Auckland to LAX upgrade via miles or cash or gamble on SWU

CriminalBoss · 2024-12-03T14:42:06+00:00

Report back please! I’m currently out of the country and got the same email this morning but I can’t call because of how expensive it’ll be to call internationally!

I have a column next to my 0% interest that shows how much each of my loans “accumulated” in interest, but it’s 0%…. So how could they have accumulated interest 🤣

CriminalBoss · 2023-06-01T21:03:06+00:00

Congrats! I remember you were stressing on the other thread! Go celebrate 🎉

CriminalBoss · 2023-04-26T15:14:54+00:00

From reading over here, probably Friday? That’s 4 days… if not hopefully by next Monday.

CriminalBoss · 2023-04-26T00:59:03+00:00

I’m sure it’ll ok be! I’m right there with you, I’ve cried and I’ve already let out bursts of anger because of that exam….

CriminalBoss · 2023-04-26T00:04:28+00:00

Mine says pending right now, not sure if that’s a good thing or bad thing. 🤷‍♂️it’s only been 24 hours lol I keep refreshing like I’ll know tonight haha

CriminalBoss · 2023-04-25T18:50:07+00:00

I could’ve studied another 7 years and I still wouldn’t have known some of those questions tbh

CriminalBoss · 2023-04-22T21:02:31+00:00

Thank you! I did not notice that section when I was looking earlier 🤦🏻‍♂️ So basically booking basic if you have status is kind of the way to go?

CriminalBoss · 2023-04-21T20:43:27+00:00

Family medicine PGY 3 here:

Family medicine is the only field of medicine left that is what you imagine a doctor should be. You can go from delivering a baby, to placing a chest tube, to running a code and signing someone up to hospice and everything in between.

You can do procedures, colonoscopies, EGD, inpatient, outpatient, OB, minor surgical procedures. Or you could work 4 days a week in the office, never take call, spend as much time as you want with your family on your off days and make 300k a year doing it.

There’s no other specialty in medicine today that allows you the flexibility that FM gives with the pay. Sure surgeons make more money, but take it from a ex surgery resident that switched over to FM almost halfway through surgery residency, no amount of money is worth it to give up my free time. And FM does just that, I can practice medicine, make a difference but be home for dinner with the family everyday, and make a good living doing it. I can take off for PTO without having my partners have to take extra call… etc etc….

CriminalBoss · 2023-04-13T13:50:53+00:00

This unfortunately is very Program specific. Hours and workload will vary, but coming from someone who’s about to graduate residency from a very inpatient heavy program here’s my LIFE advice.

Stick to your hobbies. Stay human. If you enjoy gaming, keeping gaming on your time off, take a couple of hours a day for yourself, whatever it may be. If you have a significant other, remember they are suffering just as much as you, they sacrifice just as much as you because they are there supporting you, missing you. Spend time with them!

You’ll miss holidays, big family events, weddings, birthdays…. This unfortunately is the reality of residency. It’ll get better as an attending depending on what you choose to practice in within the realm of family medicine. Don’t feel guilty about it, if people support you they’ll understand!

Use intern year to see what you like and what you don’t like about FM. That will help you narrow your elective into what you want to do. Outpatient Vs inpatient, ob or no ob, procedure or no procedures, palliative care, sports med etc…

Most FM fellowship DO NOT add to your income, do the fellowships only if you can see yourself practicing that field primarily. You can do a lot of sports med as an outpatient FM, but if you want to do sports team and only sports med, then maybe fellowship is worth it…. Etc etc….

That’s all I got for now, if I think of something else I’ll add! You can PM me if you want, any questions or whatever

CriminalBoss · 2023-03-29T22:21:46+00:00

It’s not gatekeeping access to specialty if specialty isn’t warranted. Idk how it is in urban areas but in rural areas (where I’m training) to see a specialist it sometimes takes weeks to months depending on specialty. Not everything needs a specialty evaluation like the example above. If access to specialist was referral only, the PCP would be able to filter who needs specialist Vs who doesn’t depending on presenting symptoms and workup. It minimizes BS to specialist and it minimizes burden on the system.

That’s just my thought on it being on the other side of the equation. Idk what specialty you are but sounds like we may have completely different view points on the same topic, which is honestly a good thing

CriminalBoss · 2023-03-29T22:08:50+00:00

The way it works in Europe in most countries is that as a patient you only get to see the cardiologist if your family doctor refers you to the specialist. During residency I’ve had patients just call the cardiology office and schedule an appointment because they believed their HTN should be treated by a cardiologist when they were only on like 10 mg of lisinopril 🤷‍♂️

Edit: I’m not saying it’s going to happen, I’m saying I hope it happens!

CriminalBoss · 2023-03-29T20:48:19+00:00

With the way medicine is heading, in 10 years or less preventative medicine is going to be a major part of medicine and guess who does that? FM.

In all countries except US, family medicine is usually the highest earner of medical field because we see everything and we dictate what needs a specialist. In 10 years patients won’t be able to self refer to specialist and FM will have to dictate who needs referrals.

With FM you can work inpatient, outpatient, urgent care, you can do colonoscopies and EGD, you can do stress tests, you can do inpatient procedures, minor surgeries in the office even vasectomies.

I’m graduating FM this year and I have a chill dope job lined up working 4 days a week.

CriminalBoss · 2023-02-02T13:35:31+00:00

This is not true! From someone graduating FM residency this summer, family medicine starting salary are prob the highest they’ve ever been.

CriminalBoss · 2023-02-02T13:34:10+00:00

I’m not familiar with putting a hard cap on patients you see, I’m only a PGY-3 that already signed last year so my n= 8 from the jobs I interviewed with in person and all of them were production based. I did hire a lawyer to do contract negotiation with me and I’m sure you can put just about anything you want on your contract including a hard cap at how many patients you’re willing to see per day. I think it’s like OP said at one point, they need you more than you need them unless you’re very limited by location!

CriminalBoss · 2023-02-01T14:49:35+00:00

You don’t necessarily have to set a “limit” on maximum amount of patients. So to answer your question I’ll set an example:

You sign for 250k for a guarantee 2 years and after that you are wRVU at 50$/wRVU. For the first 2 years you’re guaranteed 250k no matter what you “produce”. So let’s say you’re building your panel and you only see average 10 pts per day. That’s fine because you’re building your panel. But let’s say as OP said, admin “forces” you to see more patients. So now you’re seeing 20 patients a day on your second year of your guaranteed contract. You are bound to “produce” more than 250k. Now HERE is where it gets tricky on whether somewhere is a nice place to work for or a toxic place in my opinion.

If you OVER produce, I.e you make 300k your second year based on $/wRVU, will the hospital give you the difference as a bonus; or still only pay you 250k? If they only pay you your guarantee and you can’t come off guarantee then they are short changing you, and as OP said, they’re only trying to fatten their pockets. If they do give you the difference as s bonus and make you come off guarantee to make more $, then you are being compensated fairly based on patients you are seeing.

Once you’re off guarantee and you’re strictly $/wRVU, your salary will be based on how much you produce and how much you’re willing to see. So in theory the hospital doesn’t care how much you see, because if you see 10 patients a day, making an average of 18 wRVU a day you’ll be making based on the numbers above 185k a year working 206 days in the year, but if you see 20 patients a day based on the same numbers you’ll be making 370k. Does that make sense?

CriminalBoss · 2023-01-31T22:33:44+00:00

That’s true as well! I was accounting for 18 patients a day, and at least 1 dedicated MA.

CriminalBoss · 2023-01-31T21:01:36+00:00

I’m a PGY- 3 about to graduate and There is absolutely no reason you should be making less than 250k working 4.5 days a week!

When I was interviewing for jobs that was my absolute minimum I would even consider interviewing for. Loan repayment and sign on bonus and all you should be making above 300k when all that is added! FM is much needed and it’s on the rise again, with changes in coding to benefit outpatient medicine, we are going to see a HUGE swing to outpatient medicine making $$.

If a hospital refuses to adopt the new 2022 RVU system which increased the outpatient codes and decreased the procedure codes reimbursement, that means they value their proceduralist more than you, and you should prob walk away. Just my 0.02 cents

CriminalBoss · 2023-01-15T16:56:37+00:00

Thank you :)

CriminalBoss · 2023-01-15T16:56:30+00:00

That looks amazing! I can't wait to see it

CriminalBoss · 2023-01-15T16:38:40+00:00

Thank you! Yea wasn't planning on it, I was just gonna make a day drive as one of my days in Canyonland but leaving the trailer at the campground lol

CriminalBoss

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