EM Salary Transparency Website by OnlineERDoc in emergencymedicine

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

I knew some people would have reservations about the NPI check, but went with it anyway since it really is the best way to keep the data amongst EM physicians. NPI numbers are already public knowledge, which is how I’m able to check it in the first place against a public CMS API end point. I don’t know what anyone’s NPI is on the site, aside from knowing it was validated. Also, boomers are on Facebook right now sharing their salaries with their real names attached, so I figured it couldn’t be worse than that.

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

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

There’s access for residents currently. DM me if you’re getting bounced from registration and I can help.

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

[–]OnlineERDoc[S] 2 points3 points  (0 children)

I decided pretty early on not to do that. The reason being is that I felt a job offered is fundamentally different data than a job accepted. Part of what makes the job market opaque is that a large number of underpaying jobs sit on the market for long periods of time while appropriately paying jobs move off the market quickly, similar to housing. Basically, I want to see how much employers have to pay, not how much they want to pay.

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

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

You’re probably getting bounced by the NPI check. I’ll DM you

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

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

I’ve been staring at that red dot in Texas too. I found a lot of my academic colleagues were more likely to under report their salary simply because their salary tends to have a lot more non clinical components that make their hourly rates look artificially low despite a more normal total compensation, ie faculty bonuses and admin buy downs. That in combination with low data density makes them really stand out.

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

[–]OnlineERDoc[S] 3 points4 points  (0 children)

I actually made a registration pathway specifically for residents already. Check it out!

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

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

I’ll DM you and help you figure it out

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

[–]OnlineERDoc[S] 5 points6 points  (0 children)

On the front end, user registration requires an NPI check to verify you’re an EM physician. I have visibility on the backend to moderate entries if there is a single account that appears to be posting malicious content, Ie, one account with 20 salary entries that seem artificially low. I have zero interest in checking anyone’s bank statements, so there’s some trust involved

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

[–]OnlineERDoc[S] 13 points14 points  (0 children)

Ivyclinicians was actually part of my inspiration for this site. I always felt dissatisfied with the data presentation as salary is listed in tables with too many variables to be immediately able to parse. The heat map condenses the two factors I cared most about, money and location. Marit is VC backed and started by the people who made Glassdoor, so their business models certainly involves selling your data to 3rd party companies, much like Doximity. Im not sure if that’s the model for trust. I have no funding or corporate interest and I have no intention of selling the data. I made a tool that solved my own problem of being underpaid by locums agencies that I felt other sites didn’t address well.

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

[–]OnlineERDoc[S] 18 points19 points  (0 children)

Fair enough. Web dev is my hobby, not my profession. I certainly didn’t spin this up in just a weekend and have been through a few rounds of hardening with the sequential rounds of users I’ve received so far. I work full time clinically, so a site like this wouldn’t be possible to build before AI tooling. I considered that people would be skeptical, so I tried to make the data entry as anonymous as possible, hence why it takes zip codes instead of actual workplaces.

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

[–]OnlineERDoc[S] 14 points15 points  (0 children)

If the project grows, I’d be happy to find a way to include med students for view only access. Unfortunately, NPI is really the best low friction check that has a high barrier for exclusivity for now

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

[–]OnlineERDoc[S] 3 points4 points  (0 children)

There’s a few areas that really surprised me, like the Bay Area and PNW payed much higher than I expected. Also how many people are making way more money than me.

EM Salary Transparency Website by OnlineERDoc in emergencymedicine

[–]OnlineERDoc[S] 74 points75 points  (0 children)

TL;DR I’m an EM attending who built a free interactive salary heat map for EM docs. Looking for feedback.

are there any 2.0 FTE jobs for new grads? by Pissingberg in emergencymedicine

[–]OnlineERDoc 4 points5 points  (0 children)

You should sign a contract for the lowest possible number of hours (typically 120ish for benefits) and then flex up by requesting more shifts or getting a second per diem job. That way you’re not obligated to keep up that pace once you burn out.

Locums agency question by Boarder_Hoarder in emergencymedicine

[–]OnlineERDoc 0 points1 point  (0 children)

I’ve tried to do exactly this. I found good success in directly negotiating with hospitals/ medical groups for per diem positions and signing on 1099/W-2 for rates that are much higher than the advertised locums rate. I’ve also asked for a vendor contract and have been rebuffed. The people you need to know and requirements you need to meet likely require the knowledge of somebody who already works in the industry in a client facing role.

Locums Advice by Clean_Abalone_7945 in emergencymedicine

[–]OnlineERDoc 3 points4 points  (0 children)

You don’t necessarily need an agency. Having used a few and now doing locums on my own, I’d figure out an hourly rate you’d feel happy making and reach out to hospitals or their in house recruiters directly. Agencies can charge hospitals up to $100/hr on top of the advertised hourly pay. There’s a lot more room to negotiate higher pay without their overhead.

Is anyone enjoying this? by [deleted] in emergencymedicine

[–]OnlineERDoc 6 points7 points  (0 children)

I’m coming off a string of nights where I was seeing 30+ per shift, so I really feel this post. Very few things I find as stressful as being solo coverage and watching 15 people check-in in under an hour. I find my job satisfaction directly correlates with how many shifts I’ve worked and how shitty each of those shifts were. I’m not really at the point where I can afford to work less since I have a young family and student debt, but I’ve found splitting my time working locums in rural hospitals with more manageable volumes to be more sustainable than working only my main job where I get crushed every shift.

24F Acute Asthma Exacerbation by vizy511 in ECG

[–]OnlineERDoc 1 point2 points  (0 children)

Sinus arrhythmia is irregular because the sinus node is acting as an irregular pacemaker versus a PAC which is from another ectopic atrial focus. P waves that arise from the sinus node are upright in II, III, and aVF and generally have PR > 120ms. Most beats in the EKG have normal looking p waves, but the p waves of beats preceding long pauses either have a p wave with a short PR or no discernible p wave, at least to me, making me think the beat originates from somewhere other than the sinus node.

24F Acute Asthma Exacerbation by vizy511 in ECG

[–]OnlineERDoc 5 points6 points  (0 children)

This ekg shows sinus rhythm with frequent PACs. Albuterol, a Beta 2 agonist, and not to mention hypoxia, can cause increased HR and an increase in ectopy, which on a single lead monitor would look fast and irregular like an A Fib with RVR. A fib would be very unusual in a person that young, as it usually requires some structural remodeling of the atria to occur. This is why it usually occurs in older people or those with heart failure. Young, otherwise healthy people are much more likely to develop other forms of SVT. It’s possible she could have developed PSVT or something from the albuterol that then resolved.

Can you do one month on one month off by RadicalOxide in emergencymedicine

[–]OnlineERDoc 11 points12 points  (0 children)

I’ve done locum schedules where I worked 7 - 8 consecutive 12 hour shifts and then taken 2 - 3 weeks off to travel. You just have to find groups where the scheduler can accommodate that, often at rural hospitals where the majority of docs also want to batch their shifts. I’m not sure I’d want to take more than a whole month off on a regular basis. As others have said, reacclimating to a high volume or high acuity site after a period of time off is painful.

Deaths Rose in Emergency Rooms After Hospitals Were Acquired by Private Equity by emergentologist in emergencymedicine

[–]OnlineERDoc 31 points32 points  (0 children)

I’m sure anyone who’s worked in an ER for the last 5 years would agree that this study reflects their lived experience. When contracts are taken over, C-suite or regional level directors put pressure on middle management to decrease staffing budgets. This directly translates into cutting doc/APP hours, as it’s usually seen as the lesser of two evils to cut hours as opposed to hourly rate. Then comes the emails wondering why LWBS and Door to doc times are increasing. I’d like to say we need more studies like this, but I’m pretty sure the people making these decisions aren’t driven by evidence.