- Joined
- Oct 13, 2003
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In my community hospital, there is a separate "hospital within a hospital" that is sort of a combo inpatient rehab and LTAC facility. It takes up a wing on 2 floors of the hospital. A lot of what they do is vent weaning. They have approached me to apply for privileges at the facility. Another ENT doctor in town does have privileges there.
They kind of gave me a sob story about how they really need more help to manage their trachs. I am almost certainly going to get consulted for trachs and trach complications, neither of which I particularly want.
This is a private, for-profit, hospital, and they don't have any kind of call stipend they are offering me. (They did say that it wouldn't cost me any yearly fee to have privileges there (yay!).) I would think if they want someone to cover the trachs and trach decannulations, they should be prepared to fork up some doh.
They also gave me a line on how it would be great to have continuity of care for the patients I do trachs on in the big hospital who end up in the LTAC. Frankly, rounding for 4-5 days on the postop trach is good enough for me for continuity of care. If the patient needs an LTAC after that(for their head bleed or end stage COPD, etc), I appreciate the fact that someone else gets to pick up any daily trach managment from there.
Does anyone else have privileges at an LTAC? If so, do you get a call stipend or some other reimbursement? Am I a heartless bastard for not wanting to spend my time running in to the LTAC in the middle of the night to help with a trach decannulation on a 400 pound pickwickian patient?
They kind of gave me a sob story about how they really need more help to manage their trachs. I am almost certainly going to get consulted for trachs and trach complications, neither of which I particularly want.
This is a private, for-profit, hospital, and they don't have any kind of call stipend they are offering me. (They did say that it wouldn't cost me any yearly fee to have privileges there (yay!).) I would think if they want someone to cover the trachs and trach decannulations, they should be prepared to fork up some doh.
They also gave me a line on how it would be great to have continuity of care for the patients I do trachs on in the big hospital who end up in the LTAC. Frankly, rounding for 4-5 days on the postop trach is good enough for me for continuity of care. If the patient needs an LTAC after that(for their head bleed or end stage COPD, etc), I appreciate the fact that someone else gets to pick up any daily trach managment from there.
Does anyone else have privileges at an LTAC? If so, do you get a call stipend or some other reimbursement? Am I a heartless bastard for not wanting to spend my time running in to the LTAC in the middle of the night to help with a trach decannulation on a 400 pound pickwickian patient?