www.whitecoatinvestor.com
that was before my time (barely).
Yeah. Everyone was switching into anesthesia by 1984/1985 because of impending change in anesthesia residency from a 1 plus 2 to a 1 plus 3 years residency.
Just missed that cutoff. The CA-3 year used to be a fellowship.
It will only get worse..... administrators know less about medicine then they ever did, nurses now run hospitals as they push physicians out of positions of influence. Physicians got greedy, lazy and jaded and forgot that they need to be in positions of power to run hospitals... then again did you see the recent posting how a CMO and CFO embezzled 15Mil ? The lack of respect is disgusting, it is up to strong leaders to get that back but everyone is a YES man now or you loose your job in admin....... indeed in the 1990s even it was a different country ..... though lack of respect became much more palpable in the past 10-15 years... again Capitalism did not fail.... Greed did ...
This is all too often true. Having been an admin for a short while at a troubled hospital, I thought that advocating for patients and healthcare workers was universally the clear right thing to do... but it turns out that if you're in a sketchy place then they want you to maintain the status quo and be a yes man no matter what - doing the "right" thing is often punished. I self ejected from that role due to many of higher ups directly professionally and physically threatening me.
Absolutely. Got one doc almost 68. Does hearts.
In order to achieve that level of competence without ultrasound you need to see a number of OMGs. Not necessarily your own.
I can’t give specifics but it was akin to “we’ll make sure you’re dead if you report this”.
He argues that work is more efficient now in the comments below:
That ortho bro is chugging the kool aid
There was a paper which showed radiology reimbursement was down like 60-70% per study from 20 years ago.
Totally. In anesthesiology the fact that we can be completely off from work when we go home is a major benefit of our field. I feel so sad for the primary care doctors who get forced through patients every 15 minutes and then have to spend hours at home charting ( not to mention making prior authorization and care coordinations calls too).
That's a true story for sure.
What in the BeJeezus??? I am sorry. This is insane. From whom??
Someone at the VP level. They had previously threatened and reported sham policy violations against people who didn’t fall in line in the past, and reported sham info to the medical board and NPDB. This was all against people who brought up safety concerns.
OMG. And I thought sociopathic docs was as bad as it got. People threatening death? Wow.
You probably mis read what he stated. He said the partners went home early and elective surgery ended between 2-5pm
You will always have people wanting to pickup more shifts.
No, not really. At that time, my state ranked 48 out of 50 for anesthesia reimbursement from Medicare. We could have moved to any state touching ours and had a significant salary increase. Wife had to stay near family. Both retired now, so it all worked out I guess.
Umm. He was talking about earning 400k in the EARLY 90’s. That translates to 1M or more given inflation….
Correct. It’s crazy. Salaries are only catching up in 2024 affer the disastrous 2011-2020 era in most places.
There's a difference in mindset of the average physician now. Biggest example I can think of is the desire to not work until age 65.
That’s a good point. I still think in certain specialities, docs in the 80s and 90s could make really good money. But like you said, some those docs were the parents of my friends in high school, and they were not on any early retirement track, wouldn’t surprise me if some of them are still working!
All true, he’s in a lucky spot, but he makes the most of it. He said it himself, I just want to die not being an a$&hole. Pretty reasonable.
