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- Mar 25, 2024
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Is anyone a W2 there?
How is the work culture?
Case complexity?
Night time cases and support?
How is the work culture?
Case complexity?
Night time cases and support?
600kAll I have figured out by talking to a couple people is they run 10 rooms at 3, 4 at 5, and 2 plus OB after 7. They need 22 docs. 4 can be on vacation. 2 are post call. 2 pre call and out earlier. So then we have 14 people and 10 stay til 5 likely. Odds are they putting down 55 hours. Think maybe 8-9 weeks off. But no idea the comp for the time. What’s reasonable?
All I have figured out by talking to a couple people is they run 10 rooms at 3, 4 at 5, and 2 plus OB after 7. They need 22 docs. 4 can be on vacation. 2 are post call. 2 pre call and out earlier. So then we have 14 people and 10 stay til 5 likely. Odds are they putting down 55 hours. Think maybe 8-9 weeks off. But no idea the comp for the time. What’s reasonable?
No plans for CRNAs to take call that I know. Docs take call. 22 seems like not enough docs for scheduleIt uses (or is going to) a lot of crnas. Don’t know if crna takes call or not. If not, doc is totally fxcked.
No plans for CRNAs to take call that I know. Docs take call. 22 seems like not enough docs for schedule
600k
Endeavor I think does 1:3 but don’t know what kind of cases you supervise. Lot of ORs there. I called. Plus GI and ASC.Why does it need 22 docs? Say it gets 10 crna, 8 working everyday. Only need 2 docs to cover 8 rooms. Nch can also use qz for solo crna.
I would ask for at least 7
Endeavor I think does 1:3 but don’t know what kind of cases you supervise. Lot of ORs there. I called. Plus GI and ASC.
So 7-5 no problem. Still not much help for docs after 5 of CRNAs not 12h shift. Plus case type matters. 3 bread and butter. Or crani, spine, and easy one.
It's about 450-500k plus benefits, ample time off
Sounds about right for the suburb of a major (presumably) desirable US city?So you supervise 1:3 during the day and then go solo and relieve CRNAs for straggler rooms in the evening? For median (maybe below) pay? Am I missing something or is this just not a very good job?
Spines are fine. Usually not that complicated. The usual fiberoptic, art line with certain candidates. Others get glide. Most don't need art lines.
They do lots of pancreatobiliary surgeries with thoracic epidurals for everyone.. like 10 a week.
They also do lots of awake cranis there.. more than academic places. Their neuro guy is Kassam, who the admin have put on a pedestal, and who was promised a state of the art neuro wing which will be built in the next couple years. A lot of the other surgeons seem less enthusiastic about this.
The usual fiberoptic? I don't remember the last time I used one for a spine
I don't remember the last time I did one for ANYTHINGThe usual fiberoptic? I don't remember the last time I used one for a spine
Glide mostlyReally? Unstable cervical Spines?
What do you do for epiglottitis, angioedema, Ludwig's angina, obstructing base of tongue or hypopharyngeal tumors +/- neck irradiation?I don't remember the last time I did one for ANYTHING
I did a glide for epiglottitis in the ICU and immediately regretted it when I went in and saw the image. Ended up tubing just fine though.What do you do for epiglottitis, angioedema, Ludwig's angina, obstructing base of tongue or hypopharyngeal tumors +/- neck irradiation?
awake nasalWhat do you do for epiglottitis, angioedema, Ludwig's angina, obstructing base of tongue or hypopharyngeal tumors +/- neck irradiation?
Haven't seen one bad enough I couldn't intubate with dl or video (for the record I'm a very mediocre anesthesiologist not one of the superstars on this forum). I would think those situations have too much edema to permit any good views with a fiberoptic. Are we talking about maintaining spont vs nmb or method of intubation in those scenarios?What do you do for epiglottitis, angioedema, Ludwig's angina, obstructing base of tongue or hypopharyngeal tumors +/- neck irradiation?
you don’t see enough pathology then.Haven't seen one bad enough I couldn't intubate with dl or video (for the record I'm a very mediocre anesthesiologist not one of the superstars on this forum). I would think those situations have too much edema to permit any good views with a fiberoptic. Are we talking about maintaining spont vs nmb or method of intubation in those scenarios?
Haven't seen one bad enough I couldn't intubate with dl or video (for the record I'm a very mediocre anesthesiologist not one of the superstars on this forum). I would think those situations have too much edema to permit any good views with a fiberoptic. Are we talking about maintaining spont vs nmb or method of intubation in those scenarios?
Shouldn’t the VV ECMO cover all the oxygenation? Why do awake?I've seen one airway bad enough to merit an awake fiber/glide after the patient was put on vv ecmo
But the point is to keep them spontaneously breathing to avoid burning bridges. Some airways are just horrible
Base is 430-450. Unknown. Calls I think 6.5 a month. There is some point system. I don’t know the incentives to make more. It would make sense if someone would just put it out there in open. If the system is good, why hide the numbers450-500k for ?hours per week? Calls?
Base is 430-450. Unknown. Calls I think 6.5 a month. There is some point system. I don’t know the incentives to make more. It would make sense if someone would just put it out there in open. If the system is good, why hide the numbers