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My bad we can't own the hospital but still unfair
My bad we can't own the hospital but still unfair
I looked at MPW years ago but stopped tracking it when it was in the 20s. Is hospital rent dropping thus income thus probably dividend cut?
I get higher interest and macro issues are down pressures but 70% drop seems out of the norm compared to other REITs.
I might jump in with an option play but what is causing this oversell? Obviously the dividends are not sustainable.
This is the rate for EM now in FL. This is horrible.
Hi Dr. XXXXX,
FYI. The hourly rates are somewhat negotiable for several of the locations below, depending on experience etc.
Look forward to hearing from you! Full details and locations are listed below.
Emergency Medicine (Full-Time and Part-Time) Positions Available in Florida!!
Seeking Emergency Medicine Physicians to Staff Emergency Departments throughout Florida
Full-Time and Part-Time Openings Available!!
Physicians Must be Board Certified or Eligible:
ABEM or AOBEM certification/eligibility OR At least 2 years ER experience plus ABIM/AOBIM, or ABFM/ABOFM certification/eligibility.
ACLS/ATLS Required
1099 Status with covered malpractice with tail
The following locations are available for Full-Time or Part-Time. Please note that some hourly rates are negotiable and can be slightly higher than listed:
1) Tavernier, FL (Florida Keys) - Pay is $190/hour, ER Volume is 12000, 9 beds, Shifts: 7a-7p; 7p-7a, EMR is Cerner
1099 positions, Full-Time or Part-Time, FREE Lodging available
2) Lehigh Acres, FL (Ft. Myers) - Pay is $210/hour ($220/hour nights), ER Volume is 24000, 12 beds Shifts, 7a-7p; 7p-7a, EMR is Epic
1099 positions, Full-Time or Part-Time
3) Marianna, FL (FL Panhandle) - Pay is $200/hour, ER Volume is 25000, 17 beds, Shifts, 6a-6p; 6p-6a, EMR is Epower Doc
*Note, for Full-Time (10+ shifts/month) will be Hospital Employed W2 position with Full Benefits. Also, hospital has Sovereign Immunity. FREE Lodging near the Hospital if needed.
4) Arcadia, FL (rural South Florida) - Pay is $200/hour, ER Volume is 15000, 15 beds, Shifts, 7a-7p; 7p-7a, EMR is Meditech
1099 positions, Full-Time or Part-Time
5) Marathon, FL (Florida Keys, near Key West) - Pay is $190/hour, ER Volume is 10000, 11 beds, Shifts, 7a-7p; 7p-7a, EMR is Cerner
1099 positions, Full-Time or Part-Time, FREE Lodging available.
Thank you,
Jarrett Alman, President
Doctor's Choice Placement Services, Inc.
6640 NW 101 Terrace
Parkland, FL 33076
Phone: 954-825-0975
E-mail: [email protected]
Or: [email protected]
Website: www.doctorschoiceplacement.com
Every physician should use that as a lesson... the position of 'f... you.' No specialty is safe.
There are academic centers now that are training NP/PA how to scope and do LHC.Idk man, I think several specialities are safe:
Neurosurgery, ENT, Urology, IR, GI, heme/onc, IC, plastic surgery, transplant surgery, and other specialized surgical fields.
Yeah I agree but these are very far and in between. Besides, there’s a lot more to cardiology and GI than these two routine proceduresThere are academic centers now that are training NP/PA how to scope and do LHC.
Specialties that are surgical in nature are safe for now.
You know that because you are a physician, but the bean counter does not care.Yeah I agree but these are very far and in between. Besides, there’s a lot more to cardiology and GI than these two routine procedures
what other GI procedures are there? Not every GI does ercp. It’s basically two major endoscopies. If you mean the cognitive side of GI, then they’re about as safe as any “cognitive” specialty.Yeah I agree but these are very far and in between. Besides, there’s a lot more to cardiology and GI than these two routine procedures
Ironically, I had considered cold calling these 2 hospitals in the past to find out who staffed their ED's. Would love to live in the Keys, but not at those rates. I wonder what the actual non-headhunter rate is?1) Tavernier, FL (Florida Keys) - Pay is $190/hour, ER Volume is 12000, 9 beds, Shifts: 7a-7p; 7p-7a, EMR is Cerner
1099 positions, Full-Time or Part-Time, FREE Lodging available
5) Marathon, FL (Florida Keys, near Key West) - Pay is $190/hour, ER Volume is 10000, 11 beds, Shifts, 7a-7p; 7p-7a, EMR is Cerner
1099 positions, Full-Time or Part-Time, FREE Lodging available.
Ironically, I had considered cold calling these 2 hospitals in the past to find out who staffed their ED's. Would love to live in the Keys, but not at those rates. I wonder what the actual non-headhunter rate is?
Ironically, I had considered cold calling these 2 hospitals in the past to find out who staffed their ED's. Would love to live in the Keys, but not at those rates. I wonder what the actual non-headhunter rate is?
Ironically, I had considered cold calling these 2 hospitals in the past to find out who staffed their ED's. Would love to live in the Keys, but not at those rates. I wonder what the actual non-headhunter rate is?
This is the rate for EM now in FL. This is horrible.
Hi Dr. XXXXX,
FYI. The hourly rates are somewhat negotiable for several of the locations below, depending on experience etc.
Look forward to hearing from you! Full details and locations are listed below.
Emergency Medicine (Full-Time and Part-Time) Positions Available in Florida!!
Seeking Emergency Medicine Physicians to Staff Emergency Departments throughout Florida
Full-Time and Part-Time Openings Available!!
Physicians Must be Board Certified or Eligible:
ABEM or AOBEM certification/eligibility OR At least 2 years ER experience plus ABIM/AOBIM, or ABFM/ABOFM certification/eligibility.
ACLS/ATLS Required
1099 Status with covered malpractice with tail
The following locations are available for Full-Time or Part-Time. Please note that some hourly rates are negotiable and can be slightly higher than listed:
1) Tavernier, FL (Florida Keys) - Pay is $190/hour, ER Volume is 12000, 9 beds, Shifts: 7a-7p; 7p-7a, EMR is Cerner
1099 positions, Full-Time or Part-Time, FREE Lodging available
2) Lehigh Acres, FL (Ft. Myers) - Pay is $210/hour ($220/hour nights), ER Volume is 24000, 12 beds Shifts, 7a-7p; 7p-7a, EMR is Epic
1099 positions, Full-Time or Part-Time
3) Marianna, FL (FL Panhandle) - Pay is $200/hour, ER Volume is 25000, 17 beds, Shifts, 6a-6p; 6p-6a, EMR is Epower Doc
*Note, for Full-Time (10+ shifts/month) will be Hospital Employed W2 position with Full Benefits. Also, hospital has Sovereign Immunity. FREE Lodging near the Hospital if needed.
4) Arcadia, FL (rural South Florida) - Pay is $200/hour, ER Volume is 15000, 15 beds, Shifts, 7a-7p; 7p-7a, EMR is Meditech
1099 positions, Full-Time or Part-Time
5) Marathon, FL (Florida Keys, near Key West) - Pay is $190/hour, ER Volume is 10000, 11 beds, Shifts, 7a-7p; 7p-7a, EMR is Cerner
1099 positions, Full-Time or Part-Time, FREE Lodging available.
Thank you,
Jarrett Alman, President
Doctor's Choice Placement Services, Inc.
6640 NW 101 Terrace
Parkland, FL 33076
Phone: 954-825-0975
E-mail: [email protected]
Or: [email protected]
Website: www.doctorschoiceplacement.com
SW FL checking in.
That rate at Arcadia is actually UP from what it was last I checked.
I avg 240-250 at my shop.
250-270 in Miami, which just means these places are shortchanging you because Miami is *not* supposed to be where the big bucks are, the rural places are supposed to be where the money is.
Some months have been over 300.
My shop is HIGHLY seasonal.
No snowbirds = radically less volume.
This is surprisingly a good rate for Miami. Did you negotiate that rate 4+ years ago?250-270 in Miami, which just means these places are shortchanging you because Miami is *not* supposed to be where the big bucks are, the rural places are supposed to be where the money is.
This is surprisingly a good rate for Miami. Did you negotiate that rate 4+ years age?
That is remarkable. Envision was offering $75/hr plus their complicated RVU scheme as a hospitalist. I believe it was at Baptist if my memory serves me well.Nope. We got a raise (to $250 flat rate) about 4 years ago and another (to the current) about 1 year ago. Only place I know that has consistently gotten *better* for docs since covid. We got to work extra shifts during covid because administration was terrified that the Miami Herald would plaster us on the front page as bodies piled up, so they okayed extra coverage.
Not sure if the powers that be knew switching us to a 70/30 flat rate/rvu system would be a raise, but it was.
Nope. We got a raise (to $250 flat rate) about 4 years ago and another (to the current) about 1 year ago. Only place I know that has consistently gotten *better* for docs since covid. We got to work extra shifts during covid because administration was terrified that the Miami Herald would plaster us on the front page as bodies piled up, so they okayed extra coverage.
Not sure if the powers that be knew switching us to a 70/30 flat rate/rvu system would be a raise, but it was.
For years I’ve looked on and off a little further north in Broward and PB counties. I haven’t found any job sniffing 270/hour, it’s usually been ballpark of 220/hour. What’s unique about the Miami area?
$220/hr is not bad for Broward and Palm Beach counties. I actually thought rate in south FL was < 200. You guys make bank.For years I’ve looked on and off a little further north in Broward and PB counties. I haven’t found any job sniffing 270/hour, it’s usually been ballpark of 220/hour. What’s unique about the Miami area?
IM PGY-1 here. I thought I made a mistake going into IM and was seriously considering switching to EM so much so that I reentered the match late this year and had a few interviews. When I learned that EM is becoming a waste land job market wise, I decided to withdraw from the match and stay the current course. Nobody can tell you what to do with your life. My only advice is to not stay fixated on one path. Keep all of your options open and do as well as possible in school and on clinical to keep as many doors open for yourself as you can.
Edit: Also I think you're a bit early worrying about what specialty to go into. It's good to think about but I would focus my energy on learning and doing well first. You may totally change your mind about EM anyway once you get to clinical rotations.
Absolutely agree.
I’m pretty astounded at how quickly the train can go off the rails with regard to specialty saturation. When I applied to residency (IM) in 2013, EM was one of the hip/trendy specialties that was “becoming more competitive”. I remember people trying for EM at my school and not matching, and some of my classmates were really thinking they were red hot **** for matching EM. I remember some perception of EM being a “lifestyle specialty”, which never made sense to me given the neverending circadian rhythm changes and the like (when I did my month of EM as an IM resident I can remember feeling so zonked at the end of that month that it took months to recover - like even worse than an overnight call floor month. How do you guys manage to do this for years on end?). I can remember lots and lots of new EM residencies opening up to “meet demand”. Hell, I can remember EM docs on this very board talking **** about other specialties. I can definitely remember seeing folks on this board trash IM residents and hospitalists over and over.
Hell, rad onc, at the time, was tippy top in terms of competitiveness, up there with derm, neurosurgery, plastics, and the like.
My, how things have changed. EM is now experiencing a crisis on the level of what nephrology and (to a lesser extent) ID have been dealing with - massive numbers of unfilled positions, garbage training programs, etc etc. Now I come to this board and people are saying “for the love of god match IM/peds/FM” which is never something I would have expected to hear just a few years ago.
Your second solution would be a fantastic one.I made a post a year or two back.
The solution for EM is to become a fellowship for IM/FM - 2 years.
Or make EM all 4 year programs with dual cert in FM/EM right from the start.
This will allow an exit.
We are trying to have a system that makes sense and is fair for everyone. I am an internist and I don't care about turf war.IM doesn't want more competitors for its own fellowships so EM was set up explicitly to avoid that path.
Ideal for us, but bad for IM folks. Easy to see both sides of it. I'd jump ship for cards or something if I could.
Most internists would disagree with you on that.We are trying to have a system that makes sense and is fair for everyone. I am an internist and I don't care about turf war.
When I was a resident, there was an IM guy who went to U Wash for med school. You know, where Harborview had every service for the ED, instead of just EM seeing the pts first. Well, this guy was vocal about MFing EM, and would say that there should be IM, surgery, peds, ob/gyn, and psych in the ED, all respectively seeing the pts that would go with their service (like they did where he came from). When asked who would pay for this redundancy, silence. But, since it was Duke, the egos were large and very well defined and developed. "It should be my way, because I thought of it!"Most internists would disagree with you on that.
If we want to break down all barriers to training and certification then ok whatever. Then IM should be allowed to do a 2 year fellowship in radiology or derm. And guess what rads or derm would say?
Your second solution would be a fantastic one.
Why not 4-year EM/IM?
You are probably right that these guys/gals would be against it. But I am ok to open the door for fellowships in some of these non-surgical specialties.Most internists would disagree with you on that.
If we want to break down all barriers to training and certification then ok whatever. Then IM should be allowed to do a 2 year fellowship in radiology or derm. And guess what rads or derm would say?
Well then good thing it’s not up to you.You are probably right that these guys/gals would be against it. But I am ok to open the door for fellowships in some of these non-surgical specialties.
I agree with you. I’ve been saying this for over 10 years on SDN EM. Search SDN forums for the word “pigeonholed” by @Birdstrike . That’s what (nearly all) EM physicians are, unless they have a skill-stack that allows a lateral or superior exit. It’s a fatal, congenital flaw in the specialty design. It renders EM physicians nearly powerless other that the ability to vote with you feet or strike.I made a post a year or two back.
The solution for EM is to become a fellowship for IM/FM - 2 years.
Or make EM all 4 year programs with dual cert in FM/EM right from the start.
This will allow an exit.
I agree with you. I’ve been saying this for over 10 years on SDN EM. Search SDN forums for the word “pigeonholed” by @Birdstrike . That’s what (nearly all) EM physicians are, unless they have a skill-stack that allows a lateral or superior exit. It’s a fatal, congenital flaw in the specialty design. It renders EM physicians nearly powerless other that the ability to vote with you feet or strike.
Add a skill that allows you to maintain your income outside of an Emergency Department, and you’ll feel reborn, bordering on immortal.
I agree with you. I’ve been saying this for over 10 years on SDN EM. Search SDN forums for the word “pigeonholed” by @Birdstrike . That’s what (nearly all) EM physicians are, unless they have a skill-stack that allows a lateral or superior exit. It’s a fatal, congenital flaw in the specialty design. It renders EM physicians nearly powerless other that the ability to vote with you feet or strike.
Add a skill that allows you to maintain your income outside of an Emergency Department, and you’ll feel reborn, bordering on immortal.
Didn’t you say you were part of the process to get EM eligible for Pain board certification? What was the process like, and what sort of hurdles exist for newer fellowship paths?
He posted about this. A series of letters.
For example another low hanging fruit fellowship which comes to mind is Sleep. There’s already like half a dozen eligible residencies, why not EM? I hear the job market isn’t too hot but lifestyle is pristine, and it’s a step in the right direction overall.
We need more fellowship trailblazers like @Birdstrike. Hoping he can chime in with the how, what, when, why, etc. details to motivate others.
We have a bunch of fellowship trained docs in our non-academic democratic group. Some have a small amount of admin time related to their fellowship (i.e. US trained person does QI for our US studies. Or at least I think they do. Can't remember the last time I heard anything about it.)Agreed. Need trailblazers to create new fellowship paths..
There is no reason a EM doctor cannot learn FM, sleep, sports medicine, addiction medicine, lifestyle medicine, occupational med, stroke? (Every stroke patient seen by a neurologist is seen by an ER doc as well), geriatrics.
Our current fellowship options are so terrible other than pain, palliative, critical care and potentially toxicology. I mean what are you guys doing with an ultrasound or ems fellowship???? Most of the time you end up taking a lower paying university gig. There’s no value of these fellowships in community medicine - that’s how you know there’s really no real world application for these fellowships. These fellowship docs do exactly the same thing in the community as a non fellowship doc. What in this world is a simulation and administration fellowship. That’s just making up fellowships for cheap labor
Wait what's lifestyle medicine?