so poor for them, one would want to go to crna schools. Then we wouldn’t be trying to fight at all fronts. Independent practice (because their line is, there aren’t enough anesthesia providers, or no one wants to be at BFE). Legislators about putting into law that crna needs to be supervised. Practicing my “soft” skills while cursing under my breath, and put on a smiling face.

Sure maybe the job prospect would be bad for a “while”. Flooding the market with better products at a lower cost doesn’t sound great. Compare the early 90, to early 2000s.....

 

[nimbus]

They will open as many as they can and fill them with bodies. The goal is cheap labor and to drive down the cost of hiring HCA attendings. For example, right now a new attending costs $360k plus benefits but in 4-5 years HCA is hoping to drive that down to $325k.

Sounds like EM playbook.

 

[chocomorsel]

There is a thread on Reddit about a Midwest hospital let go of their np/pa to let unmatched students to work as assistant physicians. And at some point they get first dip for next years match.

I personally think even if HCA flood the market with cheap anesthesiologists, it’s still better than wasting time/energy/money to fight with nurses.

It may not sound great for people who are making 700k (by whichever means) but it certainly doesn’t sound bad for someone whose ceiling is probably high 4’s to low 5’s. Even as Blade suggests 325 to start. If I don’t ever have to deal with nurses in a Physician only practice with a “reasonable” life? (Location/work-life balance). I really would be happier.

Could you please provide the link? Can’t seem to find it and I have a friend who never got through her residency who could use this.

 

[IMGASMD]

Here. https://www.reddit.com/r/Noctor/co...urce=share&utm_medium=ios_app&utm_name=iossmf

 

[chocomorsel]

Here. https://www.reddit.com/r/Noctor/comments/lvxejv/this_is_the_way/?utm_source=share&utm_medium=ios_app&utm_name=iossmf

Thanks