You can go out and get 5-600 jobs right now. That's the track pay. 350 is unacceptable for a full time anesthesiologist.
This is true. 2017 called they’d like their salaries back.
You can go out and get 5-600 jobs right now. That's the track pay. 350 is unacceptable for a full time anesthesiologist.
This is me. I have a job with good working conditions at average pay. I decided to go locums and staff a mediocre job at very high pay. I have already spoken to other recruiters who are offering the same rate or higher in my local area at other sites.2023 is a year to make hay while the sun shines. If you need or want money then there is no excuse why in 2023 you can’t be earning a very high salary. As for me, I make a very good salary working 36-40 hours per week with 9 weeks vacation. I’m quite content with my pay for the work i do. Can you say the same?
I agree that one should be using the market incentives to either get a great job at average pay or a mediocre job at very high pay. Anyone covering 4 midlevels and working 55 hours or more per week should be killing it financially. I won’t even quote the salary I would demand in 2023 for such a position on the public forum. My advice is wake up and smell the roses 🌹 while they are still fresh.
The label on the syringe just says "ANESTHESIA".You are right. In fact I also try to minimize the volume of injectate. I dissolve vecuronium powder in 1 ml of Ketamine 100mg/cc concentration. I induce anesthesia with 1 ml. In the old days I used to use sux powder.
2023 is a year to make hay while the sun shines. If you need or want money then there is no excuse why in 2023 you can’t be earning a very high salary. As for me, I make a very good salary working 36-40 hours per week with 9 weeks vacation. I’m quite content with my pay for the work i do. Can you say the same?
I agree that one should be using the market incentives to either get a great job at average pay or a mediocre job at very high pay. Anyone covering 4 midlevels and working 55 hours or more per week should be killing it financially. I won’t even quote the salary I would demand in 2023 for such a position on the public forum. My advice is wake up and smell the roses 🌹 while they are still fresh.
That’s exactly what it means.
Take a job that offers you a great lifestyle and good money if you want to have good lifestyle for personal or family reasons.
Take a locums gig that offers insane money with poor lifestyle if you want to have money for personal or family reasons.
Do NOT take a mediocre paying job with mediocre to bad lifestyle in this environment. Deprive the AMCs of their labor pool of suckers, deprive the unfair private practices of their labor pool of suckers. There is no pot of gold, there is no panacea after “making it” in these groups.
You will regret exploiting the new associates unfairly if you’re anything but a soulless, money grubbing, imbecile. You will also end up getting screwed when you can’t prey on the new associates (who won’t work for you now) and the work now falls on YOU and you have no protection because you’re a partner with a bad contract with a hospital.
Ask any partner at a predatory group or AMC with a bad rep. They are all getting absolutely crushed right now. Divorces, heart disease, and estrangement from their children will be the prize they struggle so long and did so much damage to get.
Where is this hospital w2 job? Gotta be in bfe.I’m in this boat. Thought I wanted to do private practice but just initial talks show how much they take advantage until you make partner. Hospital w2 offering 600 with 12 weeks vacay and 40 hours a week. Private practice at 500 with 45-50 hours and 6 weeks off. When you make partner vacay up to 12 weeks. Haven’t been told the partner salary but can’t imagine it’s more than 650. The w2 hospital job seems like a no brainer.
I’m in this boat. Thought I wanted to do private practice but just initial talks show how much they take advantage until you make partner. Hospital w2 offering 600 with 12 weeks vacay and 40 hours a week. Private practice at 500 with 45-50 hours and 6 weeks off. When you make partner vacay up to 12 weeks. Haven’t been told the partner salary but can’t imagine it’s more than 650. The w2 hospital job seems like a no brainer.
Alright there Liam Neeson. I'll give you a call if my daughter gets.......taken.I have a surprisingly in demand sub specialty skill set.
I’m in this boat. Thought I wanted to do private practice but just initial talks show how much they take advantage until you make partner. Hospital w2 offering 600 with 12 weeks vacay and 40 hours a week. Private practice at 500 with 45-50 hours and 6 weeks off. When you make partner vacay up to 12 weeks. Haven’t been told the partner salary but can’t imagine it’s more than 650. The w2 hospital job seems like a no brainer.
Hahah in the Carolinas. It’s actually a really nice city. Not a bad place to live at all. But yeah it’s not a Chicago, Houston, Miami.Where is this hospital w2 job? Gotta be in bfe.
I wouldn’t call it a no brainer. But it does seem the safe play. When the market turns, I promise you the hospital will be trying real hard to ratchet down salaries. You live contract to contract. Not to mention a simple non-renewal with a noncompete likely to be in force if you make the wrong enemy.
IF the private practice group stays in existence for a long time AND it is a true equal partnership, it is likely to be the better call long term. Roll the dice.
Note the capitalizations above.
Yes, the job is negotiable. Have you vetted the practice entirely? That means not just the pay but the entire practice. This is a new paradigm and "exsting for 30 years" means very little if the group needs a new stipend or larger stipend to make payroll in this environment. Reimbursements under the no surprise act are under pressure and salaries for CRNAs are at the highest level ever. New Anesthesiologists expect to start with an income well in excess of $350k with shorter partnership tracks.Hahah in the Carolinas. It’s actually a really nice city. Not a bad place to live at all. But yeah it’s not a Chicago, Houston, Miami.
The private practice group is a small one but they have existed for like 30 years. I just hate the idea of the guy working down the hall from me making money off my back. Especially when I’m cardiac trained and are adding something to the group that they are looking for and need. Maybe it’s highly negotiable though. They have been looking for 4 months or so now. If on Nov/Dec they haven’t found someone bet it gets even better.
My youngest sibling graduates June 2024 and has no business sense. I have to keep an eye out for them. They saw a w2 in the metro area here in midwest for 390k w2 and were like wow that's great. Then i looked and found just by driving 45-60 min and you are hitting 500's.
In midwest I would think in this market no one should be a w2 40 hrs for less than 450's? less desirable 500-550 and locums I am hearing in low to mid 300's/hr. Is this somewhat accurate?
If it were me in this field I would be locums milking the gravy train but we are not all wired the same.
Carolinas as in Charlotte, Raleigh, the research triangle or Greenville, Wilmington, high point?Hahah in the Carolinas. It’s actually a really nice city. Not a bad place to live at all. But yeah it’s not a Chicago, Houston, Miami.
The private practice group is a small one but they have existed for like 30 years. I just hate the idea of the guy working down the hall from me making money off my back. Especially when I’m cardiac trained and are adding something to the group that they are looking for and need. Maybe it’s highly negotiable though. They have been looking for 4 months or so now. If on Nov/Dec they haven’t found someone bet it gets even better.
Carolinas as in Charlotte, Raleigh, the research triangle or Greenville, Wilmington, high point?
What are your thoughts on the increasing prevalence of the employment model?Feels like this is a huge overestimation of the ability or willingness of crnas to operate independently and staff a large hospital worth of services.
Who’s gonna staff OB with no physician backup? Crnas and OBs would be nuts to agree to that. Big lawsuits there
Not only that, but there’s a huge shortage of crnas at this point too, and very few anesthesiologists who would be willing to overhaul their practice models to regularly be 1:6 or 1:8.
I know a bunch of people who would sooner retire or cut waaaay back than do those ratios. Some people get stressed even doing 3:1
Everything sounds great on an Internet forum, locums can be great or terrible just like any job. I did it for a couple years and much prefer being in PP. I make less now and it’s still a much better job. Grass is not always greenerPain in the anes you inspire me to pull the trigger and leave my full time job for full time locum. Just too scared to pull the trigger
Greenville South Carolina lol.Carolinas as in Charlotte, Raleigh, the research triangle or Greenville, Wilmington, high point?
Don’t sweat the small stuff. IMHO, every job is an employment model going forward. All that matters are the terms of That employment. No group is secure long term any longer based solely on insurance reimbursement. Groups need hospital support in one form or the other to stay competitive. So, does the administration recognize the need and value for that support? Will your job be solo MD or supervising crnas? What will the ratio of that coverage be? I highly recommend you avoid 1:4 coverage if at all possible unless The pay reflects that level of work.What are your thoughts on the increasing prevalence of the employment model?
Locums helps all of us get better jobs with better pay and working conditions. The cost of a locums anesthesiologist to the hospital can exceedEverything sounds great on an Internet forum, locums can be great or terrible just like any job. I did it for a couple years and much prefer being in PP. I make less now and it’s still a much better job. Grass is not always greener
Agreed. Locums almost always means travel. Planes, trains, automobiles, hotels. New facilities, new faces, new anesthesia cart where ______ isn't in the spot it was in at the last locums gig.Everything sounds great on an Internet forum, locums can be great or terrible just like any job. I did it for a couple years and much prefer being in PP. I make less now and it’s still a much better job. Grass is not always greener
IMHO, the only anesthesiologists who should be earning 25th percentile MGMA income should be in academics; the rest should say "no mas" and find another gig.
The world has changed a lot. You can now get jobs at hospitals with less work than some ASCs for the same pay. The provider shortage is real and many can now make a deal that wasn't possible 2 years ago. I am not saying all ASC jobs are bad but many work you much harder than a hospital position with very limited call.Also a lot of ASC gigs that are 7-3 no call no weekends tend to fall in that bottom quartile salary range. Some people are willing to take a sizeable pay cut for routine and predictability.
You are spot on. Know your worth. Too many of you are being exploited because of the job market 3-4 years ago. This isn't 2018-19 any longer. Wake Up.You can go out and get 5-600 jobs right now. That's the track pay. 350 is unacceptable for a full time anesthesiologist.
The world has changed a lot. You can now get jobs at hospitals with less work than some ASCs for the same pay. The provider shortage is real and many can now make a deal that wasn't possible 2 years ago. I am not saying all ASC jobs are bad but many work you much harder than a hospital position with very limited call.
20 year veteran is between ages 49-51 in my practice. They are in the prime of their careers. The fastest and most efficient anesthesiologists who rarely cancel cases.All the people in my group who complain about working hours to no end, complain about how sick everyone is, complain about how obese everyone is, complain about assignments, complain about call, calling for help with procedures, taking a full hour to get a heart asleep and lined up when I can do the exact same in 20 mins, these are almost always the 20+ year vets.
ASC work also tends to be ACT work, often 4:1.Also a lot of ASC gigs that are 7-3 no call no weekends tend to fall in that bottom quartile salary range. Some people are willing to take a sizeable pay cut for routine and predictability.
Where is this hospital job? I haven’t seen packages like this out thereI’m in this boat. Thought I wanted to do private practice but just initial talks show how much they take advantage until you make partner. Hospital w2 offering 600 with 12 weeks vacay and 40 hours a week. Private practice at 500 with 45-50 hours and 6 weeks off. When you make partner vacay up to 12 weeks. Haven’t been told the partner salary but can’t imagine it’s more than 650. The w2 hospital job seems like a no brainer.
The worst ASC are the one that really need an extra CRNA. I’ve been at asc with 2 gi (45 preop) rooms plus a peds ent room. (8-10 preops)ASC work also tends to be ACT work, often 4:1.
Some of the worst days of my career have been banging out the paperwork for 30+ cataracts plus other high turnover rooms. Just talking to 40+ patients per day is exhausting. Attesting to my presence at the legally required times wasn't always easy.
Respect and sympathy to those who make a living doing that ... 7-3 no weekends no call sounds nice. But while the hours are good, the actual minutes are soul sucking.
I'd much much rather have 45-50 pleasant-ish hours, mostly solo, with a modest call burden, than some meat-movin' surgicenter preop-pacu-chart-monkey job.
The worst ASC are the one that really need an extra CRNA. I’ve been at asc with 2 gi (45 preop) rooms plus a peds ent room. (8-10 preops)
Or one gi room (20 preops) . One peds ent room (8-10 preops). and one cataract room (30 preops)
Probably the worst job (I was 1099). But it ran from 630am-6pm consistently. Bad job. Even at than roughly 380-400k 1099 a year based on 7 weeks off (in 2016 that was decent pay). And I was working just 4 days a week. Couldn’t handle all 5 days a week.
You really needed an extra body to start a peds case or gi room. No one got breaks especially with peds running. Peds plus gi going same time is a recipe for disaster. Anything can happen quickly. Even with experienced crna’s.
That was 2016. Market not great 2012-2018 in many places. Atlanta northern suburbs mednax trying to offer in the high 200s for Friday Saturday Sunday weekend coverage as well. So was Orlando Sheridan Division.Wow 400k 1099? Someone was making a million off your work.
Seen many of these jobs advertised.. most are straight up lies to get some dope on a rope. Please direct me to the surgery center that abruptly closes their doors at 3 or the anesthesia group that sends relief promptly at 3. ASC work means you stay as late as they need you to.. some days that’s 1pm others it means pack dinner and call the kids to say goodnight. If you want shift work go to AA school.Also a lot of ASC gigs that are 7-3 no call no weekends tend to fall in that bottom quartile salary range. Some people are willing to take a sizeable pay cut for routine and predictability.
This is for sure true. I know of an ASC with frequent 0545-0600 start times. Late rooms often past 1800 with recovery times stretching until 2100 or later. Weekend cases. And medically complex patients (that really shouldn’t be at an ASC). Might as well be a hospital.
But a sad day. A very sad day.I did a per diem shift today at an ASC.
I got paid $220/hr which is obviously under market.
But….
I did four MAC cases (lipomas - all could have been done in the office), by the end of the case, I had given 2 mg midazolam and 100 mcg fentanyl to each one.
Turn overs were long so I was never rushed.
Not a bad day.
But a sad day. A very sad day.
Why is the surgeon berating this deaf non-English speaking patient in English?”
Outstanding!Almost as sad as the existential angst of the eye room.
“How did I end up here? What am I doing here? Why is the surgeon berating this deaf non-English speaking patient in English?”
“Do you see the light?! Look at the light!!”
No weekends at ASC. The lure is no calls and no weekends.I'd rather die than work 545-1800 + weekends
No weekends at ASC. The lure is no calls and no weekends.
The variable question is what is the workload. That matters more. That’s the trade off for no calls and no weekends. And most Stand a lone asc still can pay 1099 which also appeal to people.
Well the poster I replied to said that asc does weekends...
Outstanding!