If you are not into expensive things, you should be FI earlier than that. I assuming you are an EP doc who completed residency in your early 30s and make 350k+/yr.
Brand new, yes, they were over $100K. I got mine used with 6,000 miles on it, in essentially mint condition, and well below sticker value. In fact, I got it so much below sticker I honestly felt bad for the guy that paid sticker, ate the depreciation, and only got to drive it for 6K miles.
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TeamHealth has an exciting opportunity for a full-time experienced academic Emergency Medicine physician to lead our team as an Emergency Medicine Residency Program Director at Mission Hospital located in Asheville, North Carolina. The ideal candidate will oversee the development, application and the maintenance of certification of the program in compliance with Accreditation Council for Graduate Medical Education (ACGME) requirements and the Policies and Procedures of the Sponsoring Institution. This leadership opportunity will be available starting spring 2021 with the program scheduled to open June 2022
Emergency Medicine Residency Program Director Job in North Carolina (NC), Emergency Medicine Career, Academic - EM, Medical Director - EM, EM Physician Jobs in TeamHealthEmergency Medicine Residency Program Director Job; Location: North Carolina (NC); Academic - EM, Medical Director - EM, EM Physician job in TeamHealth Company;
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pubmed.ncbi.nlm.nih.gov
Canada has done a much better job protecting their domestic grads, unlike the US.
You mean how we haven't protected domestic grads at all?
46 hours per week? It must be low volume per hour or low acuity. Can't imagine U.S. throughput with that many hours.
They come next for surgery.
They come next for surgery.
Surgery - Surgery - Professional Training Programs - Postgraduate Physician Assistant Program Overview - Montefiore Medical Center - New York City
Montefiore Medical Center has a proven reputation for managing even the most delicate and complex surgeries with overwhelmingly positive outcomes.www.montefiore.org
MIMIS is a center of excellence to instruct surgeons, surgical residents (physician and PAs) in established laparoscopic techniques and to develop new techniques and instrumentation. For the PA and physician residents there are dry lab sessions available throughout their tenure where computer based exercises sharpen skills and record progress over time as well as mechanical trainers to practice intracorporeal suturing techniques in a three dimensional trainer viewed on a two-dimensional video screen (just as in the OR). The last three weeks of the didactic session are spent on the surgical service the PA resident will be assigned for his or her first month of the clinical session.
Clinical Program
The clinical session is composed of eleven one-month rotations through three major urban hospitals. At the Jacobi Medical Center, a member of the New York City Health and Hospitals Corporation, serve in the area's largest and best-known Level One trauma center. They participate as surgical interns on the in-patient service learning to manage patients with both penetrating and blunt trauma.
In conjunction with their trauma experience the PAs spend an additional month at Jacobi as the surgical intern in the SICU. This combination of trauma and the SICU at a Level One urban Trauma Center truly sharpens skills needed to assess, diagnose and treat critically injured and fragile patients.
From Jacobi, the PA residents usually travel to the Weiler Division of the Montefiore Medical Center, a close geographic neighbor to Jacobi. At Weiler, the PA residents serve on the specialty care surgical service This service has varied in-patient population from pediatric (neonatal) to geriatric. Emphasis, as in all the surgical rotations, is on the preoperative care, inrtaoperative first assisting and postoperative management with appropriate in-patient care on the general floors or intensive care units. Participation at surgical clinics and follow-up office visits are also required.
Crossing the Bronx, the PA residents receive the majority of their surgical experience at the Moses Division of the Montefiore Medical Center. Here the PA residents serve for one month each on the Vascular Surgery Service, Pediatric Surgery, the Acute Care Service (covering patients admitted through the Emergency Department who need surgical care), the Adult Specialty Care Service (general surgery, endocrine surgery, bariatric surgery, liver/pancreatic surgery, oncologic surgery), Cardiothoracic Surgery and as the surgical PA intern in the Emergency Medicine Department. They also spend one month in the Surgical Intensive Care Unit (SICU).
Montefiore's Postgraduate Residency in Surgery is not only the first postgraduate training program but has stayed the test of time, continually graduating surgical physician assistants who rise to the challenges of surgical practice and remain involved on the national, state and local scene directing the role of the surgical PA. Taking the lead again, there has been a substantial increase in base salary ($50K per year over 14.5 months is approx $60K) as well as the institution of a "Graduation Bonus ($5K)" to be given to each member of the class upon completion of the full residency.
When I talk about large moat separating the roles of physician and midlevel, I mean the roles are so different because of highly specialized skillset and knowledge, high risk of death or injury, legal requirements, etc that make it extremely difficult or impossible for a midlevel to perform the physician’s role or at least fake it. That is the litmus test that any medical field needs to ask itself. For example, let’s use the classic example of surgery. Sure, you can have a midlevel assist or even harvest a vein or bone graft but can they perform surgery independently? Will any state, regulatory body, hospital, or insurance company allow a midlevel to independently perform a knee replacement, CABG, brain surgery, etc? No, because of the specialized knowledge and skills required as well as the patient can die on the table or be irreparable injured by an unqualified and incompetent individual. You can argue the same with other fields like radiology, pathology, radiation oncology, etc. Anesthesia could have been on this list if the anesthesiologists kept the field to themselves and didn’t foolishly sell out to the CRNA’s. Can you imagine getting a cancer diagnosis based on the interpretation of an independent NP working in pathology? Would you or the patient agree to undergo surgery, chemotherapy, and radiation treatments based on that report? I don’t think so. We all know that in clinical fields like primary care, ED, neurology, etc, our personal experiences and anecdotal evidence tell us that midlevels perform worse, are less efficient, often clueless, cost the healthcare system more overall, and have worse outcomes than physicians. However, it’s harder to show those differences to regulatory bodies and politicians than in surgery where death and complications are more immediate and easier to see. NP’s like to claim they are just as good as physicians, willing to live in the middle of nowhere, and cost less. We all know that those are lies that NP’s tell politicians to get state laws changed.
I have never heard of overnight hospitalist surgeon. It's very common for IM hospitalist to admit all patients and take liability while surgery is consulted.A respected doctor speaks up against changes in hospital overnight care to protect her patients | Opinion
Einstein Medical Center Montgomery will replace surgical doctors with nurse practitioners and physician assistants for overnight care.www.pennlive.com
This happened near me. All the PA's hired have already quit, apparently.
My community hospital which is a stroke center doesn't even have Neuro NPs.we have tele-neurologist for 4 hrs a day 8-12 M-F only. So basically IM hospitalist go for stroke call downs in admitted patients and ED does for their patients with tele-neurologist. Now they have trained ICU NPs will be running rapid responses, codes and strokes.
You don't need a physician to do Neuro exam. The palce where I work which is one of the CLINICS have made neurology tele in all their community hospitals. RN does the Neuro exam which is pretty basic and neurologist is on the video camera.
Two things: first, it's EMCM; ECMC is in Buffalo, NY.
If EM is set up for large scale midlevel expansion, outpatient primary care is, in my opinion, even more likely to be taken over by midlevels. It's like 95% all the patients we seen in the ED WITHOUT the actually sick patients.
Very true.. one major difference is many people stick to their PCP and love their Dr XYZ but you don’t see patients going to ED once a month searching for Dr ABC.
Yes similar to cardiologist and oncologist. You have a brand value which hospital based specialist have never experienced. Patients follow their cardiologist, oncologist and PCP. Hospitals will keep these doctors (especially private practice) happy for their business.
I have tons of patients in the ED who tell me they see their primary care "physician" regularly and I check their chart fo find it's actually a midlevel.
I mean, I agree with this point, but I don't think it matters. Competent EM physicians can outshine midlevels any day... and look at the mess we are in. It doesn't matter if we provide better care if we are more expensive. Our healthcare system is so effed.
Larger hospitals have them. We have 2 surgeons in-house 24/7 (trauma and acute care/general). We're so busy that they stay in the hospital overnight. It's basically a hospitalist surgeon philosophy.
The NAM used to be the IOM of "100k deaths due to errors in the hospital every year" fame.
Admin gonna admin. Don't hate the player, hate the game.
Yup. It’s BS that Envision gets way more for a midlevel to see a patient than doc in a democratic group whose contracts aren’t nearly as lucrative.
There is an extent of brand value which I completely agree with but the days of docs owning the patients is a fallacy. It all depends on the carriers and employers. If the carriers take a doc out of network or employer change carrier, your doc may not be a preferred provider which will prompt most to find a new specialists.
Dropping of physicians or large health systems by insurers is relatively rare. Does it happen? Sure, but it's not something that is common enough to completely negate the influence of physician movement on patient movement. I'm a medical specialist that offers "longitudinal care," and I would estimate that 5% of my patients switch every year due to insurance changes. This may even be lower for some specialties who carry more Medicare patients.
…said AANP President Sophia L. Thomas, DNP, APRN, FNP-BC, PPCNP-BC, FNAP, FAANP.
Is AI even a bad thing? I'm serious because AI looks like a tool for physicians to make better decisions
