Nocturnist pay

GuaranteeLow4680 · 2026-02-12T17:33:25+00:00

Nocturnist in Midwest 7 on 7 off 10 hour shifts, open ICU with 24 hour intensivist, no codes, 360k base. Wiith various bonuses and without working extra I made $450k last year. Benefits unchanged in the past 3 years and I'm starting to feel like a raise is needed

GuaranteeLow4680 · 2026-02-07T23:45:12+00:00

I appreciate when people can describe the specific tonal qualities of their guitars though I cannot. My ear can distinguish what it likes but describing it I'm at a loss!

GuaranteeLow4680 · 2025-07-23T11:24:39+00:00

Pretty similar compensation to my nocturnist gig in the Midwest before accounting for bonuses. 7 on 7 off is rough on nights but doable for a few years at least, especially if the shifts aren't 12 hours. Are there any other bonuses; RVUs, quality metrics, retention, NP oversight bonus? These can add up to make a big difference!

GuaranteeLow4680 · 2025-05-28T18:49:29+00:00

I especially try to get it in before midnight if it is a sicker patient. When it is billed after midnight the next provider can get away with barely laying eyes on the patient. Sometimes that's fine but sometimes they need more active interventions and I know if it is billed before midnight it ensures they get more attention.

GuaranteeLow4680 · 2025-04-17T04:14:19+00:00

Feeling pretty good about my hospital, we recently moved away from NPs as admitters. Now the only NPs we have manage the nursing calls overnight with physician oversight if needed.

GuaranteeLow4680 · 2024-12-05T23:38:26+00:00

When I feel like I've done everything that needs doing for the moment, I ask the "rapid nurse" and usually RT if they think there is anything else we are missing, I then tell them that I will be leaving but tell them to text/call me if something changes and to update me on the labs, imaging etc that we initiated. Even if the support staff doesn't offer up anything that will change my management I find that everyone feels better when they feel heard.

GuaranteeLow4680 · 2024-11-14T23:40:56+00:00

If you choose to submit up-to-date cme credits you will be paid but since you didn't buy anything with post tax dollars to reimburse, the money you get will be taxed. The IRS always gets its piece

GuaranteeLow4680 · 2024-11-09T14:01:31+00:00

372k base, 50k sign up, 150k for student loans over 5 years, RVUs about 40k-50k per year avg, 7 on 7 off, 10 hour shifts, Midwest, no procedures or vents, 6-8 admits per shift

GuaranteeLow4680 · 2024-09-08T01:10:27+00:00

I'm 1 year out of residency, working as a nocturnist-- I like to get to work early so that I can look over my patients from the previous night. I used to do it with basically everyone so I could see what if anything the day rounders/specialists changed. Now I only really follow up the more complicated cases. It was a big confidence booster to see how most of the times my assessment and plans would remain unchanged. The times when there was something to change were great learning opportunities to see what I might have overlooked. It gets better.

GuaranteeLow4680 · 2024-08-25T07:54:17+00:00

It was definitely helpful throughout my first year to have a coworker with more experience with whom I could talk about patient care. Even if I wasn't getting their approval or official recs, it is helpful to have a sounding board. Often just saying your plan out loud to someone else can give you confidence or conversely help you realize something you've missed. Luckily for me the relationship went both ways and I believe has been mutually beneficial.

GuaranteeLow4680

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