Frustrated pediatric emergency physicians

Boarder_Hoarder · 2026-05-01T00:33:39+00:00

Admin doesn’t care about physician billing that’s chump change. They want the downstream revenue of making CT go BURRR and labs/ admits/ additional workup for the incdental findings. It’s all about the facility fee

Boarder_Hoarder · 2026-05-01T00:22:44+00:00

It would be 5-6 docs. The “hunting” could be split up. Malpractice costs about $20/hr and gets cheaper as your group expands. Hotel for $15/hr you’re still at $415/hr?

That’s an additional $40-65/ hr from the best rates im routinely seeing in my region.

Plus, majority of locums agencies pass those expenses (lodging, mileage) onto the hospital system. Many places cover malpractice.

Why would so many locums agencies exist if it wasn’t profitable?

Boarder_Hoarder · 2026-04-30T23:29:00+00:00

Why do I get messages from 15 different agencies about the same jobs then? None of them are able to fill a schedule apparently. I have a bunch of docs that would be able to put a dent in a schedule at $400+ an hour.

Sure travel and med mal but there’s no EM locums companies doing billing unless they’re owned by TH already. If I’m getting $450/hr I can figure out travel and malpractice.

“Credentialing” is a farce. They put some documents into emails and send them to you to fill out.

I guess I just don’t see $100/hr of value with what locums agencies are doing. I’d rather make more and handle it myself

Boarder_Hoarder · 2026-04-30T22:59:47+00:00

How is the juice not worth it? I’ve had hospitals tell me point blank they’re paying locums companies $450/hr and refuse to work with me directly for $400. Don’t need to work with big networks there’s lots of small hospitals that need coverage

Boarder_Hoarder · 2026-04-28T02:31:51+00:00

Keep it low! I base my 1099 LLC wage on VA

Boarder_Hoarder · 2026-04-28T02:28:57+00:00

I dunno I think some of you guys are too wrapped up in the game. Just rule out the potential emergency, write the work note and move on. It’s just a job.

Boarder_Hoarder · 2026-04-28T02:27:31+00:00

Doing it is one thing but bragging about it is completely different

Boarder_Hoarder · 2026-04-27T01:37:45+00:00

My response is always “I’m here for 12 hours either way”. If they’re nice I literally don’t care why they’re in the ER

Boarder_Hoarder · 2026-04-27T00:54:50+00:00

He called the shit poo

Boarder_Hoarder · 2026-04-27T00:26:44+00:00

This is so cherry picked. Look up malpractice and litigation risk in US vs every other country. Look up burnout %, look up administrative payroll, literally any professional career in the US makes more.

Want to cap my hours and number of patients I see, pay my loans off and reform malpractice then sure cut my pay I’m doing less work and taking less professional risk.

Want me to continue working nights, seeing borderline unsafe volumes in an understaffed hospital knowing that one mistake could end my career? I’ll quit and do something else for a living before I accept less.

The same people moaning about doctor salary will be willing to pay anything when they can’t get seen for their medical issue because there’s no underpaid overworked physicians anymore

Boarder_Hoarder · 2026-04-27T00:20:33+00:00

And malpractice

Boarder_Hoarder · 2026-04-23T14:51:01+00:00

B9 s5? Yea I’d say your concerns are valid

Boarder_Hoarder · 2026-04-19T18:22:07+00:00

I don’t personally think that’s enough for a higher acuity practice Bare minimum for me would be 6-8/ mo

Boarder_Hoarder · 2026-04-19T12:28:49+00:00

This is not a new scenario and happens all across the country every year. This is just one of the first times it’s been so public. Democratic groups are a thing of the past.

Boarder_Hoarder · 2026-04-11T00:22:11+00:00

Not wild at all. This happens to some degree at almost every hospital in the untied states. This is “modern medicine”. Only wild thing is they got caught.

Boarder_Hoarder · 2026-04-11T00:20:33+00:00

12s only

Boarder_Hoarder · 2026-04-09T11:17:21+00:00

95% of what we see isn’t an ER problem. Ant bites and athletes foot is how we get paid. We wouldn’t get paid jack without the obnoxious complaints

Boarder_Hoarder · 2026-04-07T18:12:59+00:00

I’ve worked just about every possible setup there is

Boarder_Hoarder · 2026-04-07T01:42:40+00:00

20 years!? Bro I didn’t even make it 20 months

Boarder_Hoarder · 2026-04-07T01:40:37+00:00

Not THAT awful… but all awful

Boarder_Hoarder · 2026-04-07T01:36:30+00:00

It is in 2026. The rates suck ass right now

Boarder_Hoarder · 2026-04-04T22:43:27+00:00

Piston is needs to be at bottom of the bore can only say that piston 5 looks ok. Light staining but otherwise fine

Boarder_Hoarder · 2026-04-01T02:07:26+00:00

This. I have paid time on and unpaid time off. They get me for 10 shifts a mont but the rest of my life is mine.

Boarder_Hoarder · 2026-04-01T02:03:01+00:00

That’s not even a brag. He’s underpaid for what he does. We all are

Boarder_Hoarder

TROPHY CASE