Would you take this job?

[bobg504]

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Got presented a fairly unique opportunity and figured I'd get opinions. Offer:

-80 bed hospital, 400 deliveries, 2 ORs, 2 Procedure rooms, no high risk ob and low call back volume.

7 days on 7 days off, 26 weeks/year, 7-5pm daily, supervising 2-3 CRNA, call Mon-Sun, CRNA backup, $35,000/wk. 1099.

Let the opinions fly.

 

[PainInTheAnes]

Got presented a fairly unique opportunity and figured I'd get opinions. Offer:

-80 bed hospital, 400 deliveries, 2 ORs, 2 Procedure rooms, no high risk ob and low call back volume.

7 days on 7 days off, 26 weeks/year, 7-5pm daily, supervising 2-3 CRNA, call Mon-Sun, $35,000/wk. 1099.

Let the opinions fly.

Yes, absolutely.

 

[deleted1183938]

Got presented a fairly unique opportunity and figured I'd get opinions. Offer:

-80 bed hospital, 400 deliveries, 2 ORs, 2 Procedure rooms, no high risk ob and low call back volume.

7 days on 7 days off, 26 weeks/year, 7-5pm daily, supervising 2-3 CRNA, call Mon-Sun, $35,000/wk. 1099.

Let the opinions fly.

Well I just did the math and this is almost 1 million a year. Who’s the other doc? They need one?
How in the world are they affording this?
Oh yeah. Of course!! Look at my name!!

 

[Maz777]

No way. Working half the weekends, doing OB, and being forced to supervise. I'll take a sizable paycut to avoid all of those things. I'm guessing you are on call 24/7 for those weeks on?

 

[Blockit]

Can you give an idea of general location in the country? What is your legal responsibility for those CRNAs and are they obligated to follow your guidance? This certainly looks good from a financial perspective but what happens when those CRNAs turn out to be killers (or the surgeons are)? Ask me how I know.

 

[coffeebythelake]

Got presented a fairly unique opportunity and figured I'd get opinions. Offer:

-80 bed hospital, 400 deliveries, 2 ORs, 2 Procedure rooms, no high risk ob and low call back volume.

7 days on 7 days off, 26 weeks/year, 7-5pm daily, supervising 2-3 CRNA, call Mon-Sun, $35,000/wk. 1099.

Let the opinions fly.

Good

 

[aneftp]

So I assume doc takes over at 5pm from cena and is solo?

Ur time commitment is 168 hrs for the week. That’s 50k a week I would think is more appropriate

168 hrs x $300/hr per week crna equals 50k.

That’s what crna locums get paid by the way to cover small rural hospitals very light ob as well solo.

 

[bobg504]

So I assume doc takes over at 5pm from cena and is solo?

Ur time commitment is 168 hrs for the week. That’s 50k a week I would think is more appropriate

168 hrs x $300/hr per week crna equals 50k.

That’s what crna locums get paid by the way to cover small rural hospitals very light ob as well solo.

I certainly thought about this, and countered, but the call back is so low and the values are so some that they aren't going for increasing the hourly rate. I have the option to do PRN and work as many or as few weeks to start, so once I see how it really is, I'll either continue to stop going

 

[deleted1183938]

So I assume doc takes over at 5pm from cena and is solo?

Ur time commitment is 168 hrs for the week. That’s 50k a week I would think is more appropriate

168 hrs x $300/hr per week crna equals 50k.

That’s what crna locums get paid by the way to cover small rural hospitals very light ob as well solo.T

The CRNAs are getting paid 50K per week and the doc is getting paid 35K per week? If so what should the doc ask for? 100K per week to counter the CRNAs? And why would this hospital not just doctors then instead?

 

[deleted1183938]

No way. Working half the weekends, doing OB, and being forced to supervise. I'll take a sizable paycut to avoid all of those things. I'm guessing you are on call 24/7 for those weeks on?

I should add If the CRNAs are competent and not militant. Otherwise I will pass then. I have worked in scary militant CRNA sites.

 

[bobg504]

The CRNAs are getting paid 50K per week and the doc is getting paid 35K per week? If so what should the doc ask for? 100K per week to counter the CRNAs? And why would this hospital not just doctors then instead?

No. They are not. The OP was making a parallel regarding what some CRNAs may be getting in remote communities. That is not the case at this hospital.

 

[Coffee PRN]

I’m guessing this is real rural? If not I’ll take the other half lol

 

[Gator7]

I’ve only been doing locum side gigs for the past year but I’d say this job should be closer to 10k/day. That’s what I was paid for similar coverage.

Even if it’s light call back they are still using your name to keep their OR and L&D services open. Plus if you have epidurals running into the evening/overnight they are billing for that and you should be paid.

 

[deleted1183938]

I’ve only been doing locum side gigs for the past year but I’d say this job should be closer to 10k/day. That’s what I was paid for similar coverage.

Even if it’s light call back they are still using your name to keep their OR and L&D services open. Plus if you have epidurals running into the evening/overnight they are billing for that and you should be paid.

Where is this place that pays close to 10K per day? You were billing around the clock?

 

[deleted1183938]

No. They are not. The OP was making a parallel regarding what some CRNAs may be getting in remote communities. That is not the case at this hospital.

Where in these remote communities? Per AANA CRNAs are more cost effective than Physicians. 🤣🤣🤣.
So this does not compute. Where is this cost savings?

 

[bobg504]

Where is this place that pays close to 10K per day? You were billing around the clock?

I'm wondering the same. I've been doing doing locums full time and routinely make over $400/hr., but I've found that most places with light call that is NOT in-house are not willing to pay that much for the coverage, especially when you are rarely called back.

 

[bobg504]

I’ve only been doing locum side gigs for the past year but I’d say this job should be closer to 10k/day. That’s what I was paid for similar coverage.

Even if it’s light call back they are still using your name to keep their OR and L&D services open. Plus if you have epidurals running into the evening/overnight they are billing for that and you should be paid.

I would tend to agree, if the call was in house, but it is not. This place is low volume and low call back. Admin aint going for the type of cost.

 

[ERRES2288]

It truly depends what “low” call back means. Once a month? Once a year? Once a week?

Edit to add how long the day goes for. Routinely done before 5pm or often relieving crna at 5 until 8-9pm.

 

[bobg504]

It truly depends what “low” call back means. Once a month? Once a year? Once a week?

Edit to add how long the day goes for. Routinely done before 5pm or often relieving crna at 5 until 8-9pm.

Endo is done. 3pm. 1 OR done by 3, the other by 5pm or I relieve. Inductions are timed such that epidurals are done during the day. 1-2 deliveries/day. C-section call back rate is about 35%

This is a pretty small 80 bed hospital. Call backs are typically gallbladders or apps, I'm told by other docs who go there is 2-3 times during the week. Very rare call back after midnight.

 

[triggermaster]

Got presented a fairly unique opportunity and figured I'd get opinions. Offer:

-80 bed hospital, 400 deliveries, 2 ORs, 2 Procedure rooms, no high risk ob and low call back volume.

7 days on 7 days off, 26 weeks/year, 7-5pm daily, supervising 2-3 CRNA, call Mon-Sun, CRNA backup, $35,000/wk. 1099.

Let the opinions fly.

You are covering 2 jobs worth of hours and getting 2 jobs worth of pay. Sounds okay but not amazing. It’s good if you want to make a lot of money fast or want tons of weeks off badly enough to put up with the other 26 weeks being pretty terrible. It doesn’t sound the best or worst.

 

[DirtDocMD]

If you’re single or the spouse is looking for a 1-2 year “adventure” (go live in a cheap house or camper, spend half your time committed to work, half to playing around)—-it could be pretty lucrative. Gotta be some other reason why someone else hasn’t settled there “permanently”, or why 3-4 Docs haven’t split this thing up (if it’s really that lucrative) to make it a REAL cush job (make $450k for 13 weeks x 4 Docs).

Do NOT buy an “albatross” of a home in this town (the kind nobody else in town could afford or would want, leaving you stuck for 1-2 years with a house you can’t unload), thinking this job will be like this forever. Another 1-3 years, and the CEO will reconsider, or another one shows up, and the whole game plan changes.

 

[Shimmy8]

Really depends on how often you’re working 5-9PM and how busy the weekends are IMO.

 

[rick roller pump]

I would take this job if it was somewhere I wanted to live. But I am guessing based on volume that it is some small town where no one wants to live.

 

[deleted1183938]

I would take this job if it was somewhere I wanted to live. But I am guessing based on volume that it is some small town where no one wants to live.

Someone wants to live there. Someone always does. But could always get a small place and fly in and out.!

 

[Blockit]

Someone wants to live there. Someone always does. But could always get a small place and fly in and out.!

If it is that small of a place there probably isn’t any easy “fly in and out”

 

[deleted1183938]

If it is that small of a place there probably isn’t any easy “fly in and out”

Probably not but possible. I have flown into some small airports where they have two flights per day. But I have also driven two hours away from an airport. Could also be possibly drivable. Wish we had trains.

 

[amyl]

Europe trains 💕💕💕💕
I loved my time in bfe…. Would go back for the right thing

 

[Greenbayslacker]

@bobg504 not giving the location...

 

[deleted1183938]

@bobg504 not giving the location...

Because obviously he wants it for himself. Or herself. And that’s OK.

 

[arsene19]

These days with 1099 it's easy to make that money, with more autonomy and control over your schedule.

I could beat that in a desirable major mid-Atlantic metro area, with more direct schedule control. My rates are $400/hr nights/weekends/holidays, 350 daytime, and it's all you can eat around here.

If I was fresh out of residency, in early accumulation phase AND it was within 1 hour of where I wanted to live, maybe.
Or if I had to make a pile in 1-2 years, and I was single/empty nest, maybe - but again easier to DIY 1099.

 

[ASA6]

why 3-4 Docs haven’t split this thing up (if it’s really that lucrative) to make it a REAL cush job (make $450k for 13 weeks x 4 Docs).

Id absolutely be up for this if @bobg504 wants to share it.