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Working for PE can be better than working for other rads
Everyone says that working for private groups is the bee’s knees and working for a PE group is horrible. So, I tried to see what kind of moonlighting deals I could put together locally. I spoke with a few of the groups in my area and what they want done compared to what they pay is pretty horrible. I am in an area not stereotypically thought of as a poor job market areas. It seems the local rads are even more aggressive about making money off the back of non-partners than the corporate businessmen are. I actually get paid more on an RVU basis to do telerad. My limited experience suggests that radiologists themselves are at least in part to blame for other rads being willing to work for PE (at least those not wanting partner track). Any suggestions how to find the reported groups that pay more than the teleradiology groups is of course welcome.
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84 Replies
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It’s all about competition in the marketplace of employers and employees.
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and it’s all about the character of the people in the PP. I would say it is hard to judge as someone working as hired help. When they are hiring extra hands, they are just trying to get the job done at the lowest cost. It can be different if they are hiring someone to be a permanent member of the “family”. Very very different. How they treat their young associates and their partners is key. And—–of course—- -there is no guarantee that the leader of a PP hasn’t gone to the dark side and become a money grubbing business man who will slit your throat for a dollar. Nope – nothing but the other partners can prevent that.
BUT – at least you have a chance in PP to have your voice heard, and to have some control. With PE – you have no chance. A good PP wiill have a sense of loyalty to the younger members, a desire to mentor them and bring them along. With PE, there is no sense of loyalty to any of the professional staff – in PE you are a cost. You are a worker bee. You always will be, and you will be nothing else. Ever.
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I would much rather be a hired help to corps than to a random PP.
In my opinion PP has less business security in todays environment. At least partners trade security for income but why the hell would anyone work as an employee for a PP when corps can offer better deals?
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Quote from irfellow2019
I would much rather be a hired help to corps than to a random PP.
In my opinion PP has less business security in todays environment. At least partners trade security for income but why the hell would anyone work as an employee for a PP when corps can offer better deals?
yeah – don’t work as an employee – work as someone on the partner track.
I was in, and I am aware of PPs that are good. A PE gig – they radiologists may be doing well to get 50% of the collections. In my group, we split equally 94% of the collections – 6% collection fee. So – we could do quite well, while maintaining a reasonable work level and personal life.
unlike the PE sweatshops I see now.
And I hear there are some PPs that still do quite well.-
Being an employee of a private practice is arguably the worst gig in radiology.
Put if you become partner, then its typically the best option in radiology.
A typical partner track will comprise 5-15% of a radiologists attending years. Id advise looking for the best way to spend the 85-95% of your career than chase the best job out of the gates
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I’m VA now so the rules are different, to say the least, but going in with the attitude that fellow radiologists are out to scam you in PP but corporate businessmen are better for you is not sound logic.
When I was in PP of course we always tried to lowball telerad and other vendors. You can’t be throwing money away. But the value is in crossing over to partnership and having a say in operations.
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OP has to be a corporate troll.
There’s no world in which working for a corporate outfit would be better than a PP group.
Even if you had the worst PP group in the world, all the same bad practices they would do to you are being done by the corporate rads and at least in that case, there are still rads benefiting – and that’s the worst case scenario.-
Obviously being a PP partner is the best scenario as far as salary per hour worked goes.
I am strictly talking about working as an employee for a PP.
Some of the employee PP job are laughably bad.
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We prefer to avoid non-partner employees. For various reasons, we have had some non-partner track employed rads. The employed salary is actually higher than the partner salary and we still provide benefits. Of course, we don’t share bonuses with them as we do with partners.
For unfilled shifts, we pay the same rate for ALL rads, partners and non-partners. The internal locums rate is based on the total compensation package for partners. As a result, hiring external locums has, during my tenure, not been something we have needed to entertain.
I agree that much depends on the group–private, corporate, and even academic.-
OP is definitely a corporate troll
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I dont think you can judge the merits of one vs. the other going off rates you get as a moonlighter.
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The whole point of my post, was that I hear frequently on aunt Minnie is how great working for PP is – I have never heard the caveat of only if you are a partner. Seems most the comments basically bear out….working “for” PP as employee PP usually stinks. Being the PP (partner)can be a good gig, but you have to be part of the club. Interesting expresso’s comment “[b]When I was in PP of course we always tried to lowball telerad and other vendors.” [/b]basically bears that out. Rads are not going to be good to you just because you are another rad. They will be just as bad as they can be (what the market will bear).
Like I say, I was just expressing what I have not seen written here. PP can be good, but not as an employee. If you are going to be an employee, then a corporate job may be and probably is just as good.
I am just not in a position right now that I can pursue a partner track job. Just thought the discussion might help others if they are also not in a position to pursue a partner track. If you are going to be an employee, just find the best deal you can and it may be corporate.
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Initial post in this thread — cannot make any predictions and/or extrapolations with respect to permanent employment / partnership track based on part time hired help with locums / independent contractor status. There are specific situations where this may apply such as “long term locums” to test a place out and to determine whether or not is is fit both ways.
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Sounds like the OP may have inquired about a part time gig at a local outpatient imaging center. Sounds like the OP is probably located around the Hampton Roads area of Virginia. Im pretty sure I tried moonlighting at the same place. Sadly the rates you were quoted were much better than the rate I received. I tried 2 shifts and then realized that the owner was taking full advantage of my naive thinking (I was fresh out of residency, still active duty and hungry for some extra $$).
Not all PP are that cheap. Keep looking. You can get more than that paltry rate in the mid-Atlantic area. However, you will more than likely need to work off hours (evening or weekend work, not necessarily overnights) to get the $$ that you seek.
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To the OP, it’s possible that both issues hold true: that due to your specific personal situation employed arrangement is best, and for my days pp radiology maximizing partner income was the right thing to do.
The market will bear what the market will bear. If the imaging center owner isn’t able to find people to staff his shop they’ll have to raise the rates. I’m not privy to the shop you reference, the overhead, insurance marketplace, collection rate, etc.
It may help you to think of employed status as being a renter and pp track as being a homeowner. For the sake of your long term economic security and professional satisfaction you most likely will fare better as a homeowner. I kinda burnt out in PP and took an open VA spot. Not too bad once I learned contentment, but that’s a different thread entirely. Good luck to you. Keep looking for what you want. Refuse to be used. But don’t be a diva.
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Why would anyone stay as long term employee for a private practice? There are exceptional circumstances, but most new graduates would join private groups on partner track.
This notion of corporate job may not be so bad can warrant another discussion, but saying its not so bad compared to employee track in private group is nonsensical comparison.
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This assumes the employee-rads either live somewhere that has partner-tracks, or is able/willing to relocate where such groups exist.
Some very desirable places to live do not have any local groups offering partner-tracks. Take their permanent-employee job or leave it, they’re confident they’ll fill their seats without sweetening the deal. -
You can always relocate.
Just pack your $hit up and leave…don’t let that be your excuse.
You’re not a tree, etc.
,)
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I haven’t seen any PP groups offering “employee-only” jobs. My experience has been that best case you’re offered partnership after 1-3 years and worst case they evaluate you after 1-3 years and may or may not give you partner. In which case, you are choosing the employee position and/or you are not given partnership due to lack of ability/speed/personality/etc.
Are there really groups out there that don’t offer a chance for partnership straight off the bat?
Are there really groups out there that string people along only to deny them partnership for no good reason?
I may just be naive so I’m genuinely asking. I would think that if a PP group is unwilling to even discuss partnership that that would be a red flag to a job applicant, no?
As someone else said, staying in an employed position at a PP group vs. working corporate is an odd comparison given the above. -
There are definitely employee only jobs listed. Sometimes it says something like this is an employed position. Partner track is available for qualified and motivated candidates.
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So, how is that type of position worse than RP? Even if you have a 10% chance of partner, that’s higher than 0% with RP. That’s not even considering all of the other factors.
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I dont have a dog in this fight. I am just presenting the fact that employee only positions exist and are advertised as such.
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To 2BRads,
Yes, there are employee only jobs. I have known a decent number of people in those jobs. Usually (the ones I have seen ) have some reason they can’t or don’t want to meet the full requirements of being a partner. A decent number of the night jobs for groups appear to be non-partner track.
Yes, there are groups that string people along. How many, I don’t know. Had a friend in his first year partner track at a group (small group “wanted to expand” but had not hired recently). The only person ahead of him in their second year of partnership track was told they weren’t sure about him being partner and he needed to do a third year. Both my friend and the other guy that were in their first year of partner track felt this was just stringing the guy along, so they both quit along with the guy in his second year. I have heard word of mouth about some other groups that habitually do things like this. I think it is the exception though. -
Sorry, the last was to Cubs fan10
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I’ve been partner track/partner and currently employee. Best is to have a successful partner position. Unfortunately not always possible. Family can keep you from finding that right opportunity.
Not all partnerships are great either. Or real. -
For some rads, being partner is of no interest. They are at a point in their career where all they want to do is ‘show up and make the donuts’. Others have a spouse with a career and want the the ability to pack up with a few weeks notice to go wherever the spouses job takes them. We interviewed someone for an associate position who was married to a navy pilot. No point investing in a partnership track if he can get orders to japan or 1/2 way across the country. All they care about is that they are being treated fairly and that the paycheck shows up on time.
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Man, some of the posters on this thread are really full of seem more than willing to make huge generalizations for both PE and PP groups that just don’t hold up under inspection. The hard truth is that tons of PP groups are run pretty horribly and are quite often worse for patient care than large PE groups.
Want more hard truths? The doctors ‘running’ those groups are often pretty terrible business people, are deathly afraid to manage the other physicians in their group, and are far more concerned with their partners’ quarterly dividend than they are how well they are serving their customers and patients.
This is why we see PP groups hire administration from the business world to straighten them before the hospital they’re mistreating boots them, or before their group just implodes and goes their own separate ways.
Posters seem to like to blame greedy rads for taking PE money, but as it has been said on here many times, most of these rads who took that money took a ton of their buyout in stock, and are now… wait for it…. partners and practice leaders… in the large PE group.
Last hard truth for you:
Buyouts are only a fraction of the growth associated with PE groups. they also are growing very quickly as hospitals get fed up with rad groups wanting everything under the sun and providing subpar general radiology across all subspecialties. -
Good post. Corporate groups have to be growing for a reason.
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Yea, cause theyre cheaper.
Not sure why you think a bunch of overworked and unmotivated radiologists who are more likely the bottom tier of their class that got stuck working for corporate are going to be producing better reports for patients and caregivers then a private practice group.
There one actual care benefit is maybe more consistent subspecialty coverage in the case of a smaller group which cant cover all subspecialties all the time. No guaranteeing said some specialists are any good, though.
Otherwise, the decision is entirely about the dollar bills.
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Again, lots of generalizations and suppositions that don’t actually hold up under close investigation of what’s happening on the ground.
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Anyone who wants to go work for PE or other corporate type practice, feel free. Lots of those jobs on ACR. Really straightforward IMHO. Anyway you cut it, most rads will make it okay in life.
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Quote from Valerian
Not sure why you think a bunch of overworked and unmotivated radiologists who are more likely the bottom tier of their class that got stuck working for corporate are going to be producing better reports for patients and caregivers then a private practice group.
Otherwise, the decision is entirely about the dollar bills.
Yeah, the hospital admins care about costs not quality.
So PE trumps PP. So it seems -
Well, I heard about how much IR are charging per weekend taking call at PE practices, hint, its over 10 per day.
Meanwhile, my friend had a PP expect him to work week on week off, take half of the partners call as an IR, do all the swing shift trash cases AND do diagnostics.
I am pretty sure PE can offer a better deal to IRs at least than PP. Dont know about diagnostics.
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What kind of fool thinks you are really a true partner in a PE group if you have some stock options? You are an employee, no shame in that, but “partner” is a meaningless marketing term in these Corp group. Again, as long as you know what you are signing up for I don’t begrudge anyone job choices as we all have different life situations. But you are an employee and that’s all you ever will be.
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Quote from irfellow2019
Well, I heard about how much IR are charging per weekend taking call at PE practices, hint, its over 10 per day.
That amount appears to be proportional to the difficulty they have to fill their shifts. I am sure it’s peachy. -
I’m guessing most opinions expressed here, on the real differences in private practice and private equity models, do not have any significant experience in either setting. However, it does accurately capture the very generous estimation of self-worth most of the new grads and junior employee rads have of late. PE’s are doing a good job of getting out the right propaganda that they are there for the new rads, are the only ones who can do it right, better care, etc. Meanwhile making 20% margins off of new “partners” in their corporate machine. And with no hope of being anything more than a salt-miner holding worthless third-class stock.
PP’s must be choosy in who gets to be partner in order to survive. Most rads who want to be partner can’t even articulate why they want to be a partner or have any clue about the risks, demands, and potential for developing future wealth based on said collective risks. Most just want a bigger paycheck.
Critical thinking skills are dying.
One thing is certain in both camps: getting radiology work done is far and away the easiest part of running a radiology business. -
20%? Try 30-40%
You are correct that new grads really don’t have a clue as to what their true value is and how much revenue they generate vs. what they are paid. The only way to have a handle on this info is to be a partner in a traditional PP group and have access to all the data. This next generation of Rads basically will never know any different and so it won’t matter and will make it much easier for PE groups to recruit. -
New grads I know are well aware of their true value.
The discussion here is what to do when true partnership opportunity dont exist.
The current top 5 location I am in right now dont really have any true PP. Personally I would be happy with a 70% pay cut from the best paid PP job to live in this location for the culture opportunity it provides so I am in an academic-VA hybrid.
But I can tell you right now that the deal from PP and deal from corp in a location with no partnership are similar, and if anything, PP deals are worse.
Again, I am only talking about employed positions and many rads have no partnership options
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And before you say you are not a tree, there are some grads who think that proximity to the beach or mountains is worth more than another 500k. I feel that way personally. I suspect people like Flounce realize the importance of proximity to family, culture, etc, can worth a lot more than income.
Now for some people, its worth it to go to a random place and make your worth, but to me by definition partnership jobs are for life.
If I cant find a partnership job at where I want to live, I dont see a point for me to move. Just a personal opinion.
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PP employee salaries can be reasonable but it all depends. A typical non partner track rad, in my experience, will get about 65% of partner pay but will not do weekends or do nights. we have never offered non partner jobs. rather, there is a subset of rads who want an 8-4 job without weekends and without nights. In my group, the formula for that is to take off about 35% as a penalty. This is also true for partners.
As such, the employee rad will make more money on a per shift basis than the employee track rad until that rad becomes a partner in some cases , especially true during year 1 of partnership.
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IR2019, you are a tree, a tree that requires a coastal climate. Its your decision and you decide what has the most value for you and yours.
Enjoying a show called Panchayat… Reminds me a bit of Northern Exposure. My handle is NYC, but there is so much more to life than location… But, I get you and respect your decision.
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Quote from irfellow2019
The current [b]top 5 location[/b] I am in right now dont really have any true PP.
What constitutes [b]top 5 locations[/b]?
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Quote from Takayasu
Quote from irfellow2019
The current [b]top 5 location[/b] I am in right now dont really have any true PP.
What constitutes [b]top 5 locations[/b]?
Wherever the person who proclaims it happens to be.
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Yeah but that still leaves 4 other locations
As for me I believe the recent unrest and shutdowns in much of the country is changing the landscape of which locations are truly desirable. Also taxes and costs of living
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Fw,
The COVID threads are fading away and the threads where people say radiology is dead and/or talk about top 5 locations are back.
Nature is healing.
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That’s some funny sh!t right there lol
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Its irfellows defense mechanism. He needs to justify why his job isnt wonderful by saying but the location is good. We all do it.
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I would rather justify my own choices than have someone on this board do it for me. It amazes me how many come on here and ask the question, what should I do? What the point. Youll just get a bunch of people sure they know you better than you know yourself.
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Actually my job is fantastic regardless of where I am judging by the constant stream of grads who did residency at places where everyone knows asking about employment opportunities here.
Top 5 whatever (location, residency) is places where nobody want to put it down on paper but everyone would more or less write down the same answers if prompted. Sorry if it comes off elitist, just trying to illustrate some locations arent welcoming to new grads who want tk do PPs.
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Definitely not everyone. None of my top 5 locations would have over 100k people. Not everyone circle jerks over urban life. Lots of people just pretend to for some fomo or something I cant quite figure out.
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Yea IR sorry but your version of what constitutes a top 5 place is out of touch with reality. A constant stream of grads asking about jobs is a pretty poor metric of whether your job is fantastic. I would argue there is an inverse relationship between the real, objective quality of your job and the popularity of whatever large city you live in…
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The fact that you require outside validation for how awesome your job is speaks volumes. You should know a job is a great fit by how you feel.
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Quote from 2BRads
The fact that you require outside validation for how awesome your job is speaks volumes. You should know a job is a great fit by how you feel.
Since I haven’t done it yet I don’t know how “it feels” but does working a little more than half the year (vs a daily 9-5 type gig) for slightly less money sound like something you couldn’t pass up? It seems like getting out of corporate type atmosphere would be greatly life enhancing. Granted, the job I’m considering moving to is covering during the higher volume times (but is not overnight) … but I don’t think I can pass it up.
I’m also a type that values more time off during the best decades of your life if you have good money coming in, regardless. Saving/retiring early seems overdone in terms of people actually doing it, or truly being able to -
Job, location, money. Pick 2. Usually can’t have all 3.
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Quote from Cubsfan10
Definitely not everyone. None of my top 5 locations would have over 100k people. Not everyone circle jerks over urban life. Lots of people just pretend to for some fomo or something I cant quite figure out.
Totally agree. Big crowded cities and suburbs are not for everyone. I left northeast at a time when you get a great job anywhere, and again moved to another place specifically looking for better climate, more space, greenery and less crowds. -
Quote from Cubsfan10
Definitely not everyone. None of my top 5 locations would have over 100k people. Not everyone circle jerks over urban life. Lots of people just pretend to for some fomo or something I cant quite figure out.
This is mostly it. A lot of people like the [i][b]idea[/b][/i] of being able to do things even though they rarely, or in a lot of cases, [b]never[/b] do them. What’s funnier is when married couples do that city thing within this paradigm. Even funnier is that in most big cities at this point, you literally aren’t missing anything in fact they are [i]more [/i]restrictive. -
Quote from Cubsfan10
Definitely not everyone. None of my top 5 locations would have over 100k people. Not everyone circle jerks over urban life. Lots of people just pretend to for some fomo or something I cant quite figure out.
This is spot on. More and more of us, especially since COVID hit, have come to love our smaller to mid-sized cities where there is stuff to do but we’re not part of a megalopolis and all of it’s costs, risks, and headaches. Living in a 6k sqft house on or the water that you can purchase for under three year’s income is quite nice, especially when paired with lots of green space and fresh air.
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wow, hard dogma at play. PP radiologists are not a special class that is immune to greed. many partnerships are closed and associates get screwed in consistently novel methods by radiology owned practices. PE is the devil you know. i love that a poster must have an agenda if they disagree “OP must be from corporate”. let’s name call more when someone disagrees. that is excellent discussion.
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Been down this road before; midsize to small university town. Slam dunk best place to live. Add a lake, golf courses, mountains to taste.
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Quote from boomer
midsize to small university town. Slam dunk best place to live. Add a lake, golf courses, mountains to taste.
Sounds great as long as there are no riots and Antifa
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Quote from irfellow2019
Well, I heard about how much IR are charging per weekend taking call at PE practices, hint, its over 10 per day.
Meanwhile, my friend had a PP expect him to work week on week off, take half of the partners call as an IR, do all the swing shift trash cases AND do diagnostics.
I am pretty sure PE can offer a better deal to IRs at least than PP. Dont know about diagnostics.
The RP practices I am acquainted with don’t want to pay anything to take call. IR’s take IR call but they don’t take diagnostic call.
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Yeah, cheap debt and lots of dry powder
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Quote from CapitanObvio
Man, some of the posters on this thread are really full of seem more than willing to make huge generalizations for both PE and PP groups that just don’t hold up under inspection. The hard truth is that [u]tons of PP groups[/u] are run pretty horribly and are [u]quite often[/u] worse for patient care than large PE groups.
Want more hard truths? The doctors ‘running’ those groups [u]are often[/u] pretty terrible business people, are deathly afraid to manage the other physicians in their group, and are far more concerned with their partners’ quarterly dividend than they are how well they are serving their customers and patients.
This is why we see PP groups hire administration from the business world to straighten them before the hospital they’re mistreating boots them, or before their group just implodes and goes their own separate ways.
Posters seem to like to blame greedy rads for taking PE money, but as it has been said on here [u]many times[/u], [u]most of these rads[/u] who took that money took a ton of their buyout in stock, and are now… wait for it…. partners and practice leaders… in the large PE group.
LOL -
I mean if we are specifically talking about being employees, the PP deals Ive seen are hilariously bad and they straight up treated me like a second class citizen
No thanks. Ill stick with my job
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I have to admit I’m shocked to see so many PE apologists on here given my real life experiences speaking with several who work for them.
I guess you never know. As another one above said, they have plenty of jobs available to try them out for yourself.
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Quote from irfellow2019
I mean if we are specifically talking about being employees, the PP deals Ive seen are hilariously bad and they straight up treated me like a second class citizen
No thanks. Ill stick with my job
Agree. PP employee and 1099 jobs are prob worse than Corp jobs -
Quote from Voxel77
Quote from irfellow2019
I mean if we are specifically talking about being employees, the PP deals Ive seen are hilariously bad and they straight up treated me like a second class citizen
No thanks. Ill stick with my job
Agree. PP employee and 1099 jobs are prob worse than Corp jobs
1099 income is the way to wealth and freedom. Its why most Drs across specialties have done it. Just do the math. 10-15 years in-deferred income from 1099 filings turns into millions INDEPEDENT of the success (or more often lack there of) of the PP or PE group.
1040 income in most PP groups is a way to anchor and be controlled by old indentured interests in rad groups and hospitals. -
Do you know the answer to my 1099 telerad question, MRI? I appreciate any input. Whether one has to pay state income taxes because of a link to a state that has income tax although you don’t reside or do work in that state (you do it from your no income tax residence) … or if 1099 is worth it if you can’t get the pass through/business 20% tax refund from the gov’t …
Thanks my man -
I thought rads don’t qualify for pass through
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How to find telerad groups with decent RVUs compensation?
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Over and over – find pp groups who are willing to hire you as a remote reader
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Quote from wisdom
Over and over – find pp groups who are willing to hire you as a remote reader
This sounds like an ideal setup.
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It’s worked out well for me, and I expect it will become an increasing trend as the technology gets easier to implement.
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Quote from DocESP
It’s worked out well for me, and I expect it will become an increasing trend as the technology gets easier to implement.
Yes, recruiting will start to recognize the market increasingly asking for it. Coronavirus has pushed remote work into the mainstream.
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“Yes, recruiting will start to recognize the market increasingly asking for it. Coronavirus has pushed remote work into the mainstream.”
^^I think this is very true.
The challenge is to balance it fairly with on site rotations, which are the foundation of our practice. We have some remote rads who have become ghosts…
We have yet to address it; and it won’t be pretty.-
At least with PE, they tell you upfront how they gonna screw you (most of the time). You also know their motives and your expectations are in the dirt.
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Yeah, although it sounds like from some anecdotes, many RadPartners/PE employees are even screwed over in unexpected ways several months/years into the job (pay cut, work expectations, etc). Sadly, as long as grads keep taking these jobs, the longer PE practices will continue to screw them over.
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Quote from boomer
The challenge is to balance it fairly with on site rotations, which are the foundation of our practice. We have some remote rads who have become ghosts…
We have yet to address it; and it won’t be pretty.
I’m currently on a sub-committee/workgroup which is addressing this very issue. If you’re interested in putting heads together to compare/contrast issues between groups, give a yell!-
Quote from DocESP
Quote from boomer
The challenge is to balance it fairly with on site rotations, which are the foundation of our practice. We have some remote rads who have become ghosts…
We have yet to address it; and it won’t be pretty.I’m currently on a sub-committee/workgroup which is addressing this very issue. If you’re interested in putting heads together to compare/contrast issues between groups, give a yell!
What exactly is the issue? Are the remote rads not contributing to the extracurriculars of running a practice and therefore need pay cuts? (Not trolling.)-
Quote from DonJohn
What exactly is the issue? Are the remote rads not contributing to the extracurriculars of running a practice and therefore need pay cuts? (Not trolling.)
I will point out one issue that has come up in my department. Remote rads are more productive as they suffer fewer distractions and unproductive tasks like fluoro, phone calls, meetings, conferences. They also don’t have to commute or get dressed. They cannot do any procedures.
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It’s good to have some hyperproductive rads, it should help the practice. As long as they aren’t getting paid more, sounds fair if all parties are OK with it. If they are not, then there is the rub.
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Quote from ChuckI
It’s good to have some hyperproductive rads, it should help the practice. As long as they aren’t getting paid more, sounds fair if all parties are OK with it. If they are not, then there is the rub.
Well I think the rub is they have a productivity advantage over in-house rads. So they should either be paid less, or churn out more studies for equal pay.
But hey, I am trying to transition to the remote side so the more equal the better for me. -
Agreed. My point is that they can’t have an RVU based model and they should be more productive. If they are lazy or leading less/equal then there needs to be an adjustment accordingly. Not sure what the formula should be.
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Quote from Takayasu
Quote from DonJohn
What exactly is the issue? Are the remote rads not contributing to the extracurriculars of running a practice and therefore need pay cuts? (Not trolling.)
I will point out one issue that has come up in my department. Remote rads are more productive as they suffer fewer distractions and unproductive tasks like fluoro, phone calls, meetings, conferences. They also don’t have to commute or get dressed. They cannot do any procedures.
The off-site is more ‘productive’ at the expense of the on-site rads who now have to take a larger share of the tech distractions and small procedure stuff. In our setup, the off-site is the one whose phone is listed for tech questions and stats to take that load off the on-site crew (also, reading stats and stroke-codes keeps him tethered to his workstation throughout the day so he doesn’t goof off to the gym for an hour 😉 ).
If being off-site is a rotation that everyone gets to do, there is no need to change anything as the joy is shared equally. If you have people who are permanently off-site, it may be necessary to adjust targets and expectations for that.
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