Recent content by dozitgetchahi

Exactly. Also, no better way to treat your docs than declaring that you intend to try to enforce this even after the government has been clear that it applies to you…

Gave it once at the tail end of IM residency for intestinal pseudo obstruction. Nurses drew it up, but refused to give it and treated the syringe as if it was full of plutonium. Whatever, I’ll do the 5 minute push. What ensued about 3 minutes later was the longest fart that I have yet witnessed...

Because surgeons like to think that what they do is so special that nobody else can do it (and they should be paid way more than other types of physicians for it). Don’t get me wrong - I’m not in favor of midlevel care. At all. I think we’re already seeing how bad the proliferation of midlevel...

Ask for an official copy of your employment file from the CMG. You need to see how they described the end of your employment (termination or resignation, or whether or not you were “under investigation”). Despite your previous resignation letter, companies “pull a fast one” with these things and...

I categorically disagree. As a resident, you are a paid W2 employee. Period. And you should be given all the rights and protections generally assigned to employees. I think any other thinking in the direction of arguing that residents are “students” is just a way for hospitals to try to escape...

My PP contract is not set up like this, but it’s possible to make a number of relevant points here. First, note that the 40% is based on *collections* above $500k, not raw billing. This is important for several reasons. First, it takes a while for your collections to come back - at least 3...

I did an interview once near Lynchburg. It is every bit as godawful as it sounds. I used to live in rural Alabama, and culturally Lynchburg was even worse than that.

Note that nasal esketamine (Spravato) is now officially FDA approved for treatment resistant depression. It has a REMS and is administered in psych offices. I’m not sure what the advantage is of continuing with off label IV ketamine infusions for this, other than to generate $$$.

I’m not an attorney, but generally speaking in “not for cause” physician termination situations, this would not be reportable and would not have any impact on future credentialing or licensure. Many physicians get “laid off” (this particularly happened during the pandemic). Those are “not for...

How so? I think most of us realize that we are getting screwed. And most analyses of the healthcare cost pie place physician compensation at something like 2-5% of the total. Meaning that every physician in America could work for free, and it would barely move the needle on healthcare costs...

I agree with you. There are lots of doctors out there - even doctors in less intense, “lower earning” specialties - who somehow get adequate child care for their kids. Hell, some even have nannies. Somehow I don’t think that every physician who pays for child care is running a “net negative”...

I donno exactly, but by outward appearances everyone seems to be doing well. Several of our PCPs own some of the biggest and most expensive houses in town, for what that’s worth.

There’s plenty of choices out there. If I didn’t end up at this PP, I would have chosen another PP. My first hospital job was so bad that I absolutely refuse to do that again. I’d rather start my own solo practice tbh. Or leave medicine. (And I’m only half joking.)

Mine is about 40% in total (my shared overhead is around 25-30% or so), which is part of why everyone is able to do as well as they do. Things are pretty lean and efficient. I think a lot of this is the fact that we are in a LCOL area. We don’t have to pay out the ass for the buildings and...

If it sold again and it was obviously not going to be a desirable place to be in the future, I’d probably leave too. And then I’d dig around for another job like this. Because once you’ve been in a job like this, you’ll never work for a hospital system again.