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Call Schedule Shenanigans?

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  • #16
    This is a big bummer.... but what is the burden? Did you go from one call/month to two/month?

    Or did you go from 4 calls per month to 10 calls/month? That would be a BIG deal!

    Call burden is real...

    Next time, I'd encourage you (and anyone!) to know exactly the number of calls required prior to signing anything.

    Comment


    • #17




      This is a big bummer…. but what is the burden? Did you go from one call/month to two/month?

      Or did you go from 4 calls per month to 10 calls/month? That would be a BIG deal!

      Call burden is real…

      Next time, I’d encourage you (and anyone!) to know exactly the number of calls required prior to signing anything.
      Click to expand...


      Unfortunately doesn't matter what they say or even what's written.  Thank god there is no non compete.

      Comment


      • #18
        •Is this group policy inconsistent with the language and spirit of my contract?
        Yes.
        •Unfortunately doesn’t matter what they say or even what’s written.
        Yes it does.
        The distribution of work is significant without compensation. Your career is greatly impacted. Your time is valuable as well. You will take a financial hit changing jobs, probably more than anticipated. What is it going to cost you to change employment?
        •Thank god there is no non compete.
        Yes the is great. What about the rest of the contract? Are they going to try to claw back $$ for signing, relo etc? Notice required will you take call for free? Will they reimburse you for your attorney fees? Will this be a friendly goodbye or how will they handle the separation?
        •The real question is whether the model is sustainable or fixes can be achieved that make it desirable for you long term. The “reward” for taking call on behalf of the senior physicians needs to be “worth it” and “sustainable”.
        • Compensation, job, location. It makes a huge difference whether you and your employer really have an understanding that will last. Contract only serves as words , many solutions are available. How big of a problem is it and what fix is acceptable?
        It matters greatly what they say and do. Then you have to make significant decisions. Don’t get hung up on principle of equal, make choices on the impact on you both short term and long term.

        Comment


        • #19




          In our big democratic group everybody shares call equally. If you do not want call anymore, you enter a specific retirement track, which requires you to be phased out of the call schedule over 4 years, at which point you must retire. Can stay on as a PRN moonlighter after that with no guaranteed shifts.
          Click to expand...


          This is great. Personally, I think it's ridiculous that you can quit call at a certain age. If you are still doing surgery then you should still be taking call. For me, i hate being on call but it would feel very odd to quit taking call and push that burden on my younger colleagues while I was still enjoying a full busy surgical practice.

          Comment


          • #20







            This is a big bummer…. but what is the burden? Did you go from one call/month to two/month?

            Or did you go from 4 calls per month to 10 calls/month? That would be a BIG deal!

            Call burden is real…

            Next time, I’d encourage you (and anyone!) to know exactly the number of calls required prior to signing anything.
            Click to expand…


            Unfortunately doesn’t matter what they say or even what’s written.  Thank god there is no non compete.
            Click to expand...


            You asked




            Any thoughts on what I should do?
            Click to expand...


            Well.... my answer would actually depend on the burden. It does matter what is required, what was said, etc.

            A non-compete only matters if you plan to bail and stay in the same area.


            Unfortunately, as the hospitals do not currently pay any of our specialty for call and hospital privileges are not required to practice, the remaining doctors not in the group are moving to stop taking call as well.  I have already brought up the idea of asking the hospitals to pay us for call but the idea has been shot down for fear of angering the hospital systems.  I’m hesitant to even mention my contract terms for fear of being labeled a typical “millennial.”
            Click to expand...


            Doesn't make any sense that the hospital pays you nothing but that you all have to cover 24/7 when hospital privileges are not required.

            Yet you are talking about a non-compete... so you would stay in the same area but not take call for this same hospital?

            This does not make any logical sense.

            Comment


            • #21







              In our big democratic group everybody shares call equally. If you do not want call anymore, you enter a specific retirement track, which requires you to be phased out of the call schedule over 4 years, at which point you must retire. Can stay on as a PRN moonlighter after that with no guaranteed shifts.
              Click to expand…


              This is great. Personally, I think it’s ridiculous that you can quit call at a certain age. If you are still doing surgery then you should still be taking call. For me, i hate being on call but it would feel very odd to quit taking call and push that burden on my younger colleagues while I was still enjoying a full busy surgical practice.
              Click to expand...


              Exactly!  I recently tried unsuccessfully to remove age based restrictions from call.  I felt as call is a tax for the privilege of operating.  If you decide to stop operating, then you can stop call.  It did not go over well.

              Comment


              • #22










                In our big democratic group everybody shares call equally. If you do not want call anymore, you enter a specific retirement track, which requires you to be phased out of the call schedule over 4 years, at which point you must retire. Can stay on as a PRN moonlighter after that with no guaranteed shifts.
                Click to expand…


                This is great. Personally, I think it’s ridiculous that you can quit call at a certain age. If you are still doing surgery then you should still be taking call. For me, i hate being on call but it would feel very odd to quit taking call and push that burden on my younger colleagues while I was still enjoying a full busy surgical practice.
                Click to expand…


                Exactly!  I recently tried unsuccessfully to remove age based restrictions from call.  I felt as call is a tax for the privilege of operating.  If you decide to stop operating, then you can stop call.  It did not go over well.
                Click to expand...


                N our practice, we have it where you must take call if you do surgery. And, if you decide you no longer wants do surgery, then you must also give up partnership and become an employed doc instead. With our ownership interests in multiple surgical facilities and real estate, the idea of changing from a full partner to employee would mean a very substantial financial hit.

                Comment

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