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I was just hoping to take care a lot of kids in the 3-18 age demographic.
You don't need a Ped's fellowship for that
I was just hoping to take care a lot of kids in the 3-18 age demographic.
Do what you want. Happiness comes from within. The rest is bull**** mental masturbation.
Actually, Noc, hearts are probably the least profitable cases you can do nowadays.
Since most hearts are 65 and over, means you get reimbursed via medicare which is abismal to begin with. And as you know hearts are three hours long with a good surgeon, and God-only knows-how-long with a bad one.
A medicare CABG pays about 800 bucks...thats gonna change for the better (a little) since anesthesia actually got medicare increases this year, I believe.
SO, speaking from a pure Benjamin point of view, pure profitibility is best when you do alotta short cases on people with private insurance, like tonsils/adenoids on little gorillas whose parents work for a living and have insurance.
Used to work with an ENT guy....super, super nice dude.... who could do between 15-20 cases at the surgery center....tonsils, adenoids, PETs, FESSs..all healthy kids/young adults....and be done by 2pm. Trinity, I'm sure you know the ENT dude I'm referring to...
The Childrens Hospital I did 6 months at during my residency was my favorite rotation. Thats why I did 6 months.
Is pediatric anesthesiology or cardiac anesthesiology more stressful? Thanks.
Most pediatric surgeons are pretty easy to deal with. Most CT surgeons aren't.
You don't need a Ped's fellowship for that
I'm a cardiac anesthesiologist. I'm sad to say that cardiac is a dying field. I feel 10 times more comfortable than general anesthesiologists in the OR, but have to put up with 10 times more sht than them. My salary is about the same. In terms of effort/benefit ratio cardiac is at a loss. If you feel like you need to do a fellowship I would recommend Pain, Peds, ICU, Cardiac, and Regional, in that order.
I'm a cardiac anesthesiologist. I'm sad to say that cardiac is a dying field. I feel 10 times more comfortable than general anesthesiologists in the OR, but have to put up with 10 times more sht than them. My salary is about the same. In terms of effort/benefit ratio cardiac is at a loss. If you feel like you need to do a fellowship I would recommend Pain, Peds, ICU, Cardiac, and Regional, in that order.
At my institution last year, the peds anesthesia staff actually made $1000/yr less than the generalists.... put that in your pipe & toke it.
It's a great thread though... more so for the MS4's like me waiting for March 18th!!!!!!!!!!oopsies i just realized that this thread is hella old!
Have to disagree with our med student friend here. That may be true in some places, for some jobs, but it is definitely not true in others (most?). Fellowship trained people can be offered higher signing bonuses, decreased time to partner, somewhat higher salary, less work for same salary, etc. It is supply and demand, needs of the group, and how various practices are set up. Some PP places pay to get the fellowship people there, some may not, or not much. At an eat what you kill place, salary depends on payer mix and some luck. I can tell you that 24 peds ENT cases and out by 4 pays a lot of $$.
I was going to say something similar to this. A lot of my attendings I rotated with that came from private practice before going academic (and CA3's looking for jobs) said that in terms of salary/billing peds and cards fellowship trained anesthesiologists get paid the SAME as ones who do NOT do fellowship (both in an academic setting and private practice...in general...I'm sure there are exceptions... just like some babies are born with two penises). I heard this from MULTIPLE faculty members at different academic institutions where I did my anesthesia rotations. They all told me one common theme every single time the conversation of fellowships came up...
Only do fellowships if you really are interested or want to get further training for your interest. The money you lose by doing a 1-2 yr fellowship while you can be earning $350,000/yr you will never ever make back . Also in their experience, having a fellowship only confers a SLIGHT advantage when hiring. Take this with a grain of salt... but this is coming from former senior partners of huge anesthesiologist groups.
Hey man... appreciate the input. I'm just regurgitating a common theme I kept hearing from 5 different attendings (2 from univ california, and 3 from NY). That being said I'm glad you gave your experience, the future anesthesiologists need to hear as much as possible.Have to disagree with our med student friend here. That may be true in some places, for some jobs, but it is definitely not true in others (most?). Fellowship trained people can be offered higher signing bonuses, decreased time to partner, somewhat higher salary, less work for same salary, etc. It is supply and demand, needs of the group, and how various practices are set up. Some PP places pay to get the fellowship people there, some may not, or not much. At an eat what you kill place, salary depends on payer mix and some luck. I can tell you that 24 peds ENT cases and out by 4 pays a lot of $$.
As for "SLIGHT advantage when hiring", that is ridiculous. If a group needs a peds, pain, or cards anesthesiologist, than the hiring advantage is INFINITE as no fellowship = no job. If you are looking for a job that doesn't need fellowship trained people, and you plan to do general cases, than the fellowship may only offer a slight advantage. Also, the value of the fellowship cannot be overlooked if the CRNAs evolve into unsupervised practitioners under a reformed health care system, time will tell about that.
...said that in terms of salary/billing peds and cards fellowship trained anesthesiologists get paid the SAME as ones who do NOT do fellowship (both in an academic setting and private practice...in general...
That's true.
Urge: ... As for the money issues and the headaches we have to deal with that the generalists do not deal with, well, that's 'nother story...
498K median salary for Peds gas (2010 MGMA)!? Why does peds gas buck the trend of "peds pays less"?
498K median salary for Peds gas (2010 MGMA)!? Why does peds gas buck the trend of "peds pays less"?
jigga whaaaat?
that median just seems waay too high, especially with all the academic peds jobs out there to dilute it out. Are these people pure peds?
I do both. Both can be very demanding at any point. However, my toughest cases are usually (but not always) in the CT room. Things can turn south quickly... anything in the chest needs to be particularly respected. < 2mo. olds with laryngospasm gives me the same feeling.
This is a beast... and we've seen it recently. Good thing to read up on for anyone doing cardiac on a regular basis cuz it's kind of a zebra that turns into a lion:
http://circ.ahajournals.org/content/121/4/584.full