Is that even true though? It’s musical chairs. There are more med students and FMG applicants now than there are residency spots. Doesn’t matter what they do, they’ll always find enough warm bodies.
But that number may be much much lower than one expects. The price point is set by the lowest selling price. May be a different market if students weren’t saddled with $300k ofdebt.
Given the bend over and take it nature of most em docs they aren’t cut out for a lot of non clinical work options imo.
Depends on age and what you want and need. I’m still in the stacking papers phase. I’ll tolerate a lot for good $$$.
After seeing malpractice first hand, I feel like whole stack can get knocked down without the proper protections. Makes #2 really appealing even for a young doc.
How did this lawsuit and settlement affect subsequent employment?
Not at all.
"Jackpot justice".
I'm afraid this is going to be the projected trend if we allow it to continue...
How would you stop it? As people say the horse has left the barn. Lowered hourly rates are coming.
Hospital employed position, IHS, VA, etc.
Eventually those jobs fill too. Hospital employed? They will be the first to cut pay once they see what the market is.
Make hay while the sun shines, even in late afternoon. My new W-2 hospital pays ~$250/h plus benefits for nocturnist, which appears to be a local aberration, though fairly busy all night. I'll save like hell, stay healthy to avoid the diabetes if I can, and quit when I reach my number or if pay falls below my current USUCS job. And I'll hope my telehealth side gig still exists at that point.
Agreed. That was my first thought. I save like crazy. me and my spouse do well so we spend a fair bit too. Like you I worked some horrid jobs. I grew up with nothing. What I have and can get as a job would be a dream for most. I don’t lose site of that.Make hay while the sun shines, even in late afternoon. My new W-2 hospital pays ~$250/h plus benefits for nocturnist, which appears to be a local aberration, though fairly busy all night. I'll save like hell, stay healthy to avoid the diabetes if I can, and quit when I reach my number or if pay falls below my current USUCS job. And I'll hope my telehealth side gig still exists at that point.
New grads? Wish I could help them. I don't see a solution other than not to go into EM. But, Big PE is trying to get its fingers into all specialties to drive down rates and disempower us as labor, no? This can't be an aberration for EM.
Same basic story for hundreds of years, everywhere, for humanity. Might makes right and money goes to money. Maybe the last 70 years in this country were the exception rather than the rule.
I'm not really trying to complain, mind you. I've flipped burgers and done a number of other low-paying jobs before and I realize how good we as docs still have it compared to most.
Unless, like, you have to live in Denver due to family or whatever and can only get $20/h base pay I mean! Not to mention the permadrought out there...
Mmmk. Funny that you think that most jobs give you control over operations, nursing, techs, etc.
Option 2 for me is a 1pph type place. I keep getting my face wrecked at my current gig seeing 3+ per hour for 2-3 hour stretches before averaging 2+ per hour by days end.
www.levernews.com
Private Equity Gloats Over A Doctor Glut
Health care vultures helped create an oversupply of ER physicians — now they want to use the surplus to cut wages and limit care.
Private Equity Gloats Over A Doctor Glut
Health care vultures helped create an oversupply of ER physicians — now they want to use the surplus to cut wages and limit care.
Private Equity Gloats Over A Doctor Glut
Health care vultures helped create an oversupply of ER physicians — now they want to use the surplus to cut wages and limit care.
Not sure you needed to post this four times in different threads.Private Equity Gloats Over A Doctor Glut
Health care vultures helped create an oversupply of ER physicians — now they want to use the surplus to cut wages and limit care.
That's the equivalent of, if someone doesn't speak your language, getting louder/yelling will make them understand better.
$150 per hour is near what IM, FM, Neurology make in the inpatient setting (ie hospitalist) for day shifts, and for IM or FM that's after a 3 year residency; for night shifts averages are closer to $170-180 these days. Considering EM can previously make closer $200-250 hr after the same relatively short 3-year training that was a pretty good deal. But even if the market rate for EM drops to $150 it will still be reasonable deal as they would be making similar to IM and FM hospitalists and with about the same length of training.
Yeah, that's pretty much been the argument all along. For example, I saw 28 patients in a 9 hour night shift last night (by myself, no midlevel). I admitted 4 to the hospitalist (probably got 2-3 from the other doc before his shift ended). Sure, he's got crosscover, but he doesn't cover the ICU and he's a got a midlevel as well. He probably got at least 2-3 hours of sleep and had to deal w/ a few easy admissions. Sorry, not sorry--I think I should make more on an hourly basis. (also w/ regards to your point about competitiveness, yes that's true now. However, just a few years ago EM was about as competitive as Rads, in my recollection. But of course, now it's a backup for FM applicants...)
Meh, I wouldn't take the VA job unless you are near the end of your career. It's attractive for all the reasons that slowing down, reducing stress, not working nights, etc.. SHOULD be attractive but if you're in the beginning of your career, I think you'll shortchange yourself in the long run. That's a lot of retirement income lost over time. Not to mention some skill atrophy if it's truly a VA ER. No strokes, no OB, no peds, no trauma, very few procedures. If you're midway in your career, then sure...a lot of that stuff is hard coded by now but I'd hate to recommend VA for new grads or docs only a few years out. If you stay there for more than 5 years, you're going to have a serious confidence problem working anywhere else and for good reason.
Some people are so locked into location literally it seems like nothing will make them move.
#2 is sustainable. #1 is not.
Agreed. Some posters here think #2, the Va job, is no good for earlier career docs. But man it definitely seems more sustainable.
The issue is that it's a one way street.
Is it really though?
Eh I worked 75% for VA for 5 years. I prefer a busy community setting. VA wasn’t my first job but I adjusted OK to seeing 20-40 people a shift. I got flamed here last time I disparaged the VA so I’ll just say it has its drawbacks.
Can be a lot to push that patient per hour through the system. I couldn’t take it anymore.
I know people who worked at the va. It’s like an end of line job. The people I know hated their patients, hated the whole setup etc. for those who claim it is not a major pay cut maybe it is different than the jobs I looked at before. The va required 36-40 clnical hours a week. You got paid vacation which helps but pay was in the upper 200s. That was 7 years ago. There are a number of reasons EM trained people avoid the va.
The Va system is weird. It takes a lot of number crunching to understand the differences between it and community gigs. Plus one Va is not like the other.
