TeamHealth and Envision with new residencies in development

[2021Doctor]

Emergency Medicine Residency Program Director Opportunity in Asheville NC
HCA Healthcare
Asheville, NC
TeamHealth has an exciting opportunity for a full-time experienced academic Emergency Medicine physician to lead our team as the Emergency Medicine Residency Program Director at Mission Health Hospital located in Asheville, North Carolina. The ideal candidate will oversee the development, application and the maintenance of certification of the program in compliance with Accreditation Council for Graduate Medical Education (ACGME) requirements and the Policies and Procedures of the Sponsoring Institution. The residency program will start July 2023.

Emergency Medicine in

Emergency Medicine in

www.practicelink.com

Assistant Program Director (APD) for a new ACGME-accredited Emergency Medicine Residency program at St. Luke's Campus - Mohawk Valley Health System in Utica, New York.
This key role will collaborate with the Program Director in planning and coordinating the academic and operational activities of the residency program and provide administrative oversight and guidance to residents. The APD will also be responsible for ensuring program, faculty, and resident compliance with ACGME guidelines. The anticipated start date for the first class of EM residents is summer of 2022.
Qualified candidates must be ABEM/AOBEM Board-Certified. Candidates with previous academic experience, research experience, and publications are preferred. Candidates who have completed an additional fellowship are also encouraged to apply. Must be willing to relocate to the Utica area and maintain current ACLS, PALS, ATLS, and Stroke Certifications.
As a TeamHealth physician leader, you will receive support services, educational resources, and access to join a community of thousands of professionals to share and shape best practices. We harness a nationwide collection of tools, clinical resources, and collective knowledge that empowers our clinicians to provide excellent care for their patients.

Emergency Medicine in

Emergency Medicine in

www.practicelink.com

Physician - Academics - Program Director - Emergency Medicine Job in Plantation, FL​

Emergency Medicine - Residency Program Director​

The Residency Program Director role will be working in the Emergency Medicine specialty, located in Westside Regional Medical Center - EM Plantation, FL. Please contact Lisa Chamerski at for additional benefits information.

Job Details: The Departments of Emergency Medicine at Northwest Medical Center and Westside Regional Medical Center, is establishing a new allopathic Emergency Medicine Residency Program, with an estimated start date of July 1, 2022. We are currently seeking a Residency Program Director, to lead in the development and implementation of the Emergency Medicine Residency Program to be based between Westside Regional Medical Center in Plantation, FL and Northwest Medical Center in Margate, FL.
Facility Information: Northwest Medical Center located in Margate Florida, is a 228-bed medical center and healthcare complex providing high quality medical care to the South Florida community. The success of Northwest is a reflection of their ongoing commitment to their mission: to provide exceptional care to everyone, every day. From their newly renovated maternity floor and Level III NICU, to the newly expanded Emergency Room and lobby, this facility is constantly growing and incorporating the most high-tech healthcare innovations. The Emergency Room has approximately 63,000 annual patient visits, features a 45-bed ED and a separate Pediatric ER.Westside Regional Medical Center located in Planation Florida, is a 224-bed medical center and healthcare complex continuously expanding and bringing on the latest technology that enables us to provide leading edge services to the population we serve. Their medical services, combined with programs in specialties varying from oncology to cardiology, from surgery to emergency care, illustrate why they are one of the best leading healthcare facilities in South Florida. Westside Regional Medical Center also offers the community the latest in minimally invasive spine and colorectal surgery - and are very excited to be one of only 9 Joint Commission certified centers in the United States for minimally invasive colorectal surgery. The Emergency Room has approximately 55,000 annual patient visits, features a 43-bed ED, a comprehensive stroke faculty with new biplane and interventional cardiac catheterization facility.
Benefits and Compensation: Envision Physician Services is a dynamic physician- and clinician-led organization that has been offering exceptional career opportunities for more than 60 years. With more than 25,000 affiliated clinicians coast-to-coast, Envision Physician Services is nationally recognized for delivering clinical excellence supported by innovation, integration and exceptional leadership.

Emergency Medicine in

Emergency Medicine in

www.practicelink.com

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Members don't see this ad.

 

[GeneralVeers]

And the carnage continues....

 

[Dr Mantis Toboggan]

Skyline north of Nashville has hired a PD for their nascent EM program. Last thing the middle TN job market needs.

 

[southerndoc]

Mission is probably one of the few HCA hospitals that I think should have a residency.

800+ bed facility, level II trauma center, comprehensive stroke center, and children's hospital. They're a fairly busy place.

 

[sylvanthus]

The suck continues.

 

[Siggy]

So... buy more KKR stock? (thanks Envision docs!)

 

[turkeyjerky]

Mission is probably one of the few HCA hospitals that I think should have a residency.

800+ bed facility, level II trauma center, comprehensive stroke center, and children's hospital. They're a fairly busy place.

Do you happen to know what the group structure was there before HCA bought the hospital and brought in Teamhealth?

Ashville would be a nice spot to live during residency. I wouldn't rank there though, with all the recent turmoil.

 

[MedScat]

Why TF is this allowed to continue I do not understand. If the EM doc surplus is literally studied and documented why isn't the ACGME EMRA or CORD or whoever cares about this stuff doing anything about it I truly do not understand. Can't they just be like "nah sorry no more residencies"?????

 

[EctopicFetus]

Skyline north of Nashville has hired a PD for their nascent EM program. Last thing the middle TN job market needs.

REALLY? details..??

 

[Tenk]

Why TF is this allowed to continue I do not understand. If the EM doc surplus is literally studied and documented why isn't the ACGME EMRA or CORD or whoever cares about this stuff doing anything about it I truly do not understand. Can't they just be like "nah sorry no more residencies"?????

The answer is money. The question is how much.

 

[Brigade4Radiant]

Why TF is this allowed to continue I do not understand. If the EM doc surplus is literally studied and documented why isn't the ACGME EMRA or CORD or whoever cares about this stuff doing anything about it I truly do not understand. Can't they just be like "nah sorry no more residencies"?????

Becauses hospitals get PAID for residents (they also don’t cost them any money) so they don’t have to pay ABEM rates for doctors get better workers than NP/PA and they can work them for more hours and make them do administrative work.

Hospitals like HCA were able to be more profitable by starting ER residents for the hospital there are so many benefits it’s silly to not start one.

You can easily bypass the trauma and peds requirements to just have the residents rotate in another area.

 

[MedScat]

Becauses hospitals get PAID for residents (they also don’t cost them any money) so they don’t have to pay ABEM rates for doctors get better workers than NP/PA and they can work them for more hours and make them do administrative work.

Hospitals like HCA were able to be more profitable by starting ER residents for the hospital there are so many benefits it’s silly to not start one.

You can easily bypass the trauma and peds requirements to just have the residents rotate in another area.

Where I am ignorant is that to my understanding, hospitals don't determine whether they get to start a residency or not. They can have the IDEA to start one but the ACGME has to approve it. To my understanding, the ACGME is a non-profit group of physicians who are likely aware of the data showing EM physician oversupply by 2030. Why don't they do something about it aka not allow more EM residency accreditation?

 

[Brigade4Radiant]

Where I am ignorant is that to my understanding, hospitals don't determine whether they get to start a residency or not. They can have the IDEA to start one but the ACGME has to approve it. To my understanding, the ACGME is a non-profit group of physicians who are likely aware of the data showing EM physician oversupply by 2030. Why don't they do something about it aka not allow more EM residency accreditation?

No a hosptial can start it but if they meet ACGME requirements then ACGME HAS to give them provisional accreditation. It's like you passing a board exam. They can't let not pass because of job market conditions (opens you up to anti trust laws) but you can apply new standards across the board. Unfortunately EM makes a lot of money for corporate so any thing that opposes new residencies will be met with a lot of lobbying.

 

[alpinism]

Sadly its not just the CMGs that keep starting new residencies.

Word on the street is NYU is planning on starting a second program.

 

[GeneralVeers]

As discussed, the only thing the ACGME can do is tighten residency standards. A politically difficult move, as it would mean many residencies would have to close.

 

[clibby]

As discussed, the only thing the ACGME can do is tighten residency standards. A politically difficult move, as it would mean many residencies would have to close.

If you can't get 50+ ED intubations or 50+ CVLs without sim or if you can't have residents seeing enough pph consistently so they see enough pathology, maybe you shouldn't be training EM residents no matter how good your didactics and educators are. There is good enough and then there is a specialist. We need to train our residents to be specialists.

Someone needs to make the hard call that many programs, while meeting the minimum standards, are not meeting the intent of the requirements for EM residency training (especially exposure to complex pathology) and therefore we need to increase the minimum requirements to better reflect the intent to the variety and procedural skill intended of EM training. It isn't about raising standards for job market concerns, but it is about raising standards to reflect the original intent of the specialty since we didn't expect health systems and corporations to take advantage of residents the way they are when the requirements were developed decades ago for large academic programs that met them easily. This is a patient safety issue around proper training of EM specialists.

 

[Rekt]

As discussed, the only thing the ACGME can do is tighten residency standards. A politically difficult move, as it would mean many residencies would have to close.

No one is going to sue anyone if ACGME just straight up closed residencies. It's a fear game pushed by ACEP which is essentially just a face for CMGs.

But nothing is going to happen. Clench your money tight and run far away from EM as possible before you're unemployed after they slash you for a new grad for <100/hr.

It's really just shocking how everyone sits around while our specialty completely collapses. You guys got yours, so **** us residents right?

 

[bravotwozero]

It's really just shocking how everyone sits around while our specialty completely collapses. You guys got yours, so **** us residents right?

Who is 'you guys', and what makes you think these 'guys' have the power to do anything? Plenty of attendings out here, like myself are nowhere near retirement wealth, have mouths to feed and mortgages to pay....

 

[sylvanthus]

No one is going to sue anyone if ACGME just straight up closed residencies. It's a fear game pushed by ACEP which is essentially just a face for CMGs.

But nothing is going to happen. Clench your money tight and run far away from EM as possible before you're unemployed after they slash you for a new grad for <100/hr.

It's really just shocking how everyone sits around while our specialty completely collapses. You guys got yours, so **** us residents right?

Theres no way to fight this, the old guys are just trying to eek out a couple more years to get the f out and retire, they arent gonna rock the boat. The midcaresr guys have kids, mortgages, loans, etc and are wage slaves at this point. They rock the boat, get ****canned, and are now unable to provide for their families unless making a bunch of personal sacrifices (downgrade house, move, work urgent care, etc) They finally are making ends meet, lets be real, they arent rocking the boat.

The new grads? 400k in debt, youll take whatever the powersthatbe will give you. Even if your group stands up to the dictators, you are easily replaced by midlevels or one of the 10294949 new grads.

Drop the mic dudes, the gig is up.

 

[RuralEDDoc]

50+ CVLs I agree. But intubations? Times have changed. No one gets tubed anymore. Damn you, COVID!

 

[Brigade4Radiant]

No one is going to sue anyone if ACGME just straight up closed residencies. It's a fear game pushed by ACEP which is essentially just a face for CMGs.

But nothing is going to happen. Clench your money tight and run far away from EM as possible before you're unemployed after they slash you for a new grad for <100/hr.

It's really just shocking how everyone sits around while our specialty completely collapses. You guys got yours, so **** us residents right?

It depends on the reason if you think hospitals are just going to lose the free money they get and have to pay for NP or PA residence if it’s not a good reason then think again. Residents work so many shifts and you can treat him any which way.

We blame the for-profit institutions which they are to blame but also existing ER programs have been expanding the residencies as well. When volumes in the ER go up the hospital is often filled or the waiting room was just jampacked this does not necessairly mean hiring another ER physician for your department though

The smallest ER residencies will loose at least 1 million is 6 ER residents a year for PGY1-3 and that’s not including paying them. Yes they will fight

 

[skougess]

50+ CVLs I agree. But intubations? Times have changed. No one gets tubed anymore. Damn you, COVID!

Everyone at my institution has over 50 intubations by the end of second year. The 50+ bar for both are not hard bars to clear for legitimate training hospitals.

 

[EctopicFetus]

Everyone at my institution has over 50 intubations by the end of second year. The 50+ bar for both are not hard bars to clear for legitimate training hospitals.

Really it has to come down to volume. There aren't a lot of 50k volume plus Eds that are low acuity. There are probably a ton of Eds in the US that fall in this criteria.

I think a good rule of thumb is 8k visits per resident year. Given the RRC requires 6 residents per class this puts it at 48000 ED visits as a minimum. Seems about right to me. I would support 10k visits to bring that number up. Reality is most people think their training is good no matter what. They have nothing to compare it to. Surely it is better than the experience as a med student.

Frankly, a lot of it has to do with the individual. I trained at what I think was a solid program but I had a couple of coresidents who I didnt think were strong overall. Its not the programs fault.

 

[clibby]

Really it has to come down to volume. There aren't a lot of 50k volume plus Eds that are low acuity. There are probably a ton of Eds in the US that fall in this criteria.

I think a good rule of thumb is 8k visits per resident year. Given the RRC requires 6 residents per class this puts it at 48000 ED visits as a minimum. Seems about right to me. I would support 10k visits to bring that number up. Reality is most people think their training is good no matter what. They have nothing to compare it to. Surely it is better than the experience as a med student.

Frankly, a lot of it has to do with the individual. I trained at what I think was a solid program but I had a couple of coresidents who I didnt think were strong overall. Its not the programs fault.

You also can't make up the volume by using other sites. As you said, the higher the volume the higher the acuity. Two 30,000 volume EDs likely don't have the same acuity as one 60,000 volume ED. You need at least one high acuity site and satellite sites should have their volume count for less towards resident allotment.

 

[EctopicFetus]

You also can't make up the volume by using other sites. As you said, the higher the volume the higher the acuity. Two 30,000 volume EDs likely don't have the same acuity as one 60,000 volume ED. You need at least one high acuity site and satellite sites should have their volume count for less towards resident allotment.

lower volumes sites shouldn't count at all IMO.

 

[Lexdiamondz]

50+ CVLs I agree. But intubations? Times have changed. No one gets tubed anymore. Damn you, COVID!

if your shop has actual pathology 50 tubes by the end of your PGY-3 year shouldn't be a hurdle by any means.

There's a fair amount of data that suggests that 50 tubes is the bare minimum for competency in an OR, never mind in the ED where half the patients are puking, bleeding or have broken faces and all are actively trying to die on you.

Honestly, I'd argue that if you have <50 tubes under your belt, you probably don't have enough to know what you're doing on your own.

 

[cyanide12345678]

To me even 50 intubations seems like such a low number. No one becomes an expert after 50 tubes. I mean how many of those are going to be airway disasters where things went downhill and you have to turn to backups and truly avoid death within minutes - 5 maybe? That's not enough. That's the real training. And 5 terrible situations isn't enough.

 

[MechEDoc]

To me even 50 intubations seems like such a low number. No one becomes an expert after 50 tubes. I mean how many of those are going to be airway disasters where things went downhill and you have to turn to backups and truly avoid death within minutes - 5 maybe? That's not enough. That's the real training. And 5 terrible situations isn't enough.

Agree. And in many smaller hospitals, there is no backup to the ER doctor.

 

[Bea5T]

if your shop has actual pathology 50 tubes by the end of your PGY-3 year shouldn't be a hurdle by any means.

There's a fair amount of data that suggests that 50 tubes is the bare minimum for competency in an OR, never mind in the ED where half the patients are puking, bleeding or have broken faces and all are actively trying to die on you.

Honestly, I'd argue that if you have <50 tubes under your belt, you probably don't have enough to know what you're doing on your own.

If midlevels can tube after 10 what is the rationalization for this?

You guys keep arguing about ER residencies....When the real problem is midlevels getting preferentially hired over more attending coverage. Theres room for more ER doctors. Thousands. But the job market is artificially low because we are no longer competing with other physicians. Two midlevels > 1 attending to corporate equity. You guys are fighting over a single peice of pie while the rest is being eaten by nps/pas.

Why are we wanting to put even more restrictions on the already long, hard road to become an ED physician, when Tom and Sarah get to do this **** after a few years of easy classes?

 

[dadaddadaBATMAN]

50+ CVLs I agree. But intubations? Times have changed. No one gets tubed anymore. Damn you, COVID!

I would actually argue the opposite.

I had 2-300 tubes (stopped counting after 150 late 2nd year) in residency and still wished I had more starting as an attending. Anesthesia gets thousands. Papers indicate you hit 90% first pass around 100-200 tubes. Video might make this a little easier but not much.

central lines I probably did about 30. Majority ij but a few blind subclavians and femorals. It’s not a difficult procedure. Neither are most chest tubes.

Us guided peripheral access is far more difficult in a sick person than a central line imo, and if you can get that you’ll easily hit the lead pipe that is ij or femoral.

And frankly, how often do you “need” a cvl anymore? I can think of one time it was my only option for access in the last year, every other time I could get an io, use peripheral pressors, etc. I really only put them in to make the icu doc happy.

 

[Lexdiamondz]

If midlevels can tube after 10 what is the rationalization for this?

You guys keep arguing about ER residencies....When the real problem is midlevels getting preferentially hired over more attending coverage. Theres room for more ER doctors. Thousands. But the job market is artificially low because we are no longer competing with other physicians. Two midlevels > 1 attending to corporate equity. You guys are fighting over a single peice of pie while the rest is being eaten by nps/pas.

Why are we wanting to put even more restrictions on the already long, hard road to become an ED physician, when Tom and Sarah get to do this **** after a few years of easy classes?

The rationalisation is that you don't know what you're doing after 10. You barely know what you're doing after 50. The people who set those numbers generally don't work clinically and have no idea what they're talking about.

Medics in my neck of the woods only have to do 10 and I find ET tubes in the goose all the time.

Ask any anesthesiologist whether or not someone who's done 10 tubes should be managing airways alone. You'd be laughed at.

 

[Siggy]

And frankly, how often do you “need” a cvl anymore? I can think of one time it was my only option for access in the last year, every other time I could get an io, use peripheral pressors, etc. I really only put them in to make the icu doc happy.

Strange, because half the time I get a request for a central line it's from the ED nurse... who is trying to manage a patient on a vent and pressors with a single IV in the hand...

 

[dadaddadaBATMAN]

Strange, because half the time I get a request for a central line it's from the ED nurse... who is trying to manage a patient on a vent and pressors with a single IV in the hand...

You can do that, or put in two ios in the same time frame. I’m not saying I don’t do cvl for access, but it’s not common.

If I don’t have reliable access in the first 5 minutes on a critical patient, especially if altered, they are getting a tibial or humeral io. Coding pt without access gets an io. They’re good for the ed stay. It’s reliable access, and takes pressure off for a cvl later if you need it.

Only time in last year I can recall needing cvl was bilateral aka esrd pt with sclerosed femoral veins, too much subq fat to feel humerus, and tanking pressure, had to do an ij. There was so much scar tissue I had to change sides because wire wouldn’t pass after I got blood return repeatedly.

didn’t want to do subclavian because spo2 was also garbage and ptx would have been death. They withdrew care on that one within 24 hrs anyway, kinda felt like a waste.

 

[thegenius]

The rationalisation is that you don't know what you're doing after 10. You barely know what you're doing after 50. The people who set those numbers generally don't work clinically and have no idea what they're talking about.

Medics in my neck of the woods only have to do 10 and I find ET tubes in the goose all the time.

Ask any anesthesiologist whether or not someone who's done 10 tubes should be managing airways alone. You'd be laughed at.

Yes, or more precisely you need 100s of tubes to practice getting comfortable with the tough tube. The tough tube occurs like what...2% of the time? I'd say 2% of the time I intubate it is "tough" meaning I have to withdraw the laryngoscope, make adjustments, or re-BVM, or something. It doesn't go on the first pass.

 

[EctopicFetus]

If midlevels can tube after 10 what is the rationalization for this?

You guys keep arguing about ER residencies....When the real problem is midlevels getting preferentially hired over more attending coverage. Theres room for more ER doctors. Thousands. But the job market is artificially low because we are no longer competing with other physicians. Two midlevels > 1 attending to corporate equity. You guys are fighting over a single peice of pie while the rest is being eaten by nps/pas.

Why are we wanting to put even more restrictions on the already long, hard road to become an ED physician, when Tom and Sarah get to do this **** after a few years of easy classes?

Im fairly anti-MLPs doing anything other than fast track but reality is unless you change the economics or have doctors who work clinically actually deciding on staffing you arent going to fix this. Be clear the CMGs are ecstatic right now. Profits are about to boom AND they will be able to cut their MLPs.

You wonder to yourself what is this dude talking about? Well because ACEP doesnt want you worried the 10k too many docs is really gonna be 30-40k underemployed docs. Thats how it works. That will lead to spiraling downward rates.

Do you actually think the guy 10-20 years out who is annoyed at USACS for their nonsense and remembers the good old days of $220/hr is gonna be happy about his pay cut? It is starting with the move to RVUs (again) by CMGs. The opaqueness of this whole process will make it easier for future cuts as well. then the cut to 200 then 180 etc. I have no idea where the floor is. Based on Chicago and Denver I think it is at 140 or so.

We will then make more sense to hire than a noctor. As their supply balloons their rates will go down too but unlike EPs they can roll into primary care tomorrow etc.

When rates hit under 200 for larger sites EPs will bitch and moan. When that happens do you think Steve the regional VP of CMG is gonna want to worry about appeasing Bobby the experienced EP? Or do you think he will just hire Clark the young new grad from the local HCA residency who thought his residency was great and couldnt imagine being anywhere else but the amazing CMG backed residency he trained at. He is saddled with 400k in debt and married with 2 kids. He cant even imagine how amazing his life will be when he earns 250k a year. Young Clark is happy to work, really values the $140/hr and is too debt saddled to whine. Out goes Bobby who maybe has a buddy at some other site and he knows bobby is a good dude. After a few months of being unemployed Bobby has now been taught a lesson the STFU and fall in line after all Bobby has 3 kids himself and being out of work for 2 months cost him 75k and he burned up a chunk of his emergency fund he worked so hard to build because he was smart and listened to WCI.

Bobby isnt getting his 130 hours a month anymore. He is down to 100.

I hope I am wrong but this is the future as I see it right around 2030.

 

[sylvanthus]

That sounds extremely likely.

 

[bravotwozero]

That sounds extremely likely.

Well hopefully if Bobby has really been working for 20-30 years, he should have a nice savings stash of a few million, enough to walk away from the dumpster fire and retire.

 

[oldtown]

Well hopefully if Bobby has really been working for 20-30 years, he should have a nice savings stash of a few million, enough to walk away from the dumpster fire and retire.

Naw. Bobby’s got 2 Ex wives, 5 kids ranging in age from 2 - 23, and a BMW to pay off and will be doing this till he dies.

 

[GassYous]

Naw. Bobby’s got 2 Ex wives, 5 kids ranging in age from 2 - 23, and a BMW to pay off and will be doing this till he dies.

Bobby knows how to live
but not how to retire

 

[EctopicFetus]

Bobby knows how to live
but not how to retire

No Bobby doesn’t. He spends too much and therefore has to work too much leading to his burnout.

 

[EctopicFetus]

Bobby knows how to live
but not how to retire

I worked with “Bobby “. He had credit card debt even with 500k/yr +. He worked a ton of hours but was fairly unproductive.
Then Bobby developed a coke habit, got into 3-somes and ruined other folks marriages (not mine). Someone got mad at Bobby reported him to the cmg gods, he got fired, sued the cmg, hospital put a restraining order out on Bobby and now Bobby does “consulting”. He sold his house for a ton of money but had little equity. He now rents, his kids are all screwed up.
Don’t be Bobby.

 

[GassYous]

I worked with “Bobby “. He had credit card debt even with 500k/yr +. He worked a ton of hours but was fairly unproductive.
Then Bobby developed a coke habit, got into 3-somes and ruined other folks marriages (not mine). Someone got mad at Bobby reported him to the cmg gods, he got fired, sued the cmg, hospital put a restraining order out on Bobby and now Bobby does “consulting”. He sold his house for a ton of money but had little equity. He now rents, his kids are all screwed up.
Don’t be Bobby.

3somes and coke though

 

[EctopicFetus]

3somes and coke though

Yep. Living a great life. Now kids are a mess, working an average type job (non medical). Yeah, he did it his way. Ill just say I would rather be me.

 

[GeneralVeers]

3somes and coke though

That sounds like a weeknight.....

 

[The Knife & Gun Club]

That sounds like a weeknight.....

In Vegas maybe…

 

[EctopicFetus]

Cool little post on Facebook showing how someone needs to be an acep member to work for envision. But yeah no conflict of interest. Bunch of a holes.

 

[CajunMedic]

Got this in a headhunter email today

I mean, Florence is a nice place, but a residency there? Digging deeper, looks like it’s a TeamHealth facility.

If approved, that would make 3, maybe 4 for Alabama: UAB, USA, SAMC in Dothan is supposed to have one in the works. Plus Corinth, MS isn’t that far from there-MRHC has one.

 

[Rekt]

Got this in a headhunter email todayView attachment 342547

I mean, Florence is a nice place, but a residency there? Digging deeper, looks like it’s a TeamHealth facility.

If approved, that would make 3, maybe 4 for Alabama: UAB, USA, SAMC in Dothan is supposed to have one in the works. Plus Corinth, MS isn’t that far from there-MRHC has one.

Dothan is moving forward so this would make five. Absolutely unreal. This specialty is absolutely doomed. We'll hit saturation way faster than the 10 years predicted by acep.

 

[AlmostAnMD]

We'll hit saturation way faster than the 10 years predicted by acep.

Covid approach: flatten the curve

ED residencies: sharpen the spike!

 

[southerndoc]

I think the private-equity backed CMG's have a not-so-hidden purpose in expanding these residency programs:

1. Cheap labor by using residents instead of adding additional attendings,
2. Less liability (residents under the hospital shifts some of the liability to the hospital instead of the CMG),
3. Future decreased salaries (if somebody isn't compliant, fire them and replace them with a new grad who's desperate for a job).

If a ton of EP's don't get out of the field from COVID PTSD, retire, etc., then it's with 100% certainty that we will see the oversupply drive down demand enough that salaries will almost be on par with nurses/APP's.

North Alabama Medical Center is owned by RCCH, a privately held for-profit corporation if I'm not mistaken.