Would you: Take a pay cut so you don’t work for AMC/pay cut to do your own cases solo?

[AppTrail]

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Depends on the location but I’m full time locums and no place has “thrown” me into some dangerous situation. Having a bad outcome because the place is making an effort to abuse their locums is not a good look for the group/hospital/amc either. They also know it’s a two way street. They can get rid of you within 30 days and you can leave within 30. Generally they want you to come back because it is also not super simple to find capable and safe locums as well.

I’ve been treated with respect all places I go. I may not be trusted with all cases/locations/surgeons initially but over time as they get to know you take good care of patients places pretty much integrate you. The more capable and professional care you give the greater your leverage later on with contracts.

As an aside: when you do locums would it make sense to just be mediocre? If you come in there as a rockstar with high efficiency, then more will be expected of you correct? If you’re just mediocre then the group won’t put too much on your plate

 

[dizzy21]

Rarely am I given the runt assignments. The full timers are Generally very fair to locums in places I’ve been.

In most cases we make their lives easier when we show up. 1000 bonus points if you’re actually helpful and try to make their day to day smoother by doing add ons or mixing into the schedule nicely and willingly

Plus one for this. The full timers actually love locums. It’s usually a win win. Locums work till 5p or 7p or 24 hours while the hospital foots the bill for locums. Full timers get out at 11am or get days off they wanted. Sure I get paid more but full timers work much much less.

 

[aneftp]

Plus one for this. The full timers actually love locums. It’s usually a win win. Locums work till 5p or 7p or 24 hours while the hospital foots the bill for locums. Full timers get out at 11am or get days off they wanted. Sure I get paid more but full timers work much much less.

It depends. The full timers w2 need to take advantage of the short staffing to whatever they feel like doing

Some w2 just want to do the bare minimum 30-35 hrs and rig it and do no or limited weekend calls

Some w2 want to take advantage of incentives in staffing shortage with $$$ for extra calls. Some make almost 1 million as w2 this way extra work. Most will make 700k w2 doing bare extra calls

And the way they rig the calls is this

Sunday extra $2000 plus hours
Monday post
Tuesday (come in at 3pm ) extra calls get paid $1000 plus hours
Wednesday post
Thursday call (come at 3pm) no extra pay
Friday off.

It’s all a game and it works better to be short staff.

As you can see , w2 can make an extra $5000-8000 per week and not even feel like working a lot.

 

[PainInTheAnes]

As an aside: when you do locums would it make sense to just be mediocre? If you come in there as a rockstar with high efficiency, then more will be expected of you correct? If you’re just mediocre then the group won’t put too much on your plate

Incorrect. If you’re capable as a locums a group will know you have options and won’t stay if you’re messed with. I have friends who get requested by surgeons after awhile and they’re very clear they prefer to be a normal body and not special. If they’re given harder assignments then their pay goes up or they walk is usually the deal.

Too much of a crapshoot to shuffle locums every few months. It’s a crapshoot even hiring full time these days, locums that are good are very difficult to find.

 

[circleK]

The majority of people over age 50 in this profession hate being in the operating room but can’t control their spending enough to quit. It’s got to be a sad existence.

Spending on kids gets exponentially more expensive the older they get. That dictates most of the extra spending I see with older colleagues (of which I am approaching).

 

[AppTrail]

Incorrect. If you’re capable as a locums a group will know you have options and won’t stay if you’re messed with. I have friends who get requested by surgeons after awhile and they’re very clear they prefer to be a normal body and not special. If they’re given harder assignments then their pay goes up or they walk is usually the deal.

Too much of a crapshoot to shuffle locums every few months. It’s a crapshoot even hiring full time these days, locums that are good are very difficult to find.

Feel like it’s site dependent. We’ve had several locums over the past couple years. One guy is a rockstar and supervises 4 rooms with blocks. Another guy is an FMG and gets the easy assignments. They keep bringing him back cause the alternative is it shut down rooms

 

[ucsfgaspain]

The majority of people over age 50 in this profession hate being in the operating room but can’t control their spending enough to quit. It’s got to be a sad existen

Spending on kids gets exponentially more expensive the older they get. That dictates most of the extra spending I see with older colleagues (of which I am approaching).

I've always been puzzled by this. Isn't the issue that you should treat your kids like your investment portfolio? When you know that they have little potential upside, you don't fall for the sunk cost fallacy, you minimize loss and cut further capital investment? Shouldn't you diversify out of this investment type? Get into other species likes dogs or robots? Hedge your exposure🙂

 

[amyl]

I've always been puzzled by this. Isn't the issue that you should treat your kids like your investment portfolio? When you know that they have little potential upside, you don't fall for the sunk cost fallacy, you minimize loss and cut further capital investment? Shouldn't you diversify out of this investment type? Get into other species likes dogs or robots? Hedge your exposure🙂

i also don’t understand this. I’m a stepmom so maybe that why I don’t get it. My husbands kids are 29 (got his **** together), 34 (doing okay), and 33 (clueless about the way the world works and wants to be a Kardashian.). They’ve all had whatever education they wanted, free cars…. We still pay for their cell phones and the car insurance for the clueless one. They’ve all had it so easy comparatively and only 1/3 had a good plan in place to have a good life, career, buy a house. They think they’ve had it tough but I think they’ve had it too easy and that why they’re failing. But it’s a little too late to instill a work ethic. And they’re not my kids. I don’t understand people who still support their 30 year olds - explain it like I’m 5

 

[circleK]

i also don’t understand this. I’m a stepmom so maybe that why I don’t get it. My husbands kids are 29 (got his **** together), 34 (doing okay), and 33 (clueless about the way the world works and wants to be a Kardashian.). They’ve all had whatever education they wanted, free cars…. We still pay for their cell phones and the car insurance for the clueless one. They’ve all had it so easy comparatively and only 1/3 had a good plan in place to have a good life, career, buy a house. They think they’ve had it tough but I think they’ve had it too easy and that why they’re failing. But it’s a little too late to instill a work ethic. And they’re not my kids. I don’t understand people who still support their 30 year olds - explain it like I’m 5

I was speaking more about teen/college age vs toddlers, not supporting grown adults.

 

[pgg]

Seems to be universal regardless of age. Everyone seems to quickly learn to love “supervising”

I don't know anyone who loves it.

There are dinosaurs out there who are so institutionalized by supervising that they can't function independently, so they tell themselves and the rest of us that it's better than solo work.

I think there's a minority out there who are comfortable rolling the dice as liability sponges, letting the CRNAs run amok while clicking some preops from the lounge.

Most of us dislike it but accept it as a an evil that makes the rest of the job possible. The risk is generally compensated better, to some degree.

 

[sloh]

i also don’t understand this. I’m a stepmom so maybe that why I don’t get it. My husbands kids are 29 (got his **** together), 34 (doing okay), and 33 (clueless about the way the world works and wants to be a Kardashian.). They’ve all had whatever education they wanted, free cars…. We still pay for their cell phones and the car insurance for the clueless one. They’ve all had it so easy comparatively and only 1/3 had a good plan in place to have a good life, career, buy a house. They think they’ve had it tough but I think they’ve had it too easy and that why they’re failing. But it’s a little too late to instill a work ethic. And they’re not my kids. I don’t understand people who still support their 30 year olds - explain it like I’m 5

All parents are environmentalists until they have their second child.