Recent content by SteinUmStein

  1. SteinUmStein

    Filling in the deficits of a Nurse Practitioner education.

    Agree that there's plenty of time for almost anything. Might be too late to be an Olympic gymnast, but certainly not too late to be a physician. Med school and residency has been a great way to fill some of my knowledge deficits.
  2. SteinUmStein

    Billing for Med management & Psychotherapy - 99214 + 90833

    Hmm this is missing a crucial part of the interaction: the patient experience, and patient outcomes (i.e. are we really doing our job well?) I would argue that 10-15 minute med checks (versus more reasonable 20-30 minutes minimum for complex patients warranting 99214 or therapy + 99213) is...
  3. SteinUmStein

    Medicare patients when employed with side practice

    Thanks for the input, that's what I thought. Frustrating from the physician standpoint - preaching to the choir here, but I can easily see situations where the physician/psychiatrist is doing their due diligence and respecting the rules and still gets in trouble (forgetful or dishonest patients...
  4. SteinUmStein

    Medicare patients when employed with side practice

    Happy Wednesday, I've been reading on this topic and am still somewhat lost. Let's say you are a physician employed by a group practice that sees a mix of patients, including patients with Medicare, and you accept Medicare at this group practice location. If you have a private cash-only...
  5. SteinUmStein

    Academic salary negotiation

    Agree with Einstein here. "Constant restlessness" is a good description of a successful academic physician, particularly one who plans to advance along the academic treadmill. A major eye-opener for me was learning how many work hours my faculty (both research and clinical) put in per week...
  6. SteinUmStein

    Is this a bad job offer?

    Can you PM me Sluox? I have a few questions and would appreciate your input. Looks like I can reply to your PMs but can't start one. Thanks for your time.
  7. SteinUmStein

    Is this a bad job offer?

    Interesting. I would clarify in an explicit way if there are any call expectations - phone call, backup call, weekends, holidays. Someone has to be covering the jail, if not this position then who. I've seen a lot of "Oh, there's no call, not really, just home back up by phone every few weeks...
  8. SteinUmStein

    Is this a bad job offer?

    Any call or coverage? Weekends? Length of stay (assuming this is inpatient)? Salary as base+RVU or base only?
  9. SteinUmStein

    How much can a private practice psychiatrist expect to earn?

    Great point. I guess I was replying to the responses/comments above and less to the initial post/question. I think your point is one that gets missed, that you could charge $x per hour and project out an "annual salary" of some big number - I've seen $400k-500k thrown around here - but that's...
  10. SteinUmStein

    How much can a private practice psychiatrist expect to earn?

    While there are plenty of "job offers" (i.e. recruiters aggressively spamming) in the 300k range, from what I've seen these positions either include a fair amount of call and/or high volume work and/or less desirable locations (not always rural, but often places struggling to find/keep...
  11. SteinUmStein

    What's the Job Market Like in the Chicago Area?

    Wow, nice. How many patients/day does that look like? Call included in that as well? It's an expensive area to live so that's good to know.
  12. SteinUmStein

    Salaries in academic psychiatry

    Great to see information on the Midwest here. Anyone have insight or experience re: academic clinical faculty set-ups/salary ranges for early career positions in Minnesota, Iowa, or Wisconsin area? Are clinical faculty positions generally associated with built-in call/unit coverage, or is that...
  13. SteinUmStein

    private practice business model

    All of these private practice discussions are interesting and exciting to think about, but I do think the uncertainty and unpredictability of independent practice should be considered, especially for new grads. It's one thing if you have your loans and mortgage paid off to be making plus or...
  14. SteinUmStein

    Oregon Senate Passes Bill to Let NPs supervise Psychologists in prescribing psych meds

    That's DOCTOR Certified Registered Nurse Assistant Practitioner, thank you very much. My online program printout says DCRNAP, see? Also got a white coat and plastic stethoscope when I signed up, was a great Groupon. Next year I might go for my online Doctorate in Vet Tech (DVT) so I can do...
  15. SteinUmStein

    Oregon Senate Passes Bill to Let NPs supervise Psychologists in prescribing psych meds

    Great points. I think we (the big we, including physicians, society and regulators) need to be looking more closely at what 'access to care' actually means and looks like. You could arbitrarily say that the system's goal or new standard of care for a pt with a mental health complaint is to see a...
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