That is very light. Many busy smaller places do that many cases in a day.
Resources are always a problem at small places. At the academic medical center or level one trauma center the blood bank is at your beck and call.
Who covers OB?
One ill-timed phone call can ruin your night. The schedule sounds sweet but the folks I know who cover 24/7 say that the sleep schedule wears them out over time.
Whoa. Just got off the phone with my buddy (we did residency together) just just told me. Tomorrow is his last day of call at the hospital and the hospital is taking the contract back from the MD in a month.
He does pain primarily. So it's not a big a thing for him. But the other MD is gonna to have to take a little paycut.
So they will be hospital employees. They will have 2 MDs. One week on. One week off. Pay is gonna to be around $380-400k Plus hospital benefits. So the hospital likely saves around $100k immediately. He says hospital is struggling and Medicaid expansion is still being talked about in the North Carolina house since the new govenor is democrat and obviously wants to expand it.
So rural hospitals are being hurt since the Dems and the ACA put a poison pill by punishing rural hospitals that have many Indigent patient populations unless the states expand Medicaid.
As for case load. They used to do just 4-6 real operating room cases a day when he started there in 2010 covering for the main MD. Plus 2-3 gi scopes.
Now they do around 10 real operating room cases a day (gallbladder, cysto, hernias, knee replacement, shoulder scopes , basic rural hospital cases you expect). But GI they do 10-15 gi scopes now. So they are much busier. They have 3 Ors but want to expand to 4. The Crna's are kinda of pissed with increase case load so one of them left. So they need to recruit more Crna's to rural hospital.
MD covers Ob. It's hit or miss as expected in rural hospital.
So bottom line is lots of budget issues and rural hospital are trying to cut cost so even this direct Anesthesiologist contract is ending and hospital is taking back the contract and employing MDs.