Hospitalist Jobs

[gutonc]

I doubt your extra shifts add to the productivity bonus. Extra shifts likely are paid strictly by the moonlighting shift rate or the quoted “lump sum”.
If an extra shift is $3000 then that is all you get and no productivity is counted.

This is correct. You either get a per diem rate, OR you get your productivity, you can't have both. CMS calls that double dipping and it's a great way for your hospital/employer to find themselves staring down the barrel of a 6-7 figure fine if they do that.

Depending on your comp plan and overall productivity, you may actually benefit from taking the productivity over the per diem rate, but there are definitely risks to that. I'm not sure I'd go that route in the inpatient setting since you can't easily predict what your workload is going to be like in advance. In the outpatient setting, I can pick up an extra day, look at my schedule a day or 2 in advance and then make the call about whether I'm going to take the per diem or the productivity. It only takes me 12-13 patients to exceed the per diem and I'm typically seeing 18-22, even on the extra days so it's usually a pretty easy call to make.

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[collegestud2013]

GI is notoriously a high paying specialty no matter where you go. if you on NEJM careers in medicine, they start off at like a 600-700 BASE then go up lol

Don't forget that the training time is also at least 3 years longer than IM (and since GI is very competitive to get in some people do a research year or chief residency year or another fellowship first to get into GI fellowship, so for some it adds 4-5 years of additional training time for them). And once you do make $600-$700k per year you'll be in the 37% federal income tax bracket (but more like 41-46% once you also throw in state/local and Medicare taxes) so even the "extra" $200-300k per year you make as a specialist compared to general IM comes down to an extra $110-160k post tax. So it might take 8-10 years post-residency to catch up to your peers that didn't do fellowship depending on how aggressively you're investing.

 

[CCM-MD]

Don't forget that the training time is also at least 3 years longer than IM (and since GI is very competitive to get in some people do a research year or chief residency year or another fellowship first to get into GI fellowship, so for some it adds 4-5 years of additional training time for them). And once you do make $600-$700k per year you'll be in the 37% federal income tax bracket (but more like 41-46% once you also throw in state/local and Medicare taxes) so even the "extra" $200-300k per year you make as a specialist compared to general IM comes down to an extra $110-160k post tax. So it might take 8-10 years post-residency to catch up to your peers that didn't do fellowship depending on how aggressively you're investing.

Time value of money is a real kicker.

 

[Bendamustine]

Sorry guys, I know this is a generic question.

Does anyone know which are the best paying states for hospitalists and the worst paying states??

 

[CleverAlias]

This is correct. You either get a per diem rate, OR you get your productivity, you can't have both. CMS calls that double dipping and it's a great way for your hospital/employer to find themselves staring down the barrel of a 6-7 figure fine if they do that.

Not saying you're wrong, but why is that? Isn't it fairly common for surgeons who sign up for call to be paid both a flat fee for the call shift as well as collect for any procedures that they end up doing during that shift?

To get even more legalistic, what grounds can the feds possibly have to dictate the compensation structure between a private employer and its employees, so long as that compensation structure does not involve the provision of illegal kickbacks? If a hospital wants to incentivize its employees to work additional shifts by paying them a productivity bonus on top of a flat hourly rate, how is that any business of the feds and what legal ground would they have to prosecute this? That is one of the most common compensation models that exists out in the private sector. I'm not sure how the feds could argue that it's kosher for the Fortune 500 CEO to get a $150 million annual bonus on top of his $50 million base salary to outsource manufacturing to China but the South Dakota hospitalist cannot get a measly $100k productivity bonus for busting his ass half to death working a bunch of extra shifts.

 

[Osteoth]

Yeah, but even if you work hard, your cap as a hospitalist might be ~650k while GI can make 1.5 mil.

$650? Maybe pre-tax. Where I'm at it's 125/hr for days and 150-175 for nights.
Let's say you're in a better area 150/hr*12*30*12=$650k pre-tax, which at 40% marginal is around $400k take home and you're working a 12-hour shift every day
I know plenty of GI's making $500k for 7-3 5 days a week, but the real money is in ASC ownership, which is booming right now, and PE is spending tons of $$ for GI practices.

Don't forget that the training time is also at least 3 years longer than IM (and since GI is very competitive to get in some people do a research year or chief residency year or another fellowship first to get into GI fellowship, so for some it adds 4-5 years of additional training time for them). And once you do make $600-$700k per year you'll be in the 37% federal income tax bracket (but more like 41-46% once you also throw in state/local and Medicare taxes) so even the "extra" $200-300k per year you make as a specialist compared to general IM comes down to an extra $110-160k post tax. So it might take 8-10 years post-residency to catch up to your peers that didn't do fellowship depending on how aggressively you're investing.

Gotta love nights, I did the math. Takes about 7 years to reach parity, obviously assuming no gains on invested assets that makes things too complicated.

	Year 1	Year 2	Year 3	Year 4	Year 5	Year 6	Year 7	Sum
Hospitalist	300,000​	300,000​	300,000​	300,000​	300,000​	300,000​	300,000​	2,100,000​
GI	70,000​	70,000​	70,000​	500,000​	500,000​	500,000​	500,000​	2,210,000​

Sorry guys, I know this is a generic question.

Does anyone know which are the best paying states for hospitalists and the worst paying states??

Great lakes, then small town midwest & south

 

[Splenda88]

$650? Maybe pre-tax. Where I'm at it's 125/hr for days and 150-175 for nights.
Let's say you're in a better area 150/hr*12*30*12=$650k pre-tax, which at 40% marginal is around $400k take home and you're working a 12-hour shift every day
I know plenty of GI's making $500k for 7-3 5 days a week, but the real money is in ASC ownership, which is booming right now, and PE is spending tons of $$ for GI practices.


Gotta love nights, I did the math. Takes about 7 years to reach parity, obviously assuming no gains on invested assets that makes things too complicated.

	Year 1	Year 2	Year 3	Year 4	Year 5	Year 6	Year 7	Sum
Hospitalist	300,000​	300,000​	300,000​	300,000​	300,000​	300,000​	300,000​	2,100,000​
GI	70,000​	70,000​	70,000​	500,000​	500,000​	500,000​	500,000​	2,210,000​

Great lakes, then small town midwest & south

$125/hr is low. Are you in NY city or southern California?

 

[Osteoth]

$125/hr is low. Are you in NY city or southern California?

Yup VHCOL area with way too many docs, but the weather's beautiful.

 

[end stage fibro]

$125/hr is low. Are you in NY city or southern California?

I don’t think it’s that horrible… maybe few bucks an hour lower than where i am. Top 20ish city by population. Some of the salaries/pt loads on here blow me away

 

[Splenda88]

I don’t think it’s that horrible… maybe few bucks an hour lower than where i am. Top 20ish city by population. Some of the salaries/pt loads on here blow me away

I guess you are right... It's only 50k/yr less than what I make in small city. Average census at my shop is 16-17

 

[CleverAlias]

I don’t think it’s that horrible… maybe few bucks an hour lower than where i am. Top 20ish city by population. Some of the salaries/pt loads on here blow me away

I think it is rather horrible in the sense you have nurses in their early 20s making more than that in some gigs. The rapidly declining expectations and aspirations in this profession scare me to be perfectly honest. Used to be people viewed medicine as a highly remunerative career only exceeded by the rare corporate super star, HYPS educated investment banker, or successful entrepreneur. And by used to be I mean as recently as the Trump administration when I was in medical school lol. It seems like now "we" have gradually acquiesced to being out-earned by software engineers with a few years experience and are beginning to see more and more situations where not just CRNAs but even college aged nurses with BSNs are making more than us on an hourly basis. Moreover, the hourly rate taken in by nurses is not weighed down by $300k+ of debt and damn near a decade of lost time-value-of-money and so in all objective reality they are taking home much more than you are.

This is not merely the matter of empty pride. Inflation is going supernova and we are quickly getting priced out of the upper-middle class lifestyle in most of the first and increasingly second tier cities. We are in an inflationary environment where endless quantities of cash fresh off the Fed printing press is chasing a limited quantity of goods and services, and what we make relative to everybody else has a huge effect on our quality of life. $125/hr was not good back in 2015, today it is basically unacceptable.

 

[end stage fibro]

I think it is rather horrible in the sense you have nurses in their early 20s making more than that in some gigs. The rapidly declining expectations and aspirations in this profession scare me to be perfectly honest. Used to be people viewed medicine as a highly remunerative career only exceeded by the rare corporate super star, HYPS educated investment banker, or successful entrepreneur. And by used to be I mean as recently as the Trump administration when I was in medical school lol. It seems like now "we" have gradually acquiesced to being out-earned by software engineers with a few years experience and are beginning to see more and more situations where not just CRNAs but even college aged nurses with BSNs are making more than us on an hourly basis. Moreover, the hourly rate taken in by nurses is not weighed down by $300k+ of debt and damn near a decade of lost time-value-of-money and so in all objective reality they are taking home much more than you are.

This is not merely the matter of empty pride. Inflation is going supernova and we are quickly getting priced out of the upper-middle class lifestyle in most of the first and increasingly second tier cities. We are in an inflationary environment where endless quantities of cash fresh off the Fed printing press is chasing a limited quantity of goods and services, and what we make relative to everybody else has a huge effect on our quality of life. $125/hr was not good back in 2015, today it is basically unacceptable.

While I think this is slightly too pessimistic, overall i have no argument here… when my kids are playing doctor i remind them to only pretend to be a subspecialty surgeon. 😏

Though i remain mildly bullish for hospitalists, medicine overall does look bleak. Docs are already getting a haircut these days (inflation, cms cuts, etc). Pretty soon it’s gonna be a 0 on the sides and a 1 on top.

 

[Osteoth]

While I think this is slightly too pessimistic, overall i have no argument here… when my kids are playing doctor i remind them to only pretend to be a subspecialty surgeon.

Though i remain mildly bullish for hospitalists, medicine overall does look bleak. Docs are already getting a haircut these days (inflation, cms cuts, etc). Pretty soon it’s gonna be a 0 on the sides and a 1 on top.

Medicine is dead.

The government and the American people have decided they want any care at the lowest cost possible, regardless of quality.

They’ve also decided the insurance companies and hospital industry is their friend and the doctors are just skilled labor to be tamed. They deserve the mess they are creating.

 

[collegestud2013]

I think it is rather horrible in the sense you have nurses in their early 20s making more than that in some gigs. The rapidly declining expectations and aspirations in this profession scare me to be perfectly honest. Used to be people viewed medicine as a highly remunerative career only exceeded by the rare corporate super star, HYPS educated investment banker, or successful entrepreneur. And by used to be I mean as recently as the Trump administration when I was in medical school lol. It seems like now "we" have gradually acquiesced to being out-earned by software engineers with a few years experience and are beginning to see more and more situations where not just CRNAs but even college aged nurses with BSNs are making more than us on an hourly basis. Moreover, the hourly rate taken in by nurses is not weighed down by $300k+ of debt and damn near a decade of lost time-value-of-money and so in all objective reality they are taking home much more than you are.

This is not merely the matter of empty pride. Inflation is going supernova and we are quickly getting priced out of the upper-middle class lifestyle in most of the first and increasingly second tier cities. We are in an inflationary environment where endless quantities of cash fresh off the Fed printing press is chasing a limited quantity of goods and services, and what we make relative to everybody else has a huge effect on our quality of life. $125/hr was not good back in 2015, today it is basically unacceptable.

Despite the nationwide nursing shortage, I have never heard of of an employed RN at a full time position making anywhere near $125 per hour. It may be close to that at some short-term travel assignments during the pandemic but those only last a few months. Full time RNs make closer to $30-50 per hour at most places. May be that's why some of the left their full time positions to do travel assignments.

But agreed that $125 per hour without any RVU bonus is probably low nowadays for daytime hospitalist pay if you're seeing a typical 18-22 patients (or more) in 12 hr shift for that rate. It may be justified if the census is also lower.

 

[FutureInternist]

This is correct. You either get a per diem rate, OR you get your productivity, you can't have both. CMS calls that double dipping and it's a great way for your hospital/employer to find themselves staring down the barrel of a 6-7 figure fine if they do that.

Depending on your comp plan and overall productivity, you may actually benefit from taking the productivity over the per diem rate, but there are definitely risks to that. I'm not sure I'd go that route in the inpatient setting since you can't easily predict what your workload is going to be like in advance. In the outpatient setting, I can pick up an extra day, look at my schedule a day or 2 in advance and then make the call about whether I'm going to take the per diem or the productivity. It only takes me 12-13 patients to exceed the per diem and I'm typically seeing 18-22, even on the extra days so it's usually a pretty easy call to make.

My job has a set # of RVU per shift that are needed to meet the threshold.

If I add an extra shift, I do not get paid anything more than my base pay and my required RVUs for that month go up.

At the end of the quarter they divide the total RVUs by # of shifts and anything past the threshold is paid out…

Is that legal?

 

[scoopdaboop]

idk about legal, but sounds like you gettin hosed.

My job has a set # of RVU per shift that are needed to meet the threshold.

If I add an extra shift, I do not get paid anything more than my base pay and my required RVUs for that month go up.

At the end of the quarter they divide the total RVUs by # of shifts and anything past the threshold is paid out…

Is that legal?

 

[FutureInternist]

idk about legal, but sounds like you gettin hosed.

Not sure why that seems the case.

Otherwise one would do their usual 15 shifts.. likely hit the RVU threshold, and then on the 16th shift get the base pay AND RVU for each pt seen?

Haven’t seen that model amongst docs I know.

We do get a 20% “Emergency” pay in that if they call you the week of, they pay but if I sign up extra for Dec shifts now, then its a no go

 

[IM.MD]

Hii

I am a second-year IM resident, looking for hospitalist jobs from July 2023.

Is anyone else like me searching??

If so, what are the factors you guys are considering? Pay, location, open/closed ICU..

Apply here:

Physician & Medical Jobs: Jobs for Physicians: PhysicianCareerJobs.com

Find Physician & Medical jobs & physician employment opportunities posted by hospitals and recruiters. Search jobs by specialty and location.

www.physiciancareerjobs.com

Optimum has partnered with a regional hospital 35-minutes from Winston-Salem, North Carolina, seeking to employ a Hospitalist.

About the Position:

• Schedule: 7 on/7 off, 7a-7p
• 1-night shift every 10 weeks
• No call responsibilities
• Daily Volume: 15-18 patients
• No procedures closed ICU, & must attend codes
• EMR: Meditech
• IM BE/BC

Position Benefits:

• $380K base salary
• $15K quality bonus
• $20K sign-on & $20K relocation
• Full health + retirement

Other than the EMR, it looks great at first glance.

 

[IM.MD]

Time value of money is a real kicker.

Need to also consider career longevity. An endocrinologist working a less intense schedule may end up with higher total career earnings than a non-pulm intensivist or hospitalist.

 

[Bendamustine]

Do they sponsor Visa?

 

[CCM-MD]

Need to also consider career longevity. An endocrinologist working a less intense schedule may end up with higher total career earnings than a non-pulm intensivist or hospitalist.

Maybe. Though scaling back is much easier as a shift based specialty. I encountered several 60+ Intensivists in training and work with a couple now. 1 week/mo can be pretty sweet. IMO career longevity comes from doing something you like. There can be just as much burnout or more in the outpatient setting if you hate it.

 

[rokshana]

Apply here:

Physician & Medical Jobs: Jobs for Physicians: PhysicianCareerJobs.com

Find Physician & Medical jobs & physician employment opportunities posted by hospitals and recruiters. Search jobs by specialty and location.

www.physiciancareerjobs.com

Optimum has partnered with a regional hospital 35-minutes from Winston-Salem, North Carolina, seeking to employ a Hospitalist.

About the Position:

• Schedule: 7 on/7 off, 7a-7p
• 1-night shift every 10 weeks
• No call responsibilities
• Daily Volume: 15-18 patients
• No procedures closed ICU, & must attend codes
• EMR: Meditech
• IM BE/BC

Position Benefits:

• $380K base salary
• $15K quality bonus
• $20K sign-on & $20K relocation
• Full health + retirement

Other than the EMR, it looks great at first glance.

Other that 35 mins from Winston Salem is podunk NC…heck winston Salem is kinda podunk…

 

[Splenda88]

Maybe. Though scaling back is much easier as a shift based specialty. I encountered several 60+ Intensivists in training and work with a couple now. 1 week/mo can be pretty sweet. IMO career longevity comes from doing something you like. There can be just as much burnout or more in the outpatient setting if you hate it.

Imagine working 13 wks a year and getting paid 225-250k/yr as an intensivist. One can make the argument that physicians got paid too much $$$.

 

[IM.MD]

Do they sponsor Visa?

I don't know. I came across the job posting but have not contacted them.

 

[IM.MD]

Other that 35 mins from Winston Salem is podunk NC…heck winston Salem is kinda podunk…

I have never been to NC, but I am sure there are worse places in the US than rural NC which don't pay $380K base with closed ICU 😁

 

[scoopdaboop]

Imagine working 13 wks a year and getting paid 225-250k/yr as an intensivist. One can make the argument that physicians got paid too much $$$.

one should not make this argument nor bring it up ever.

 

[yakattack16]

I don’t think it’s that horrible… maybe few bucks an hour lower than where i am. Top 20ish city by population. Some of the salaries/pt loads on here blow me away

That's low regardless of where. I make more moonlighting days in NYC.

 

[Bendamustine]

Does anyone have experience working in LTAC? Looks like good money.

 

[chessknt]

Does anyone have experience working in LTAC? Looks like good money.

It has to be one of the worst environments in medicine to practice in unless you like chronically ill people with minimal to no hope of recovery with aggressive families in denial. In that case it is the ideal place to work.

 

[NITRAS]

Does anyone have experience working in LTAC? Looks like good money.

You really need to have good experience with drain/surgical cluster patients as well as good icu care down. My group used to cover an LTAC who were not vented (there was a group of surgeon/anesthesia/MICU docs who covered the trach/peg garden.

I liked part of it because it was a smaller place than the regular hospital with a better staff. The big downside was you were on an island with really sick people. I used to enjoy calculating my patient to drain/ostormy ratio.

 

[Bendamustine]

How many days in a month would you guys suggest working initially, when you are right out of residency? I mean it's mandatory to work around 15 shifts/month. I was thinking of doing around 20shifts/month...Do you guys think it is possible? I'm single and honestly not much of an outdoor person.

 

[Splenda88]

How many days in a month would you guys suggest working initially, when you are right out of residency? I mean it's mandatory to work around 15 shifts/month. I was thinking of doing around 20shifts/month...Do you guys think it is possible? I'm single and honestly not much of an outdoor person.

Couple of my former co-residents have worked more than 20 (23-24 average)... It's certainly doable. I have a family and I have done 17.5+.

 

[FutureInternist]

How many days in a month would you guys suggest working initially, when you are right out of residency? I mean it's mandatory to work around 15 shifts/month. I was thinking of doing around 20shifts/month...Do you guys think it is possible? I'm single and honestly not much of an outdoor person.

If one is a new attending, fresh from Residency, I would suggest the minimal shifts initially just to get used to being a doc and the system etc.

You can always ask for more shifts, if you feel OK, but asking to cut back once you have signed up is likely not going to look good

 

[collegestud2013]

How many days in a month would you guys suggest working initially, when you are right out of residency? I mean it's mandatory to work around 15 shifts/month. I was thinking of doing around 20shifts/month...Do you guys think it is possible? I'm single and honestly not much of an outdoor person.

20 shifts per month is a lot assuming they're all 12 hr shifts,. and can lead to burnout easily, so probably not sustainable. Especially if some of them are admitting shifts or night shifts. A few will do it for a short time to save up and then cut back. 17-18 rounding day shifts (with minimal admitting and night shifts) per month is more sustainable.

 

[Splenda88]

20 shifts per month is a lot assuming they're all 12 hr shifts,. and can lead to burnout easily, so probably not sustainable. Especially if some of them are admitting shifts or night shifts. A few will do it for a short time to save up and then cut back. 17-18 rounding day shifts (with minimal admitting and night shifts) per month is more sustainable.

Depends on the setting. 12-hr shift hospitalist at some places is 5-6-hr of actual work on a good day and 9-hr on a bad day.

 

[dgdg]

It used to be (from my experiences) you'd pick a field in medicine you enjoyed because you were certain, regardless, to have a nice standard of living compared to most of the USA and world's population while doing something truly fulfilling to help others. Shame the discussions sometime focus on comparative salaries as the main career driver.

 

[CCM-MD]

It used to be (from my experiences) you'd pick a field in medicine you enjoyed because you were certain, regardless, to have a nice standard of living compared to most of the USA and world's population while doing something truly fulfilling to help others. Shame the discussions sometime focus on comparative salaries as the main career driver.

I don’t think that it “ever used to be” like that. Derm has been competitive for as long as I can recall and its not because so many are passionate or “truly fulfilled” by rashes (surprise). As long as there remains massive differences in compensation between specialties, this will remain a major factor in specialty selection and there is nothing wrong with it. Open conversation about compensation should be encouraged.

 

[c0pycat]

Can anyone guide me on what to do....
I recently interviewed for a Nocturnist position...and I really liked the place and people. I will be graduating in June from my residency and they know my availability won't be until then. After the interview, they did reach out to my references that I provided and since then...about 2 weeks ago...i haven't heard anything
Should I reach out? or just wait? or just forget about it?

 

[grt398]

Can anyone guide me on what to do....
I recently interviewed for a Nocturnist position...and I really liked the place and people. I will be graduating in June from my residency and they know my availability won't be until then. After the interview, they did reach out to my references that I provided and since then...about 2 weeks ago...i haven't heard anything
Should I reach out? or just wait? or just forget about it?

Never hurts to (politely) reach out to whomever your contact is at the job. Keep in mind it's the end of year/holiday season so people go out of town/things slow down quite a bit. I certainly wouldn't forget about it. And I'd even argue that reaching out in a polite fashion could be beneficial to you showing interest and reinforcing that it's a position you are strongly considering.

 

[gutonc]

Can anyone guide me on what to do....
I recently interviewed for a Nocturnist position...and I really liked the place and people. I will be graduating in June from my residency and they know my availability won't be until then. After the interview, they did reach out to my references that I provided and since then...about 2 weeks ago...i haven't heard anything
Should I reach out? or just wait? or just forget about it?

Reach out.

As a hiring doc:
1. You reaching out shows me you're interested in working with me. I want to hire people who want to work for me.
2. TBH...recruiting physicians is one of about 97 tasks I have to manage in my 1-2 admin days a week. There's a decent chance I'm just way behind, or maybe you interviewed with me 4 months ago and I've had a few more since then and I honestly just forgot. Or your references haven't gotten back to me. Or I'm waiting on HR to get me your offer letter. Or...Or...Or. I'd love to hear from you either way.

 

[c0pycat]

Reach out.

As a hiring doc:
1. You reaching out shows me you're interested in working with me. I want to hire people who want to work for me.
2. TBH...recruiting physicians is one of about 97 tasks I have to manage in my 1-2 admin days a week. There's a decent chance I'm just way behind, or maybe you interviewed with me 4 months ago and I've had a few more since then and I honestly just forgot. Or your references haven't gotten back to me. Or I'm waiting on HR to get me your offer letter. Or...Or...Or. I'd love to hear from you either way.

I appreciate the advice!
I just sent an email to the recruiter expressing interest! The references I provided were contacted 2 weeks ago. 🤞

 

[ReviewOfSystems]

It used to be (from my experiences) you'd pick a field in medicine you enjoyed because you were certain, regardless, to have a nice standard of living compared to most of the USA and world's population while doing something truly fulfilling to help others. Shame the discussions sometime focus on comparative salaries as the main career driver.

Any one who says they are passionate about cirrhosis is lying.

 

[DrMetal]

Derm has been competitive for as long as I can recall and its not because so many are passionate or “truly fulfilled” by rashes (surprise).

 

[zNoodlez]

Despite the nationwide nursing shortage, I have never heard of of an employed RN at a full time position making anywhere near $125 per hour. It may be close to that at some short-term travel assignments during the pandemic but those only last a few months. Full time RNs make closer to $30-50 per hour at most places. May be that's why some of the left their full time positions to do travel assignments.

But agreed that $125 per hour without any RVU bonus is probably low nowadays for daytime hospitalist pay if you're seeing a typical 18-22 patients (or more) in 12 hr shift for that rate. It may be justified if the census is also lower.

I know a few LPNs (yes, not even RN, LPN) making 150k~ working night shifts.

 

[Splenda88]

We are in the wrong profession.

 

[chessknt]

We are in the wrong profession.



View attachment 364354

Must be dope AF to not have to credential and literally show up with a license 15 minutes before the shift starts and you're good to go.

 

[MD46]

Must be dope AF to not have to credential and literally show up with a license 15 minutes before the shift starts and you're good to go.

Yeh, its such a pain even changing jobs as a physician

Credentialing, back ground checks, insurances, references, if different state you need a license for it may take months, dea etc etc.

Not sure how collectively we can change that?…..

 

[aafisahar]

We are in the wrong profession.



View attachment 364354

This is an artificial scarcity. Back when covid was in full swing, I was making like 30k a week to babysit a critical access hospital overnight. Once the census came back to normal levels and staffing was there, it was back to earth with like 2k/night. The same will happen with these nursing salaries and has happened in lots of places. I bet this is more due to the ongoing strike than anything else.

 

[MD46]

This is an artificial scarcity. Back when covid was in full swing, I was making like 30k a week to babysit a critical access hospital overnight. Once the census came back to normal levels and staffing was there, it was back to earth with like 2k/night. The same will happen with these nursing salaries and has happened in lots of places. I bet this is more due to the ongoing strike than anything else.

Nurses being allowed to have a unionise may play some part in curtailing that. Similar things have happened in NYC in the past but the unions usually come out on top.

 

[dozitgetchahi]

Yeh, its such a pain even changing jobs as a physician

Credentialing, back ground checks, insurances, references, if different state you need a license for it may take months, dea etc etc.

Not sure how collectively we can change that?…..

Several things would improve all this:

1) national medical licensing, rather than state by state

2) there should be a central credentialing website or some other centralized database that holds physician employment history and such. The idea that “credentialing” is something that needs to be done randomly by institutions calling all sorts of people and places (and hoping for accurate info) is just ridiculous.

3) background checks are fast - even a BCI/FBI check is actually something that can happen very quickly.

A lot of this is relatively easy to change (the IMLC is a good step in the right direction), but it depends on big bureaucratic organizations wanting to change the way they do a lot of different things. Also, I think a lot of these institutions *like* the fact that there are relatively high barriers to doctors changing jobs, as it tends to keep doctors boxed into bad employment situations.