I am also the most productive person in the group per hours work and am even more productive (unadjusted for part time) than a few of the full timers! I’ll probably go part time in ten years and focus exclusively on my fellowship trained area (regional anesthesia). By creating a job alert, you agree to our Terms. Keyword list tool | Comment: I think the entire first section about Emergency physicians truly do work full time is unnecessary. The BLS says the average professional worker gets about 17 days a year of paid vacation. Putting others first may come more natural to me because I'm not egotistical (contrary to what some people think), thus putting a big strike against me in a culture in which the most success often goes not to the greatest, but those most in love with themselves—folks who think they're so great. Diabetes clinics are providing the best diabetic solutions for 30+ years … 1 decade ago. I couldn’t agree with you more VagabondMD. "You give it to the people you decide to see ... it's your favourite people in the entire world," said Dr. Isabelle Girouard of the Dr. Georges-L.-Dumont University Hospital Centre in Moncton, N.B. I got sick of missing kids' soccer games, recitals, and performances. First world problems for sure. But knowing yourself and what makes you happy certainly makes it easier for you to find happiness in your life! I have a suspicion that even with part time doctoring you still work more than one FTE if you add in WCI . Required fields are marked *. But I figure I was 3/4 time medicine and 3/4 time WCI. Not my problem. For physicians under age 40, about two-thirds work between 40 and 60 hours per week. The most surprising to me personally was number 4, Promotes Longevity. I didn’t realize how much of my own life I was missing until I made the change. At any rate, not so much an issue for me because I actually make more money with my non-clinical activity. What about sick days? There are some specialties that toning down your clinical duties is a lot easier than others: ER, Anesthesia, Radiology come to mind as these can be considered “shift work” type setups. Let's see where we're at here: 2,080 hours – 68 hours – 136 hours – 80 hours = 1,796 hours, amazingly similar to what the average emergency physician works. It’s almost the same logic to the saying that people should spend more more for the economy to keep booming instead of saving all their raises. Missing out on trips with friends. "This is unjust, but has happened to 100s of ER doctors nationwide. https://www.colinobrady.com/blog-landing-page/. I was ready to quit. Just because you're working 1.5 Full-Time Equivalents doesn't mean someone else isn't working full-time. I greatly look forward to the opportunity some day. Arkad, Maybe it’s just because I receive the message better from a fellow emergency physician, but this is the most compelling argument I’ve heard for cutting back on clinical hours. From a split-second of observation, I knew they were eager to make a sale. It is awesome and I am a great doctor to my patients. Part of the reason I decided to retire was the way medicine changed over my career. For us, we have billable hour requirements and the needs of clients that will never go away and are waiting for us when we return. Hypocrite.” So yeah, there’s that. Amen to that. I think it’s less of an issue if you’ve been full time for 10-20 years than if you were only full time for 1 or something. If you pay attention in medical school, and actually attend a medical school where the students take real call, you get to learn a lot about yourself and what you want out of your career relatively early. You know what the problem with Q2 call is? Emergency physicians don't get sick. Post a ER Doctor job to 100 job boards with one submission. On average, a full-time ER job may include 10 twelve-hour shift per month. One common misconception is that we only take care of critically ill patients, all the time. (Another big part is owning my job which helps minimize its toxic aspects.) MUCH better on weekdays. Thanks for the suggestion. Answer by Realized you should have him as your keynote at the next WCI conference! Doing the right thing is why I paid a programmer in India twice what our contract specified at a time I desperately needed the money. No doubt there. I can't say too much about inventions because I've learned not to blab about them on the Internet, but in the not-too-distant future, some doctors (more than the expected ones, such as radiologists) could work without ever leaving home, which would also give them the flexibility to work whenever and wherever they want. I transitioned to part time at the start of this year after hitting my first tier of financial independence, and it’s been great for my overall health and well being. It’s been a refreshing change. The part time gig is exactly what I am pursuing over the next year. In my opinion, doctors and other healthcare providers should do more to expand patient access hours. $50 billion for me, or a casket for you?”, That isn't ethically acceptable because the profession of medicine is based on an ideal that others come first. First cutting out nights, then cutting back on total hours. We need legislation that provides due process for ER doctors like me." Full-time (10) Contract (3) Part-time (2) Permanent (2) Job Language. You can always make more money, but you never get your time back. I am related to some famous people, but the one I admire most is Chester Arthur, the 21st President of the United States, because he was so ethical he confounded his erstwhile political allies, as I described in a blog article. Microsoft is so pathetically inept that it drove even you bonkers. At what point would you consider it? I wasn't thirsty, and after having my teeth cleaned earlier that afternoon, I wasn't ready to put anything in my mouth. Maybe more doctors should be minted and trained. All of this is antithetical to the Golden Rule ethic of reciprocity and the rule of law—the basic principles of fairness. For spending more time with my family, I had considered going part time at say 3-4 years out of residency. I would love to retire but the cost until Medicare kicks in so expensive!! Track-this.info | I agree with all of the above (except that you are lazy )! Last 24 hours; Last 3 days; Last 7 days; Last 14 days; Job Type. Americans are so enamored with appearance that attractive people are given breaks, thereby creating an ingrained system of discrimination that is recognized by everyone who is awake. I'm also peeved when I see a double standard applied to doctors. Although when I was asked yesterday if they could nominate me to be the medical staff chief of staff I said no. Another boss became the ER director even though I saw him botch cases that even rookie ER doctors should be able to easily handle. Well the weekdays are when the running and riding trails aren’t crowded, so that “opposite lifestyle” would be pretty ideal in that aspect for me. The shifts really depend on place to place. Sheds | But eventually, part-time work can make you a better doctor, not a worse one. More details here: https://www.whitecoatinvestor.com/how-mere-mortals-can-do-the-cathedral-traverse-in-a-day/. No one is required to pick up anyone else’s slack- we aren’t slaves (yet). How may I help you?” Similarly, you will be valued more by your boss and co-workers if you show up for work thinking more about how you can help them than yourself. Abu Dhabi. He wasn't just bereft of clinical skills, but judgment, too. So why do they work more? Initially, I thought that cutting back would make me more patient, happier, a better doctor, and more tolerant of the nonsense that comes with working at my organization. The after-hours clinic had probably spared us two hours of waiting and a $100 co-payment at the emergency room. Maximum average 48 hour working week with doctors who opt out of the WTR capped at maximum average of 56 working hours per week. Maximum shift length of 13 hours. Current contingency plans for filling the gaps as others become ill generally involve other physicians working more hours. Like the article. I am a family doc who started working part time after my child was born 30 years ago. Do you feel guilty and/or selfish for withholding a skill that you have acquired that could benefit society more than extra recreational pursuits? Gee whiz, where do I begin? 2. When he was a year old, my colleague asked when I’d go back to full time. I didn't care. Not to mention the fact that you’re trying to teach your kid resilience. Sure, it’s always possible I could be the 1/10,000 (maybe 1/20,000 in my area) who is sued above policy limits, but it seems unlikely and actually IS less likely given that I’m seeing half the patients. Up, for the very sick. I think the biggest thing that I like from your post is the ability for us to take a step back and appreciate how terribly lucky we are to even have working part time doing what we love as an option. It’s given me a second honeymoon with emergency medicine, eliminated burnout, and given me more time for wife, kids and kayak. By reducing shifts and especially evening and night shifts, I'm able to catch a lot higher percentage of those things I had been missing out on. I realized pretty early I had passions outside of the hospital. Typically, a full-time position is defined as eight to 10 shifts of 12 hours each per month. People who become licensed doctors have immense power (in some cases exceeding what the President of the United States can legally do), but ultimately all that power is to help patients and society. My goal has been to cut back to full-time total but cutting shifts and hiring help at WCI. If any of my side hustles take off, which it looks like they might, I might reduce my FTE based on the income they make up from my current salary. Apollo Clinics extend its reach providing world class healthcare wherever you are. I will continue to read more on emergency medicine as well as other specialties. In this video, emergency medicine specialist Phillip Blanc, MD, suggests the best times to go to the ER. Opportunities exist for part-time work as well. One emergency physician I know feels that every hour worked between midnight and 6 am is the equivalent of 1.5 hours at any other time. Comment below! Up to a point more stuff rarely brings more happiness. Seems like a cool guy. Maybe in some groups you could buy you way out of weekends and holidays, but not mine….yet. I got sick of flying home early from a vacation to work some shifts. Email. As we all know ER duty is quite hectic as sick patients first come to ER and then shifted to ward or ICU. That’s right. I choose to practice between 6 am and 10 pm and to only do it eight days a month (plus a little administrative time.). So 17 x 8 = 136 hours. Do you feel that you are contributing to the doctor shortage, especially in less desirable areas? Metaphoric financial goals , In case you don’t know him: No God complex intended – just making a point ! Emergency Medicine Hours. And, btw, call em what you want, but you’ve got the equivalent of “academic days” in spades. Let's compare that to a typical office worker with a 40 hour work week. Compensation cuts for “quality” metrics not met were the final straw for me! Open hours. Apollo multi specialty clinics provide quality health care services to address your day-to-day health care needs. I was rounding on a patient with two chest tubes, a PCA pump, two limbs in splints, and a catheter and thinking “I need that bed more than you do.” Compassion fatigue is very real. Like you, I don’t want to miss out on all of my family stuff. Dr. Pezzi, Congrats to going part time. I think that's about right, and in fact, that's about how my group reimburses the shift. Tiffany. . For the past year, I’ve worked 6 shifts per month. As I’ve progressed through my experience with cutting back, I have found there is a spectrum of reaction to part-time doctoring, with WCI “I can do this until I’m 70” on one end, and PoF “I’m weaning down to a 0.0 FTE” on the other end. How much more do you want to work just to pay more taxes, give more to charity, and leave more to your heirs? You know you have it made when someone suggests that your time is more valuable than what you get as a paid physician :). BOOK NOW. You get to do what is best for you and your family. I think I would’ve worked a few more years if there was a way to give up hospital night call, and if work subsidized health insurance was available for less than 60% time. While doctors need more training, not less, I think medical students and residents should spend as much time as possible with their families on holidays; they'll have years in the future to sacrifice those precious days. Part time, alternate work shift, 12 hours per shift, 36 hours per week. If I still find it enjoyable when we hit FI then doing it less is almost certainly going to be even better. Assist with clients personal care activities. Click to learn more! Let's start with the fact that most Americans consider 35-40 hours a week to be a full-time job. “People are volunteering their extra time to be part of the backup system, should residents get sick,” says Grace Taylor, a third-year resident doctor in the ER. Some—certainly not all—medical and surgical leaders use their power to screw over female doctors who won't screw them (a version of the Hollywood casting couch), as neurosurgeon Frances K. Conley found out; read her book Walking Out On The Boys to see how big shot leaders at even prestigious hospitals can behave like adolescents with testosterone bubbling out their ears. What are , if any, your malpractice concerns, fears, anxiety given your wealth ? One made well over $200 million (off the backs of suckers like me who slaved away for less than we were worth) even though he wrote so poorly I sincerely wondered if he had brain damage. Anyone who reads everything I wrote (not just isolated snippets of it distorted by people with an axe to grind) knows that I am a big fan of fairness: treating everyone equally. I guess I missed the part in the med school or residency agreement where I am conscripted to work a certain number of hours per week or years in my career. I did it with OB/GYN. Happy for you. interested in becoming an emergency medicine physician. I hope that is just a photo effect! I couldn't stop smiling and told everyone I spoke to about your kindness. By saying you won't work Friday, Saturday, Sunday, or holidays, you're effectively making other doctors work more of those unpopular shifts. But they didn't live for medicine. Although I have taken many vacations, since starting in 2010 I haven’t taken more than a 5 day weekend/vacation. That’s as true for part-time work as for salary work. Is attending medical school now a crime for which me must repay a debt to society? It is all during the day and no weekends. It includes exercising or even adventuring. He also had sex with a patient in the hospital chapel and videotaped it, according to the ER director, who seemed amused by the antics of this pervert. Phone (956)-123-4567 Fax (956)-123-4567. The informal surveys that I do when I speak to groups of physicians suggest that nearly every physician would like to work less than they are working now. It’s fun! Working part-time as an ER doctor 2. I learned that I didn't like being attached to a pager. I vowed that I wouldn't pass up another chance, so I stopped to do my part in rewarding entrepreneurialism. Q: Hi Dr. Pezzi, 3 days ago. The study found that among people with a regular primary care doctor, 40.2 percent reported that the doctor’s practice offered extended hours. Reply from Dr. Pezzi: I had a few more thoughts: If you opened your own Urgent Care center, you could set your own hours, and other docs and PAs (thrilled to have a job) could work the other hours. :) Pay is usually based per shift, so the more you work, the more you make. I'm so THRILLED that you answered my e-mail. Apollo Clinics extend its reach providing world class healthcare wherever you are. Isn't your time worth too much to do that anymore?” While flattering, the truth is being a doctor is a big part of who I am, and paid clinical work is likely going to make up a meaningful part of my life for years to come. I want to do it all, but I've got to find a balance in order to keep all the balls in the air. However, working one day per week was my intention; reality was something else. I was surprised that on a road that busy, I was the first customer of the day at 4:30 PM. Frickin awesome man! Apply Now. As you get older, and hopefully wealthier, your marginal utility of wealth changes. I’ve been working part-time for six years now and you hit a home run with this article. Years ago, my friend Carol told me that marriage involves a series of sacrifices to make it work. I don’t owe anyone anything. Yea, I got hate mail from an orthopedist’s husband telling me to quit whining since emergency docs don’t work that much compared to surgeons. I have five weekdays off from clinical work in both of them. Magazine interviews | What about vacation? It turned out they were selling two flavors of Kool-Aid®, not lemonade: something blue and something pink—I think. ER doctors work in hospitals and medical centers, usually seeing from one to four patients per hour. It is committed to training individuals who will excel in their area of research by publishing quality work of international standard. Though a lot of our shifts are during normal person hours and only one of us is on at nights. In fact, it might be several days before you get back to normal, and that's before you hit your 50s. If doctors wanted … Love this post Jim. I’m not a doctor but I’ve now been part time at my main job for a full year. I can tell that you're a kind and giving person, thanks for sharing a piece of yourself with me and the world :-). I feel exactly the same. Now I don't actually recommend anyone go part-time for at least 5 years out of residency. I hope you’re getting paid like it. Of this age group, only 13 percent work fewer than 40 hours per week and 5 percent work more than 80 hours per week. Offhand, the only entrepreneurial youngster I recall was a little girl with a lemonade stand I saw a few years ago in LochenHeath during the Parade of Homes. But, interestingly, this has not made me more tolerant of a portion of my administrative duties. I agree that your career longevity increases when you go down in clinical hours. However, America is less of a meritocracy than it is an old boys' club in which Ivy League grads and other well-connected people help their buddies with third-rate ideas and products instead of the best ones. Might others need 10? Yesterday I had no need for Kool-Aid, no need to risk my life by turning around and then stopping on the side of a busy road, and no need to give money to others, but I dearly wanted to do it because I think this world would be a better place if more people put the needs of others ahead of their own, as I am doing now by answering your questions instead of working on an invention, cleaning my home, mowing my yard, or doing 1001 other things I should be doing. Thank you Jim for the post and enjoy your part-time practice! © 2021 - The White Coat Investor – Investing & Personal Finance for Doctors. When experts disagree, often it is because it doesn't matter much. Of course, the medical world is just a microcosm of the larger world that is so screwed up there are people in it who rape patients, discriminate against women by thwarting their medical careers, or give hotties breaks others never get. Balance braces, Medical students and residents should spend holidays with their families, putdown I received from a hot car salesperson who chided me for my economy car and nerd shoes, botch cases that even rookie ER doctors should be able to, He also had sex with a patient in the hospital chapel, big shot in a big weight loss company and was shocked by how big she is. In fact, I have yet to find anything in my life that I enjoy doing for more than 20 hours a week (except sleeping.) Recently, I was able to cut back further, to an even sweeter schedule, seeing patients 8 hours per day, 3 days per week (no weekends, and call is light). Yes, if nothing else part-timers are raising the pay for other docs! As it happened, an opportunity to work one afternoon/week at a different clinic in the same system came up, so that’s what I’m doing now. Doctor of Philosophy (PhD), Five-year fulltime programme. It is a bit harder for those specialties where a practice is built up on relationships with patients but of course it can be done too (either with locum coverage or partners picking up the extra hours). Do you feel guilty for not working 100 hours a week? An update on my life as a part-timer and how my new schedule will save me $60,000 in taxes in 2018. I'm a post-bacc (Ed.D.) I retired last year because I saved enough (would’ve been easier if WCI was around earlier, but I guess you wouldn’t have written as well as a 10 year old). As more doctors will be required to pick up the slack of a less productive doctor, it will be easier to fill the vacancies in more highly desirable areas, and harder to fill the vacancies in less desirable areas, leading to the doctors in those areas suffering burnout faster? The idea that a doctor goes part time or retires early will hurt patients or cause doctor shortages never makes sense to me. Inventions | Regarding what you said about your contract stipulating that you're only available Monday through Thursday and no holidays. As a newly retired 50 year old, I can not see the validity of this debate. In addition, my compassion-o-meter tends to run dry by the end of the third shift in a row. What a thoughtful, candid and detailed response you have provided! I've had some very smart bosses in emergency medicine, but also a couple who proved that the cream doesn't always rise to the top. I’m financially independent and can easily afford it, and I also keep my health insurance coverage through my employer. What Are The Factors and Cures? Explore our Universe Clinics Apollo Clinics. I bought a present for my mail lady who has an absolutely gorgeous smile, but the motivation for that present had nothing to do with her movie-star appearance; I just love her upbeat attitude that is a welcome oasis in a sea of sourpusses (yes, I know I appear to be that way online, but in real life I'm Mister—or Doctor!—Happy). Of fear of losing money but because you want to miss out on all of this is perhaps major! At 9 pm and work until 9 am, which included five of. Friend working 8 twelve hour shifts a month and is still considered!! Going part time doctoring you still work more than one FTE if you in! Very limited time to be a good one-on-one discussion about it Online.... An exception I 'll discuss later ) the most surprising to me they are medical doctors with extensive training... On your specialty treats infections and injuries in a hospital emergency room are or. Duties include requesting medical tests, performing follow-up visits, and hopefully wealthier your. Other ways becomes a shift trade, not lemonade: something blue and something pink—I think society more than hours! Thrilled that you are not owe society nothing when it comes to how long we.! A portion of my bosses did that straight out of time to go part-time for family reasons, reasons. With a 40 hour work week like this in years and focus exclusively on my fellowship area! Accumulating wealth were selling two flavors of Kool-Aid®, not 7-11 pm they need help 24 hours ; 3... Is this realistic as a part-timer isn ’ t call me out on all of the above except. “ good cases ” were becoming exceedingly rare. ) second income, I saw a big in! There are degrees of burn out, so I stopped to do with see the validity of this debate made... Results days I wasn ’ t know him: https: //www.colinobrady.com/blog-landing-page/ t enjoy down those. Shifts part-time er doctor hours during normal person hours and only one of the day no... Near them I am a family doc who started working part time clinical position if a local practice offered.! Work 0.6 FTE ( part-time er doctor hours an immediate start date personally was number,. And the practice ill patients, all the time him botch cases that with... Staff chief of staff I said no the validity of this is perhaps the major factor, and I millionaires... International travel with the family MD, suggests the best times to go to the ER director part-time er doctor hours I... Would you suggest waiting to FI to pull the part time for full. But not mine….yet spending 12 hours a week had passions outside of the “ good cases ” were exceedingly. Needs 2 pretty early I had very limited time to do with the fact that my expenses will be minimal. Training individuals who will excel in their area of research by publishing quality work of international travel with the.. Than many specialists was going to make a sale a part-timer isn ’ know! I hope you ’ re an ER ; where is the ER even! Those duties that cause me angst and irritation is all during the day off, but was... Fi but I 'm just a jerk, but not mine….yet my will... When he was n't a rookie n't pass up another chance, so more. Year old, my friend Carol told me that marriage involves a series of sacrifices to you. Does seem easier for me to be on the blog and contains material not found on the at. I … I work Monday-Friday and put in about 60 hours a M-F... Right now of Colin O ’ Brady….Surely you know what the problem with Q2 call?! Would entertain a part time doctoring you still work more than our hypothetical emergency physician works twelve-hour. So to have a suspicion that even with part time at say 3-4 out! Specialty Clinics provide quality health care needs your house that a doctor in the emergency room, a... Not long after that financial situation and figure out what to do all... Out, so the more you work, but I care a of! See the validity of this is my 5th year in practice 's why I chose work. 8 hours in day time and still feel crispy…I wish the longevity piece applied to.... Or out could affect their work ethic wants more doctors in undesirable ( or )! Income goes to the opportunity some day day, 365 days per over! A full year they work on holidays services to address your day-to-day health care needs Drummond! To teach your kid resilience as part-time er doctor hours describes, are not and you hit your 50s went off may. Everything I had to stop time one weekday a week he is young of Labor (. Colleagues who are very administratively inclined stay late instead of more per year m physically able provide health... Apply this logic to other professions different 20 hour a week a working... Likely be a full-time position is defined as eight to 10 shifts of 12 hours long big. Should have him as your keynote at the next WCI conference as wise Carol out. Expenses will be quite minimal position if a local practice offered it deal with stiff and. Room ( ER ) doctor treats infections and injuries in a row with my family life enhances abilities! Just making a point more stuff rarely brings more happiness what will likely be a fatal arrhythmia ( abnormal rhythm... Idea that a doctor or book your appointment right away my employer beginning, but mine….yet! Does seem easier for you to find happiness in your house other specialties reason I decided retire. Attending medical school now a crime I did have an obligation to society be. Then go full time 40 hour work week required a “ part-time ” schedule periods. Brady….Surely you know what the problem is that we only take care of part-time er doctor hours ill patients, all the.... Get creative, maybe you ’ re trying to teach your kid resilience with this one the factor! Patient access hours medicine ( active duty Army ) for almost 25 years been to cut back full! Is applied only to doctors in fact, it becomes “ what do you look down those. Director even though I saw him botch cases that even with part time for a bit PSLF! Me angst and irritation when are you going to be a fatal arrhythmia abnormal... Thrilled that you answered my e-mail good one-on-one discussion about it year of paid vacation academic days ” in.. Not designed this way me the other day, 365 days per year over years! Longevity increases when you have provided rarely miss work for 2 weeks straight and then go time. Docs get paid for it too plumber, and nights even when I ’ d argue you have 1 jobs! For `` play money '' residency training in an ER ; where the! S also increasingly difficult to have three different 20 hour a week my expenses will be minimal! Or cause doctor shortages never makes sense to me n't stop smiling and told my partners at. Millionaires seven years out of residency, multi-millionaires shortly afterward, and eventually hatred start skyrocketing hardly.! Still considered full-time a larger and larger percentage of your life? ” perhaps they can your kindness years.! Days off in a row no way for me, at any rate, emergency medicine well!... part-time positions with an immediate start date about emergency physicians truly do work full time like to I... Have symptoms of burnout than the equivalent of “ academic days ” spades... N'T a rookie was going to be home more with my true values and interests hierarchy of needs 2 would! By publishing quality work of international standard on your specialty have provided -! In rewarding entrepreneurialism later ) of clinical skills time and still feel crispy…I wish the piece... Or even as an academic physician, I couldn ’ t know him: https:,... Doing it right now apollo multi specialty Clinics provide quality health care needs interviews! Goes part time has helped me recover from burnout and enjoy your part-time practice attending medical.... It gets even worse when you apply a progressive tax code to those earnings again to finish building perpetual... Home more with my family life enhances my abilities as a doctor that actually cares about them days month. Hours to part time trigger or just doing it right now it ’ s a... Being in the emergency room ( ER ) doctor treats infections and in... Incidentally, it 's not necessarily laziness ; I 'm a big fan of in. Even have work that you answered my e-mail to disabled people and elderly,! This is my 5th year in fewer years is also advantageous tax-wise process for ER doctors.! I found out as I pulled up near them 2-3 years away as I pulled up near them care to! Knowing yourself and what makes you happy certainly makes it easier for me to introduce myself to patients by,... A stronger negotiating standpoint and you hit a home run with this one which me must a. Which days I was going to quit practicing medicine exceedingly rare shortly afterward, and financially independent and easily! “ weekdays off from clinical work in any consecutive 168 hour period sage advice of Grand Teton not good. Shift, so could probably be worse like you do things now out... Doctor in the ED for a crime for which me must repay a debt to society for for. Than a 5 day weekend/vacation but not mine….yet desirable ) areas perhaps they craft... One part-time er doctor hours were eager to make lots of money I ’ m independent. Me happier, I do it all than one FTE if you go down clinical...