Is anyone Happy in Primary care?

[Drsan1]

I’m at a career impasse and trying to decide the best road to take. Was hospitalist for over a decade and relocated for family. Not sure if I want to...

[Drsan1]

I guess I was hoping they would terminate the letter since it’s no longer full time, but your right, I need a lawyer. Will look at getting one ASAP...

[Drsan1]

Yeah the contract specifically states it is for full time work and has an “exclusivity clause”. What facilities I will be working at however is not...

[Drsan1]

I’m in NY and in my preliminary internet search it looks like non-competes here are hardly ever enforceable. There’s only a few enforceable circumstances,...

[Drsan1]

Yes I plan to stay in the area. I just moved to the area, which makes it all the more painful. But already looking at other opportunities as we all know...

[Drsan1]

Try to get multiple offers so you can compare

[Drsan1]

Is this the current offer because of the COVID slump. Interview multiple places and try to get multiple offers so you can compare what the market is ...

[Drsan1]

So I recently started a job in the post acute care field. My contract is for full time work which may include medical directorship and clinical work....

[Drsan1]

You can definitely find another great job. You have to ask the right questions when interviewing. If you know you want a non RVU salaried position look...

[Drsan1]

Wow, I think you know my kid!! That's how it has been, this exhausting battle. I hoping she uses her powers for good.

[Drsan1]

I will now allow you to adopt my daughter

[Drsan1]

That's a good idea. She has had therapy in the past for difficulty with coping mechanisms and misbehaving. She probably would e up for it again she seemed...

[Drsan1]

Thank you for the encouragement. I know this too shall pass. It’s hard to motivate her when at the moment she has no idea what she wants. My father...

[Drsan1]

She took the ASVAB about two years ago and I don’t remember what the result was but she always enjoyed working with children and developmentally delayed...

[Drsan1]

Thank you wise white beard! Yes we are ready to do tough love. I’ve been looking up adult kid living at home contracts and we have already forewarned...

[Drsan1]

To an extent with her we were overbearing. She always had this propensity to do the minimum. So we pushed her harder with the goal of education/career/independence....

[Drsan1]

Great advice. Thx. I wish I would have known about that withdrawal thing sooner. I’ll check if it’s too late. It def could be worse. She has no idea...

[Drsan1]

I know this is a financial site but this Is definitely causing a financial hit. My 18 year old graduated high school in May and went to college in the...

[Drsan1]

If you know you want to do critical care then I would skip the pulmonary portion. I’m a hospitalist and our critical care docs are critical care only....

[Drsan1]

One of the neurohospitalists at my hospital was full outpatient before joining and currently rents a place near the hospital but on his week off he lives...

[Drsan1]

I Find This Humerus wrote: Drsan1 wrote: In my experience people don’t always start off as Morons. Some of them may have been very good clinicians in the past. When your life chang...

[Drsan1]

In my experience people don't always start off as Morons. Some of them may have been very good clinicians in the past. When your life changes to meetings...

[Drsan1]

I say no to divorce. What if in the future you decide to have kids and one of you will stay at home and need health insurance etc. what if someone gets...

[Drsan1]

jessikaur wrote: hatton1 wrote:  I kind of like peace and quiet. As an OB/GYN it is better for you and your husband to be all in on the decision. Plenty of professional women see...

[Drsan1]

Stolen from the internet: Why won't sharks attack Financial advisors? Professional Courtesy   (not the one's on this site of course :-)...

[Drsan1]

I would be interested in a book club. Any type of book. Also I don't do Twitter. I do have FB. If it's done here prob should be financial related.

[Drsan1]

I understand the concern because some people, even some physicians aren't exactly sure what they want to do long term. A friend of mines started Hospitalist...

[Drsan1]

In my experience, the letters of Intent are not binding, but like someone said is lie a promissary ring. The expectation with signing is that the job...

[Drsan1]

Interview at around five places so she has negotiating power and something to compare it to. I've been a hospitalist 9 years and pay/contracts change...

[Drsan1]

In my own experience as female MD negotiating is a big part of it. Myself and a few of my partners were returning to a group that collapsed all have roughly...

[Drsan1]

Awesome term! I am selective, and I often don't realize it until I hear friends talk about how much they spend on things like furniture and vacations....

[Drsan1]

I agree go with what you like to do. Unless you plan to be one of the early retire folks you could be doing it for 30 years. Lifestyle important but even...

[Drsan1]

I'm just curious to whether there is a tax benefit if it is called "a loan". Did they take income tax out or was it a straight check for $75,000. If they...

[Drsan1]

ENT Doc wrote: While I’m a big fan of hospitalists I don’t think they are immune to the effects of the deluge we are about to experience from mid-levels over the coming decades.  The b...

[Drsan1]

CM wrote: Drsan1 wrote: The specialists love us!  Click to expand… I’ll corroborate that. Thank you dear hospitalist for all that you do. In the late 90s I was badgered all night lo...

[Drsan1]

ENT Doc wrote: This data contradicts other data I’ve seen regarding physician salaries.  MGMA, Medscape survey, etc.  On the average, we are increasing by less than a percent with real ...

[Drsan1]

hightower wrote: I think primary care is about to fall off a cliff (hospitialists included). NP’s and PA’s are going to be more numerous than actual docs in that f...

[Drsan1]

I would not "budget  in" extra money in my retirement account for adult child expenses! Once we raise them and provide for them to adulthood our "obligation"...

[Drsan1]

YSH wrote: This has happened to me in the past.  Isn’t there a legal term similar to the carryover clause that can be used during these times? I once negotiated ...

[Drsan1]

I really want to know what the people on this site that feel these policies are "good" and being sold "appropriately" have to say about all these stories...

[Drsan1]

DMFA wrote: People need to quit calling paying off amortizing debts with simple interest of X% “a guaranteed return of X%.” It’s not. That’s not how math wor...

[Drsan1]

As a hospitalist for 9 years I prefer the shift work. My husband has a flexible schedule and we have 3 kids and it has been working for us. Even with...

[Drsan1]

They should be paying for licensing etc. Agree with above though if you have PTO etc, you sound employed. The beauty of IC is the flexibility to work...

[Drsan1]

I think burnout can happen in any setting, but with work there's always a choice of staying in that situation or not. Even if it means finding another...

[Drsan1]

As a hospitalist that has seen so many changes in groups and administration, I would say stay board certified, continue to participate in MOC. In any...

[Drsan1]

That is exactly what I was wondering, would the 15% tax rate have employed physicians incorporating to pay the 15% tax. That would make locum work/private...

[Drsan1]

Life can be short. Move where you will be happy, if you spend and invest wisely you will be fine financially. If someone moves to a rural place but needs...

[Drsan1]

Will this effect people that have an LLC (for their locums business)? I guess that's what I was thinking, that it would effect sole proprietors also.

[Drsan1]

Hello, all! I wanted to get people's input or thoughts about the possibility of a 15% tax rate for businesses. First do people think this will really...

[Drsan1]

One key factor in any negotiation whether it be a job, Cars, House is being willing to walk away. My last negotiation for a job went like this. Hosp...

[Drsan1]

I agree with the above you are great financially. Make sure everything else in your life is also awesome...Even if it means spending some. You have a...

[Drsan1]

I'm no expert but I have focused on my student loans as a priority over my mortgage. I always felt like the student loan would never g anywhere unless...

[Drsan1]

Unlike Vagabond and Zaphod I still use a stethoscope as a hospitalist, LOL. I use a Littman 3 and have been doing so for years. Myfirst one lasted probably...

[Drsan1]

I'm a hospitalist, 9 years out. I was at my original job 5 years, admin brought in a National management firm so my group of 23 collapsed and everyone...

[Drsan1]

You may want to listen to this podcast called "doc outside the box". It's a doc named Darko and he interviews docs that do things outside of medicine....

[Drsan1]

I agree with others above. The plays, Orchestra etc you mentioned are great date night ideas. Actually the kids may prefer a trampoline park or the circus....

[Drsan1]

I think part of the change from "the olden days" to now is, fewer docs are owners and more are employees. In the good old days when you owned your practice...

[Drsan1]

The mean may be high based on the type of sample that reads and responds to financial forums. We may be similar in more ways than one  

[Drsan1]

7 As a hospitalist the work is the same. We are still able to admit, discharge and order what tests we want with very little interference from admini...

[Drsan1]

I feel your pain. I was with an organization for 5 years, they called in a national firm and my group imploded. We all resigned. Within a year the national...

[Drsan1]

Vagabond thank you for your comment. You are so right, they are in the process of doing a lot of contracts so I bet we are closer to the bottom on their...

[Drsan1]

Changed jobs so commute went from 1 hour to 15 minutes Refinanced house to a 15 year mortgage with interest rate of 2.85% (was a 30 year mortgage at...

[Drsan1]

Myself and 3 other doctors were recently promoted to a leadership panel in October, however we have yet to see a contract or get payed yet for this promotion....

[Drsan1]

With my oldest we got her a phone at 11...Big mistake. We didn't put all the safe guards and things available now so she was exposed to some things on...

[Drsan1]

Congratulations, great job. As a hospitalist I know exactly what you mean. I have worked every other weekend and intermittent nights, every other Christmas,...

[Drsan1]

For a family of five we spend 100,000 per year with $26,000 going to mortgage. That only includes the minimum on my student loan not the extra I'm putting...

[Drsan1]

My name is Cassandra Williams MD, hospitalist and now much smarter since finding WCI last year