The Jobs List

Discussion in 'Emergency Medicine' started by Old_Mil, May 18, 2016.

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  1. Old_Mil

    Old_Mil Senior Member 10+ Year Member

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    Every year, a large number of match threads are resurrected by medical students who are trying to figure out where to apply, where to interview, and how to create rank order lists. Unfortunately, the guidance these poor souls get as they move from medical student to medical resident to attending gets increasingly sparse.

    Would anyone else be interested in adding - anonymously of course - information to a crap jobs list? This will save graduating residents and our fellow attendings a lot of grief when it comes to avoiding places where you wouldn't condemn the career of your worst enemy.

    Who knows, if it becomes increasingly hard to staff these rogue departments the powers that be might actually have to make positive changes to their work environments.

    A good way to start would be to head to practice link and discuss open positions in states where you live, work, went to residency, went to medical school, or are otherwise familiar with a specific situation through colleagues or by interviewing there.

    Thoughts?
     
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  3. RustedFox

    RustedFox We're all stars now. In the GOAT RODEO. 10+ Year Member

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    I'm in.
     
  4. Old_Mil

    Old_Mil Senior Member 10+ Year Member

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    Iowa (I went to medical school here and have several colleagues who continue to work in the state. All my comments below are offered as personal opinions only.)


    Excellent Emergency Medicine Opportunity in Iowa
    Physician-Emergency Medicine
    Ottumwa, IA
    Ottumwa Regional Health Center
    ORHC is a dumpster fire and has been for years. The hospital is perpetually understaffed at every level and they change management teams like absorbent pads. Add to that a depressed midwestern city with a disproportionately large psych population, decent amount of crime, a significantly-higher-than-average medicaid population, and average at best pay and ORHC becomes a sort of poster child for "this is a place you really don't want to work."


    Emergency Medicine Opportunity in Idyllic Iowa
    Physician-Emergency Medicine
    Marshalltown, IA
    McFarland Clinic Marshalltown
    If you enjoy trying to move the meat in a department where you will be using the translator phone for the 10% of your patients who speak Hmong (or if you are fluent yourself), Marhsalltown wouldn't be a terrible option. For those who don't, I wouldn't expect to make any sort of metrics unless you're a translator-phone ninja.


    Emergency Room Physician Opportunity - Jones Regional Medical Center - UnityPoint Clinic - Anamosa,
    Physician-Emergency Medicine
    Anamosa, IA
    Jones Regional Medical Center
    Rural hospital in NE portion of the state. Besides that, in the immortal words of Sgt. Schultz, "I know nothing."


    Emergency Medicine openings in Eastern Iowa
    Physician-Emergency Medicine
    Davenport, IA
    Genesis Medical Center
    Davenport is on the Illinois border and so you see patients who come from the relatively litigious culture present in that state. Fortunately since the hospital is in Iowa, any malpractice suits that would be filed would be filed and fought out in Iowa courts. This provides questionable benefit since Iowa itself has few if any protections for physicians and the medico-legal benefits of practice in this state rely (as does Minnesota) on cultural factors. Aside from that, Genesis is busy two-campus high acuity hospital that seems to be perpetually recruiting. Pay that does not adequately reflect the volume and acuity of the facility is part of the problem, the other is that Davenport shares some of the demographic problems I mention in the comments on Ottumwa.


    Physician needed to join our ED team in Council Bluffs, Iowa.
    Physician-Emergency Medicine
    Council Bluffs, IA
    Alegent Health Mercy - Council Bluffs
    On the western edge of the state on the Nebraska border. Otherwise, no info.


    EMERGENCY MEDICINE in Marshalltown, Iowa
    Physician-Emergency Medicine
    Ames, IA
    McFarland Clinic
    Ames is actually a pretty kickass town to live in if you're interested in working and living in a midwestern college town. Its close proximity to Des Moines ensures that you have decent retail and travel opportunities and the presence of Iowa State University brings sporting events and concerts to town. I don't know anything about the practice itself.


    New Emergency Medicine Opportunities in Des Moines
    Physician-Emergency Medicine
    Newton, IA
    Skiff Medical Center
    Newton is about an hour northeast of Des Moines. Once the former home of Maytag, it is now one of the many NAFTA related corpses that litter the midwest. Newton is staffed by Emergency Practice Associates, a local 1099 outfit that staffs multiple critical access (and a few other) hospitals in the region. Generally, they don't pay well and will staff facilities with pretty much any warm body they can find. If you have to be in Newton for a family related reason, it might be worth looking at. Otherwise, there's nothing about this listing that should draw your attention.


    Work in a New, State of the Art ED (With Scribes, Hospitalists, and Mid-Level Support!)
    Physician-Emergency Medicine
    Dubuque, IA
    UnityPoint Health - Finley Hospital
    Dubuque is a town in transition. It used to be one of the nicest Mississippi river towns around (admittedly a very low bar for reasons not entirely clear to me). Unfortunately, there's a very active policy to move section 8 housing recepients from inner city Chicago to Dubuque. The end result - crime and medicaid - aren't unexpected. Add to that a staffing model that involves partial single coverage and just shy of 3 PPH and it's a shop worth staying away from. I've heard that UnityPoint facilities aren't particularly doctor friendly, if the staffing model at Finley is reflective of a broader philosophy at UnityPoint, that is probably true.


    Flexibility with Manageable Volume - Near Iowa City and University of Iowa
    Physician-Emergency Medicine
    Mt. Pleasant, IA
    Henry County Health Center
    Rural single coverage hospital. Pays well, but has some of the same demographic challenges as the practices in Ottumwa and Davenport though not to the same extent. Town is sort of dumpy, but if you want to be in a lower volume midwestern ED you could do worse.


    Emergency Department Physician Needed in Waterloo, Iowa
    Physician-Emergency Medicine
    Waterloo, IA
    Allen Memorial Hospital
    Another EPA staffed facility, Waterloo is the home of John Deere. It's the biggest hospital between the University of Iowa's Trauma Center in Iowa City and the Mayo Clinic in Rochester. The University of Northern Iowa is nearby. Not nearly as nice a town as Ames, but it wouldn't be a terrible place to live and work except that like all EPA facilities expect to be paid significantly below your market value.

    Who is next? We might need a few people to tackle large states with many listings.
     
    Dre8, racerwad, FroggerMD and 4 others like this.
  5. Old_Mil

    Old_Mil Senior Member 10+ Year Member

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    Mods, perhaps you could change the title from "the crap jobs thread" to "the jobs thread" and make it into a sticky...
     
    FroggerMD likes this.
  6. RustedFox

    RustedFox We're all stars now. In the GOAT RODEO. 10+ Year Member

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    I love the format.
     
  7. medic4lyfe

    medic4lyfe

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    Posting to subscribe.
     
  8. TimesNewRoman

    TimesNewRoman 2+ Year Member

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    As much as I love this idea, I worry that bad mouthing a hospital or EM group (even if what you're saying is 100% true), could get you knocked for defamation.
     
  9. Chip N Sawbones

    Chip N Sawbones Ship's Carpenter 5+ Year Member

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    That's why you do it anonymously by sending your hospital reviews to the OP in a PM. He will then post them on your behalf. This happens all the time in the residency review threads. If Mil won't make anonymous posts for you then I will.
     
    FroggerMD likes this.
  10. Chip N Sawbones

    Chip N Sawbones Ship's Carpenter 5+ Year Member

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    double post
     
  11. WilcoWorld

    WilcoWorld Senior Member 10+ Year Member

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    I've been told that Jones Regional is actually a rather nice place to work, but I have no personal experience with it.
     
  12. Old_Mil

    Old_Mil Senior Member 10+ Year Member

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    I would say:

    1. If you're a resident, don't say anything at all outside of what you may learn in the recruiting process.

    2. If you're an attending don't say anything about your current employer as you may have contractual obligations to meet in this regard.

    3. Anything that you say needs to be offered as a. as a personal opinion, clearly stated and b. In at least a semi-professional way. In other words, nothing that would require a FCC censor if it was said on the air.

    I would suspect the risk of a defamation suit in this setting is next to nothing. The amount of information and internal correspondence that any hospital or group would have to reveal about their internal operations should such a suit actually be filed and go to discovery would be counter productive. However, I'm not a lawyer and don't play one on TV.
     
    EMedGrrl and Dr.McNinja like this.
  13. Old_Mil

    Old_Mil Senior Member 10+ Year Member

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    This was passed on to me by someone who has an opinion on HCA. I know of two individuals who initially went to HCA facilities (not in Florida) right out of residency but didn't stay after their initial contracts.

    "EMERGENCY MEDICINE in sunny FLORIDA!
    HCA/EmCare WEST DIVISON: MULTIPLE FACILITIES!!!


    HCA/EmCare are always looking for providers to staff a number of facilities in the Southwest Florida/Tampa region. We’re sure to have a position with the size and volume you desire, but not the hourly rate that you deserve.

    Enjoy laid-back summer months where our staffing model meets the volume and acuity; and is generally reasonable. Then, await the tourist/snowbird “season” months of November to May, where volume and acuity triples overnight. Increasing staffing/provider hours “isn’t in the budget”, so the solution is to crack the whip harder on the existing docs with increasingly oppressive metrics (Target: Door-to-Doc = 10 minutes, Door-to-Dispo = 2 hours, Press-Ganey = 80%ile and up). Enjoy missing out on 25% or more of your paycheck when you can’t meet the diametrically opposing metrics! Learn to hate Canadians and New England’ers with amazing speed!

    Once the poorly calculated 4-hour average “wait time” gets above an arbitrarily determined number, then enjoy being called 2-3 times an hour on your days off to come and help during the “SURGE PROTOCOL”. No additional incentive will be offered, and you can bet your ass that the metrics are already screwed on every patient by the time you get in. Don’t want to come in? Can’t make it? That’s fine; we understand – just be prepared to explain why you’re not a “team player” at a later date. Did we mention that we expect all of your charting to be done by shift’s end as well? Our homebrewed DOS-driven EMRwill glitch-up and regularly freeze your PC several times a shift, requiring a full reboot.

    Once the refusal to address seasonal volume changes drives off most of your full-time coworkers, enjoy watching locums docs come in to work only the prime shifts at a much higher rate, leaving you relegated to nights and weekends with regular denials of any overtime you might request. Expect a cold look when you ask how the locums pay is “in the budget”, but your overtime hours aren’t.

    Eventually, you’ll get a job at a non EmCare/HCA facility, with other ex-EmCare/HCA docs, and wonder why the hell you took the other job in the first place."
     
  14. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

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    Yes, so much this. This has an opportunity to become a useful resource, but it needs people to comment on it, similar to our residency threads.
    That being said, as long as you keep it confined to generalities and don't name names (ie, the direct, Dr. Soandso, is a ____), you're off the hook for libel. We still have free speech. But play nice in the sandbox all the same.
     
  15. mybubbles14

    mybubbles14 7+ Year Member

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    Does anyone have any info on the Chicago area?
     
  16. BoardingDoc

    BoardingDoc Don't worry. I've got my towel. 7+ Year Member

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    Physician
    Would also be curious about other areas that aren't yet posted. Have obviously been googling hospitals in areas that I'm interested in and plan on sending out emails in the near future, but if anyone has the inside scoop on places in any of the following areas I'd love any info you'd like to share:

    Denver metro area, CO
    Seattle / Olympia area, WA
    Northern CA / Santa Rosa area
    Nashville metro area, TN
    Upstate, eastern NY
    Salt Lake City metro area, UT

    If anyone has info, awesome! Otherwise, I'll get back to cold calling.
     
  17. RustedFox

    RustedFox We're all stars now. In the GOAT RODEO. 10+ Year Member

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    Pretty sure that Salt Lake City won the "When Pigs Fly!" award in the last year or so regarding how pitifullly few jobs are available.
     
  18. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

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    Yep it's a tight market
     
  19. DarkHorse22

    DarkHorse22 7+ Year Member

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    boardingDoc. as far as I know, albany med is currently looking for people. if youre interested in academics. probably some other community shops nearby that are hiring ie. Bassett (cobleskill and cooperstown). eastern NY upstate, close to ADKs etc. worth a look
     
    BoardingDoc likes this.
  20. nuttymeg

    nuttymeg 2+ Year Member

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    .
     
    Last edited: Nov 6, 2016
  21. MSmentor018

    MSmentor018 Hooah! SDN Advisor 10+ Year Member

    the old EMP changed to USACS and now merged with 7 other groups (mine in fl). they've got tons of stuff in oh. it's only 7 mo old but so far so good and I have no complaints
    this is the standard website with the usual propaganda but feel free to pm me and I'll tell you the scoop
    https://www.usacs.com/
     
  22. hundreddaysoff

    hundreddaysoff 2+ Year Member

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    down by the river
    Physician
    I'm looking for jobs in west TX. Any opinions on good/bad sites? Feel free to PM.
     
  23. EMgig

    EMgig

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    Any inside info on the job market for Seattle, WA? Please PM me! :)
     
  24. EctopicFetus

    EctopicFetus Keeping it funky enough 10+ Year Member

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    Regarding Nashville there are 4 democratic groups left. HCA is the big baller in town. Always looking to hire people for their sites and turnover is high. Not a place to go work if you arent interested in below market pay and a terrible system. The nurses dont like the docs because of their incompetence and all together it is a sweltering brew of crap. See above for how HCA ("Tristar" around TN) treats their people.
     
  25. EMRes85

    EMRes85

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    Does anyone know anything about the staffing situation at MTMC/UT Nashville/Murfreesboro, and whether or not there are employment opportunities? I'm a current resident starting to investigate jobs. I'm assuming this is a combination academic faculty and clinical faculty setting, but don't know that.
     
  26. Old_Mil

    Old_Mil Senior Member 10+ Year Member

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    The following email ended up in my inbox. It is from an Emcare physician doing the scheduling for a a hospital in the northern half of Texas.

    "NO. I am still doing the schedule. __________, as __________ mentioned above, PLEASE avoid blanket emails. We have had numerous new EmCare schedulers over the years and always get these blanket emails that only serve to confuse things. Many of the people you sent this email to do not even work with us anymore. Some were even told we would no longer need their services here due to performance or conduct issues.

    I put together the schedule and take care of contacting our local docs. They do NOT need to be contacted and asked to pick up empty shifts, unless a bonus is being offered. By the time I release the schedule, I have pretty well squeezed our local docs for every shift they can give.

    Key point, though, is that we need to keep our emails focused and to the appropriate audience. Also, we need you, and ONLY YOU, to be our scheduling contact. Frustration arises when emails come from numerous EmCare staff addressing the same issue.

    Thanks in advance."

    I've shared this not to indict a particular facility; the names really don't matter.

    I want to give you an insight to how non physician hospital administrators and managers in the CMG world see you. In your mind you're a highly educated professional who adheres to some version of a hippocratic oath. In their eyes you are a widget to be squeezed for extra shifts.
     
    EctopicFetus and pencilcase like this.
  27. Sinfest

    Sinfest Slick 7+ Year Member

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    Does anybody have any info they'd be willing to share on the Southern CA (OC/IE) and Vegas job markets? Thanks!
     
  28. Warderino92

    Warderino92 2+ Year Member

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    I saw this posting today and thought it was too good not to share. Check out these features listed:

    Community Details:

    • Live in the community or don’t, your choice!
    • Live on a high bluff overlooking the community, live on the water, or live somewhere else of your choosing
    • Some Emergency Medicine physicians live up to 3 hours away
    • Small town feel and values, post card views and vistas
    Physician - Family Medicine with Emergency Medicine | $370,000 | New Hospital

    Is 8 shifts a month for 370k good for the boonies?
     
    Last edited: Mar 19, 2017
  29. BoardingDoc

    BoardingDoc Don't worry. I've got my towel. 7+ Year Member

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    Those are 24 hour shifts. I have yet to hear from anyone who likes working them
     
    RustedFox likes this.
  30. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

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    No. Because it's basically 16 12s by hours. That's barely $160/hr. Math.
    Also, it's 2304 hours yearly. Double no.
     
  31. KCAccidental

    KCAccidental Junior Member 10+ Year Member

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    Anybody have any info on community jobs in the Philly area??
    How does pay compare to other Northeast cities

    I can say that for jobs in the DC metro area (focused on Maryland/I-270 corridor) consist now mainly of jobs with EMA and USACS which has bought up many contracts.
    Pay is underwhelming for cost of living.
    Kaiser has many free standing facilities where you get walk in traffic only.
    Medstar staffs DC's academic facilities
    UMD staffs PG county
    As far as independent groups maybe just Suburban in Bethesda?
    Do not know NOVA market well.
     
  32. Old_Mil

    Old_Mil Senior Member 10+ Year Member

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    You're aware of the medicolegal nightmare that Pennsylvania is, right?
     
  33. Second this. Don't go unless you have to go. Humble $0.02.
     
  34. Old_Mil

    Old_Mil Senior Member 10+ Year Member

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    For those interested, the worst malpractice states in America.

    The three worst: Washington DC, Illinois, and New York in that order.

    The next three: Kentucky, Maryland, and Rhode Island.

    Rounding out the top ten: Missouri, New Jersey, Pennsylvania, and Washington (state).

    Going to work in one of these environments increases your chances of being sued significantly and possibly sued multiple times.

    Do you really want to do this to your resume?

    Some states like Washington are particularly punitive towards physicians with their longest in the nation 5 year medicolegal liability window and special "doctor tax" targeting 1099 physicians.
     
  35. apple3

    apple3 7+ Year Member

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    Does anyone have experience or information regarding any hospitals in the Raleigh area, specifically Wake Med? Anyone know anything about Cary Hospital? Feel free to PM as well. Much appreciated.
     
  36. Old_Mil

    Old_Mil Senior Member 10+ Year Member

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    Got an email from a recruiter today trying to sucker someone into going to Alice, Texas.

    28,000 visit ED.

    Single coverage, 12 hour shifts.

    Almost emailed her back wondering where she was able to buy such high quality crack.
     
    Veil and Cinclus like this.
  37. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

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    It's an hour from here. They're desperate. They let FM residents moonlight there, and a recently graduated one is their director. Thanks but no thanks.
    The pay is pretty good though, for it being such a terrible place.
     
  38. plick

    plick 7+ Year Member

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    This may sound naive, but can you explain what's bad about the description? I'm assuming if this place has 2 MLP shifts daily... should end up at 2pts/hr, no?
     
  39. dav86

    dav86 10+ Year Member

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    Assuming it has 2 MLP is being naive. If it does it depends on how good/experienced those MLP are. Just because they see the patients doesn't mean they know what they are doing. Also those patients still go on your ML and under your malpractice. Also how high is the acuity? Whats the admission rate? What specialists do you have? Is there any back up for bad airways? Is OB available for complicated deliveries? What happens to sick kids? I can tell you working at a 25-30k volume shop is busy for 12 hr doc shifts. We have 2 MLPs and they are really good and the days can still get annoying. It only takes 1-2 really sick people with no back up to mess up a shift. I only have to do two shifts at this type of shop every 5 weeks but if it was my main shop I'd last less than two yrs. Also what is the pay? I wouldn't work there for less than 300/hr. These are things the advertisements never delve into. They state that the town is two hrs from an airport and quaint it all is and that they pay a competitive (ie. 200/hr) rate. If you are needing recruiters or advertisements to fill job positions the job likely sucks balls.
     

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