Any pain docs here have experience working with Kaiser? Starting fellowship soon but just browsing at pain positions on the west coast and seems like Kaiser has a couple spots currently open.
Pain doc at Kaiser (NCAL) for 22 years. Also did internal medicine residency at Kaiser, so total time towards retirement 25 years. You are PMR? I am anesthesia. Retired 6 years ago. Where you hope to wind up?Any pain docs here have experience working with Kaiser? Starting fellowship soon but just browsing at pain positions on the west coast and seems like Kaiser has a couple spots currently open.
I'm interested in ending up on Northern California after fellowship - either academic or private practice, unsure. Whats the payment structure for pain jobs at Kaisers? And average ish salary for Kaiser pain jobs? Thanks in advance!Pain doc at Kaiser (NCAL) for 22 years. Also did internal medicine residency at Kaiser, so total time towards retirement 25 years. You are PMR? I am anesthesia. Retired 6 years ago. Where you hope to wind up?
Where exactly is the best place to browse for pain jobs online?Any pain docs here have experience working with Kaiser? Starting fellowship soon but just browsing at pain positions on the west coast and seems like Kaiser has a couple spots currently open.
Probably GasWork. It’s free to post so you get a lot more private practice jobsWhere exactly is the best place to browse for pain jobs online?
I think you are paid per your specialty, so if you are PMR I added a link. They might give you a little more money if you did a fellowship. I was paid same as an anesthesiologist. As you gain years there are income increases, some routine, some earned. The compensation includes a very nice retirement package which is too complicated for me to write about, but includes insurance and pension. They make it fairly easy to retire at age 60. There are docs at kaiser with academic appointments, I never did that.I'm interested in ending up on Northern California after fellowship - either academic or private practice, unsure. Whats the payment structure for pain jobs at Kaisers? And average ish salary for Kaiser pain jobs? Thanks in advance!
I'm interested in ending up on Northern California after fellowship - either academic or private practice, unsure. Whats the payment structure for pain jobs at Kaisers? And average ish salary for Kaiser pain jobs? Thanks in advance!
Look up Josh Rittenberg @ Stanford. He recently moved there from Kaiser. He’d be knowledgable on the Kaiser and academic front. He is approachable and would be a good contact for a resident/fellow in NorCal.I'm interested in ending up on Northern California after fellowship - either academic or private practice, unsure. Whats the payment structure for pain jobs at Kaisers? And average ish salary for Kaiser pain jobs? Thanks in advance!
Awesome, thank you.Look up Josh Rittenberg @ Stanford. He recently moved there from Kaiser. He’d be knowledgable on the Kaiser and academic front. He is approachable and would be a good contact for a resident/fellow in NorCal.
Almost took a job at Kaiser mid Atlantic on east coast.
Not sure if helpful but here's the info I got
8-5 M-F, no weekends or call
1 hr lunch.
30 min slots for all patients- new and follow up, and procedures. so 16 total patients each day.
Yes, you get 30 min to do an SI joint injection =p. On the brightside, there is no insurance auth required for anything since it's an integrated system (all patients have kaiser insurance).
Half day clinic, half procedures. B&B procedures. No stim or Advanced procedures
4 Weeks vacation- goes up to 6 with longer service.
Great pension and free health insurance.
Salary about 380-420k, no production bonus. Annual group bonus but wasn't much.
Good lifestyle and easy work but not too much pay overall.
What if the patient needs it?B&B procedures. No stim or Advanced procedures
What if the patient needs it?
Assuming you are PM&R? I've been at Kaiser in the bay area for over 10 years. Pay seemed structured based on primary specialty and having ACGME fellowship at the time didn't make any difference. They have raised standards at least and now all pain specialists need to have ACGME fellowship training (vs the grandfathered ones from ABPM or something who have been retiring). Set up may different depending on which service area within the Northern California region and what department. Yes the benefits make up a pretty big part of the overall compensation so the pay will be lower than market rate. If you get a good setup though and it fits your goals, it can be a very comfortable place to work until retirement with pension and other benefits at the end of the rainbow. Pros/cons of being in HMO system obviously, but having some flexibility to practice without needing prior authorization or appealing for certain procedures is nice. Keep in mind it is cost containment, so there are doctors that do the bare minimum and figure out how to game the system so they can just do their job and get in and out. You get paid the same with minimum effort vs sometimes doing what is right for the patient. Feel free to PM me and i will see if I can answer other questions.Any pain docs here have experience working with Kaiser? Starting fellowship soon but just browsing at pain positions on the west coast and seems like Kaiser has a couple spots currently open.
If you didn’t have to be able to afford living in Cali, this sounds like a chill gig.what are your thoughts on:
425k, Monday to Thursday, 8-5PM. 8 weeks off?
45 min per patient visit, so 12pts max per day....
Sounds like a decent enough Kaiser gig, but for a hungry person, they really do kneecap you with no production incentives
is there anything negotiable to increase overall income?
norcal? socal?what are your thoughts on:
425k, Monday to Thursday, 8-5PM. 8 weeks off?
45 min per patient visit, so 12pts max per day....
Sounds like a decent enough Kaiser gig, but for a hungry person, they really do kneecap you with no production incentives
is there anything negotiable to increase overall income?
Every Kaiser gig is different. I know of a Kaiser where it was a revolving door because no pain doc could tolerate the opioid dumps from the PCPs (who vote on whether you get partnership). It was like, "you're job is to take over prescribing opioids AND keep all pts happy".what are your thoughts on:
425k, Monday to Thursday, 8-5PM. 8 weeks off?
45 min per patient visit, so 12pts max per day....
Sounds like a decent enough Kaiser gig, but for a hungry person, they really do kneecap you with no production incentives
is there anything negotiable to increase overall income?
This will ruin you.what are your thoughts on:
425k, Monday to Thursday, 8-5PM. 8 weeks off?
45 min per patient visit, so 12pts max per day....
Sounds like a decent enough Kaiser gig, but for a hungry person, they really do kneecap you with no production incentives
is there anything negotiable to increase overall income?
Forgot to comment on this, but this offer (which does sound awesome btw) for starting is definitely not what one would see in Northern California Kaiser.Almost took a job at Kaiser mid Atlantic on east coast.
Not sure if helpful but here's the info I got
8-5 M-F, no weekends or call
1 hr lunch.
30 min slots for all patients- new and follow up, and procedures. so 16 total patients each day.
Yes, you get 30 min to do an SI joint injection =p. On the brightside, there is no insurance auth required for anything since it's an integrated system (all patients have kaiser insurance).
Half day clinic, half procedures. B&B procedures. No stim or Advanced procedures
4 Weeks vacation- goes up to 6 with longer service.
Great pension and free health insurance.
Salary about 380-420k, no production bonus. Annual group bonus but wasn't much.
Good lifestyle and easy work but not too much pay overall.
Why will this “ruin you.”This will ruin you.
A job like this is for the back half of your career.
What region is this starting job located in?what are your thoughts on:
425k, Monday to Thursday, 8-5PM. 8 weeks off?
45 min per patient visit, so 12pts max per day....
Sounds like a decent enough Kaiser gig, but for a hungry person, they really do kneecap you with no production incentives
is there anything negotiable to increase overall income?
12 patients max a day???!!! Last week I had 6 in the 7 am hour alone. You can def live off of 425k. Many if not most pain docs in the northeast make that working 3x as much at least and are content with it..or maybe I should say are programmed to be content with itwhat are your thoughts on:
425k, Monday to Thursday, 8-5PM. 8 weeks off?
45 min per patient visit, so 12pts max per day....
Sounds like a decent enough Kaiser gig, but for a hungry person, they really do kneecap you with no production incentives
is there anything negotiable to increase overall income?
what are your thoughts on:
425k, Monday to Thursday, 8-5PM. 8 weeks off?
45 min per patient visit, so 12pts max per day....
Sounds like a decent enough Kaiser gig, but for a hungry person, they really do kneecap you with no production incentives
is there anything negotiable to increase overall income?
Can you finish all your 16 patient in half a day and leave? If not, I will be bored to death.Almost took a job at Kaiser mid Atlantic on east coast.
Not sure if helpful but here's the info I got
8-5 M-F, no weekends or call
1 hr lunch.
30 min slots for all patients- new and follow up, and procedures. so 16 total patients each day.
Yes, you get 30 min to do an SI joint injection =p. On the brightside, there is no insurance auth required for anything since it's an integrated system (all patients have kaiser insurance).
Half day clinic, half procedures. B&B procedures. No stim or Advanced procedures
4 Weeks vacation- goes up to 6 with longer service.
Great pension and free health insurance.
Salary about 380-420k, no production bonus. Annual group bonus but wasn't much.
Good lifestyle and easy work but not too much pay overall.
This is more like 1/3 to 1/4 of what Private Practice doesAs long as you like the area, I’d go for it. The pay is excellent for how little work they expect you to do.
You can either just enjoy all that free time or if you want more money, you can moonlight in anesthesia, and or do IMEs, or some other side gig. You literally are working only 2/3 the schedule of most docs while still getting a salary that is higher than many private practice employees, though lower than HOPD and private practice owners.
This is more like 1/3 to 1/4 of what Private Practice does
As a first job out of training, this job will stunt your growth as a physician, and unless you plan on making this gig your entire career, I would not pursue this. Very difficult to get really good at pain with this volume, and you'll never feel any pressure to improve your practice. You have zero competition.Why will this “ruin you.”
You cannot go from this job to private practice and expect to survive. The reverse is definitely true, where this would be an amazing opportunity after you've been in a busy practice for 10-20 years.
Just # of patientsIf you're talking about the money, I would surprised if you're making $1,700,000 per year as an employee in private practice?
From a standpoint of time at work, he does work 4 full days each week. So he works 4/5th the typical amount for pain physican, until you add in that he gets double the typical vacation time. All that adds up to about 2/3 of the typical private practice of working full time 5 days per week and only have 4 weeks of vacation.
But if you mean how many patient does he see per year compared with what pp docs see in a year, then I definitely agree with you.
Two things no one else has mentioned
- Do you have strong ties to the area and want to live there for the rest of your life?
-What does the rest of the market in the area look like for pain physician jobs?
If this is where you'll be happy, and if the rest of the jobs in the area have nasty opioid prescribing practices, or aren't practicing in a manner which makes you comfortable, then this may be the best option for you. I feel like on this forum, sometimes we can get a bit tied up on the perfect practice (physician owned, in office C-arm, low buy in, no opioid etc.). But in some locations, you might not have exactly the set up you want, and that's ok! If this is the best job for the place you want to be, take the gig.
private practice is only great if you get into partnership.
more true than not, particularly if partner entails equity and skin in the gameThis just isn't true man. I don't think everyone understands the definition of partner.
For many ppl, private practice means no one looking over your shoulder like a hospital job, with unlimited potential for income and growth, and if the practice is stable you're probably getting the benefit of good contracts, an assortment of payers and a strong referral base.more true than not, particularly if partner entails equity and skin in the game
So far overall, what I'm seeing is contract arrangements seem more sustainable, realistic, fair in multi-specialty groups than a single specialty, single owner type of situation.
Exactly. The only thing that is truly "deserved" is the absolute promise, that if you do a good job, you will have the ability to stay with the practice whether as partner or employee for as long as you wish and be treated fairly as agreed upon.I'm not sure why new grads think they're deserving of partnership after 12-24 months...You haven't earned anything for your practice yet, and overall you're probably still in the red.
Why does anyone think they deserve a piece?
If you do enter into partnership, make sure you do your research bc you might lose money depending on the comp model.
Area is otherwise saturated.Two things no one else has mentioned
- Do you have strong ties to the area and want to live there for the rest of your life?
-What does the rest of the market in the area look like for pain physician jobs?
If this is where you'll be happy, and if the rest of the jobs in the area have nasty opioid prescribing practices, or aren't practicing in a manner which makes you comfortable, then this may be the best option for you. I feel like on this forum, sometimes we can get a bit tied up on the perfect practice (physician owned, in office C-arm, low buy in, no opioid etc.). But in some locations, you might not have exactly the set up you want, and that's ok! If this is the best job for the place you want to be, take the gig.
I mean it wouldnt be so much of an issue but it simply is predatory to be making 20-30 cents on the dollar for the work I am doing beyond covering my overhead.For many ppl, private practice means no one looking over your shoulder like a hospital job, with unlimited potential for income and growth, and if the practice is stable you're probably getting the benefit of good contracts, an assortment of payers and a strong referral base.
You can show up with a full schedule in some places.
That's another thing about PP...The guys who founded the practice spent incredible energy building it. Establishing relationships with industry, beating the sidewalk to market the company, figuring through trial and error what pays and what doesn't.
In some PP jobs, you can get ASC ownership without being a partner, and in some cases it may not benefit you at all being a partner.
Depends on the situation. You want to go to board meetings every other Wed afternoon? You want to pay for the EMR and its upkeep, or do you want to come to work, see pts and go home?
There is this weird belief that PP means partner or nothing, and that is driven by academic attendings who know nothing of the real world and use expensive RFA needles with single use probes.
I'm not sure why new grads think they're deserving of partnership after 12-24 months...You haven't earned anything for your practice yet, and overall you're probably still in the red.
Why does anyone think they deserve a piece?
If you do enter into partnership, make sure you do your research bc you might lose money depending on the comp model.
I mean it wouldnt be so much of an issue but it simply is predatory to be making 20-30 cents on the dollar for the work I am doing beyond covering my overhead.
And yeah I do like board meetings and talking to people.
My personal belief is that after covering overhead, I should be keeping everything I generate on the procedures and the office visits. The practice benefits from having a larger footprint, and all the ancillary drivers that I drive into the practice - DMEs, UDS, imaging.Your practice is going to lose money on you for awhile, and despite your confidence, you're not a sure thing.
It's not predatory at all if you sign a mutually-agreed upon contract.
I don't think 20-80 or 30-70 is great, but you don't seem to understand how that money comes into your pocket.
What overhead do you think is fair? Do you think 50/50 is fair, or should you get 60/40? Personally, I think 40/60 is fair, and 50/50 is outrageous.
New grads think the overhead is all profit to the partners, but that's not true. You cost a lot, and whether you believe it or not you're an expensive roll of the dice. Further, the practice costs, employees costs. Real estate costs a lot, and so does maintenance and administration.
You have to pay for yourself, and you won't do it for 24 months or so. There are outliers, and while Bob and Gdub in this group appear to be those types, most of us aren't.
I don't know you, and you may be an amazing pain doc, but there's a lot to owning and running a business, and you don't automatically deserve to get a piece of it.
Edit - I just saw you mentioned collection % after you've paid your overhead. Negotiate. Let's say your salary is 300 and you're on a 40/60 contract. You collect 750 (187500 per Q) and then you want a higher rate on those dollars?
Why should you get that? For example, once you've collected 750 you now go to 50/50?
Explain where the predation exists considering you have no workspace, equipment or pts without the practice?
The work that's been done to get you what you need to even pay your overhead is being ignored. That work wasn't free to the practice, and if it turns out you are a good hire the practice deserves to profit from its investment in you.