Why Anes is considered ROAD

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Because everyone starts work at 6:30AM, right? I'm sure that's part of the training for eye-dentistry. Errr, uh, ophtho.
 
psychbender said:
Because otherwise, it would be the ROD to happiness, and most people just are not comfortable thinking about that.
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I would like to vote this as the winner...

winner of what, I have no idea... but it is definitely the winner.

👍:laugh:
 
it is now consideres in 2012 part of the "RAPED" specialties

Radiology
Anesthesia
Pathology
Emergency
Department

any specialty where you are reliant on the hospital/surg center and not the patient for business will be screwed in the future
 
maceo2 said:
it is now consideres in 2012 part of the "RAPED" specialties

Radiology
Anesthesia
Pathology
Emergency
Department

any specialty where you are reliant on the hospital/surg center and not the patient for business will be screwed in the future
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Agreed.
 
How are these not reliant on the hospital or surgical center?

maceo2 said:
it is now consideres in 2012 part of the "RAPED" specialties

Radiology
Anesthesia
Pathology
Emergency
Department

any specialty where you are reliant on the hospital/surg center and not the patient for business will be screwed in the future
Click to expand...
 
BLADEMDA said:
Sad but True.
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What if you are a salaried employee of the hospital (e.g. academics)? Do you guys think the bundling payment system will have much of an impact on them? It seems to me that it would mainly affect physicians that are fee for service.
 
HalO'Thane said:
What if you are a salaried employee of the hospital (e.g. academics)? Do you guys think the bundling payment system will have much of an impact on them? It seems to me that it would mainly affect physicians that are fee for service.
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Loking down the "ROAD" many of the specialties listed here will be salaried hospital positions whether Academic or Private.

Radiology
Anesthesiology
Pathology
Emergency Medicine
Critical Care
 
BLADEMDA said:
Loking down the "ROAD" many of the specialties listed here will be salaried hospital positions whether Academic or Private.

Radiology
Anesthesiology
Pathology
Emergency Medicine
Critical Care
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Blade,
I apologize if this is redundant to anything you have posted before, but what do you see the impact will be on critical care? This is one of my main areas of interest, and would be interested in what you think about the future of anes ccm? If it makes a difference, I am in the Midwest.

Thank you!!
 
RT2MD said:
Blade,
I apologize if this is redundant to anything you have posted before, but what do you see the impact will be on critical care? This is one of my main areas of interest, and would be interested in what you think about the future of anes ccm? If it makes a difference, I am in the Midwest.

Thank you!!
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Let's see aging population which will live longer than any other generation in history. Baby boomers who will want to stay on this Earth until their last breath.

I'd say you have guaranteed employment in the USA for life. Hospitals from large to medium will need your services. As Anesthesia transitions from private groups to hospital employee/salary over the next 10-15 years the number of job opportunities should increase for an Anesthesiologist certified in Critical Care Medicine.
 
How much do intensivists earn now? Are they currnetly employed by hospital systems as employees? What 2012 dollar amount do you see their income being in the future, Blade?


BLADEMDA said:
Let's see aging population which will live longer than any other generation in history. Baby boomers who will want to stay on this Earth until their last breath.

I'd say you have guaranteed employment in the USA for life. Hospitals from large to medium will need your services. As Anesthesia transitions from private groups to hospital employee/salary over the next 10-15 years the number of job opportunities should increase for an Anesthesiologist certified in Critical Care Medicine.
Click to expand...
 
yappy said:
How much do intensivists earn now? Are they currnetly employed by hospital systems as employees? What 2012 dollar amount do you see their income being in the future, Blade?
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There were 4 at the place I left. They made 250k each. Not bad for half a year of work.
 
Bundled payments will either be good or bad for individual specialties. It all depends on who makes the decisions regarding who gets how much of the bundle. When the guy comes in for his knee replacement (let's face it, the surgeon will still be "bringing" the patient to that hospital, so they'll likely be able to argue for the lion's share), he'll need a surgeon (well, surgical DNP), anesthesia, radiology, nursing, PT, and others. Each of those groups will be lobbying the decision-makers for a larger slice of the bundle. Whether or not a physician is currently salaried is irrelevant; the bundle is only so large and departments are going to be fighting with one another to justify their slice. The decisions will likely be political, but also based on what your "footprint" on the chart is. Pre-op clinics and post-op CCM may be good ways for anesthesia departments to increase their footprint.

Departments like anesthesia and ER will likely suffer under these arrangements because they don't attract or control patients and their billing codes are generous for the amount of time they spend with the patient. When parsed out not by billing codes, but rather by the total contribution to the patient's stay, it will look like they made a pretty small contribution and therefore be deserving of a smaller slice of the bundle.
 
Hopefully anesthesias impact on pain control on pt comfort will be considered a big part of their stay. These days pts can rate their stay with multiple factors with an important part involving how much pain they were in and how controlled it was. We should get reimbursed more for such a big part of their rating
 
Private practice jobs are not there for us in CCM at least not yet...Pulmonary is very protective over their cash cow in ICU. Maybe if we go to a 5 year residency with incorporated ICU fellowship we can turn the tide.
 
Anesthesia should be converted to a 5 to 5.5 year residency with CCM certification and Cardiovascular certification. With everyone trying to step into our territory, well then the reflex action is well let's step into someone else's territory.. Just make it a little bit easier and required for all anes residents..

By the way, anesthesiologists invented the ICU and intensivists specialty.
 
This seems kinda rough... was this at an academic hospital?

What are the implication of practice setting/career options by doing an ICU fellow after anesethia VS. doing an ICU fellowship after IM?


baller71457 said:
There were 4 at the place I left. They made 250k each. Not bad for half a year of work.
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yappy said:
This seems kinda rough... was this at an academic hospital?

What are the implication of practice setting/career options by doing an ICU fellow after anesethia VS. doing an ICU fellowship after IM?
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As others have said, there are fewer positions for anesthesia/CCM in private practice vs IM/Pulm/CCM. A lot of this relates to who staffs the units. Most often, it's Pulm. Something like 80% or more of the new CCM grads are from IM programs. There are only about 50 anesthesia/CCM fellows each year, so it's hard to get a group together outside of academic centers. There are PP anesthesiologists who staff ICUs (and a few on this board), they're just few and far between.
 
yappy said:
This seems kinda rough... was this at an academic hospital?

What are the implication of practice setting/career options by doing an ICU fellow after anesethia VS. doing an ICU fellowship after IM?
Click to expand...

It was private practice. The docs worked 2 weeks on, 2 weeks off. So essentially working half a year for that salary.
 
Thank you for your response. When I received field medical training in the military we spent a couple of weeks in a truama ICU - mainly paired with an RN to practice some skills and see the definitive treatment for trauma patients. To this day I still think back at how cool that experience was. From my (layman) perspective it seemed like really exciting, important, and state of the art work.

PMPMD said:
As others have said, there are fewer positions for anesthesia/CCM in private practice vs IM/Pulm/CCM. A lot of this relates to who staffs the units. Most often, it's Pulm. Something like 80% or more of the new CCM grads are from IM programs. There are only about 50 anesthesia/CCM fellows each year, so it's hard to get a group together outside of academic centers. There are PP anesthesiologists who staff ICUs (and a few on this board), they're just few and far between.
Click to expand...
 
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