Neurohospitalist compensation

[pityfly]

Neurohospitalist compensation question

I was offered a Neurohospitalist position in Northeast. 280K with a 21K quality incentive bonus and RVU incentive bonus. I will be doing 27 weeks inpatient, no outpatient, 12 weeks/weekend stroke call and 5 weekends on general neurology call. It is academic and has residency program so I will have teaching responsibilities.

Thoughts?

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[Postictal Raiden]

Looks crappy to me. Very crappy

It would be palatable without the stroke call

I’d ask for at least 500 dollar per stroke night you’re holding the pager.

 

[deathmerchant]

Need more info- 27 weeks inpatient- Im assuming that is a 5 day week?.How many hours/patients per day?
And additional 12 weeks of stroke call- 24/7 for a week or less? Also are residents doing prerounding and your notes? In general, NE jobs pay less, esp if academic.

 

[CnsCrit]

Any night call during the week? I assume there will always be residents to triage pager and write notes? Average census? I'm sure it's busy.

So, 5 months of 1 weekend/month, and 7 months of 2 weekends/month. It's very clinically heavy. 27 weeks is a lot, but better if there's no night coverage.

From a salary perspective, this is probably above average for northeast, is it that bad Alnafis?

 

[Postictal Raiden]

Any night call during the week? I assume there will always be residents to triage pager and write notes? Average census? I'm sure it's busy.

So, 5 months of 1 weekend/month, and 7 months of 2 weekends/month. It's very clinically heavy. 27 weeks is a lot, but better if there's no night coverage.

From a salary perspective, this is probably above average for northeast, is it that bad Alnafis?

The way I understood the OPs post is,
It’s a 27 week/year NH job. Kinda 7/7 except he/she would be doing one extra week on. Of those, 12 weeks they’d be covering stroke call and another 5 gen neuro call.

That’s a lot of work, specially the call load. That’s almost a q3 call responsibility year round.

I read once that the average pay for holding the pager at night was $500. That’s including stroke and non-stroke

If we apply this rate for the amount of stroke call the OP is going to be doing, that’s 108 x 500 = 54k

They’ll also going to be working 27 weeks, that’s 189 days. That means the pay per day is $1217 after taking out the $54k for the stroke call coverage.

Very low imo. My IM hospitalists friends are being paid more than that rate without having to take any night call, at academic hospitals.

 

[Postictal Raiden]

But also I work in a community hospital, so I am not well-versed on the financial abuse that takes place in academia

 

[CnsCrit]

The way I understood the OPs post is,
It’s a 27 week/year NH job. Kinda 7/7 except he/she would be doing one extra week on. Of those, 12 weeks they’d be covering stroke call and another 5 gen neuro call.

That’s a lot of work, specially the call load. That’s almost a q3 call responsibility year round.

I read once that the average pay for holding the pager at night was $500. That’s including stroke and non-stroke

If we apply this rate for the amount of stroke call the OP is going to be doing, that’s 108 x 500 = 54k

They’ll also going to be working 27 weeks, that’s 189 days. That means the pay per day is $1217 after taking out the $54k for the stroke call coverage.

Very low imo. My IM hospitalists friends are being paid more than that rate without having to take any night call, at academic hospitals.

I agree, I might've misunderstood, I think OP needs to clarify the call coverage. I'm assuming they are checking out at 4pm on the non-stroke weeks and leaving nights to someone else.

Covering the stroke attending pager 24/7 for 12 weeks at an academic medical center (which is probably a CSC) is fair workload. You're easily being awoken for several stroke alerts every night. Lucky nights 0-1, many nights 2, 3, 4. Why isn't there a stroke team with it's own stroke attending?

Overall, this is seems very clinically heavy for an academic division for under 300k, and why 27 weeks? It's a little odd to me, almost like they are rubbing it in that you're working > 1/2 the year.

 

[pityfly]

Call schedule is 12 weeks and weekends day and night same for general call. I do not have to come to the hospital at night because the residents are there but I do get called over the phone. Its busy. Community hospital but also academic.