EM jobs Miami, FL area

[highballa33]

1 - Does anyone have any insight on what the current job climate is like in the Miami area? (Information on Ft. Lauderdale would be great as well)

2 Any experience with/comments on Tenet Health Group, as they appear to have contracts with many hospitals in the area.

3- Lastly, what's the typical hourly rate/overall compensation in the area (I'm looking at community hospitals, however any information would be useful).

Thanks in advance. (If you don't feel comfortable posting specific info here, don't be afraid to PM me. Also did a search that didn't bring up a single useful thread)

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[daveyjwin]

I interviewed at 3 places in Ft Lauderdale-ish area last summer, all EMcare. They all wanted me to come there, and they all paid about $200/hr, IC, with differing pay structures, usually X (Base Pay) + Y (RVU based) + Z (Metrics based). Everyone was nice, weather was nice. Meditech was the base.

That's the only experience I have, hope it helps!

 

[Hooper]

Also interested in this topic. Is that 200/hr base pay? Or does X+Y+Z add up to an estimated 200/hr? Also, what's the medico-legal climate like down there? One of my attendings interviewed there and said he saw multiple billboards advertising malpractice law firms on his ride from the airport to the hotel. It can't be as bad as Pennsylvania, right?

 

[daveyjwin]

Re: medicolegal environment, you can review what acep says about it here: http://www.emreportcard.org

Generally, it's kinda bad, but there's some extra protection for EMTALA mandated care. We'll have to wait and see how it plays out over the next several years.

X+Y+Z = 200-ish

 

[RustedFox]

One of my attendings interviewed there and said he saw multiple billboards advertising malpractice law firms on his ride from the airport to the hotel. It can't be as bad as Pennsylvania, right?

I drive by eleventeen attorney billboards on my way to the hockey games/baseball games.

 

[Hooper]

great state by state analysis of medico-legal climate for EM. its in parts in alphabetical order by state

http://www.aaem.org/UserFiles/CommonSenseJulAug2013MedLiability.pdf (arizona to florida)
http://www.aaem.org/UserFiles/Jan-Feb14MedicalLiabilityStatebyState.pdf (georgia to maine)
http://www.aaem.org/UserFiles/MarApr14MedicalLiabilityPt3.pdf (maryland to north dakota)
http://www.aaem.org/UserFiles/MayJun14MedicalLiabilityStatebyStatePt4.pdf (ohio to rhode island)

part 5 hasn't come out yete

 

[scummie]

great state by state analysis of medico-legal climate for EM. its in parts in alphabetical order by state

http://www.aaem.org/UserFiles/CommonSenseJulAug2013MedLiability.pdf (arizona to florida)
http://www.aaem.org/UserFiles/Jan-Feb14MedicalLiabilityStatebyState.pdf (georgia to maine)
http://www.aaem.org/UserFiles/MarApr14MedicalLiabilityPt3.pdf (maryland to north dakota)
http://www.aaem.org/UserFiles/MayJun14MedicalLiabilityStatebyStatePt4.pdf (ohio to rhode island)

part 5 hasn't come out yete

What???? FL is only #28 for medical liability environment? That's ridiculous. Thought for sure it would be way farther down the list. Rotated through Miami and South Florida and saw a ton of CYA medicine. Part of that has to do with the 3 strikes rule (http://www.nytimes.com/2004/11/26/national/26malpractice.html?_r=0). Suing is a way of life down here. Has definitely deterred me from thinking about staying in Florida post-graduation. Maybe the Panhandle area isn't as bad as SoFlo?

 

[Hooper]

Well they have some tort reform which makes Florida better than say for example New York or PA. I think it's important to keep in mind that despite all of the hype, even in the worst states (PA, FA, NY, CA), the number of paid claims ranges from 800-1300 per year with the rest of the country having significantly lower numbers, e.g. 8 in South Dakota (http://truecostofhealthcare.org/malpractice). When you think about the number of patient interactions per year, those numbers of successfully paid claims is pretty damn small. Of course, this does not include the claims that may be brought against you which are dismissed, which still cause a significant amount of stress. However, all in all the numbers don't look too bad. People say, every doctor is going to get sued if they practice long enough... but the percentage of those lawsuits which actually pay out? Well, who knows - but I would guess less than 50%.

My philosophy: Do your best, practice as safely as your risk tolerance allows, move to a state with the best conditions and lowest premiums while not giving up the lifestyle you want, try your hardest to do the right thing for each patient and be nice to them.... and don't spend another minute thinking about things you can't control - like getting sued. I know, probably easier said than done haha. Can't wait to be an attending

 

[RustedFox]

What???? FL is only #28 for medical liability environment? That's ridiculous. Thought for sure it would be way farther down the list. Rotated through Miami and South Florida and saw a ton of CYA medicine. Part of that has to do with the 3 strikes rule (http://www.nytimes.com/2004/11/26/national/26malpractice.html?_r=0). Suing is a way of life down here. Has definitely deterred me from thinking about staying in Florida post-graduation. Maybe the Panhandle area isn't as bad as SoFlo?

The "Three Strikes Rule" was repealed back in 2007, if I'm not incorrect. There was a thread on this not that long ago.

http://forums.studentdoctor.net/threads/malpractice-climate-in-florida-quinn.380486/

 

[scummie]

The "Three Strikes Rule" was repealed back in 2007, if I'm not incorrect. There was a thread on this not that long ago.

http://forums.studentdoctor.net/threads/malpractice-climate-in-florida-quinn.380486/

Hmmm..That's interesting. Brief google search seems like the law is still around, but I could be wrong:

• http://www.leg.state.fl.us/statutes/index.cfm?mode=constitution&submenu=3#A10S26 (Section 26 is the part with the law)
• http://www.fldic.com/wp-content/uploads/2012/08/FinalNewAmendment8Article.pdf (Some lawyer talking about it several years later circa 2010)
• http://ballotpedia.org/Florida_Medical_Malpractice_Protection,_Amendment_8_(2004) (Ballot looked like it passed, no mention of repeal later.)
• http://news.google.com/newspapers?n...v5PAAAAIBAJ&sjid=RQkEAAAAIBAJ&pg=5981,6779593 (Real newspaper on the internet!!)

It would be great though if the law really was repealed. Florida did change the caps on malpractice claims not too long ago too. Love the weather, lawyers not so much.

 

[RustedFox]

Does anyone have any updates/real data on the Florida "three strikes" situation? Also; found this interesting - seeing if anyone else out there knows anything else:

http://www.medscape.com/viewarticle/823191?src=wnl_edit_bom_weekly&uac=113309BY