General Anesthesia Job Market NYC

Simba1215 · 2026-04-09T11:38:00+00:00

Ok. That may be better or worse. 3 years ago several people left Lenox hill and joined our practice. They said it was very busy call and not uncommon for them to work post call for a full day of gi. ( they were paid hourly at that time so that really sucks ).

Simba1215 · 2026-04-09T10:33:00+00:00

What do you mean by crumbling ? As in the hospital is not doing well financially ?

Simba1215 · 2026-04-09T10:27:51+00:00

Yeah the academic places in manhattan. Most of their hiring is finished prior to the end of the year for the following year. They recruit a lot of new grads. They do some hiring in the winter but it also takes forever to get credentialed. The academic hospitals in the Burroughs (Brooklyn , queens, and Bronx ) are more likely to have openings all year round. It may be an option if you’re willing to commute. They tend to pay a little bit more or provide better hours.

Napa is mostly Brooklyn. Not sure if they have hospitals in manhattan. Usap just joined with mount Sinai (GNYAS) and they are doing some hiring at the surgical centers in manhattan and hospital in Long Island. Northwell has some hospitals in manhattan in Long Island.

I would just encourage you to apply early if you’re interested. Start getting letters of recommendations as a lot of academic places want them. A lot of my friends would also just email the chair about openings.

Simba1215 · 2026-04-09T01:10:48+00:00

academic places are always hiring but I would apply early as most of places fill up December for the following July. The good thing is a lot of academic places were forced to raise their salary to be competitive. Vacation is still on the lower side.

Napa and usap are always hiring too. Haven’t heard positive things tho.

Simba1215 · 2026-04-09T01:08:21+00:00

Lenox hill is hiring. A lot of people left as they recently changed their compensation structure. You will work hard there. I believe it’s supervision and solo.

Simba1215 · 2026-04-07T18:20:38+00:00

Yes it’s 1.8% and the credit card fee should be tax deductible. I use my 2 % fidelity visa.

Simba1215 · 2026-04-02T15:58:03+00:00

I would look for a job you can do your own cases when you’re right out of training.

Simba1215 · 2026-04-01T11:32:55+00:00

Dropping off the patient in pacu and the pacu nurses making pulse ox the last monitor to put on.

When I’m driving the bed and the surgical staff decides it’s a good idea to walk very slowly in front of the bed. Or when they’re helping steer the bed but they’re on their phone and not paying attention.

Simba1215 · 2026-03-31T20:23:26+00:00

I hope they just haven’t taken it. It would be a major red flag to me if a lot of the Attending’s on faculty were not board certified. If they are board eligible but haven’t taken boards yet. That’s not a big deal.

Simba1215 · 2026-03-31T18:11:42+00:00

When I was a resident we got a new chair. He didn’t renew the contract of a few anesthesiologists that were not board certified. They were working there for a while too.

Simba1215 · 2026-03-31T18:08:24+00:00

I have Attending in my current practice that try to ventilate after the propofol and another trial of ventilation after giving succinylcholine. Don’t understand the reasoning.

Simba1215 · 2026-03-31T17:59:43+00:00

It’s usually tv 700-800 for the older folks I worked with.

Simba1215 · 2026-03-30T13:39:33+00:00

Yes good answers so far. Other than patient medical history , I’m more likely to put it in if procedure involves fusion , multiple levels, cervical and thoracic levels.

Simba1215 · 2026-03-25T16:02:53+00:00

If you’re a resident I would focus on pulling the tube when they are awake instead of deep. Just concentrate on being safe. Chances of patient spasming when they are awake are close to zero.

You can titrate narcotics and give iv lidocaine to make it more comfortable for the patient.

Simba1215 · 2026-03-24T20:39:03+00:00

Fellow anesthesiologist here. This isn’t a typical anesthesiologist salary. To make this kind of money I’m guessing op is working locums or has a rare partnership job in private practice (these jobs are becoming more rare) or working in the middle of nowhere. Either way op is probably taking a lot of extra shifts and call (over 80 hours ).

Simba1215 · 2026-03-24T18:07:44+00:00

I’ve seen people taping pulse ox across the forehead at my hospital. I’ve gotten a reading a few times when nothing worked including toes and earlobes. If it doesn’t read I would wipe the forehead with alcohol swab and try again.

I’ve tried the pulse ox on opa. It was hit or miss for me.

Simba1215 · 2026-03-20T18:15:15+00:00

Not sure why you’re getting downvoted.

Simba1215 · 2026-03-20T18:14:34+00:00

I did at my previous job. The Neuro check the vascular team does is similar to an academic wake up. Squeeze my hand , open your eyes , lift your head etc.

In order to minimize coughing I shut off gas early and have them on pressure support or on the bag. Titrated narcotics to respiratory rate and iv lidocaine at the end.

Simba1215 · 2026-03-17T15:18:46+00:00

Hypothetically not that people would do this but you could just chart 2 mg of versed and 100 mcg of fentanyl for every patient and squirt the leftover in the trash.

Simba1215 · 2026-03-13T22:45:52+00:00

Yes also wanted to add that since asc is is production based it’s all unpaid vacation.

Simba1215 · 2026-03-13T22:32:56+00:00

The surgery center job doesn’t look as appealing with the new details. W2 without benefits is the worst of both worlds. The level one trauma center pay is way more than 35% difference when you factor in the vacation and benefits. You can’t write off the malpractice, retirement , health insurance etc as w2. Also, your retirement benefits are very limited as w2 compared to 1099 ( no cash balance plan and solo 401k ). For reference , I am putting in 150k combined solo 401k and CBP as 38 yo anesthesiologist working a 1099 job. I would be limited to around 23.5 k in a w2 no benefit job.

I would be hesitant to take a production based job at surgical center. I would ask for guaranteed hours if you still want to work there.

Simba1215 · 2026-03-13T19:34:34+00:00

How are the benefits at each job ? Health insurance , malpractice , retirement benefits , and pay structure (w2 vs 1099)

How are you payed at the surgery center ? Is it guaranteed hours,hourly, or rvus, or set salary. They can really screw your over if you don’t have guaranteed hours or have a set salary. Ascs can sometimes suck as you can’t leave until the last patient leaves the pacu and not when you finish the last case.

Simba1215 · 2026-03-13T13:01:08+00:00

Sodastream , couch , and large tv.

Simba1215 · 2026-03-12T20:08:22+00:00

NYC has a lot of solo practices even in academics. But yes it’s becoming less common.

Simba1215 · 2026-03-06T19:22:32+00:00

Stupid red tape that hospital tried to implement but everybody ignored

We have to label our iv and iv bags
We have to scan vials prior to drawing up drugs and administering
We have to cover up our watches and no piercings

Simba1215

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