Advertisement

Find answers, ask questions, and connect with our community around the world.

  • Unknown Member

    Deleted User
    November 10, 2015 at 7:21 pm

    i exist

  • pbradley

    Member
    November 11, 2015 at 4:35 pm

     
    [b]HAPPY  VETERANS  DAY,  EVERYONE!!! [/b]
    I’m not a veteran, but I do appreciate & feel grateful to our veterans for their services & sacrifices for this country.
    For those of you who are veterans, THANK YOU.
    For all the VA radiologists who are doing what you can to serve our veterans or to simply be good doctors, thank you for choosing to work at the VA.  Ain’t too shabby either getting today off from work to catch up on life while other non-federal employees are or were working!  Any of you going to RSNA this year?  Should we plan a group meeting there?
     
    [:D]

  • [email protected]

    Member
    March 22, 2016 at 9:09 pm

    I exist.

    • hugolpneves_898

      Member
      March 29, 2016 at 7:57 pm

      I exist

      • Unknown Member

        Deleted User
        March 31, 2016 at 11:45 am

        How’s everyone liking their careers at the VA? Seems like a smart move for a lot of reasons.

  • dr.fgiannelli_829

    Member
    March 31, 2016 at 5:38 pm

    I recently starting working at VA, and have been very pleased.  I enjoy teaching and interacting with residents, and serving veterans. Student loan repayment program is 24k per year tax free x 5 years.  Base salary I consider to be very fair, plus you have the retirement pension and 5% 401k match.  It is possible to moonlight for private groups on weekends or holidays to supplement income. No worries of malpractice or worry about declining reimbursements.

    • Unknown Member

      Deleted User
      April 1, 2016 at 7:57 am

      Great choice. What region, amuser? Unless you wanna tell us the city.

      • michael.driscoll_703

        Member
        April 3, 2016 at 2:46 pm

        How does overnight and weekend coverage work at the va? And how busy is a typical dAy for a va do rad?

        I’m also considering trying to find a job at the va. I’m in PP and don’t have great benefits – I’ll have to pay tail, no disability, no life insurance. For those that work at the va, how are your benefits?

        • hugolpneves_898

          Member
          April 5, 2016 at 5:20 pm

          Recent hire to VA, 6 months today. Has anyone heard of NAVAPD? National association for VA physicians and dentists. Is it a worthwhile group to be part of? I get unsolicited emails on VA email, with a pessimistic tone. 

          • Unknown Member

            Deleted User
            April 6, 2016 at 7:57 am

            I exist

            • Unknown Member

              Deleted User
              April 6, 2016 at 9:40 am

              Is it true that even though it’s theoretically true that one would have a much easier time getting another VA job if already in the VA, functionally it comes down to that particular HR department and can be nearly as long? Just wondering

              • g.giancaspro_108

                Member
                April 6, 2016 at 11:48 am

                There are a couple VA telerad jobs on ACR right now.  The pay is very low but the locations are good.

  • Unknown Member

    Deleted User
    July 6, 2016 at 7:51 pm

    I exist.

    • 26DS

      Member
      July 10, 2016 at 2:14 pm

      I will exist soon (Starting at VA this fall).

      • yoyo_medicine_958

        Member
        July 10, 2016 at 4:15 pm

        interesting

        • Unknown Member

          Deleted User
          July 10, 2016 at 9:24 pm

          Any va rads in New Jersey? Please pm if Lyons or Trenton
          Thanks

  • pbernard_996

    Member
    July 11, 2016 at 6:10 pm

    Hello!
     
    Is anyone aware of an opening for an IR-fellowship trained radiologist with top-notch diagnostic radiology skills (including MRI), five years of work experience, and excellent references? 
     
    I’m hard working and easy to get along with, and am open to doing as much or as little IR as needed by the group.
     
    If anyone has any leads, I’d certainly appreciate it!

    • ljohnson_509

      Member
      July 18, 2016 at 3:25 pm

      My main concern with a va position is that I would have significantly less time off. Right now 9+ weeks off + comp days for weekends. But I would not have to do back breaking call shifts on evenings and weekends. I assume that productivity demands would be less.  Liability less also.  My hope would be that overall the va lifestyle would still be better and I would be able to work longer. A concern I have is also the probationary period and any future government cutbacks/layoffs? Can anyone provide some thoughts pm or post here? Thanks.

      • yoyo_medicine_958

        Member
        July 24, 2019 at 11:29 am

        PM if interested in opening in warm location competitive federal salary.

        • cieminsjohn

          Member
          July 24, 2019 at 1:40 pm

          Quote from gladraddad

          PM if interested in opening in warm location competitive salary.

           
          if I only could …

          • Chris7549

            Member
            July 24, 2019 at 4:27 pm

            I exist (new hire to NTP).

            • cieminsjohn

              Member
              July 24, 2019 at 4:48 pm

              Quote from NeuroJewDo

              I exist (new hire to NTP).

               
              Jealous

        • julie.young_645

          Member
          July 24, 2019 at 5:42 pm

          Quote from gladraddad

          PM if interested in opening in warm location competitive salary.

           
          Thread reopened after a three-year hiatus…Shall we bet on whether this is an RP position?

          • Unknown Member

            Deleted User
            July 24, 2019 at 11:15 pm

            Does anyone know if the NTP positions with the VA are eligible for the EDRP loan repayment programs?  I don’t see it listed under the job advertisement like I do with some VA job ads.

            • yoyo_medicine_958

              Member
              July 25, 2019 at 3:48 am

              From my understanding EDRP is turning into a myth. If you dont get it written before you start probably wont see it. I know more than one person told before hand would get it that ended up falling through. Still a fair amount of postings have it listed as eligible though. If not listed on posting I would strongly bet as unlikely. Recruitment incentives seem more likely an option and can be used for loan repayment although not tax free.

              • cbzagaceta

                Member
                July 25, 2019 at 4:10 am

                Not sure about NTP, but EDRP is alive and well.

    • Unknown Member

      Deleted User
      August 16, 2019 at 8:31 pm

      Quote from LKT

      Hello!

      Is anyone aware of an opening for an IR-fellowship trained radiologist with top-notch diagnostic radiology skills (including MRI), five years of work experience, and excellent references? 

      I’m hard working and easy to get along with, and am open to doing as much or as little IR as needed by the group.

      If anyone has any leads, I’d certainly appreciate it!

      Wow have times changed. You won’t see a rad with this attitude now. IRs don’t do diagnostics today. That is below them.

      • Pasant

        Member
        August 17, 2019 at 3:38 pm

        I’m a Body fellow considering a VA position. Any insight on how the 13 sick days are utilized? They’re sometimes touted as extra vacation but I assume it’s not that straightforward. Thanks

      • Pasant

        Member
        August 17, 2019 at 3:39 pm

        I’m a Body fellow considering a VA position. Any insight on how the 13 sick days are utilized? They’re sometimes touted as extra vacation but I assume it’s not that straightforward. Thanks

        • DStack1

          Member
          August 19, 2019 at 11:02 am

          Here’s how I look at it:
           
          26 days annual leave +
          13 days sick leave +
          10 Federal Holidays = 

          49 days off annually, which is about 10 weeks. 
           
          You may also get up to 10 additional days of administrative leave for conferences.  This is at the discretion of your department chief.
           
          The sick leave can be take at any time.  However, if you take 2 or more days of consecutive sick leave, you must have a physicians note.

          • danieledibiagio_135

            Member
            August 19, 2019 at 11:32 am

            Sick leave is limited by these OPM guidelines:
             
            [link=https://www.opm.gov/policy-data-oversight/pay-leave/leave-administration/fact-sheets/personal-sick-leave/]https://www.opm.gov/policy-data-oversight/pay-leave/leave-administration/fact-sheets/personal-sick-leave/[/link]
             
            That said your supervisor has some leeway in how much they will make you follow them. I wouldn’t count on those days as free vacation in making your decision about a job, because they aren’t. You might be able to use them liberally, maybe not though.

            • ruszja

              Member
              August 19, 2019 at 11:59 am

              It is sad to see how many government workers consider sick-leave to be part of their vacation package.

              • asilva

                Member
                August 19, 2019 at 9:52 pm

                Rational self-interest – would you rather have 5 weeks of vacation a year or 7 weeks, pay equal? What would be your incentive to NOT maximize vacation? I’ve seen sick days used fairly sparingly along my VA cohort; still a sense of responsibility to each other, and to respect coverage needs. Humane system. Also it’s not “sad,” you sound like Trump! Maybe you’re arguing against government inefficiency, and for less government spending – can’t fault you there.  FYI , the last PP job I had rewarded my hardcore grinder mentality/attitude with a surprise acquisition! Yay!  Sorry, couldn’t ignore your flippant comment.

              • Unknown Member

                Deleted User
                August 31, 2019 at 2:44 pm

                “VA politics are so vicious and bitter because the stakes are so low.”
                Sayre’s law

                • Unknown Member

                  Deleted User
                  August 31, 2019 at 3:45 pm

                  In PP if you call in sick, you don’t get paid for that day, it goes to someone else, or divided amongst those remaining. It is self insurance. Works fine.
                  No BS sick days that people use for vacation.
                  Nothing against the VA, but in my experience it has always been the home of those that noone wants. I don’t get all the interest. 
                  I know it is easier, but you are part of an incredibly dysfunctional organization. Even worse than our private hospitals. 
                  The VA is a great place to train, and if it is about teaching, I get it. OW, I think you are just quitting when you work there. 
                  I understand it is better than horrible predatory practices, but they are a minority; most the time it is a pretty pathetic place to land.
                   

                  • carlosadube

                    Member
                    August 31, 2019 at 4:25 pm

                    Hey Boomer … Youre wrong but thanks for posting your collegial opinion… in the military wed honor you with the Blue Falcon award

                    • Unknown Member

                      Deleted User
                      August 31, 2019 at 4:54 pm

                      I was in the military. And military hospitals were similar. Just sad places. Lots of good physicians, but unfortunately most of the good ones left, and many of the weak ones stayed. Nothing personal, but just my experience. Wouldn’t recommend a military clinic to anyone.
                       
                      If you have only worked in a government institution, how would you know the difference? 

                    • carlosadube

                      Member
                      August 31, 2019 at 5:00 pm

                      All the military hospitals I served in were excellent… too bad your experience was so bad … thanks though for coming onto a thread for VA Rads and telling us how much no one wants us and how pathetic and dysfunctional we are …

                    • Unknown Member

                      Deleted User
                      August 31, 2019 at 5:11 pm

                      Well, I aplogize for that. I am sure many have good reason to work there, and do their best, with good reasons. But it is also a place to hide for some.  
                      You think your military hospitals were good, but compared to what? You obviously have a vested interest.
                      I’ll leave it there.

                    • carlosadube

                      Member
                      August 31, 2019 at 5:07 pm

                      All the military hospitals I served in were excellent… too bad your experience was so bad … thanks though for coming onto a thread for VA Rads and telling us how much no one wants us and how pathetic and dysfunctional we are …

                • buckeyeguy

                  Member
                  March 9, 2023 at 8:14 pm

                  Quote from drad123

                  “VA politics are so vicious and bitter because the stakes are so low.”
                  Sayre’s law

                   
                  Reposting since it was so good/funny. Good one, drad

                  • yoyo_medicine_958

                    Member
                    March 9, 2023 at 8:29 pm

                    Hey I have seen almost as much low quality and definitely more backstabbing in academics. Probably at least partially due to my location of high quality training but same concept. There are also really good rads at good VAs and some at not as big ones too.

                    • william.wang_997

                      Member
                      March 9, 2023 at 10:15 pm

                      I have seen front stabbing in Pvt. practices and extremely low quality rads in Pvt. practice. Most lawsuits seen in my life : PP rads.
                       
                      PP with the weekend dump of a call is the worst form of radiology practice in US today. Will take academics politics or VA politics OVER soul sucking PP calls any day.
                       
                       

                    • yoyo_medicine_958

                      Member
                      March 9, 2023 at 10:21 pm

                      To each their own and I definitely dont want to dump on any hard working person, but my family and I have been very blessed by our time in the VA (even though I went through one dump of a situation in a location). I think it all depends on what your life priorities are and various factors but for my unique situation it has been the best possible.

                    • accmed

                      Member
                      March 10, 2023 at 4:03 am

                      Any NTP telerads out there willing to discuss the day to day with me via PM? Thinking about making the jump from PP. Thanks.

                    • buckeyeguy

                      Member
                      March 10, 2023 at 8:50 am

                      VA’s a great job, it’s just that you are cubicle-ized. If you are married or older, I think it’s a no brainer.
                       
                      I’d work 6 months on and 6 months off, but they won’t let me. Bureaucracy won’t work that hard. They’d rather let the position go unfilled for literally [i][b]years [/b][/i]instead of getting a subspecialist rad for half the year.

  • cieminsjohn

    Member
    July 25, 2019 at 8:00 am

    NTP not eligible for EDRP 

    • cbzagaceta

      Member
      July 25, 2019 at 8:10 am

      Does anyone know if NTP will ever move to individual home PACS stations versus having to move to NC, CA, or HI?

      • cieminsjohn

        Member
        July 25, 2019 at 8:54 am

        Quote from IVCNTRST

        Does anyone know if NTP will ever move to individual home PACS stations versus having to move to NC, CA, or HI?

         
        Will never happen as far as I am concerned. I would be the first to sign up if they ever did.   
         
        Its almost impossible to get remote access to a VA pacs/emr/etc.  

  • Unknown Member

    Deleted User
    August 5, 2019 at 7:03 am

    Checking in.
    I appreciate the thread.

  • cbzagaceta

    Member
    August 16, 2019 at 11:26 am

    We will all find out soon with the new fiscal year budget on Oct. 1.

    • Unknown Member

      Deleted User
      August 16, 2019 at 4:19 pm

      Theoretically all doctors are 24/7, meaning you could be required to work anytime.  That being said, many doctors signed on with official tours of duty stating the specific hours, some sign on where its set hours and no after hours, other sign on with possible nights and weekends included in the job description.  Now if you signed on with set hours, to later force the whole group to cover additional hours…I’m not sure how well that would fly…could take it to the union to have them fight it.  I would imagine it would come with a salary raise with a new contract letter to make it fair?

      • katiemckee84_223

        Member
        August 16, 2019 at 6:49 pm

        Worrying about that is almost comical, striker. You’re good.
         
        Put me on an army base in a NATO country and I’ll read “nights” for you, VA
         
        Dear Sleepless in Vilnius …

  • DStack1

    Member
    August 20, 2019 at 10:36 am

    @fw What is your private practice policy for sick leave?
     
    I spent 20 years in private practice before joining the VA, and I can tell you what the policy was for the 2 groups I was a partner in: none.  There was no sick leave.  You came to work unless you couldn’t get out of bed or off the toilet, because you didn’t want to leave your partners shorthanded, adding to the already insane work pace.  If someone did “call in sick”, unless it involved something serious, the partners in the group would invariably bit$ch and complain to each other throughout the day about the missing man.  If the illness involved a call night or weekend, the person who was absent was then forced to payback the partner who took their call.
     
    IMHO, the VA system is equitable, and straightforward.
     
     

    • katiemckee84_223

      Member
      August 20, 2019 at 1:08 pm

      We have many issues that come up here. On the one hand, the culture of worry that the money is going to run out causes people to work unhealthily for themselves (sedentary and stress, fat guy at the extreme dies at the workstation) and patients are caught in the crossfire, though I think that always is overstated. The problem is that by making things reasonable and cutting back, we’d have to go to an employment model without real incentive, which means everyone loses, physician salary all the way to patient via wait times and lackluster staff/guaranteed insurance with low payouts.
       
      The only real way is to get cash businesses going that are VERY drastically reduced in cost but beat the heck out of the wait for insurance or gov’t payments, and those are only possible when you also have tort = near zero.
       
      I find people working so hard as to get salary X, and then get 4 months of vacation to be obnoxious. Clearly they should be staffing more regularly and still getting 2ish months, that would mean a more reasonable work place and service all the way around.

    • ruszja

      Member
      August 31, 2019 at 5:16 pm

      Quote from KEdge33i

      IMHO, the VA system is equitable, and straightforward.

      Yes. But it’s intended to cover for someone being sick, not to provide additional days off. Abusing it by calling in sick when you are not should be a firing offense.

  • carlosadube

    Member
    August 31, 2019 at 5:17 pm

    If you have only worked in a government institution, how would you know the difference?

    Again a poor assumption on your part

    • Unknown Member

      Deleted User
      September 1, 2019 at 4:18 pm

      You know when they recruit you, they tell you that you get almost 10 weeks off similar to private sector jobs = 26 annual leave + 13 sick days + 10 government holidays = 49 days or almost 10 weeks.  Then after you start working they tell you that sick days should only be used for sick leave….
       
      When they recruit you, they tell you that the pension plan is pretty sweet and that you’ll be making your full salary at retirement.  After you start working, you realize that even after working 30 years you wont come close to getting your full salary – your only getting 1-1.1%% every year x years worked, after 30 years you can expect 1/3 of your salary + TSP and social security.  They forget to tell you that money is taken out of your account every pay period for your pension plan.  They also don’t tell you that the max you can contribute to the tsp is $18,500 + government match which might put you at $33,000 while other jobs you are socking away $56K every year.    
       
      When they recruit you, they tell you that the productivity exectation is only 5,000 RVUs.  They forget to mention that its the hardest 5,000 RVU’s you will earn because so many cases are complicated, lots of incidental cancers, and lots of comparisons to make.  This isnt quick negative er cases with no comparisons to make, this is disease staging/cancer follow ups, and lots of chest CTs which take up a lot of time.  Lots of normals really get you rvu’s fast, this is lacking at the VA’s and a lot of it has to do with older patients who smoke and drink – The most cancers you will ever see, many of the time as incidental findings.  They also forget to tell you that there isn’t really a productivity bonus – so you can carry on your private practice ways, skipping lunches and churn out 10k RVUs if you like, but your getting paid the same as the burnt out/semi retired VA rad who is only putting out 3,000 RVUs a year.   
       
      They forget to tell you that VA has problems firing personel.  So you may be working with incompetent colleagues or techs which you can do nothing about.  Your ultrasound tech sucks?  Too bad, you have to live with it, either waste time trying to train the tech or call every study limited due to technique…by the time you have trained your tech, they leave for another job.  Your fellow colleagues dictate all reports with cant exclude mass or infection and gets follow ups…you waste time reading the unnecessary follow up study and you waste time trying to find out what was abnormal on the prior case and realize it was all just normal.
       
      The actual good part of the VA?  Work life balance.  Most places no call (some do have call), no nights and no weekends (some do have nights and weekends).  The salary sucks.  There is a price to pay with everything in life, with the VA its a huge hit to salary in terms of actual work put in, and in return you get nights and weekends off without call at most places.  
       
      I’ve said this before, if you are a slow rad then the VA is the best place for you. If you are just a bad reader or have multiple lawsuits, VA is the best place as you personally can’t be sued.  If you are at least average speed, you will get paid much better per amount of work you put in.  If you don’t need stability or high income, fee basis reading plain films for the VA is a great gig ($15-20 each).  I’ve seen a lot of VA rads come and go…it is hard to keep the good ones.  You know they are worth more, but HR wont ever pay them right so they leave.    
       
      The public sector is screwed in general due to the power of unions and difficulty in firing bad employees, the same reason that plagues the VA is the same that plagues our public school systems.  This is an issue that is with us forever as long as there are unions.  The other major issue is lack of incentive, everyone gets paid similar like a socialist system.  You need to reward the good employees with meaningful productivity bonuses or meaningful raises.  This is something that is easy to do, yet VA is retarded with this for some unknown reason?  The max bonus you can get is $15k per year and its based on a variety of criteria ….$15k is not enough to incentivize someone to crank out cases.  Anyone know why they are so chronically dumb with this?  Has to be some sort of red tape.  
       
       

      • Pasant

        Member
        September 1, 2019 at 4:25 pm

        Great post, kind of sums up all my thoughts and concerns about the VA. I’m a “fast” reader as a resident and now a fellow and feel like I’d be selling myself short on the VA. The appeal of minimal weekends and call is there though.

        • katiemckee84_223

          Member
          September 1, 2019 at 6:57 pm

          There’s a reason why most look at you strangely if you aren’t at least 50 when you joint the VA, but to be quite honest, PP ain’t anywhere near where it used to be, this isn’t the old days of big time salary (same as now or much more even) worth 3x around 30-40 years ago due to inflation of the dollar. Not having to [i]really [/i]worry about suits is a huge bonus. Not having to [i]really [/i]worry about nitpicking clinicians acting like things matter more than they do is another bonus. Nights and weekends off is big, as striker says.
           
          Much of PP is a headache but you do get paid more. Whether it is worth it is up to the individual rad. The fee for service model has lasted, but is going bust in the next 5-10 years; the political writing is on the wall. It also has run its course due to momentum and the boomer generation holding the “risk” and hoarding the practices, they can say all they want about young bucks (and some of it is right) but the young bucks paid much steeper prices all the way around to get there, and it’s not even close. The problem is that you can’t really have this hybrid model, it is destined to fail over time, when the money runs out, and the money has, the debt bubble just hasn’t popped. Pretty soon for the young bucks the only bargaining chip will be to just stop the bleeding and work like I’ve always joked, “Oh, it’s 5 o’clock? Sorry, we’re closed/I’m out.”

          • mbergin44

            Member
            September 23, 2019 at 6:34 am

            are there plans to add or increase WHEN coverage in the VA?
             

            • hugolpneves_898

              Member
              September 23, 2019 at 7:46 am

              Get maulers about NTP jobs in Durham. Usually for 11-7 coverage. Comes in waves.

              • Unknown Member

                Deleted User
                September 23, 2019 at 8:51 am

                You mean overnights, Flip? I have read other posters saying that you can only make X dollars reading overnight, which makes overnight NTP almost useless, as it is a highly desired shift all across the country and world, and currently woefully reimbursed (even at private salaries much greater than VA) according to what it is, which is a crap job. The whole point of the VA is to sip on your coffee, read fairly complex studies, but also take your time and not get stressed. All the while doing it from 8-4:30 or whatever the normal day would be.
                 
                Since there is no billing, I find it totally stupid for the VA not to allow telerad coverage in time zones much more befitting of a sane lifestyle.

      • DStack1

        Member
        September 23, 2019 at 9:41 am

        Quote from striker79

         
          
        [b]  The max bonus you can get is $15k per year and its based on a variety of criteria ….$15k is not enough to incentivize someone to crank out cases.  Anyone know why they are so chronically dumb with this?  Has to be some sort of red tape.  [/b]

         
        By law, your maximum annual salary and bonus pay cannot exceed the president’s salary.

      • pankajkaira1982_700

        Member
        March 10, 2023 at 10:59 am

        It’s 2023. This post continues to hold true. 

  • buckeyeguy

    Member
    March 9, 2023 at 12:44 pm

    Years ago I would visit random VA locations in middle America and even though I was trained at top institutions and had far more specialty knowledge, the 3rd worlders already in the system (lucky them) would complain that a new buck would get more money to sign than them. As if you’re going to get new doctors to come there acting like that, lol
     
    local politics and government systems are unreal sometimes in how much of a joke they are

    • yoyo_medicine_958

      Member
      March 9, 2023 at 7:17 pm

      Hey dont knock it til you try it and if you hate we prob dont want you. Also i hear good things about careers bill, fingers crossed

      • buckeyeguy

        Member
        March 9, 2023 at 8:13 pm

        Quote from gladraddad

        Hey dont knock it til you try it and if you hate we prob dont want you. Also i hear good things about careers bill, fingers crossed

         
        I think it’s a great job, my point is that that’s why the scammy low stakes/grifter types that the Sayre’s law referred to are the case

  • Unknown Member

    Deleted User
    March 10, 2023 at 9:33 am

    Quote from Dream Run

    VA’s a great job, it’s just that you are cubicle-ized. If you are married or older, I think it’s a no brainer.

    I’d work 6 months on and 6 months off, but they won’t let me. Bureaucracy won’t work that hard. They’d rather let the position go unfilled for literally [i][b]years [/b][/i]instead of getting a subspecialist rad for half the year.

    You are sure afraid of work IB. I would like to break you in hard on the anvil of private practice radiology. Don’t squeal or I will set the shift clock back to zero. Once you walk in the reading room you are not walking out- you will crawl out or be dragged out. 

    • buckeyeguy

      Member
      March 12, 2023 at 4:50 pm

      Quote from drad123

      Quote from Dream Run

      VA’s a great job, it’s just that you are cubicle-ized. If you are married or older, I think it’s a no brainer.

      I’d work 6 months on and 6 months off, but they won’t let me. Bureaucracy won’t work that hard. They’d rather let the position go unfilled for literally [i][b]years [/b][/i]instead of getting a subspecialist rad for half the year.

      You are sure afraid of work IB. I would like to break you in hard on the anvil of private practice radiology. Don’t squeal or I will set the shift clock back to zero. Once you walk in the reading room you are not walking out- you will crawl out or be dragged out. 

       
      IB?
       
      I do work private practice. I’m just not stupid enough to work for money that I won’t spend or need … or spend on spoiled people (probably your significant other urging you to do a breakneck number of cases to let you get your balls back from his/her purse).
       
      I like my $ / rvu currently

      • jeevonbenning_648

        Member
        March 12, 2023 at 5:37 pm

        You don’t need to pretend that you’re not intermittent blasting, he was a cool guy.

        No need to hide your prior aliases no shame in that game

        • buckeyeguy

          Member
          March 12, 2023 at 5:51 pm

          Oh yeah, that guy was the bomb! (-:

  • cieminsjohn

    Member
    March 21, 2023 at 7:45 am

    Quote from gladraddad

    From my knowledge you are not off. Low pay from what I have seen in VA is 300s, mid 350s salaries, higher is 370s+, every rad in my HCS has hit the cap for a few years. I know at least a handful of other HCS’s rads at cap but there arent a whole lot. My understanding of the careers bill is per secretaries discretion, local difficult to recruit and retain areas may be authorized for certain specialties to allow for market pay to cause salaries to exceed current 400k cap as well as recuit/retention/relocation incentives to go above 400k cap. It doesnt seem like their will be a broad language and I doubt anyone not at cap will soon go over but I do believe it will lift overall tide by some going over cap and others trying to compete. I have looked into this about as deeply as possible I could. There is a meeting this Wed of 3pm of VA senate committee with only careers bill on agenda. Fingers crossed.

     
    Following…

  • yoyo_medicine_958

    Member
    March 23, 2023 at 11:22 am

    So I think interesting update. My chief told me in our VISN they were working on a waiver to the pay cap based on the Pact act. Yesterday was the VA senate hearing on the bill to do away with the physician pay cap. The hearing was all about doing away with the cap which everyone agreed and there was no dissention. They had 2 VA officials give a report on the bill from the VA side which they supported. They said the VA administration is in the final stages of approving the temporary waiver to the salary cap using the pact act as backing. they specifically mentioned neurology, cardiology and radiology as physicians needing to go above the cap.
    [link=https://www.google.com/url?sa=t&source=web&rct=j&url=https://federalnewsnetwork.com/veterans-affairs/2023/03/va-hr-officials-support-bill-to-overhaul-agencys-16-year-pay-model-for-doctors/&ved=2ahUKEwi9g7vY1PL9AhXlDEQIHbw3Ds4QFnoECAoQAQ&usg=AOvVaw2mnziYWeqzVxMTx6gYW553]https://www.google.com/ur…2mnziYWeqzVxMTx6gYW553[/link]

    • buckeyeguy

      Member
      March 23, 2023 at 4:02 pm

      Quote from gladraddad

      So I think interesting update. My chief told me in our VISN they were working on a waiver to the pay cap based on the Pact act. Yesterday was the VA senate hearing on the bill to do away with the physician pay cap. The hearing was all about doing away with the cap which everyone agreed and there was no dissention. They had 2 VA officials give a report on the bill from the VA side which they supported. They said the VA administration is in the final stages of approving the temporary waiver to the salary cap using the pact act as backing. they specifically mentioned neurology, cardiology and radiology as physicians needing to go above the cap.
      [link=https://www.google.com/url?sa=t&source=web&rct=j&url=https://federalnewsnetwork.com/veterans-affairs/2023/03/va-hr-officials-support-bill-to-overhaul-agencys-16-year-pay-model-for-doctors/&ved=2ahUKEwi9g7vY1PL9AhXlDEQIHbw3Ds4QFnoECAoQAQ&usg=AOvVaw2mnziYWeqzVxMTx6gYW553]https://www.google.com/ur…2mnziYWeqzVxMTx6gYW553[/link]

       
      Niiiice

      • rgiles912_432

        Member
        March 24, 2023 at 6:41 am

        Great to see some positive movements. I’m pessimistic, that it will impact my facility, which is semi-rural and rarely gets VISN approval to pay above the 350K soft ceiling.  The more aggravating development is watching new hires leap-frog existing staff(our most recent case is a newly minted neurologist poised to start) to get much higher salaries at start.  Hoping a rising tide will raise us all.

        • buckeyeguy

          Member
          March 24, 2023 at 12:54 pm

          Quote from Osseon

          Great to see some positive movements. I’m pessimistic, that it will impact my facility, which is semi-rural and rarely gets VISN approval to pay above the 350K soft ceiling.  The more aggravating development is watching new hires leap-frog existing staff(our most recent case is a newly minted neurologist poised to start) to get much higher salaries at start.  Hoping a rising tide will raise us all.

           
          This is the exact problem with the current crop of people, especially the ones that have been around and have been coasting for years – they think they should have any say on what a new hire makes. It’s ridiculous. I saw this first half after interviewing, and wondered how they would hire anyone (especially good, they don’t). A new hire has NOTHING TO DO with you unless you are covetous or insecure, or both. Becoming a doctor over the last 50 years never gets LESS cost, and most of the people in the VA over that time were immigrants who didn’t have med school costs, didn’t have fellowships, etc.
           
          Be content with your easy job and stop ruining other people’s possibilities because of your envy. It’s quite pathetic and sad. You agreed to a deal. There is nothing unfair at all. This lefty stuff is sickening, over and over again. 

          • loli.amaral_506

            Member
            April 5, 2023 at 10:17 pm

            I’m curious what you guys think in the future, say demand for radiology drops or technology makes it so efficient that one person can do the job of two or three radiologists, is a tenured radiologist at the VA pretty much secure, or would they ever be subject to a RIF (reduction in force). AFAIK RIF is extremely rare.
             
             
            If the VA provides significantly better job security in the face of a changing future then that makes it that much more desirable even if pay is not great. 

            • buckeyeguy

              Member
              April 6, 2023 at 8:37 am

              From 2010-2020 if you weren’t partner, VA was BY FAR a better gig, on a per study basis and stress corollary as a result. Now that there is greater demand, if you wanna go buck wild, much more money to be made. OR, much more money to be made without be cubicle-ized, and thus more time off that you can’t get with these “come in and do your work, however little, but pretty much every day of the week.”
               
              VA is therefore in massive search for all the rads in demand right now, just check usajobs, you’ll see they are even putting recruitment incentives in the titles. Again, the problem with the big money is that as a single person, it’s not worth it to work all that much, given taxes. Even as married, debatable. If VA bumped salaries even more, no brainer.
               
              The time off thing allows me to see better cultures and much better women, as Re3 has stated as well. So since VA won’t let me work 6 months on 6 off, no go for me til I’m well into no boner territory – which won’t be til 60+ given my fitness.

              • CG_Run

                Member
                April 6, 2023 at 10:27 am

                At my VA they have been offering 340k to start for rads who were making more elsewhere. There has been talk about trying to get closer to local market pay but nothing definite AFAIK.

                Anyone know how to find subspecialty-specific weekend 1099 moonlighting work? Neuroradiology in my case. Ive heard about it but am not seeing much.

                • yoyo_medicine_958

                  Member
                  April 6, 2023 at 12:01 pm

                  Update on salary cap:

                  On USAJOBS there is a GI listing with salary range up to 470k.

                  Also seems the waivers to the salary cap have been signed. Unsure when or how will be used.

                  It says authorization of pay cap waiver for those involved in care for burn pit patients and waiver of cap for pay comparability system and for payments. Seems like this just gives authority byt doesn’t specify how will be implemented.

                  [link=https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=1429&FType=2]https://www.va.gov/vapubs…sp?Pub_ID=1429&FType=2[/link]
                  [link=https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=1436&FType=2]https://www.va.gov/vapubs…sp?Pub_ID=1436&FType=2[/link]

                  • gobantes

                    Member
                    April 7, 2023 at 7:14 am

                    [link]https://www.usajobs.gov/job/683131300[/link]

                    • buckeyeguy

                      Member
                      April 7, 2023 at 9:30 am

                      I wonder why they won’t let me do 6 months on, 6 months off … haha

Page 2 of 4