Recent content by grt398

CallMeDoctorLov above is correct...basically NE academics in places you're talking about = low pay, higher than average workload. You'll be expected to have a full clinical schedule plus put in full time research effort as well. I was a research assistant a long time ago at one of the Harvard...

The big cities seem to be getting worse and worse in terms of job quality, at least for inpatient based physicians. FWIW I've done locums hospitalist jobs seeing ~8-10 floor patients and 2-4 "ICU" patients in rural areas for more than this hourly rate, which is crazy to me.

It may be part of why CMS has decided to propose a large cut to CC billing by merging 99291 + the first unit of 99292. See here: Urging Changes to Proposed Critical Care Billing Policy - American College of Chest Physicians But for you as an individual doc, just do what you think is right and...

Yet many still don't seem to understand vent management beyond basic volume/pressure control settings...it's scary sometimes.

Other than previously mentioned "word of mouth," I'm not sure there's anything other than the usual practicelink/practicematch/doccafe/JAMA/NEJM etc boards. I found my current position on practicelink, but was also interviewing for two other positions that were open which I'd heard about from...

The locums CC market has collapsed quite a bit as well and I know of attendings who went back to take a full time job somewhere b/c they weren't able to maintain a full enough locums schedule. Maybe it'll come back, but for IM background people at least, I would argue this is even more of an...

As much as I prefer ICU work, I likely would have come out ahead long term, in a purely financial sense at least, having skipped the fellowship and just doing 5 years of residency type hours as a hospitalist in the midwest. I knew two attendings in residency who were doing ~20 hospitalist...

As Siggy mentioned above, the goal is to be done within 5 min if at all possible, and while it's uncommon, in training fellows did it, attendings did it, and even the overnight PA's/NP's did it occasionally if no one else was in house and it would be 15-20 minutes for the surgeon to get bedside...

Agree with all of the above, and just throwing out there that in my experience at least, CTICU patients can crash harder and faster than almost any other subset of patients, and definitely lean on your colleagues until you're comfortable with them. And learn when you need to insist on that TEE...

I'm in one of the most competitive healthcare markets in the country...and this is very true just FYI for people. There's an 8-12 month wait to see endocrine, rheum, outpatient neurology, no idea for derm. And none of them take hospital consults anymore. Doesn't seem to be affecting their...

Never hurts to (politely) reach out to whomever your contact is at the job. Keep in mind it's the end of year/holiday season so people go out of town/things slow down quite a bit. I certainly wouldn't forget about it. And I'd even argue that reaching out in a polite fashion could be beneficial...

If you're going to do CCM, I still recommend the PCCM route if possible. It opens the most job opportunities by far, and you can find plenty of positions with very minimal clinic (as few as two half days/month) or even no clinic at all (just ICU + inpatient pulm consults). And lots of private...

While it doesn't surprise me, it's still disheartening to the idealistic portion of me that's left, to see much of medicine becoming nothing more than another example of corporate greed with no concern for patient outcomes unless it impacts $$$. Also, for anyone who missed it, this was a very...

Just chiming in to thank everyone who contributed to this thread; it's been very helpful as someone who is a new attending and trying to figure out the right long term path for me. I found it difficult in training to get a good view of the possible options.

I'm going to be looking for a more sustainable position, for my needs at least, meaning either part time (like 10-12 shifts/month or the equivalent of ~18 weeks clinical time/year) or a much lower census if it's usual full time 15 shifts/month. I might do that via locums, I might do it by...