Vegas job market

[CD125]

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[chocomorsel]

Stay in the Midwest. You would likely make more buck for the bang.
Lots of driving around from hospital to hospital.

 

[adamkiewicz]

What's the unit value in Nevada? Is it similar to southern california? I've been influenced by this forum to avoid AMCs but the USAP- LV advertised compensation is luring.

gaswork post #239303. (sorry can't link URLs yet)

I'm guessing 70 hours a week q5 24hr OB call for $500k+ with 11 weeks off. That sounds doable. A week off per month to recover. Am I missing anything?

 

[nimbus]

What's the unit value in Nevada? Is it similar to southern california? I've been influenced by this forum to avoid AMCs but the USAP- LV advertised compensation is luring.

gaswork post #239303. (sorry can't link URLs yet)

I'm guessing 70 hours a week q5 24hr OB call for $500k+ with 11 weeks off. That sounds doable. A week off per month to recover. Am I missing anything?

Nevada Medicaid is almost 3x Ca Medical (Medicaid equivalent). Don’t know avg unit value but I suspect it is higher than Ca.

 

[sheeed]

What's the unit value in Nevada? Is it similar to southern california? I've been influenced by this forum to avoid AMCs but the USAP- LV advertised compensation is luring.

gaswork post #239303. (sorry can't link URLs yet)

I'm guessing 70 hours a week q5 24hr OB call for $500k+ with 11 weeks off. That sounds doable. A week off per month to recover. Am I missing anything?

Interviewed with them....I think it's more like Q3 24 hour OB call...idk if it's exactly 500+ salary (would require you to do some work on your post call days). Heard the situation with USAP is souring (that was directly from another group) so there could be some changes in the near future.

 

[chocomorsel]

What's the unit value in Nevada? Is it similar to southern california? I've been influenced by this forum to avoid AMCs but the USAP- LV advertised compensation is luring.

gaswork post #239303. (sorry can't link URLs yet)

I'm guessing 70 hours a week q5 24hr OB call for $500k+ with 11 weeks off. That sounds doable. A week off per month to recover. Am I missing anything?

Sure. Probably about right.

Ask if you get the post call day off. Those OB shifts are a killer. As in you will be ready to collapse at the end of the shift. But you will make good money. If you are OK working like an Alaskan sleigh dog, you will be fine.

 

[chocomorsel]

Nevada Medicaid is almost 3x Ca Medical (Medicaid equivalent). Don’t know avg unit value but I suspect it is higher than Ca.

NV medicaid is about $22 a unit. That would mean CA is $7 a unit? Lord have mercy.
Oklahoma on the other hand is $35 a unit. As in I could take care of Medicaid patients all day and still make a decent income without working that damn hard.

 

[sheeed]

Sure. Probably about right.

Ask if you get the post call day off. Those OB shifts are a killer. As in you will be ready to collapse at the end of the shift. But you will make good money. If you are OK working like an Alaskan sleigh dog you will be fine.

Yea I thought long and hard about it. But 24 hours OB doing damn near everything yourself? Every 3rd day? That's suicide

 

[chocomorsel]

Interviewed with them....I think it's more like Q3 24 hour OB call...idk if it's exactly 500+ salary (would require you to do some work on your post call days). Heard the situation with USAP is souring (that was directly from another group) so there could be some changes in the near future.

When I interviewed with them, they were looking for someone to do Q3 24 hour calls only. But they were upfront at how brutal it was.
That is why they only have one female in all of the OB department. It's just almost inhumane how hard they work.

 

[nimbus]

NV medicaid is about $22 a unit. That would mean CA is $7 a unit? Lord have mercy.
Oklahoma on the other hand is $35 a unit. As in I could take care of Medicaid patients all day and still make a decent income without working that damn hard.

Ahhh my knowledge is not up to date. Thought it was low 30s in Nevada. Ca is around 12.

 

[nimbus]

When I interviewed with them, they were looking for someone to do Q3 24 hour calls only. But they were upfront at how brutal it was.
That is why they only have one female in all of the OB department. It's just almost inhumane how hard they work.

I interviewed with them too in the late 90s when they were ACI/OB. And yeah they were working hard and making 500+ even then.

 

[chocomorsel]

Ahhh my knowledge is not up to date. Thought it was low 30s in Nevada. Ca is around 12.

That was back in the day. Everything is going downhill there. Like everywhere else.

 

[adamkiewicz]

USAP LV increased their advertised compensation. That position has been available for years. No wonder they can't fill the position when they falsely advertise q5 but in reality it's q3 with post call day work.

 

[chocomorsel]

USAP LV increased their advertised compensation. That position has been available for years. No wonder they can't fill the position when they falsely advertise q5 but in reality it's q3 with post call day work.

Did you talk to them already?

Most groups in Vegas don't have the post call day off, because they are all independent contractors with minimal exclusive contracts per hospital. It's eat what you kill.

I don't know when you are working with them full time, what the call schedule really is. I interviewed for a strictly call position which was Q3. Different than a full time position I suspect.

They are always looking because the work is brutal. Insanely brutal. But many hungry men do it. And make a killing. As everyone knows on this board, I am not looking to kill myself to make a boat load of money. I don't own a boat.

 

[adamkiewicz]

I haven't talked with them yet. I don't mind working like a resident for 5-10 years after graduation. But from the posts it sounds like they work harder than residency. I can't imagine doing that for years and my wife wouldn't appreciate being alone all the time. I can understand the retention issue now.

 

[deleted162650]

MediCal = 12$/unit for OR cases and 16$/unit on OB

It’s possible to negotiate better rates with some of the Medi-Cal HMOs but not a given.

 

[chocomorsel]

I haven't talked with them yet. I don't mind working like a resident for 5-10 years after graduation. But from the posts it sounds like they work harder than residency. I can't imagine doing that for years and my wife wouldn't appreciate being alone all the time. I can understand the retention issue now.

Depends on your residency. My idea of a brutal OB call in residency was not their equivalent. It was weak compared to their setup. As in 6 Sections and something like 10+ epidurals if I recall correctly.

 

[sheeed]

USAP LV increased their advertised compensation. That position has been available for years. No wonder they can't fill the position when they falsely advertise q5 but in reality it's q3 with post call day work.

I interviewed with them too in the late 90s when they were ACI/OB. And yeah they were working hard and making 500+ even then.

Apparently they were 600-700+ be

Depends on your residency. My idea of a brutal OB call in residency was not their equivalent. It was weak compared to their setup. As in 6 Sections and something like 10+ epidurals if I recall correctly.

In a large inefficient academic center there really isn't even enough time to do all that as a resident without the attending doing some of the work. I couldn't imagine doing all of that solo, REGULARLY. Just don't seem good for one's sanity long term. They told me some of the hospitals aren't as busy as the others, but i mentally prepared to be at the busier hospital more often had I accepted.

 

[amyl]

i have heard the same rumbling about usap las vegas

 

[bourne]

Old ACI job posting for your reference. It looks like USAP is paying bank but likely they are making bank, and a lot of it, off your back. Anyone know what the buy-out amount was? If it is anything like the other buy-outs I've heard about the old partners got the pay out and agreed to take lesser pay for a minimum number of years. Be aware that a "partnership" track with a group owned by a management company is likely not the same as one with a private anesthesia group.

 

[sevoflurane]

You get half your buy out in $$$ with USAP and the other half with stock/shares.
Buyout is usually less than the other big AMCs due to this.
Usually retain a higher income with USAP.

ACI had 2 main divisions in the past. One was almost exclusively OB and the other was everything else. The pay has always been decent there, but you work hard.

They didn’t have a blended unit in the past, so that could set up some problems amongst partners. Not sure if that is still the case.