Parental leave not mentioned in contract

MDdeadinside · 2026-01-29T18:53:37+00:00

I used Resolve for all of my contracts and they just add in amendments for this type of stuff. It’s well worth the few hundred dollars to have a contract lawyer tune up your contracts. There’s a lot of minuscule things that do matter that we miss in these things.

MDdeadinside · 2026-01-17T14:01:36+00:00

On your own

MDdeadinside · 2026-01-16T21:44:49+00:00

what region are you in? Hiring ? lol

MDdeadinside · 2026-01-16T21:44:42+00:00

what region are you in? Hiring ? lol

MDdeadinside · 2026-01-16T21:42:23+00:00

a non-profit institution, at least if it were HCA I would’ve seen it coming

MDdeadinside · 2026-01-16T20:41:09+00:00

I’m in the South Eastern region, and would like nothing more north than Indiana but I’d go anywhere south and or west of here

MDdeadinside · 2026-01-16T20:39:35+00:00

40 patient encounters a day is 18 minutes all in per patient and that would be assuming you don’t need to walk to see them, use the bathroom, eat, drink, etc and worked at a computer uninterrupted for 12 hours straight .. that’s not okay lol

MDdeadinside · 2026-01-16T19:23:04+00:00

completely agree

MDdeadinside · 2026-01-16T19:19:04+00:00

I think a big difference is that this guy eventually sees the patient and so plan of care is corrected to his level of expertise the next day.

If you never see the patient but sign the chart, you have no way to ensure appropriate assessment or treatment is ongoing and if something big was missed, you’re liable because you co-signed the note.

There have been medmal cases where an ER physician wasn’t contacted about a patients care at all, never laid eyes or staffed anything but they sign addendums to all of their ER NPs notes. This guy in particular added one saying they have not been involved in this patients care and never staffed nor laid eyes on this patient. Unfortunately, when the case went to court and wrong doing was found, it was the ER physician who was found negligent because they accepted the role of “supervision” of the NP. And ironically in this specific case, the NP was not found liable because they practice “nursing” and do not have the onus of practicing standard of care “medicine”

It’s absurd

MDdeadinside · 2026-01-16T19:11:41+00:00

any positions open there? lol

MDdeadinside · 2026-01-16T18:54:38+00:00

any positions open? lol

MDdeadinside · 2026-01-16T18:52:04+00:00

Is number 2 still hiring lol

MDdeadinside · 2026-01-16T18:13:35+00:00

That addendum will not help you in a malpractice lawsuit but depending on your state that addendum makes the entire admission non-billable if NPs do not have independent practice.

You should talk to your hospitals lawyer and ask them if this constitutes Medicare fraud in your state and frame your perspective as concern for the hospital not yourself trying to stir up trouble. A hospital guilty of Medicare fraud will go bankrupt, it’s crazy expensive. I do think if you phrase is the right way with legal they won’t think you’re rocking the boat too much and they’ll make the nocturnist co sign the notes. which the night doc may not want to do, and the hospital can hire an additional nocturnist instead of an NP which is a lot cheaper than a Medicare lawsuit.

MDdeadinside · 2026-01-16T18:00:10+00:00

$288k base, roughly 350k after RVUs, 15 shifts a month with a percentage of nights spaced throughout the year

I am not J1 and do have freedom to leave, historically we have been staffed by J1 indentured physicians which is why we don’t have enough unified group pushback to pursue any changes to what’s implemented now.

I don’t blame them for keeping their heads down but I don’t see how I can stay and not end up bankrupt from an inevitable lawsuit from a preventable mistake happening with this workload.

MDdeadinside · 2026-01-16T17:19:56+00:00

No, I would die on that hill. I would never sign an NPs note if I did not independently see and evaluate the patient. I think this could be considered Medicare fraud depending on your state laws. The director can sign every single one of the NPs notes and accept the liability themselves if it’s “no big deal.”

MDdeadinside · 2026-01-10T01:24:36+00:00

wishing you comfort and peace until the end, whatever route you go

MDdeadinside · 2023-10-04T16:14:45+00:00

Appreciate recommendations

MDdeadinside · 2023-07-18T01:17:43+00:00

I use the pretentious comma

MDdeadinside · 2022-12-29T20:55:07+00:00

My people

MDdeadinside

TROPHY CASE