Hospital “investigation” and overall risks of resigning

[SValleyMD]

Give it a year. See if you’re still a little sad regarding housing costs If so, Move. It’s pretty silly to feel so gloomy after as you said ye...

[SValleyMD]

You seem incredibly nice, incredibly trusting and incredibly clueless (not meant to be offensive).. I usually never recommend working for a large hos...

[SValleyMD]

I’m convinced that a primary care doc will never understand the emotional angst and toil it takes to cut on someone, to deal with crashing trauma pts...

[SValleyMD]

MPMD is out of his element here. not a big deal just a different type of real world work dynamics in play. ZZZ nailed it.. call burden, the interpl...

[SValleyMD]

I hear you on that lordosis I was told I triggered an alert because my 99214 number was “too high” and that I was “over billing” compared to...

[SValleyMD]

The value you have to them is the “enemy they know is better than the enemy they don’t”... You’re there. You’ve been there. They might even ...

[SValleyMD]

The answer is yes I would get a really good lawyer.. but...

[SValleyMD]

My perspective is a little different than vagabond and others. Certain specialties never have to worry about chronic patients (IR, some surgery) whereas oth...

[SValleyMD]

My take... medicine has been pretty resistant to the doom and gloom talk for the last 30 years from a financial perspective. The vast majority are still...

[SValleyMD]

10 million My promise to myself is that once I hit that number I’m done regardless (or at least will never do another call or night shift which will ...

[SValleyMD]

I would imagine those “complex” sleep patients that you would love to work with will just be an endless flood of your run of the mill sleep apnea...

[SValleyMD]

I would imagine there really aren’t that many “poor” kids turning down Cornell to go somewhere more “affordable”.. because where are those...

[SValleyMD]

Exactly what ENT DOC said. Forget that. ESPECIALLY for grad school and a grad school like medicine that guarantees everyone can pay off their tuition Us...

[SValleyMD]

I say go for it. Keep cranking. You can look at it that your “full time” equates to about 0.75 (or even less) for many “full time” docs out th...

[SValleyMD]

I would stay put. Spend as much time as possible in the icu to satisfy the itch ... you can figure a lot of it out over time if you’re motivated....

[SValleyMD]

I’ve been saving and banking on one.. However I thought the initial rollout would have the base model and was disappointed that the turbo came in at ...

[SValleyMD]

Mammoth and squaw is an interesting combo.. how does that work.. that’s a 3-4 hour drive that I wouldn’t make in Jan and doesn’t seem like an easy...

[SValleyMD]

To me... Success: don’t know, don’t care. I’m satisfied with what I’ve done to date. Nothing really else excites me from here. Happiness: th...

[SValleyMD]

Thx for the tip wcinewbie.

Unfortunately I’m waiting until I hit a 5m net worth before forking down on one : (

[SValleyMD]

Hard to know without information on your total package ... When does your bonus set in? Our Nurse practitioners make more than $30/rvu so it depends o...

[SValleyMD]

I’m looking at this the other way.. 200k income...? What specialty is that as it seems fairly low for everything besides a pediatrician.. I think most ...

[SValleyMD]

I think strict RVU is the best way to go.. it’s the most simple to understand on both sides, billing and collecting aren’t your problem, and it’s...

[SValleyMD]

Love how admin always quotes the 50% mgma pay as if that magical number makes everything okay....

[SValleyMD]

Agree. I thought at first it was for an optometrist

Our academic ophthalmology guys were in 600k plus range.....

[SValleyMD]

Sounds like you need to just take it to them Start marketing.. reach out to patients to spread word that your open for more business.. tell other provi...

[SValleyMD]

I think it’s fairly rare and not something I would expect in regards to receiving external validation on the quality and importance of your work in...

[SValleyMD]

I disagree. Imo the concept of nursing “experience” is vastly overrated. I’m not sure how the current state of nursing really prepares them to...

[SValleyMD]

If EM I think you could pull it off no problem My biggest concern would be commuting as others alluded to as the places you will likely want to live can...

[SValleyMD]

I like the idea. The fly down for one case seems a little silly but group 4-10 cases together, pay cash and I can see how that’s appealing...

[SValleyMD]

Sorry, a little confused.. Are you a general cardiologist (that also does some primary care)? If you’re a cardiologist, share what u take home at the...

[SValleyMD]

I wouldn’t think twice if that’s what you want to do 3 years is less than many IM sub specialties Just look at it like you’re doing a fellow...

[SValleyMD]

Tell them it’s 30k less than what they stated.....

[SValleyMD]

You obviously need to know your $ per rvu then it’s all about what your expected production is going to be, what the boss man wants it to be and what...

[SValleyMD]

i cant imagine trying to find a job in nuclear medicine in today’s day and age..

[SValleyMD]

Another vote for anesthesia based on your description...

[SValleyMD]

I had to laugh at panscans “dangerous doctor list” Let’s see how that goes. I love residents. It did remind me when I was a naive new doc and...

[SValleyMD]

“One doc practice with the office manager being the spouse.”.. that sentence would make me more nervous than about anything out there. I’m full...

[SValleyMD]

I would ask for 50k... Funny thing in my specialty is that my/our worth decreases each year (my anecdotal experience). The most “valuable” guys are th...

[SValleyMD]

I would wait a year but then would have no problem pulling trigger on a 1-1.2m house....

[SValleyMD]

I go first name.. then just end it with my first name only. I Always thank them or say good catch. Tell them to call or text if anything comes up an...

[SValleyMD]

None. Grew up in a country club lifestyle. Played college sports (which as many know is a full time thing) so combination of that resulted in me being...

[SValleyMD]

My mother in law was always poor.. then became a widow on welfare. She the married a guy she met online who has a 9 figure net worth (owns short stay...

[SValleyMD]

“Trinity Health said in a statement that its chief concern was for its patients”

Haha. These guys kill me....

[SValleyMD]

If u do end up in cards, combined with your mindset and what you’ve proven already means you’ll be extremely wealthy by mid career So u can’t g...

[SValleyMD]

Lordosis - yep, it’s that tough scenario where u basically have to triage the chronic pts that don’t have much going on in order to have accessibility...

[SValleyMD]

Imo one of the biggest influencers of pt satisfaction is time spent with pt.. they love it. Once you start being more “efficient” or just plain ...

[SValleyMD]

You’re not going to find many favorable responses for a second home on this site, which is understandable because it’s nearly always a horrible financial...

[SValleyMD]

Agree maxPower... The other funny thing is when we use to take these calls we had a bunch of patients wait until after hours to call because they knew t...

[SValleyMD]

Panscan- I’m curious to hear how your current call schedule is structured? Sounds like you’re able to still find value in the service you’re providing...

[SValleyMD]

Our hospital went to this for us but we were also taking q4 real call with admits, procedures, cross cover and this was 15th on the list and only given...

[SValleyMD]

I would clarify that you don’t hold the cards but your group sure does... get the other 6 partners on the same page and go above your senior doc or...

[SValleyMD]

Device Reps often fly in same day in scrubs with backpack and sometimes supplies only. Even if they fly in the night before They try and push the return...

[SValleyMD]

Weird. Personally I have never seen or heard of that. Mine is up to date near each months end (paycheck reflects previous month)

[SValleyMD]

Dermatology is always the right answer regardless of the question (if u have the scores to do it).

[SValleyMD]

Keep us posted. Curious if they bend....

[SValleyMD]

“And this is why working for rural hospitals is awful. They are just as toxic as urban, and you are stuck.” This. There is likely some truth that ...

[SValleyMD]

[Big Hospital Chain]??? Ugh, that just sent shivers down my spine. I’ve interacted with a lot of bad ones (iasis, hca) but the [clowniest] clowns are ...

[SValleyMD]

I wouldn’t sign anything but I also wouldn’t put it pass them that they can find a way to get rid of u. If they want u dead they’ll find a way W...

[SValleyMD]

I think the bigger issue is how the corporatization of healthcare and push for value based care has led to us docs being commodities where initially...

[SValleyMD]

Reminds me of the mandatory “how to reduce physician burnout” lectures that we were required to attend at 630 pm... always felt I would be just a...

[SValleyMD]

1. Common
2. You’ll get a full contract
3. I wouldn’t fret on details until you see and review the full contract...

[SValleyMD]

If you’re willing to live in Yuma, AZ I guarantee they would take you....

[SValleyMD]

When I go through the process I’m amazed that your avg joe is able to get any loan at all.. seems like they act they can barely make it worth with my...

[SValleyMD]

25-50k range is my guess with my final answer being more towards 25..

[SValleyMD]

My land so I’ll put up any fence I want if I’m paying for it Neighbor is more than welcome to put up a fence on their side Agree it has to be w...

[SValleyMD]

4-7 new pts a day But as a specialist new pts drive my practice and bring in 3-10x (or more) when incorporating downstream testing so I have very l...

[SValleyMD]

Assumeing no student loans and with no cc or mortgage debt I bet you’re sitting better than 90% of your colleagues. Couple that with no kids and you’re...

[SValleyMD]

Step one is learning about your rvu bonus structure and what u realistically may be hitting. Silly to not understand that really well prior to any negotiation...

[SValleyMD]

For those type of track home or model home builds where the builder often owns the lot and design (or you are locked in to certain models) you might get...

[SValleyMD]

70 is the cutoff for me.. above that than it’s what you’re able to get is gravy on top. Below that I think you’re underpaid... Personally that’s th...

[SValleyMD]

Urology.. it’s what I would do if I were to do it again - not in OR all the time - no one is dying on you - easy call (though can be frequent) - midl...

[SValleyMD]

I sometimes tell the patient that “if their testing is normal that we can be reassured and will just monitor things, however if they have concerns or...

[SValleyMD]

Is it base + the benefit package? What’s your rvu incentive plan? I doubt they will pay you specifically for call As their offerbasically entails the...

[SValleyMD]

If you want an actual job after 13-14 years of school/training than I would be very very careful with getting too carried away with threatening or dropping...

[SValleyMD]

It’s a complicated issue. The “low volume” argument is ridiculous imo. Sure you might get a couple crazy docs/surgeons biting off more than they c...

[SValleyMD]

“Forced or willing” for the Hospitalist to actually admit the patient. Most of the hospitals I’ve worked at the Hospitalists could pick and choose...

[SValleyMD]

Sure. If the Hospitalist are forced or willing then they can admit. Nps are more than capable to handle phone calls....

[SValleyMD]

The profession needs to figure this out There is no reason imo for any patient to be able to directly call a doc in the middle of the night Hospital syst...

[SValleyMD]

40%

[SValleyMD]

Depends what u want - more days off plus higher bonus target means you’re ceiling is lower. You’re not going to bonus as easily obviously . The highe...

[SValleyMD]

Kind of a meh for me If you want a real 24/7 job imo be a small biz owner where your success is dependent on a lot of different factors and u have empl...

[SValleyMD]

Flp- u should be more grateful for your critical care trained intensivist who is there to take your icu transfer and manage that critically ill patient...

[SValleyMD]

People on the yahoo comment section would scoff at the docs here making 350k and not being able to retire at age 50, let alone 60 or whining about paying...

[SValleyMD]

Imo Job 1 with no spending of the signing bonus. Bounce in 1-2 years if you don’t like it or use your lack of ties to leverage a better deal No w...

[SValleyMD]

Yeah, don’t. IR can do some pretty cool things. Get into endovascular work. Pad, fistula stuff, AAA, venous work, pe/eko samong other things. Not sure wh...

[SValleyMD]

Agree with the others that it would be a little weird. Since I’ve spent many a time with ski coaches over the years my take would be Xbox games or we...

[SValleyMD]

Open schedule doesn’t solve problems imo That’s what my clinic does and it drives me crazy Provider A can bust their tail to try and build a refe...

[SValleyMD]

If me and if I were single, I would chase the $$ now. Just Don’t buy a house Now if you had a spouse that wanted to be close to mom and dad that’s...

[SValleyMD]

If I’m reading this right you are billing for 10 new consults a day, instead of 10 inpt follow ups which is over billing at least 20 wrvu daily. I might...

[SValleyMD]

So you see 10 new consults a day? Or is that follow ups or rounding on ones already on your service? I wouldn’t throw the pity party quite yet. I actu...

[SValleyMD]

Seems like you’re “estimating” your rvu and likely overestimating.. do you not have access to your total annual rvus? Someone has it. Personal...

[SValleyMD]

Hours are so variable depending on the job. Again you can be q3-4 and be running around with your head cut off or you can see be q15, see 12 pts a day,...

[SValleyMD]

Ic here Nice thing is you can kind of punt the decision of gi vs cards as u have obviously have a 3 year IM specialty staring at u. So for now it’s ...

[SValleyMD]

Any connection to this town? From there? Wife have family there? If none of the above don’t even bother negotiating. I know nothing of OBs salaries...

[SValleyMD]

Super long and annoying post so I apologize beforehand In response to the blow off by the cardiologist it’s often helpful to know where each party ...

[SValleyMD]

Thanks for all the advice Correct.. it appears to be an employment issue rather than a hospital privilege situation. “Corporate” was referring to a lett...

[SValleyMD]

No mention whatsoever on contract about this as a protocol All other initial questions regarding the process, due process, appeals were deflected Agree that on...

[SValleyMD]

I was speaking to a buddy I trained with who is in a tough spot. Seeing if the collective experience here has any advice. He’s in his first job out of ...

[SValleyMD]

It’s impacting a local market near me led by a large company that employs half the town I’ve heard a ton of complaints as pts don’t want to tra...

[SValleyMD]

Sorry had to laugh at the “upfront” with them comment.. Are you “upfront” with your junkies in the er? It’s the most sensitive subject I com...