Delete comment from: Surgeonsblog
anon 2:51 I do think it's increasingly going to be the model, for reasons I mentioned. But there'll be two parts: the hospitalist and the office-based surgeon who does elective work. Each will have it better than the current single-practice covering it all. How will it all shake out? I don't know. As has been suggested, the number of people going into surgery is declining, and as the hours worked are becoming less (or at least that's the aim of the new generation) the needs of the community may not be met. The group to which I'm talking is planning on "physican-extenders" to do followups. Also, they have an arrangement with the hospital and the local clinic, financially: they are paid by the shift, reasonably generously, regardless of production. The clinic and hospital take the billed income, with the clinic reimbursing the hospital for the money they've guaranteed, based on revenue. So the surgeons make no more or less whether they operated like fools or sit around. So far, they don't do a lot of sitting around, however. Of course there are many other possible financial arrangements. When I did it before, there was a guarantee, plus a percent of the production over that. I made more than the guarantee; at that time, the guarantee was lower than the current situation. Could you pay of your debts? Yes. And have a second house and a Lexus? Maybe not.
jb: my plan is to die with a virgin belly. I do worry if my wife needs surgery, however.
Mar 10, 2008, 3:48:00 PM
Posted to Different Cloth