Almost all supervision (residents and crnas, no srnas) at SFVA. I do my own cases maybe once a month. Palo Alto, I'm told, does much more solo work, as they have no crnas (again, so I'm told).[/QUOTE]
Not all VA's are created the same!
That's why you will see the same VA job openings over and over ahead. The ones that work more (more solo work), you will see more turnover.
It's like Kaiser. I won't name specific Kaiser places. But there are some nice Kaiser places and some....not so nice Kaiser places. Why kill yourself if you are taking less money if the same guy is at another facility is making the same and working less (awwww. the worker bee W2 mentality).
It's true.
But I digress. I tend to disagree (in terms of VA long term goals). It's better to work at the VA if you a 20 year plan. I know they change many benefits in the past 10 years or so but the benefits are still great.
There is a lot of burn out in private practice, especially big city private practice. You may make a lot more, but you will always end up spending a lot more. After 10 years working 55-60 hours a week, things get old. You miss many of your kids activities. You know the bigger things in life. Or don't remember it cause you are a zombie after a tough night of call trying to watch your son's soccer game a 9am after being up all night.