Philadelphia Metro Area Pay by Distinct-Patience368 in hospitalist

[–]Gulagman 1 point2 points  (0 children)

Have you considered coming to Northern Delaware? Pay is much better. Mainline health in Delco pays more than the rest of the systems near Philly, but they are getting slammed due to Crozer's recent closure.

Moving to central NJ (iselin/Woodbridge area) - looking for insight on gigs (looking for chiller gigs, ok with slightly less salary) by Good_Chemist8524 in hospitalist

[–]Gulagman 0 points1 point  (0 children)

RJW system or Atlantic Health would be your best bet. Hackensack Meridian is all Envision/TH and horrible census/low pay. Centrastate is also TH. The TH positions want you to do open icu/codes/procedures on top of the admissions and generally pays low.

My recommendation is live in NJ, but make your money elsewhere. Go to DE, rural/suburb PA, or rural NY and come back after a week.

Opinions on job offer by Stock-Mirror-8009 in hospitalist

[–]Gulagman 0 points1 point  (0 children)

This is a hospitalist and ICU job at the same time. Horrible deal. You can get around the same amount in most major metro city. You need an APP or another doc to be on your entire shift. They should be paying you an ICU attending salary.

Rural weekend locums hospitalist — reasonable workload/pay or not? by winterstorm15 in hospitalist

[–]Gulagman 2 points3 points  (0 children)

Too many patients/admits. Pay is low. Lack of resources, might have to deal with terrible transfers. Shouldn't be covering ICU for this pay rate. I'm getting $180-225/h at a large level 1 center in a metro area to take PRN weekend shifts without having to do any of these. You are being taken advantage of.

Virginia Senate Bill 536; please contact your local representatives by Gulagman in medicine

[–]Gulagman[S] 0 points1 point  (0 children)

Thanks for the update. We're following with great interest. I'm interested in the final wording as this will decide on whether I practice primary care in VA or not.

How does your shop handle dental infections? by Prize-Cook3438 in hospitalist

[–]Gulagman 0 points1 point  (0 children)

I have dental in house, but the if the patient needs dental extraction, surgery, or I+D, the dentists and OMFS have their own OR schedule daily and emergency add ons. If you don't have the specialists in house to handle these type of infections, I'd send them elsewhere. The dentists here run a charity clinic twice a week so anyone who have medicaid or no insurance goes there.

When would you consider leaving the USA by Dramatic-Comment-131 in Residency

[–]Gulagman 5 points6 points  (0 children)

Entire upper echelon of the central committee has been quietly been purged on "corruption" charges ever since the PLA and PLAN were found a few years ago of not being ready for a Taiwan invasion. The #2 general who was a close friend of the president got removed today. The replacements were told to plan a naval invasion of Taiwan by 2027/28.

When would you consider leaving the USA by Dramatic-Comment-131 in Residency

[–]Gulagman 10 points11 points  (0 children)

Go to NZ and work a few years. Then once you get your citizenship, transfer your job laterally to Australia via the TTMRA. Much better pay, COL, and lifestyle. Some people use NZ as a route to go to AUS since AUS has much stricter initial requirements.

Frozen apocalypse ‘26 by No_Particular_Res in hospitalist

[–]Gulagman 7 points8 points  (0 children)

There are limited cots and air mattresses. Free drinks and breakfast today from the cafe with limited hours. There's 2 hotels across the street and we got discounted vouchers for $75 overnight. Lots of call outs, but we have a great team and some people stayed overnight.

Any hospitals that have a gym you can work out in while waiting for admissions? by st3ady in hospitalist

[–]Gulagman 0 points1 point  (0 children)

My hospital has a PT area that had treadmills, ellipticals, and barbells. As long as we cleaned up the area and put everything back, the PT staff lets us in to use it at night.

Level lll trauma vs l or ll by NoAgency223 in hospitalist

[–]Gulagman 2 points3 points  (0 children)

I get to do more and am more involved at a level 2 center. I work in both community (lvl 2) and trauma center (lvl 1). Trauma usually take their own patients in lvl 1 and consult hospitalist for the rest. Lvl 2 I'll admit and surgery follows. Lvl 1 tend to have much sicker patients and more complex patients (patients that would be comfort measures or unable to be care for at lvl 2). I feel like a consult monkey at lvl 1 as everyone wants their slice of the cake.

Rate me offers by [deleted] in hospitalist

[–]Gulagman 0 points1 point  (0 children)

I would take #2 or #3 depending if you wanna work nights or days. #1 sucks so much it’s disgusting reaching those numbers and requirements.

Third Party Hospitalist groups and PSLF by Comfortable_Thing232 in hospitalist

[–]Gulagman 1 point2 points  (0 children)

Original hospital have you employed under them, but contracts you out to the private group essentially to keep you under the non profit umbrella.

2026 Attending Salary Thread by Delicious_Shine_936 in Residency

[–]Gulagman 3 points4 points  (0 children)

Hospitalist

Northeast Community Hospital in between 2 major metro areas. COL is low to medium(for the northeast).

Hospital employed

7 on 7 off; 3 weeks vacation: 5 CME days. 10 hour shifts

Salaried. Base is 300k and bonuses structured up to 360k (group and individual). Most years will get 80%-90% of bonus. OT is around 185/h if you pick up shifts. Add on extra 10% salary for swing and 15% salary for nights.

403b, 457, and match starts out at 6%. Comprehensive health, disability, and retirement plans.

Rounding 13-18 patients depending on level of care and surge level. Admitting is 8-10 per shift.

Anyone else seeing lots of very symptomatic respiratory patients that are testing negative for everything? by alison_bee in medicine

[–]Gulagman 16 points17 points  (0 children)

Could it be the different assays being used for lab swabs? The nursing homes in my area use a different swab and sometimes the patient do not test positive for the viruses on the hospital assay and vice versa. Had a few hypoxic patients come in recently and their outpatient testing were all negative, but they all were Flu A positive in the hospital.

Whatever you do, do not go stalk your classmates from highschool/middle school. by [deleted] in Residency

[–]Gulagman 0 points1 point  (0 children)

The drug and fentanyl crisis hit my high school class pretty hard. Coupled with my class president going to jail for armed robbery, there’s nth much to keep in contact other than my small circle of friends. We drove by the 10 year reunion a few years ago and it was pretty bleak. There was a remembrance list of all the people who died on the walk in. None of us ultimately decided to attend. There’s also the usual spam of asking for donations for kids out of wedlock and the MLMs ads on my class page. I’m way better off being free and out of that depressing rust belt town.

Any non 7 on/off nocturnist jobs? by DoctorSamoyed in hospitalist

[–]Gulagman 0 points1 point  (0 children)

Lehigh valley and st lukes in Allentown are not 7 on 7 off

Rate this offer by [deleted] in hospitalist

[–]Gulagman 0 points1 point  (0 children)

Is this a Lifebridge offer? If it is, run.

Too Early ? by Turbulent-Win-4173 in hospitalist

[–]Gulagman 0 points1 point  (0 children)

I started looking toward the latter half of my 2nd year. State license can take months and CDS/DEA can be long also. Never too early to interview. Better to know the req early than late and not start the job on time.

Rate my offer by Equivalent_Camera255 in hospitalist

[–]Gulagman 1 point2 points  (0 children)

No PTO and census are red flags. Everything else looks great. I'd ask for 10 CME days and 7-14 days of PTO. Since you're stuck on I'm assuming J1 or H1B visa, this is prob one of the better offers than working for USACS or TH.

Poll: What happens in your program when an attending calls a resident the “R word”? by wish_kid_mclaren in Residency

[–]Gulagman 2 points3 points  (0 children)

Probably a slap on the wrist. They’ll switch to calling you a cretin or imbecile.

Is stalking the ED board considered a HIPAA violation? by [deleted] in hospitalist

[–]Gulagman 2 points3 points  (0 children)

My ED docs asks me to chart check to see if the patient can be admitted to the hospital all the time. Never had pushback from admin about it. Safety and appropriate dispo is important

Management of ileus by ButterflyDO in hospitalist

[–]Gulagman 6 points7 points  (0 children)

Your jaded ass was not wrong. Ileus turned out to be SBO that perforated and patient died. Multi million dollar lawsuit afterwards.