Recent content by EctopicFetus

No but are you a physician? EM trained? Seems weird to tell a residency trained doc they need more training?

All depends.. The regional roles are usually pretty cush. 1-2 clinical shifts in year. Usually as added coverage. 450k for many envision people.. no weekends, holidays etc. NOrmal daytime hours.. the main thing is you have to be a major ****.. no shortage of people willing.

I do admin stuff and I enjoy it. I think the hardest part depends on your setup. SDG vs CMG vs academics. IMO the biggest lack of understanding comes from academics who are playing a game that doesn't involve patient care but rather climbing the academic rank game. In my residency our old chair...

I think this is easy for people to say. Similar to “I would never work for a CMG”. Let’s say there is a great job and it is paying $50/hr more than job 2.. You arent gonna sign because of this? Thats total nonsense. Will some people avoid it.. sure.. but enough sign that they have that language...

Thats fair. However, you have to go through credentialing. When you do that they reach out to all the places you worked previously. I dont know if they do but it wouldnt be hard to have someone cross reference people going through credentialing elsewhere and your active staff? There might be...

Depends on your contract. For example, many “academic” sites dont allow docs to work elsewhere while working for them. U Arizona and Vanderbilt do this. You can not work elsewhere while you work for them. Some of my residents have signed contracts where they can not do any work of any sort...

Chamber of commerce is suing. So will many others. The AHA is unhappy (which tells you it is probably viewed by them as good for docs). The question is will this go into effect while the lawsuits are being figured out.

Indeed. Many of these docs think their gray hairs provide some particular value to the group. Note for the older docs on here, this is not all encompassing. Some of the older docs i work with are and have been great others not so much.. That being said in EM at least there isnt some amazing...

I think it depends right. If you own the group there is often wisdom and knowledge in running the practice, dealing with insurers, vendors etc. In Em thats basically gone and in most SDGs the mid career docs tend to be the ones doing much of the work. The folks within 10 years of retirement...

The reason is in EM you have no patient list, you dont own anything meaningful like equipment. Frankly im not sure you are generally more valuable than a young guy who wants to work and make money. Some of the older guys wont even help out if there is a need. The younger guys will often step up...

Problem is older docs often want to have their cake and eat it too. They want some special treatment for their seniority. It’s just not that way in most EM practices. Even SDGs here older docs dont do nights they pay for the younger ones to do the nights.

I work very few nights and do 10-15 clinical shifts per month. We have nocturnists. I would advise folks who are long term at their sites to create a system to let younger docs who usually want more money earn more and then let the older guys who should have more money and value not working at...

No disagreement. Look at how the “academic” institutions have bought up community EDs to expand their footprint. Their mission is not academic but rather financial. This is true at U Maryland, Indiana, Vanderbilt etc. Others sold out to other entities like Banner (Arizona). They push their...

Half the people don’t want to be paid their worth n they want to be paid the worth of the other half.

Or vec. Thats the Vanderbilt protocol….