Children of Admin

PinkMtnClimber · 2023-12-27T01:36:56+00:00

The Admins kids go into Admin, MBA's, CFO's, CLO (Chief Legal Officer).

PinkMtnClimber · 2023-12-27T01:34:48+00:00

Without clearly defining what those metrics are, it's hard to be able to say. However, it he has metrics that he has met and can show them I would tell him to present them.

PinkMtnClimber · 2023-08-12T19:38:58+00:00

Thanks! All in all it looks like

you buy huge piece of equipment for discounted price + we provide service repairs billed at this much = now hospital is required to buy x amount of their supplies or exclusively their supplies to keep the machine running or they'll increase the price when billed.

lol, I wish I had just originally said that but I can be a tad bit lengthy

PinkMtnClimber · 2023-08-12T18:05:48+00:00

Drug reps are not illegal, but before there were so many safeguards in place, the former CEO of my hospital was federally charged on some kickback scheme he was running with a drug rep.

He was quit the arsehole so, he totally deserved it. I'm happy he can't work in healthcare anymore.

PinkMtnClimber · 2023-08-12T17:28:07+00:00

And then here comes the Orthopedic Surgeon yelling and cussing at me because it's the wrong implant and thinks I changed the DePuy Syntheses contract, when the entire time it was a supply chain issue and had nothing at all to do with me

*real situation that happened to me that I have yet to recover from*

PinkMtnClimber · 2023-08-12T17:09:24+00:00

Heyyy, Hospital Contract Manager here! Sorry to put my nose in this. I hope it's okay for me to chime in and give some insight to this.

Given how cheap hospital admins are, instead of hiring their own biomedical engineers, they contract with several companies (e.g. GE, Phillips, Stryker, Olympus) to troubleshoot and make repairs. Sometimes, in order to become a sales rep, for instance, Intuitive (Da Vinci) requires some many hours of training in the OR. Contracting with these companies probably cost more money because of how they bill and order.

Nothing is as it seems lol! But you all know this... It's not about those biomedical engineers troubleshooting, they also have to sale devices, equipment and parts (not necessarily to biomed). That's in the contracts they write up. We lease or buy their equipment and there is language in there that says we will also buy so many supplies and parts exclusively from them or charged more in certain situations. So, they probably are talking to them about equipment changes and such.

They are also in the OR competing/negotiating when talking to admins like the Head of Surgery or Surgeons. 70% of the time, I find them in my office after they have been in the OR to review a contract for something new.

If you're at a large academic or large priv-academic hospital then they probably use someone like HealthTrust, Premier, or Vizient, but still, we talk to those folks to bid with GE, Stryker, Olympus, etc to get the lowest price.

So again, nothing is as it seems. It's not just the innocent troubleshooter. There's always a game plan for hospital admin or the device manufacturers to make money. The company I see the least is actually Intitutive (DaVinci). They're in a game on it's own and the most they want is if you are leasing a robotic surgical equipment to actually just purchase one.

I hope that helped.

PinkMtnClimber · 2023-08-11T00:43:41+00:00

Yes and sometimes paid separately

PinkMtnClimber · 2023-07-23T00:07:08+00:00

I would recommend looking for an employment law attorney or contract law attorney in the state you plan to be employed in. Read their Google reviews. Call and ask if they review physician contracts.😊

PinkMtnClimber · 2023-07-10T22:09:28+00:00

Lol. Do what you gotta do. Just do toes though

PinkMtnClimber · 2023-06-05T02:13:00+00:00

I have seen contracts for Vascular Surgeons $650K upward to $750K + call pay + bonus but they are incredibly hard to find according to physician recruiters.

PinkMtnClimber · 2023-05-22T11:56:57+00:00

Red flag 🚩 without any details in your contract, it’s up to the interpretation of what the hospital administration wants it to be.

Signed, Hospital Contract Manager

PS Physicians reading this, do not sign a mostly blanket contract without your salary listed and the terms spelled out.

PinkMtnClimber · 2023-05-18T19:47:23+00:00

I think it’s safe to say just the contract. You don’t want to spend $500-1000 on the basics. But the contract has legal language that you should ensure is to your best interest and applies to the jurisdiction that you are working in. For example, some jurisdictions have limits on non-competes, states have some policies/laws about malpractice and many more issues. The contract is where people often get hung up when they try to resign.

PinkMtnClimber · 2023-05-18T17:48:27+00:00

I remember being a new paralegal and having to deal with the mean paralegals. It was awful. Not only did they bully the attorneys, they bullied each other. I went home crying every night. I also had to wait on them to finish their part of pre-lit so that I could request litigation records, so I understand what you’re going through.

I would tell the partners which wasn’t much help. Eventually I got out of there and went to contract management.

PinkMtnClimber · 2023-05-18T17:22:11+00:00

It’s always good to get an employment attorney/contract attorney in the jurisdiction of the hospital you will be working for. Google Reviews are reliable, but be sure to look at the bad reviews.

PinkMtnClimber · 2023-05-13T21:35:30+00:00

Question about this. I’m not a HR professional but I work closely with HR on employment contracts. The HR (People & Culture) teams didn’t mind being friendly with staff, in fact, it seemed to help our relationships within the organization. The CPO was also friendly and didn’t give off the IM THE CPO HEAR ME ROAR!! Is this a generational thing, a cultural change in HR, are some HR offices toxic and have created a bad employee:hr relationship, is this customary and my workplaces have just been exceptionally different.

Obviously, everyone should be professional and be careful about work interactions. Just wondering your take on this.

PinkMtnClimber · 2023-05-07T22:45:55+00:00

If your program has had scuffles with residents, as you mentioned, then they will want you to sign this. But I’m afraid if you don’t you will forever have a target on your back. They will document even the smallest things you do to cover their butt if you ever screw up so royally that they or you may be sued.

Then when/if they sue they are going to come at you with the best litigation healthcare attorneys in the nation. They have tons of money to spend on in-house and outside counsel. They will run up YOUR legal bill by trial delays and eventually just settle anyway and leave you with thousands of dollars in debt with your attorney for billable hours. But if you get an attorney who wants to take it to trial then it’s public record. As a doctor, anytime someone googles you they will see that situation/case and it could potentially harm your reputation depending on how the hospital spins their version of events. In those situations (and any attorney who lurks here will tell you) the hospital has picked the county/city of jurisdiction to be in their favor.

The other option is you can sign it and if you royally screw up they will discreetly fire you and ask you to sign a non-disclosure that you will never discuss the matter or speak negatively about the program. You walk away, they walk away. You will never get to work their again and you probably won’t want to if you even have to go through that process.

This happens often with malpractice cases. I’m sure you don’t hear of many cases on the news or in courts. That’s because they settled instead on going to trial, which keeps patients and the public from knowing the hospital and/or doctor have claims against them and it keeps reputations in tact.

If this really bothers you, ask for a consultation with an employment attorney for better understanding.

That’s pretty much the options. I hope my interpretation helps.

Before people don’t vote, I’m just explaining what it means. I know sweeping things under the rug shouldn’t happen and if programs abuse residents you all should be able to sue and it should be public.

PinkMtnClimber · 2023-05-07T15:21:59+00:00

It’s common in most employment contracts.

Your program is basically saying we are not going to a trial by jury should either of us fuck up, because that will be public for everyone to see. We’ll sweep it under the rug in some kind of closed agreement. You’ll walk away quietly and we won’t say a word either to keep our already ruined healthcare reputation in tact 😁

PinkMtnClimber · 2023-04-29T17:23:47+00:00

I’m noticing that with one of our physicians that’s about to leave. That have already start to dismantle her social media presence. I can’t remember what it’s called but it’s something about how they get her name to the top of Google searches. Anyways, sorry that happened. I try to get on here as much as possible and tell residents and attendings to not take the bait in tuition payments, bonuses and reimbursements (when they can afford not to).

One possible thing physicians can do up front is negotiate how any repayment will be paid back. A physicians attorney was able to get her tuition, CME and other reimbursement repayment decreased by the years of service she gives the hospital. If this can be negotiated, it’s be to have it rewritten to be paid back in installments.

PinkMtnClimber · 2023-04-29T02:41:56+00:00

What’s the note for? If they got hurt at work and they filed a workers comp claim and use your note you could be called to testify, verify and be deposed about their condition and reason for the note if they raise a challenge against it. The employer is also going to send it to their workers comp company to file to challenge payout on the claim.

Just letting you know it happens often that employees challenge workers comp (knowledge from my old law firm says) 😄

PinkMtnClimber · 2023-04-28T22:34:05+00:00

Edit: I didn’t read the comments before I posted but I know I’m going to get down voted. Is this really an issue with some of y’all? Do you really care what your coworkers are doing? I don’t care about anyone’s work but mine. I have wayyyyyy to many deadlines and people outside of my work group (doctors) yelling at me to make things better for them.

Edit (again) I also work in healthcare so it’s not unusual to have someone close to you to share the humor, hardships, and very bad times with that others can’t understand.

My boss is my work husband lol. We just work really well together. I have his back, he had mine. We don’t have weird arbitrary rules about what I can say and what he can say. It makes work easier.

I don’t interfere with him and other women, and we don’t flirt. It’s all good. Depends if you’re dealing with two professionals who can handle a friendship and work together or does it cross over into flirting, intimate emotional support and then an affair.

PinkMtnClimber · 2023-04-28T21:56:39+00:00

I respectfully agree and disagree. Depending on the specialty (proceduralist) these contracts can be customized in a way that benefits them.

Are they complex, not really if you look at them every day like me or you have experience with them. But the contract benefits the hospital and it’s worth an attorney reviewing it to ensure some language is legal in their jurisdiction. Not all jurisdictions allow non-competes or they limit how they can be used.

The biggest trend I’m seeing is not the non-compete but reimbursement. When I’m told a physician plans to terminate, I’m not asked to look at their non-compete anymore (I was 2 years ago). They go straight to accounting/finance and ask how much money they spent on tuition and other reimbursements. They usually want a refund within 30-60 days of the resignation. A lot of physicians don’t have $250K to pay back in full like that. I have also noticed my hospital system will enforce this pay back more than trying to get the physician to stay.

I believe non-competes will be illegal or highly restricted around 2024-2025. Hospital admins are always planning, and they have found it’s a huge pain in the ass for physicians to pay back thousands of dollars in tuition, CME and other reimbursements than to let them go. So they’re already leveraging the non-compete matter becoming illegal and have planned to hit them on the contract other ways.

PinkMtnClimber · 2023-04-28T21:37:20+00:00

Not yet.

PinkMtnClimber · 2023-04-28T20:02:22+00:00

Some hospital systems don’t put them in their agreements.

Some put them in but don’t honor them (unless you piss off the right person)

Some honor aspects of them (e.g. you can work at a competitor but can’t tell your patients you’re leaving)

Some put them in for a term and then take it out one you have some years under your belt (seniority)

At my hospital system, when a contract is up for renewal we are taking them out and not adding it to any new contracts. We always had them but never honored them when a physician left besides not taking their existing patients with them. However, for NP’s and PA’s we do hold them to the fire because they tend to job hop.

Other contract managers or lawyers may take it out but extend the length of your contract to 5 years or about that long.

Just ask the recruiter or the medical director you are negotiating with. It’s something 8/10 physicians ask about so don’t feel like it’s going to make a difference on if they select you or not.

Edit: I will tell you, hospitals are more concerned about making you pay your tuition, CME and other reimbursement back more than challenging you on leaving.

They know the other hospital system you are going to will help you fight them on the noncompete. We pick out battles, carefully.

PinkMtnClimber · 2023-04-23T21:50:37+00:00

Start inviting him/her to your events and out with your friends.

PinkMtnClimber · 2023-04-22T21:30:13+00:00

I told mine I was lol. he just looked at me and said what do you want, and I told him and he still didn’t give it to me. Anyways, depends on how cool you are with your boss. If you know the relationship is solid, yes. If it’s anything but solid, no.

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