Tachycardia Case

[2Fast2Des]

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That sucks, sorry you have to practice in an environment like that. It sounds like your group needs to elect an anesthesiologist with a spine to a chair position, who has the ability and desire to sit these surgeons down and actually talk to them as colleagues and not as a subservient invertebrate that does their bidding.

Maybe it is a culture thing, but I have been lucky enough to join a practice where most if not all surgeons are reasonable when it comes to cancelling/postponing cases for optimization and risk mitigation. Some will bitch and moan about it, sure, but ultimately they'll leave the decision to us.

Out of curiosity, are you part of a supervision practice or MD-only? I feel like one of the huge advantages of being in an MD-only practice is that you actually spend an inordinate amount of time with the surgeons you work with, so you get to know them quite well and develop a rapport with them both professionally and socially. That way, when you actually do have to delay/cancel cases, you aren't just some faceless, nameless person who is preventing them from hitting the links by 2pm.

The culture expected, even from the senior partners is to just put your head down and keep the line moving. We do own cases but the surgeons still complain no matter how long they have been working with the anesthesiologist. We do own cases so you would think they would get it that we work fast and want to do cases as much as they do but it has to be on their way only.

Do you guys in other PP groups worry about contract renewals or surgeons requesting not to work with you if they think you're not up to their unrealistic par?

 

[Urzuz]

The culture expected, even from the senior partners is to just put your head down and keep the line moving. We do own cases but the surgeons still complain no matter how long they have been working with the anesthesiologist. We do own cases so you would think they would get it that we work fast and want to do cases as much as they do but it has to be on their way only.

Do you guys in other PP groups worry about contract renewals or surgeons requesting not to work with you if they think you're not up to their unrealistic par?

That's totally bizarre. I can imagine a couple of surgeons having that kind of Jekyll-and-Hyde two-facedness, but for it to be engrained in the culture of the group/hospital is weird.

We don't worry about it much, we have had our contracts for decades (50 years+) so don't feel in danger of losing them anytime soon. Additionally, we have members of our group in plenty of leadership positions in the hospital (e.g.: OR medical director) so that helps.

 

[2Fast2Des]

That's totally bizarre. I can imagine a couple of surgeons having that kind of Jekyll-and-Hyde two-facedness, but for it to be engrained in the culture of the group/hospital is weird.

We don't worry about it much, we have had our contracts for decades (50 years+) so don't feel in danger of losing them anytime soon. Additionally, we have members of our group in plenty of leadership positions in the hospital (e.g.: OR medical director) so that helps.

We do too, even with all the committee and leadership positions our guys are in the hospital and directing the surgicenters, tis the game I guess...