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re: Non-doctors of the OT: smartest subspecialty
Posted on 2/20/14 at 11:06 pm to pleading the fifth
Posted on 2/20/14 at 11:06 pm to pleading the fifth
quote:
But in all seriousness, surgical sub specialists make a shite ton more than general anesthesiologists.
It all depends on how good a business person a doc is. I know FP's that make as much as interventional cardiologists.
1
Posted on 2/20/14 at 11:23 pm to SmackoverHawg
quote:
The money in medicine is with the procedures. That's where anesthesiologist make their money. Everything they do involves some procedure, be it a surgeons procedure or the anesthesiologist themselves doing the procedure. There is no clinic or rounding time, like say a general surgeon would have to have in order to schedule patients and see them post op. It's just procedures, day after day. All day.
I don't even think most of yall know how an anesthesiologist gets paid or what they do.
Anesthesiologist have tricked the world into thinking that they are delivering all anesthetics. In fact, they probably deliver 10-15% of anesthetics.
Anesthesiologist make great money because they "supervise" CRNAs in a 4:1 ratio. Which means that when we(CRNAs) put you to sleep and wake you up, they sign that they were there for induction and emergence. In actuallity, they might be their for induction in a medically supervised anesthesia practice 50% of the time.
It's quite possible the greatest racket in the world today and I love those frickers because of it.
This in it's self makes them the smartest because they aren't as liable as the CRNA who is the primary care giver in the given case but get 50% of the payout for the case............BRILLIANT.
This post was edited on 2/20/14 at 11:28 pm
Posted on 2/20/14 at 11:38 pm to L S Usetheforce
Not as liable? I'm pretty sure supervising an anesthetic makes one liable for that patient's care. The anesthesiologist is the one who visits with the patient preop and devises the anesthetic plan according to thd procedure and patients comorbidities. Now this is often straightforward, but not always for every patient/procedure. Also, I don't think a lawyer/patient would sue a CRNA alone. The MD is the one with the bigger bank account the lawyer and patient are trying to get in to and they are on the hook when supervising a CRNA.
Posted on 2/20/14 at 11:45 pm to BeaumontBengal
quote:
The MD is the one with the bigger bank account the lawyer and patient are trying to get in to and they are on the hook when supervising a CRNA.
You don't sue the CRNA or the MD for their pocket book, they are INSURED care givers. Sure they are named in suits, but the money is gonna come from an insurance company. We carry the same coverages.
For instance, if their is a situation in which a patient is crashing, the CRNA has to make decisions before the supervising Anesthesilogist can even make it to the room............that in itself makes the CRNA even more liable than the Anesthesilogist. Now once the MD begins to take over and lead the case the major responsiblity will fall to them from that point.
I can promise you their are numerous legal cases available that back this up.
And wouldn't you think an MD is gonna protect an MD right. So if anything can be passed off to the CRNA in order to protect their own then sure as hell its going to happen so LIABILITY in an OR setting isn't delgated like the public thinks.
This post was edited on 2/20/14 at 11:50 pm
Posted on 2/20/14 at 11:51 pm to L S Usetheforce
Aren't the CRNAs employed by the MD who is the owner of the group that pays for the insurance? I'd say they're on the hook for the entire anesthetic, including the care you give before they arrive.
Posted on 2/20/14 at 11:52 pm to GeauxTigers777
Brain surgeon.
Posted on 2/20/14 at 11:54 pm to BeaumontBengal
quote:
Aren't the CRNAs employed by the MD who is the owner of the group that pays for the insurance?
Individual policies.......and most groups aren't private anymore......They have some CRNA run groups with Anesthesiologist on staff and Anesthesiolgist driven groups vice versa. But a large majority has become major corporation driven.
In a medically directed practice sure an MD carries more liability, but that isn't the norm and isn't cost effective.
I'm not bashing Anesthesiologist, I'm just saying for what they are paid to do........It's a pretty "SMART" business decision.
I love my job and I'm paid well within what I feel I deserve so its a win win for me.
This post was edited on 2/20/14 at 11:57 pm
Posted on 2/20/14 at 11:58 pm to northshorebamaman
ROAD
Posted on 2/21/14 at 12:01 am to L S Usetheforce
Understandable, CRNA is a good job. I was unaware there were CRNA run groups that hire doctors.
Posted on 2/21/14 at 12:27 am to BeaumontBengal
By doing so it decreases insurance cost and allows for some changes(increased pays) in certain billing scenarios.
This post was edited on 2/21/14 at 12:30 am
Posted on 2/21/14 at 4:20 am to GeauxTigers777
quote:
Which specialty of medicine do you think the "smartest"/most well qualified doctors go into?
Virgin surgeon
Posted on 2/21/14 at 5:12 am to brgfather129
To me, the smartest docs are the ones who get into fields that dont have to deal with the entitlement bullshite of uninsured patients.
Derm, plastics, optho,
Little call, all cash
Derm, plastics, optho,
Little call, all cash
Posted on 2/21/14 at 6:02 am to GeauxTigers777
I can't say the smartest. All I can say was that my experience with the doctors I've been dealing with (main doctor was a rheumatologists plus quite a few others) led me to believe that they don't have the broadest background. A few months ago, I went into a hospital in a city with a very deadly infection. I saw a rheumatologist. They didn't know what I had and I asked if I could go back to my place (wasn't in a town i was familiar with). They said sure. 2 days later I collapsed through the doors of the same hospital and promptly went through hell. No need to get into particulars, but over the next two weeks that I spent in the hospital, I was misdiagnosed several times. When they finally realized what I had, they quarantined me because what I had was so contagious. I was soon cured. I am very thankful to the doctors and I wish them the best, but I was not floored with the experience. 
Posted on 2/21/14 at 9:38 am to L S Usetheforce
at saying a crna has more liability than an anesthesiologist. Posted on 2/21/14 at 9:45 am to GeauxTigers777
I've had a couple of doc clients tell me that some of the smartest people in med school wind up being either eye docs or dermatologist.
Little hospital time, alot of private pay, very little medicaid/medicare, etc.
Little hospital time, alot of private pay, very little medicaid/medicare, etc.
Posted on 2/21/14 at 9:47 am to GeauxTigers777
LINK
quote:
Hospitals are purchasing physician practices and employing physicians at some of the highest levels in roughly two decades. Here are the top 25 highest-paid physician specialties, with average salary figures, that were in hospital-owned practices based on the most recent data from the Medical Group Management Association's Physician Compensation and Production Survey: 2011 Report Based on 2010 Data.
quote:
1. Orthopedic surgery — spine: $714,088
2. Neurological surgery: $701,927
3. Cardiovascular surgery — pediatric: $681,408
4. Neurological surgery — pediatric: $656,282
5. Cardiology — electrophysiology: $601,111
6. Orthopedic surgery — hip and joint: $589,267
7. Cardiology — invasive-interventional: $586,765
8. Dermatology — Mohs surgery: $586,083
9. Cardiovascular surgery: $567,171
10. Orthopedic surgery — trauma: $562,688
11. Cardiology — invasive: $550,000
12. Orthopedic surgery — sports medicine: $550,000
13. General orthopedic surgery: $526,398
14. Radiology — diagnostic-invasive: $513,000
15. Pediatric surgery: $505,281
16. Anesthesiology — pain management: $502,775
17. Orthopedic surgery — pediatric: $489,500
18. Radiology — diagnostic-noninvasive: $485,334
19. Anesthesiology — pediatric: $482,299
20. Radiation oncology: $477,807
21. Thoracic surgery: $475,708
22. Orthopedic surgery — hand: $475,370
23. OB/GYN — maternal and fetal medicine: $473,227
24. Orthopedic surgery — foot and ankle: $469,492
25. Dermatology: $465,543
This post was edited on 2/21/14 at 9:48 am
Posted on 2/21/14 at 9:52 am to bushwacker
quote:
To me, the smartest docs are the ones who get into fields that dont have to deal with the entitlement bullshite of uninsured patients.
Derm, plastics, optho,
Little call, all cash
+1
How competitive a residency is has little to do with how smart you have to be or how difficult it is.
Posted on 2/21/14 at 6:17 pm to TigerTreyjpg
quote:
some of the smartest people in med school wind up being either eye docs or dermatologist.
Little hospital time, alot of private pay, very little medicaid/medicare, etc
As an ophthalmologist, I can tell you that the hospital time part is right, but there is hardly any private pay, and tons of medicare unless you're in a situation where there are a lot of affluent people who are going after premium cataract surgery or do lots of LASIK. Unfortunately for me, south LA doesn't really fall into that category.
Posted on 2/21/14 at 6:41 pm to GeauxTigers777
quote:
Most competitive in no particular order (somewhat order) :
Neurosurgery (Neuro itself is completely non competitive)
Dermatology
ENT
Integrated plastics (do 6 years of plastics instead of 8 year traditional route)
Ophthalmology
Orthopedics
Urology
The year I was in the match the most competitive (# residency spots/# applicants):
1. Radiation oncology
2. Integrated plastic surgery
3. Urology
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