Recent content by ryanjmy

There’s a saying that saving the first million is very hard but once you do the second million is inevitable.

Math. You can afford to pay $250/hr per MD but the current market expects $500/hr after the locums company’s cut.

The collective bargaining organization you’re referring to used to be called groups.

I believe this is the place that offers to credential you in 24-48 hours if you have a compact license. You’d be crazy to take a salary job there until everything settles down.

Do a week of locums there. That will answer a lot of your questions. Date them before marrying.

There are 2 completing dynamics. There’s a shortage of us, but many healthcare systems are hemorrhaging money. Depending on which dynamic is winning at the time determines our pay. There's a constant cycle of provider (MD, midlevel, RN) getting paid below market, providers leaving, pay...

So according to your locums agent as supply goes down demand also goes down. I guess all those economic text books are wrong.

30 days opt out for either side. You can do a week at a time but they usually want some regular interval. Like one week a month minimum. Locums reps know just enough medical terms to be dangerous. Don’t believe anything they say about the clinical side of things. Ask to speak to the site...

Invest in a radar detector and develop a good podcast rotation.

This is costing you a ton of money. No-call, part-timers aren't very useful to a 24/7 service. If you're willing to supervise and travel you could nearly double your hourly rate. Up to you if its worth it.

"Well, God, if you're 5-foot-3 and you're 300 pounds / Taxes ought not to pay for your bags of fudge rounds" Give the man his grammy.

Nope. Pence is probably the least electable guy on the stage. The gap between the people that find him favorable vs unfavorable is by far the highest of anyone running including Trump and Biden. I mean what is the motive for him running? He's a known entity that's not liked by either side.

I agree with most of this. The GOP is going to have to artificially narrow the field quickly or trump will run away with the nomination. Trumps floor with the base is very high but its not more than 50%. I would start by getting rid of ASA, Christie, Burgum and Pence.

With this market I wouldn’t worry too much about being fired unjustly or not being able to find work. Most practices are short staffed. It’d take something egregious to get you fired. With an amc contract I’d be way more worried about being overworked and under compensated.

They hit the nail on the head: "seriously threaten physicians’ practice survival" It's basically impossible for a hospital based private practice to survive without a subsidy. The money is still flowing it just flows through administration first. Lessens the power of physicians.