Stroke Compensation?

[Drhappyface]

I was reading PHG compesentation report and the difference between a neurohospitalist w/o a fellowship (364k) vs stroke (441k) was around 80k. My question is where does this difference arise from? Don't most vascular attending work as neurohospitalist so shouldn't the salaries be around the same?

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[DrStephenStrange]

I was reading PHG compesentation report and the difference between a neurohospitalist w/o a fellowship (364k) vs stroke (441k) was around 80k. My question is where does this difference arise from? Don't most vascular attending work as neurohospitalist so shouldn't the salaries be around the same?

Being stroke director pays.

 

[Drhappyface]

Being stroke director pays.

But how many positions can there be? Not enough for every stroke attending to become one

 

[Telamir]

Who knows

I’m epilepsy boarded and making about 430.

I’m guessing some jobs have services that cover strokes and others that don’t and that may be the difference. Stroke director will typically give you an admin stipend meaning you work less clinical hours and more admin, but pay typically increases by 20% or stays about the same.

Eh.

 

[scoopdaboop]

what does being a stroke specialist offer you in terms of a skill or jobs/flexibility of jobs more than a neurohospitalist? just stroke directorship?

is there some procedure you learn really well in stroke/vascular 1 year fellowship that all of a sudden sees a ~ 80 k bump in salary? what skill do you learn that you don't already in 3 years of neuro seeing strokes a bunch?

 

[Telamir]

Nope

 

[Postictal Raiden]

There’s no inherent skill set you gain from doing a stroke fellowship. However stroke-heavy NeuroHospitalist jobs prefer someone with stroke training or 1-2 years experience. Stroke heavy jobs pay more simply because your patients are sicker (in the ICU with impending herniation, worsening bleed, etc). ICU billing is much denser in RVUs than floor billing. Also attending to a stroke code in person is an automatic critical care billing.

In addition to the above, many jobs either flat out compensate for taking night calls (mainly for stroke) or pay higher RVU rate.

In summary, stroke pays well because it requires more money work and sleep deprivation.

 

[BoneWizard]

Isn't this skewed a bit because stroke neurology includes interventional neuroradiology?

 

[Drhappyface]

There’s no inherent skill set you gain from doing a stroke fellowship. However stroke-heavy NeuroHospitalist jobs prefer someone with stroke training or 1-2 years experience. Stroke heavy jobs pay more simply because your patients are sicker (in the ICU with impending herniation, worsening bleed, etc). ICU billing is much denser in RVUs than floor billing. Also attending to a stroke code in person is an automatic critical care billing.

In addition to the above, many jobs either flat out compensate for taking night calls (mainly for stroke) or pay higher RVU rate.

In summary, stroke pays well because it requires more money work and sleep deprivation.

So would a vascular attending recieve a better contract vs non-fellowship trained physician even if the job is the same?

 

[Telamir]

No.

 

[scoopdaboop]

Isn't this skewed a bit because stroke neurology includes interventional neuroradiology?

would hope not. that income might be grouped with IR money. idk who would work neuro ir making 460k lmao. That type of work should atleast rake in 700.

 

[415kid]

How difficult is it to obtain a telestroke position without a stroke fellowship? I've heard mixed things.

 

[Telamir]

With experience, not too difficult.