Unionizing EM

[GonnaBeADoc2222]

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Agreed. Depends on the site, especially true at residency programs.

My residency, although 40+ year old program which is very well established, is staffed by a CMG. Attending salary $185/hr. Attendings average around 3.5-3.8 patients per hour. So they probably generate at least $150 x 3.5 = $525/hour. The rest goes to the pockets of the CMG. Every patient is seen and managed by a resident, attendings do not see their own patients, they only act in a supervisor role.

It's still 3.5 pph they are responsible for. That's a terrible rate.

 

[GeneralVeers]

It's still 3.5 pph they are responsible for. That's a terrible rate.

Pathetic....I just quit a job because they dropped it to $265/hr.

 

[thegenius]

A union would do nothing at the end of the day except take our money for another layer of non-working physicians. Are doctors REALLY going to walk out and go on strike and put patients in jeopardy? Until the answer to that is "yes" we will remain powerless.

I would as part of a group collective to go on strike.

Nurses go on strike all the time and end up compromising patient care. We can't run an ER if we don't have nurses.

 

[EctopicFetus]

It depends on where the money comes from. Most CMGs own their own billing/coding companies and some even own their own health insurance plan. Just billing/coding is about $15/pt or $30/hr which would be an expense that SDGs would have to pay, but CMGs get to keep as revenue.

Billing and coding is $6-10 for an outside billing company. Think gottleib; brault; McKesson ; LogixHealth. I am sure those companies make s profit on this amount. But there is real cost out there too.

$15/patient is just stealing lol.

Many CMGs make money using their med mal captives. Many ics have this as a simple line item.

What most CMGs do is own their own rcm companies and use one (or more) of the regular rcm companies when the fall behind.

 

[thegenius]

Many CMGs make money using their med mal captives. Many ics have this as a simple line item.

What most CMGs do is own their own rcm companies and use one (or more) of the regular rcm companies when the fall behind.

?? Captives? rcm?

 

[TooMuchResearch]

I make more than that as a non-partner at a democratic group seeing half as many pph.

Agreed. Depends on the site, especially true at residency programs.

My residency, although 40+ year old program which is very well established, is staffed by a CMG. Attending salary $185/hr. Attendings average around 3.5-3.8 patients per hour. So they probably generate at least $150 x 3.5 = $525/hour. The rest goes to the pockets of the CMG. Every patient is seen and managed by a resident, attendings do not see their own patients, they only act in a supervisor role.

 

[cyanide12345678]

It's still 3.5 pph they are responsible for. That's a terrible rate.

Yeah it's really terrible. I would never take that job personally. That's a lot of dependence on residents in trusting that everything was done right. I don't think i could put that kind of faith in an intern. The irony is we hired some big shot attendings as well recently. I don't know how. Maybe they make more Than the others?

 

[GeneralVeers]

Our local community, non-academic hospital system was forced by the hospital to start a residency (do this or lose your contract!). They are offering $50 per shift if we agree to teach residents! Maybe for $50/hr......

I'll admit that if I teach residents, along with my other community partners they will get substandard training. Why ACGME thinks this is okay is beyond me....

 

[TooMuchResearch]

Med students be warned. The specialty is diluted. They are now forcing us to open residencies we don't want.

Pick a different specialty. Something with better physician control.

Our local community, non-academic hospital system was forced by the hospital to start a residency (do this or lose your contract!). They are offering $50 per shift if we agree to teach residents! Maybe for $50/hr......

I'll admit that if I teach residents, along with my other community partners they will get substandard training. Why ACGME thinks this is okay is beyond me....

 

[RustedFox]

Our local community, non-academic hospital system was forced by the hospital to start a residency (do this or lose your contract!). They are offering $50 per shift if we agree to teach residents! Maybe for $50/hr......

I'll admit that if I teach residents, along with my other community partners they will get substandard training. Why ACGME thinks this is okay is beyond me....

A whole fifty dollars a shift?

*Fart noise*

 

[GeneralVeers]

A whole fifty dollars a shift?

*Fart noise*

Funny you and I had the same reaction to hearing that. 🤣

 

[GonnaBeADoc2222]

any college student / hs student lurking here needs to avoid medicine

any ms1-2 should cut losses and get out if you don't have the scores to get into something like ortho or plastics...by the time you are attending (6+ years from now) there will be major changes already enacted or in process

 

[GonnaBeADoc2222]

A whole fifty dollars a shift?

*Fart noise*

At first I read this as an extra 50/hr and I thought "wow not bad" then I experienced the same mental ripped ass you did

 

[martvubo]

At first I read this as an extra 50/hr and I thought "wow not bad" then I experienced the same mental ripped ass you did

Holy ****. I also read it as 50/hr because 50/shift is smaller than the raise I got when I went to nights as a scribe before school, so I didn't even consider 50/shift as a possible amount of money that a fatcat empty-suit parasite would bother offering to physicians.

 

[deleted109597]

Most CMG run residencies pay at similar rates to community sites. They get $275 an hour down here.
Even Baylor gets $200/hr, and they're paid by the school of medicine.
If a residency position offered me $185/hr to see nearly 4pph, I might hurt myself laughing so hard.