USAP

[Howard888]

wonder how USAP is doing with Covid?. Huge loss of elective commercial surgeries. Still taking their 20-40% of any revenue I’m sure. Have they slashed new grads salaries? Are they still allowing new “partners” to pay 150k for stock? Well I guess share value is down a lot, you’ll get more shares for that 150k.

what a terrible deal

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[aneftp]

Everyone losing money. Usap is the same. Nothing new. People not working. Not making any money. Many people are choosing not to work. Others work 2-3 days a week (the 3 locations around the usa With usap ). Different company structure. One with MD only. One with act.

And no. Usap sets the share price. You still get to buy it at inflated values. Remember internal stock is not subjected to public pressure. Only original 3 companies got a sweet heart deal.

 

[Nivens]

Any internal talk about people supposed to start July/August?

 

[spike7585]

Any internal talk about people supposed to start July/August?

I wonder that as well. And not just about USAP, but for anyone graduating for that matter joining any AMC/PP group. Maybe academics would be safe and have a secure offer still in place without being affected by case volume

 

[aneftp]

I wonder that as well. And not just about USAP, but for anyone graduating for that matter joining any AMC/PP group. Maybe academics would be safe and have a secure offer still in place without being affected by case volume

Academics is being hit. Even state employees. U figure the state would guarantee your salary. And they do. But only the base state income is guaranteed. Any one who has ever worked in academics knows their salary can have 2-3 different parts.
1. Base
2. Incentive

so the base is still safe in the pandemic but the incentive is taking a hit in state hospitals

 

[Nivens]

Academics is being hit. Even state employees. U figure the state would guarantee your salary. And they do. But only the base state income is guaranteed. Any one who has ever worked in academics knows their salary can have 2-3 different parts.
1. Base
2. Incentive

so the base is still safe in the pandemic but the incentive is taking a hit in state hospitals

Yes- our attendings have taken a roughly 30% paycut due to the loss of incentive (after hours/call) pay. But many are also working substantially less.

 

[nycitygas]

If this goes on until June, expect tons of people to get fired (AMCs, academics, and pp).

 

[nimbus]

If this goes on until June, expect tons of people to get fired (AMCs, academics, and pp).

I can’t see this not going until June. Worldwide we’ve gone from 500 cases at the end of January to 1 million cases at the beginning of April. That was a little over 2 months. Then we went from 1 million to 2 million cases in just the first 2 weeks of April. On April 1 we had 5000 deaths in the USA and now, 2 weeks later, we have 26000. How many deaths will we have 2 weeks from now? I’m usually an optimistic person but I see no resolution to this crisis. Things are getting worse and more out of control.

COVID Live Update: 143,722,259 Cases and 3,061,310 Deaths from the Coronavirus - Worldometer

Live statistics and coronavirus news tracking the number of confirmed cases, recovered patients, tests, and death toll due to the COVID-19 coronavirus from Wuhan, China. Coronavirus counter with new cases, deaths, and number of tests per 1 Million population. Historical data and info. Daily...

www.worldometers.info

 

[2Fast2Des]

I can’t see this not going until June. Worldwide we’ve gone from 500 cases at the end of January to 1 million cases at the beginning of April. That was a little over 2 months. Then we went from 1 million to 2 million cases in just the first 2 weeks of April. On April 1 we had 5000 deaths in the USA and now, 2 weeks later, we have 26000. How many deaths will we have 2 weeks from now? I’m usually an optimistic person but I see no resolution to this crisis. Things are getting worse and more out of control.

COVID Live Update: 143,722,259 Cases and 3,061,310 Deaths from the Coronavirus - Worldometer

Live statistics and coronavirus news tracking the number of confirmed cases, recovered patients, tests, and death toll due to the COVID-19 coronavirus from Wuhan, China. Coronavirus counter with new cases, deaths, and number of tests per 1 Million population. Historical data and info. Daily...

www.worldometers.info

The sky has been always falling in anesthesia, but this time it truly is crashing. Can we recover from this? Is there even a future, aka should we suck it up and go back to fellowship\residency\new vocation as we can see how fortunes can wildly turn on us. Imagine if this becomes an annual occurrence, shutting the world down repeatedly isn't exactly the best long term strategy to keep an economy going. What are your guys options other than to burn through savings, what's your next plan if this is the new norm?

 

[Justice4all]

Cases are still going to occur. This is not a downfall of anesthesia or any productive-based specialty. Our hospital has adapted and most will even though we might not get back to full precovid level due to safety precautions ( now waiting 1 hr for recirculation after intubation (30 mins)and post extubation).
I can envision prolonged use of mask for the forseeaeblefuture and private practice has to have a come to Jesus with hospital. They need to provide a stipend and minimize cutting corners.
With rapid testing and eventual proliferation of n95 mask ( although will still use n95 due to false negative), we can resume case load at surgicenter and OR for elective cases. Most furlough employees have insurance for 6-12 months and the reduction in cases due to cost might not be as severe .

 

[anbuitachi]

The sky has been always falling in anesthesia, but this time it truly is crashing. Can we recover from this? Is there even a future, aka should we suck it up and go back to fellowship\residency\new vocation as we can see how fortunes can wildly turn on us. Imagine if this becomes an annual occurrence, shutting the world down repeatedly isn't exactly the best long term strategy to keep an economy going. What are your guys options other than to burn through savings, what's your next plan if this is the new norm?

dont see why it would be the new norm. soon everyone will be infected. and that will just be the new norm.

 

[2Fast2Des]

dont see why it would be the new norm. soon everyone will be infected. and that will just be the new norm.

New norm as in this being a recurring annual event

 

[anbuitachi]

New norm as in this being a recurring annual event

we'll get vaccine, and if it does come back annually, it will be treated like another flu and that will be the new norm

 

[2Fast2Des]

we'll get vaccine, and if it does come back annually, it will be treated like another flu and that will be the new norm

If future social distancing and shut downs to buck the curve is a means to help, then that is a reason to be concerned.

 

[Justice4all]

Even with a vaccine, likely going to be similar to the flu with moderate efficacy. We also need some treatment that mitigates the severity of it. Leaning toward some optimism even with unstable federal leadership.

 

[CopaceticOne]

Even with a vaccine, likely going to be similar to the flu with moderate efficacy. We also need some treatment that mitigates the severity of it. Leaning toward some optimism even with unstable federal leadership.

The one difference of SARS-CoV-2 from the various influenza strains is that it appears to mutate at a much slower rate - thus it is possible a vaccination would have a higher efficacy. In addition, the fact that it relies on non-native proteins for replication means there is more that one way to approach invivo management of viral infections.