What’s the catch?

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chocomorsel

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This actually pre-dates covid, interestingly enough. These hospitals are all competing for anesthesiologists
Is there a shortage? I thought NYC and suburbs is a place that people wanted to be and therefore there was no shortage of docs.
But I guess I was wrong.
 

RadsWFA1900

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Because it’s Long Island?
There are 500K jobs upstate NY. You get your money worth there?

500K on Long Island? - LOL. You’re money doesn’t go very far.

500K in Upstate NY - you’ll still have NY taxes but should go a bit further in terms of COL. Granted NY outside of the NYC sphere isn’t much to look at.
 
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IMGASMD

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500K on Long Island? - LOL. You’re money doesn’t go very far.

500K in Upstate NY - you’ll still have NY taxes but should go a bit further in terms of COL. Granted NY outside of the NYC sphere isn’t much to look at.

That’s what I meant. 500 on Long Island won’t get you much.

Finger lakes, Rochester, Buffalo all have jobs with similar pay. But you’re also dealing with cold and long winter.

I’ve never worked in NY, so all just speculation.
 
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dchz

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Know some info about this, the catch has already been mentioned: it's hospital employee ACT in a high cost of living area. This is almost certainly Northwell.

Several causes to get to this market price point:

-The supply is low because all the current NAPA people are not available due to noncompete.

-Northwell has increased demand because they are expanding into places that has more NAPA noncompetes.

-the insured population % is extremely high, almost everyone in Nassau and Suffolk county have insurance and Northwell can negotiate a good rate.

-The production by said position is way higher than $500k per year if you do the math. I'm not surprised if these positions are producing over $800k per year in billings.
 
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anbuitachi

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Aside from NAPA offering $425k base with $50k sign on bonus? Check out Northwell, St. Francis, hell, even HHC hospitals are paying like crazy

Which HHC hospitals are paying like crazy. I know recent grads that signed with HHC. their pay is ~300. Some really high paying HHCs are 400 base with no sign on bonus. Lots of calls in house calls every month, including high risk OB and trauma.

Last time i spoke to NAPA, they were paying 425 with 25k bonus. I guess it went to 50k but i also heard from people working there they work a LOT. Frequent 12 hour days 7am to 7pm. Also i think NAPA has pretty bad retirement benefits

I heard stonybrook was ok. but forgot the details. but also pretty far from city
 
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dchz

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For some reason in the NYC metro area, right now Anesthesiologists are making a lot of god damn money. There might legit be no catch. Unless it’s NAPA.

Well, that's not completely true, I know a few residents that got their offer lowered. Not sure how high the demand is right now as we go into phase 2.
 

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Which HHC hospitals are paying like crazy. I know recent grads that signed with HHC. their pay is ~300. Some really high paying HHCs are 400 base with no sign on bonus. Lots of calls in house calls every month, including high risk OB and trauma.

Last time i spoke to NAPA, they were paying 425 with 25k bonus. Possible sign on went to 50k but i also heard from people working there they work a LOT. Frequent 12 hour days 7am to 7pm. Also i think NAPA has pretty bad retirement benefits
HHC $330k base, for 40 hrs a week, no calls. Ppl who take q4-q6 call make well over $500k, which is very good for a municipal hospital system. NAPA sign on at LIJ/NS is 50k. Nobody said they don’t work hard.
 
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aneftp

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500K on Long Island? - LOL. You’re money doesn’t go very far.

500K in Upstate NY - you’ll still have NY taxes but should go a bit further in terms of COL. Granted NY outside of the NYC sphere isn’t much to look at.
Upstate New York has 3% real estate property tax. So a cheaper 500k home will cost u 15k in property taxes and ZERO DEDUCTION due to 10k limit on SALT deductions.
 
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anbuitachi

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HHC $330k base, for 40 hrs a week, no calls. Ppl who take q4-q6 call make well over $500k, which is very good for a municipal hospital system. NAPA sign on at LIJ/NS is 50k. Nobody said they don’t work hard.

Do you know which HHC is this? They are all different. I know many people working for HHC. there is no defined 40 hr work week as far as i know. its minimum 40 hr work week. After that you get relieved by call people if available, if not you work until there is relief. It's very rare to work only 40 hrs per week. It's usually 50+.
 
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Peterluger

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Do you know which HHC is this? They are all different. I know many people working for HHC. there is no defined 40 hr work week as far as i know. its minimum 40 hr work week. After that you get relieved by call people if available, if not you work until there is relief. It's very rare to work only 40 hrs per week. It's usually 50+.
Some place in queens. Cant remember name. Basically anything above 40 hrs is overtime.
 

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What are these reasons?
More people have access to healthcare than previously, bc of more ppl insured. Aging population needing surgery. Big health care organizations like Northwell, NYU, et al took over all these places, and brought in consultants who get paid way more than you or me to streamline these places for productivity and efficiency. Some aspects of this are good, some bad. The hospitals are definitely more profitable than before, and patient care has become more safe, efficient and standardized with these huge academic organizations overseeing all of this. But at the same time the hospitals became like factories to some extent
 
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Greenbayslacker

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That’s what I meant. 500 on Long Island won’t get you much.

Finger lakes, Rochester, Buffalo all have jobs with similar pay. But you’re also dealing with cold and long winter.

I’ve never worked in NY, so all just speculation.

So in the NYC area your COL is too high and outside the NYC area the lifestyle is too poor... basically you're saying don't work in NY?
 
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Hoya11

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See these fantastic looking jobs all the time by email or on the little postcards they send. Seem to good to be true.

View attachment 309331

How far are you from the city? Possibly > 2 hrs

Is this a sleepy beach community where there are horrible schools and nothing to do 9 months/year? Probably

Is the main industry in the area restaurants? Probably and they are most likely closed for 9 months/year

The other 3 months out of the year is it flooded with traffic and tourists? Probably

How likely is it that there will be changes to this deal in the long term? Probably very likely given NAPA in the area ...

I am from this general area and I can tell you that a 500k Job with q7 call from home is certainly an outlier

I know many many people recently looking for jobs and taking new jobs and all of them are 350-425k with a good amount of call...

There is most definitely a catch, probably despite being a "beach" community its a horrible location and a lot of work, crummy benefits etc..
 
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chocomorsel

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How far are you from the city? Possibly > 2 hrs

Is this a sleepy beach community where there are horrible schools and nothing to do 9 months/year? Probably

Is the main industry in the area restaurants? Probably and they are most likely closed for 9 months/year

The other 3 months out of the year is it flooded with traffic and tourists? Probably

How likely is it that there will be changes to this deal in the long term? Probably very likely given NAPA in the area ...

I am from this general area and I can tell you that a 500k Job with q7 call from home is certainly an outlier

I know many many people recently looking for jobs and taking new jobs and all of them are 350-425k with a good amount of call...

There is most definitely a catch, probably despite being a "beach" community its a horrible location and a lot of work, crummy benefits etc..
So why do these restaurants close nine months out of the year? Do the locals not eat at restaurants during the winter? All cook gourmet meals at home? Don't eat at all? Never leave home during winter?
I have never heard that. And I have lived in a cold place before.
Please explain. Is this a common thing?
 
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Arch Guillotti

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So why do these restaurants close nine months out of the year? Do the locals not eat at restaurants during the winter? All cook gourmet meals at home? Don't eat at all? Never leave home during winter?
I have never heard that. And I have lived in a cold place before.
Please explain. Is this a common thing?

I can’t speak for Long Island but the population of many beach towns elsewhere dwindles during the off months.
 

chocomorsel

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I can’t speak for Long Island but the population of many beach towns elsewhere dwindles during the off months.
So where do they eat out? That would really suck, to see closed restaurants that you can’t visit in your city for the better part of a year.
 
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MikeMerk-MtS

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How far are you from the city? Possibly > 2 hrs

Is this a sleepy beach community where there are horrible schools and nothing to do 9 months/year? Probably

Is the main industry in the area restaurants? Probably and they are most likely closed for 9 months/year

The other 3 months out of the year is it flooded with traffic and tourists? Probably

How likely is it that there will be changes to this deal in the long term? Probably very likely given NAPA in the area ...

I am from this general area and I can tell you that a 500k Job with q7 call from home is certainly an outlier

I know many many people recently looking for jobs and taking new jobs and all of them are 350-425k with a good amount of call...

There is most definitely a catch, probably despite being a "beach" community its a horrible location and a lot of work, crummy benefits etc..
If it's the Hamptons then I'd hardly characterize it as a ghost town for 9 months of the year... although I do agree the traffic would be horrific.

Why would there be changes to the deal in the long term? Isn't that the point of a contract? Why would NAPA affect a different institution's offer (unless this offer was through NAPA)?
 
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Hoya11

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If it's the Hamptons then I'd hardly characterize it as a ghost town for 9 months of the year... although I do agree the traffic would be horrific.

Why would there be changes to the deal in the long term? Isn't that the point of a contract? Why would NAPA affect a different institution's offer (unless this offer was through NAPA)?

Im just speculating, its probably a strange location of some kind is my point...

Whenever NAPA is a huge presence in your area, you may soon be a NAPA employee, especially when this system is desperately throwing cash around trying to attract people in the short term, I mean how stable is this hospital/group? Im guessing not very..
 

Velefunt

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So why do these restaurants close nine months out of the year? Do the locals not eat at restaurants during the winter? All cook gourmet meals at home? Don't eat at all? Never leave home during winter?
I have never heard that. And I have lived in a cold place before.
Please explain. Is this a common thing?

Yes, they make their money during peak tourist months then close down; You can compare it to the decrease in foot traffic due to COVID-19 and dearth of takeout orders sufficient to pay expenses that restaurants recently experienced and the resultant relative cost effectiveness of just shutting down.
 

sbmed100

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Pre-Covid there was definitely a shortage of anesthesia providers in the NYC metro area. Surgery volume was booming. But showing a preCovid ad now isn't going to be valid. Things have changed considerably. Doubtful that position is still needed. Where I am we are seeing a temporary rebound in volume but its not going to go back to sustained preCovid volume/growth until they find a vaccine or determine if there is going to be a second wave. All those "backlogged cases" are not materializing, certainly not to the extent the hospitals around me projected.

Also really people.....1:7 call??? So you're gonna be overnight call once every five nights when you're not on vacation? Call from home just means there is no in-house OR nurse/scrub tech. Not great especially if they live closer to the hospital than you do.
 
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NVO

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So why do these restaurants close nine months out of the year? Do the locals not eat at restaurants during the winter? All cook gourmet meals at home? Don't eat at all? Never leave home during winter?
I have never heard that. And I have lived in a cold place before.
Please explain. Is this a common thing?
All those rich locals in the nice beach towns out in Long Island fly down to Florida during the winter months. The fancy gourmet restaurants are for the tourists. Rich long islanders love being snowbirds
 
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chocomorsel

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Pre-Covid there was definitely a shortage of anesthesia providers in the NYC metro area. Surgery volume was booming. But showing a preCovid ad now isn't going to be valid. Things have changed considerably. Doubtful that position is still needed. Where I am we are seeing a temporary rebound in volume but its not going to go back to sustained preCovid volume/growth until they find a vaccine or determine if there is going to be a second wave. All those "backlogged cases" are not materializing, certainly not to the extent the hospitals around me projected.

Also really people.....1:7 call??? So you're gonna be overnight call once every five nights when you're not on vacation? Call from home just means there is no in-house OR nurse/scrub tech. Not great especially if they live closer to the hospital than you do.
Depends on the size of the hospital. If smaller, and not crazy busy 1 in 5 is very doable. Although I have worked in a smaller crazy busy place too.
 

dangEras

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I know this hospital. As an NYIT student, I rotated here. 500k is a solid offer and I'd actually take it. This is likely 50k more than their regular rate due to shortage from COVID. That said, some cons to know what you're getting yourself into:

- It's basically in the middle of nowhere. You're 2 hours from the city. The nearest train only comes once an hour. Realistically you'll be hanging out in Port Jeff for fun. Southampton is great, but only open March - September.

- The hospital itself has a pretty a rough pt population. You'll come across a lot of HIV, Hep C, TB. The also had a bad COVID outbreak in march and many ER/ICU staff (mostly nurses) became ill.

- Surgical volume will be busy enough to keep the on-call anesthesiologist awake the whole night. No anesthesia residents here, only surgical residents. It's a level 2 trauma now, but the hospital is trying very hard to build a neurosurgery service to turn it into a level 1.

If I were looking in this area, 500k is a solid offer. But before signing, I'd see if one of the better-situated hospitals in the area like Stony brook, Mather, St Charles would match that.
 
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MikeMerk-MtS

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Surgical volume will be busy enough to keep the on-call anesthesiologist awake the whole night. No anesthesia residents here, only surgical residents. It's a level 2 trauma now, but the hospital is trying very hard to build a neurosurgery service to turn it into a level 1.

I mean, if you're going into anesthesia and taking a call position... would you really expect to sleep through the night while they pay you $500K?

If you're going into any call position with the expectation that you're going to get a good night's sleep then you'll always be disappointed.
 
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Hoya11

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I know this hospital. As an NYIT student, I rotated here. 500k is a solid offer and I'd actually take it. This is likely 50k more than their regular rate due to shortage from COVID. That said, some cons to know what you're getting yourself into:

- It's basically in the middle of nowhere. You're 2 hours from the city. The nearest train only comes once an hour. Realistically you'll be hanging out in Port Jeff for fun. Southampton is great, but only open March - September.

- The hospital itself has a pretty a rough pt population. You'll come across a lot of HIV, Hep C, TB. The also had a bad COVID outbreak in march and many ER/ICU staff (mostly nurses) became ill.

- Surgical volume will be busy enough to keep the on-call anesthesiologist awake the whole night. No anesthesia residents here, only surgical residents. It's a level 2 trauma now, but the hospital is trying very hard to build a neurosurgery service to turn it into a level 1.

If I were looking in this area, 500k is a solid offer. But before signing, I'd see if one of the better-situated hospitals in the area like Stony brook, Mather, St Charles would match that.

So reduce that 500k by the 50k it takes to send your kids to private school...

Now you've got a job out in the middle of nowhere, for 450k... You could have 400k (at least) in an actually decent area... who would choose the boonies for that little bit more?

In the decent area you can send your kids to a nice public school, they can make friends with non-hooligans, they can be close to the culture of the city and a town that doe not shut down for the majority of the year.. why would you let your kids have a worse life for a little more money and less COL?

Some people do not see it this way and continue to move out of my area for the boonies because the contract is slightly better, yeah of course its slightly or significanly better, look where you have to live!!

These 500k jobs in the boonies are a dime a dozen, the problem is you have to LIVE there
 
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