What's your thoughts on this assignment?

[Noyac]

---

Members don't see this ad.

i received this locums/permanent offer the other day. I get them all the time even though I am not looking for a job but I like to keep my finger on the pulse.
So here it is, what's your thoughts in general? To be clear, I am not asking for advice whether to take this job or not. I am very happy right were I am.

Hello!
Locum Tenens and Permanent Staff CRNAs and Anesthesiologists are needed for this busy and challenging New Mexico Assignment. Locum to Perm roll-over is also a possibility if mutually agreeable.
Start date is contingent upon completion of credentialing, but shooting for early January starts.

This is a very active practice with a caseload that includes everything except hearts and transplants. CRNAs need to be able to practice with autonomy as well as under supervision. Regional anesthesia is a must for Locum Tenens, and a willingness to learn for the Permanent Staff Candidate.

MDs will supervise as needed with flexibility to CRNA skill level ranging from New Grad to highly experienced.

Cases start at 6:30 and ORs run until the caseload is done with the person on call completing the day as well as carrying the beeper through call hours. Average hours worked per week is 45 to 50+. Call is on average 1 X Week and 1 X Weekend/six weeks.

A New Mexico license, DEA and NM Controlled Substance certificates are required. New Mexico is a Compact State which can reduce the application time. DEA cost is $731 for 3 years and can open doors for anyone wanting to work in the southwestern states. Nationwide Anesthesia can help you obtain these certificates.

For more information on this practice, please reply to this email or call Jenette Settle at 800-769-3835.

Thank you for your consideration.
Jenette

 

[Consigliere]

"DEA cost is $731 for 3 years and can open doors for anyone wanting to work in the southwestern states..."

I thought this was a very odd thing to place in an ad; especially given the fact that obtaining a DEA number is a requirement for obtaining a job ANYWHERE.

 

[deleted171991]

"DEA cost is $731 for 3 years and can open doors for anyone wanting to work in the southwestern states..."

I thought this was a very odd thing to place in an ad; especially given the fact that obtaining a DEA number is a requirement for obtaining a job ANYWHERE.

Not anywhere. There are places where you can use in-house the hospital's DEA number, if you don't have your own.

"Practitioner’s Use of a Hospital’s DEA Registration Number"
https://www.deadiversion.usdoj.gov/pubs/manuals/pract/pract_manual012508.pdf (page 16)

 

[Noyac]

I agree the DEA comment struck me as odd. But my thoughts on this posting went even further.

 

[Man o War]

This sounds like you are potentially going to be working with CRNAs as clinical equals and not subordinates.

 

[sevoflurane]

6:30 until case load ends.... 👎
MD will supervise as needed.... 👎👎
CRNAs need to be able to practice with autonomy... 👎👎👎

Nope.

 

[sevoflurane]

Sounds like the Santa Fe group.

 

[deleted162650]

Terrible for all the reasons Sevo mentioned.

Noy, I'm curious, how much are they offering to buy your soul for?

 

[Noyac]

6:30 until case load ends.... 👎
MD will supervise as needed.... 👎👎
CRNAs need to be able to practice with autonomy... 👎👎👎

Nope.

Exactly my thoughts. I think this job could possibly be the worst job in the nation. I think part of this is because we actually hired two of their docsaway from them. That's is if it is the location I think it is.

 

[Noyac]

Terrible for all the reasons Sevo mentioned.

Noy, I'm curious, how much are they offering to buy your soul for?

I have no idea, Salty. I wouldn't ever consider calling to enquirer for a job like this.
It's just an email I got. Thought it was interesting and decided to pass it along.

 

[Planktonmd]

I think they are targeting a certain subcategory of anesthesiologists who are desperate enough to accept this kind of situation and would probably accept less money as well.

 

[Noyac]

I think they are targeting a certain subcategory of anesthesiologists who are desperate enough to accept this kind of situation and would probably accept less money as well.

I don't think they really have a clue. If it is where I think it is, they are paying a bundle. Probably in the $500k ballpark.

They shot themselves in the foot a few yrs ago when they removed their long time anesthesia group and brought in an AMC. That may have lasted a year and then they couldn't keep anesthesiologist. The CEO was fired over this and I think they are trying to regroup. But giving crna's this kind of autonomy while being expected to cover their cases from a far is the wrong approach in my book. And then watch all the crna's hit the door at 3:30 and the docs having to stay until the work is done is just BS. I can't believe they even posted this. It just shows how clueless they are.

 

[aneftp]

6:30 until case load ends.... 👎
MD will supervise as needed.... 👎👎
CRNAs need to be able to practice with autonomy... 👎👎👎

Nope.

Way too early of case starts. This is the inherent nature of American medicine and pushing the limits.

I've started elective GI cases at 540am before. That's start time.

I don't think they really have a clue. If it is where I think it is, they are paying a bundle. Probably in the $500k ballpark.

They shot themselves in the foot a few yrs ago when they removed their long time anesthesia group and brought in an AMC. That may have lasted a year and then they couldn't keep anesthesiologist. The CEO was fired over this and I think they are trying to regroup. But giving crna's this kind of autonomy while being expected to cover their cases from a far is the wrong approach in my book. And then watch all the crna's hit the door at 3:30 and the docs having to stay until the work is done is just BS. I can't believe they even posted this. It just shows how clueless they are.

Seems like a good locums assignment to milk it for 40-50k a month and move on.

 

[criticalelement]

Way too early of case starts. This is the inherent nature of American medicine and pushing the limits.

I've started elective GI cases at 540am before. That's start time.


Seems like a good locums assignment to milk it for 40-50k a month and move on.

40-50K is standard fare for a locums assignment.

This one probably 60-65k per month.. I would probably do it. for 2K for the 8 hour day. 250-275 per hour after 2pm.

any hint of any trouble.. I bail..

This practice is a major trouble waiting to happen.

They purposefully keep it vague to get you to call.

Locums agencies are major major bottom feeders and scum of the earth.
Amcs are probably one step above them..

 

[Psai]

Crnas either need supervision or they don't. Conditional supervision aka being a firefighter is a non starter. I doubt they compensate for the amount of risk you take, which sounds very large.

 

[aneftp]

40-50K is standard fare for a locums assignment.

This one probably 60-65k per month.. I would probably do it. for 2K for the 8 hour day. 250-275 per hour after 2pm.

any hint of any trouble.. I bail..

This practice is a major trouble waiting to happen.

They purposefully keep it vague to get you to call.

Locums agencies are major major bottom feeders and scum of the earth.
Amcs are probably one step above them..

U aren't gonna to get 40k-50k locums (standard fare) per month in most of the civilized country these days.

Civilized being the key word

Because everyone is watching their money. They restrict the hours as locums and it's hard to make OT in many places.

Locums agencies often times are one and the same as AMC. (Tiva is 100% subsidy of Sheridan/Amsurg/emcare with Envision being parent company). Same goes with D and Y 100% owned by Team Health.

Everything is negotiatable though. If they can't find someone for usual $1400/8hr or $1600/8 hours plus OT, than they may bite for $2000/8 hours

And the end of the day. The full time docs end up taking the brunt of the "short staff" as the company tries to cut cost and limit locums hours.

 

[PainDrain]

So I saw a posting in the same state for a doc working and taking call with a group of CRNAs. The doc would independent and CRNAs do their own cases. I was struck because I know the area and was surprised the CRNAs would allow a doc to come on. After reading over the posting and considering contacting them, the post was taken down. My guess is this offer was for a doc to act as a "fire fighter" to help the CRNAs when in trouble. I am wondering if this is due to surgeon pressure or perhaps the hospitals risk management office is crunches the numbers and realized they could be on the hook if they had a disaster on their hands. The other possibility is that it was pressure from the hospital in negotiating with the CRNAs.

 

[sevoflurane]

I had 2 friends of mine that left this type of practice. Awful.

It all starts with letting go of OB for more snooze time.