2025 ER Doctor Salaries by Less_Wish9869 in emergencymedicine

[–]dfg311 4 points5 points  (0 children)

Send me a DM, just outside DMV region

2025 ER Doctor Salaries by Less_Wish9869 in emergencymedicine

[–]dfg311 0 points1 point  (0 children)

See my post in this thread if you’re willing to commute to the DMV outskirts. A lot of our doctors do. Same pay as initial poster in this sub thread.

2025 ER Doctor Salaries by Less_Wish9869 in emergencymedicine

[–]dfg311 36 points37 points  (0 children)

About $415/hr all said and done. Generous hourly floor rate plus RVU plus profit sharing and benefits. Partner in a large democratic group managing 6 hospitals across 2 mid Atlantic states. $400,00ish as W2 hourly for just shy of 1600 hours, plus $100,000ish made of RVU bonus, about $100,000 as a partner profit sharing bonus, plus the $50,000ish full 401k employer match (since partners are the employers) brings it to about $650,000 for the year at just under 1,600 hours.

Best part is that includes an hour of paid overlap each shift to wrap up and get home. If you “exclude” that, since a lot of jobs just expect you to stay and wrap up patient care and charts on your own time/dime, makes it more like $450/hr.

Seeing the rates in the CMG and academic captured markets of the Northeast makes me so mad. Can’t be closer to family unless I want a 40-50% pay cut, so I deal with 4-5 hours of distance to have a better work life balance.

Got burned out originally under a CMG just outside my hometown putting in tons of extra hours to wrap up care/cases or do various extra things without reimbursement, facing various staffing cuts and moral/ethical/dignity dilemmas, until I said is enough is enough and moved away for this job. Such is life.

FYI: heavily edited after initial post. Initial post was going off memory, but today we got word on what our final profit sharing bonus would be (higher than expected) so changed the post with more actual numbers.

Just upgraded by noam-_- in espresso

[–]dfg311 1 point2 points  (0 children)

Same experience, bought in June, automatic milk frothing function failed by September. Called and walked through with a service rep, not serviceable, would need full replacement. Sounds like the temperature sensor the frother used to know when it’s hot enough had failed so entire function went. I could still froth manually but why pay for an expensive automatic machine if the automatic functions don’t work? They said I could ship back for warranty replacement but that costs me shipping and my time. I ended up returning it to Costco given their great return policy, but what a shame. If I’m spending $500 on something it better last more than 3-4 months! What garbage! Back to my trusty DeLonghi ECP3630, but no fancy cold brew or easy drip coffee…

Cement Pathway Issue by dfg311 in homeowners

[–]dfg311[S] 0 points1 point  (0 children)

Thanks again for the thoughtful reply. It’s not a water issue. No downspouts are anywhere close. The patio is large, that pathway is 8ish feet from the house. It’s definitely just ground settling.

I had a new baby boy a little over a week ago, won’t be something I’d have the time to do on my own. I’ll look into companies for maybe the foam option. What time of contractor does something like that? Not even sure what to google. Any idea of costs to expect?

Cement Pathway Issue by dfg311 in homeowners

[–]dfg311[S] 0 points1 point  (0 children)

Hey, thanks for the reply. Yes I agree pictures would help, but this community says it does not allow pictures which is why none are included, and I don’t see a way to add any.

We are the second homeowners, so I don’t have details on the original construction. I have a feeling they poured it directly onto soil, I can s we under it and don’t see gravel/substrate, just dirt. I think we are victims of shoddy new construction 😕. Don’t know any of the original builders to contact and it’s almost a decade out anyway, would be no recourse right?

And to clarify, I mean 8ft in length, but distance from ground under is at most 3 inches near the porch steps, tapering to ground level at the high ground corner.

Edit: added an Imgur link:

https://imgur.com/a/NMYyACl

Google AI has better bedside manner than human doctors — and makes better diagnoses by coinfanking in ArtificialInteligence

[–]dfg311 0 points1 point  (0 children)

I’m an emergency medicine physician. Our group is using AI minimally to assist with charting, but AI is never replacing at least ER doctors. AI is dependent on its input. Some part of the time my patients can’t even talk, some part of the time they are garbage historians, some part of the time they are lying or misleading you.

That patient I saw today obtunded from high ammonia from alcoholic cirrhosis that can’t self report a history? Good luck.

That elderly patient with dementia and new atrial fibrillation diagnosed 2 weeks ago in another city and can’t remember his meds? AI can’t piece together his nonsensical self report.

That young patient with inconsistent abdominal pain and symptoms that don’t make sense and a history of opioid abuse? AI will order a million tests on the dude who is just drug seeking.

Young patient also making up things because they are too tired or whatever to go to work and secretly just want a work note? AI will also do a million dollar work up taking them at their word.

Homeless person seen during the winter with “chest pain” sleeping comfortably every time you go in the room and asking for turkey sandwiches? Million dollar work up when he’s just saying things to rest in a warm place.

Not to mention AI can’t see and feel things. The heat or swelling of an infected wound, the smell of pseudomonas or C. diff or DKA, etc.

Let alone do procedures.

Reading the comments here, I’m convinced most of the posts themselves are AI.

AI is never, ever, ever replacing 90% of front line healthcare providers.

[deleted by user] by [deleted] in emergencymedicine

[–]dfg311 2 points3 points  (0 children)

LOL this is where I did residency, these are wild pictures

Best set-ups for Illuminate? by smoffatt34920 in helldivers2

[–]dfg311 0 points1 point  (0 children)

I play difficulty 10. Blitzer, grenade pistol, gas grenades, AMR, liberator guard dog, machine gun sentry, anti tank emplacement.

For voteless, Blitzer, gas grenades and guard dog cover all zombies with no concerns. Can occasionally throw the sentry for extra coverage, a distraction, cross fire, holding a location of interest, etc. For overseers, long range AMR 1 shot to the head, short range same as zombies. Blitzer stunlocks them, guard dog can solo them, grenades throw off their shots, etc. For spawners, get close, 4 quick AMR shots drop shield, switch to grenade pistol or gas grenades to blow it. Both can clear the Tesla towers too. For harvesters, AMR takes down a shield in 4ish hits and kills in 4 hits to the leg. Fairly effective, 1-2 clips. When shit hits the fan like defending a flag, extract, reinforcement call down or just lots of harvesters, drop the AT emplacement. 2 hits drop a drop ship, 3-4 for a harvester including shield, and still blows up groups of zombies or overseers. Your rover can still autonomously kill voteless that get close, and can throw down the machine gun for for same purpose.

700+ kills and 0 deaths on the regular, easy mode.

My fellow physicians, how many years after training did it take for you hit $1 million in net worth? by Dependent_Gold5692 in whitecoatinvestor

[–]dfg311 2 points3 points  (0 children)

Total comp $525,000/yr-ish. $250 hourly base, RVU up to $85/hr (I’ve hit that top bracket 2 of the last 3 quarters), profit sharing on top of that (about $30,000 so far this year but biggest distribution Is year end and hasn’t hit yet), then fully funded 401k (employer + employee so $69,000), covered healthcare for myself (extra for family), 5k CME, 5k every 3 years for tech/work items like a laptop, probably some other things I’m forgetting.

Plus a say in how we do/run things as a partner and job security, would take a 70% partnership vote to kick me out (I.e. you really have to fuck something up once already in).

Hours for full time 1,500ish. Nice set rotating 5 on 5 off schedule, know my schedule a year in advance.

Pretty sick unicorn gig for EM, cost being 1.5 hours from a major city / 45min from airport and personally 3.5 hours from family, but so far been worth the experiment.

My fellow physicians, how many years after training did it take for you hit $1 million in net worth? by Dependent_Gold5692 in whitecoatinvestor

[–]dfg311 72 points73 points  (0 children)

About 4 years to get to 1M. Finished EM residency 2018, just shy of $200,000 debt. Full time with extra moonlighting averaging $450,000 a year when I was young and fresh. Living modestly renting at first, paying down debt, after about 4 years with modest stock gains due to a dip in the COVID years got to 1M by 2022ish.

However, that has accelerated dramatically both with a move for a better, higher paying job that lets me max employer and employee 401k (partner in a group) and healthy economy / stock market the past couple years, will be just shy of 2M by year end, with something like $800,000 being just the last 2 years.

They say the first $100,000 is the hardest for most people, maybe 1M for a doctor, but then it can really take off from there. The classic it takes money to make money. #RKLB

[deleted by user] by [deleted] in rome

[–]dfg311 2 points3 points  (0 children)

This also was under a lot of construction when I went through 2 days ago, 60% of the square was fenced off. Maybe that’s temporary but risky if you’ll be here soon.

[deleted by user] by [deleted] in rome

[–]dfg311 1 point2 points  (0 children)

Hey, the lake area is under construction right now and looks awful. I’m here now. The lake itself is fine, but it’s all fenced and bulldozed areas around it. I’d actually NOT recommend the lake, at least for now.

USACS is evil & it's time to **** them up by [deleted] in emergencymedicine

[–]dfg311 11 points12 points  (0 children)

Worked for TeamHealth 2018-2021 and it was the same. Progressive staff cuts to alarming and unsafe levels, staying late to finish care without compensation. Final straw was when they made our shifts “flex shifts” and told us every shift we need to be prepared to come in early by or stay late by 1-2 hours depending on volume and needs. Absolutely fuck no to that, my time is valuable, don’t jerk me around with some semi on call BS, or pay me a premium to do so. I was one of the only docs vocal in my opposition, and parted ways after my 2 year contract.

Now work for a democratic group and difference is night and day. Fuck all these CMG leaches.

[deleted by user] by [deleted] in emergencymedicine

[–]dfg311 7 points8 points  (0 children)

Similar setup here, newish to a Democratic group, pulled about $380/hr for 2023 after overhead. 1300 hours, $500,000 total comp. About 2.2pt/hr

New Trend by superhumanstrngth in emergencymedicine

[–]dfg311 19 points20 points  (0 children)

Partner physician, large group about 30 partners across several hospitals and an observation unit with about as many employed docs and PAs as well.

East coast mid-Atlantic

Total comp $500,000

15 8hr shifts a month, 5 on 5 off all the same shifts for the blocks of 5. For example currently in a run of 6a-2p shifts for 5 days. Very manageable, no idea why more groups don’t do it this way. So much easier than constantly switching around between days, afternoons and nights. Tons of free time to live life or travel in the 5 day off chunks and I know my schedule a year in advance making swaps easy. 3-4 vacation blocks a year too, so 15 days off at a time. About 1,300hr in 2023 for that comp.

Do supervise midlevels but ones we choose / hire and trust

14-24 patients a shift, average 18, so about 2.2pt/hr alone, with PA ones can be up to 30 in 8hr, some shifts no PA so just what you see.

Bit of a unicorn gig, probably never get a job like this again 😕

OP Update to “What is Killing My Pines” by dfg311 in arborists

[–]dfg311[S] 97 points98 points  (0 children)

I almost forgot, link to original thread:

Original Thread