I'm in an employed group of OBs, fairly largish group. We are looking at expanding due to increased volume - lots of solo docs in this area have left for various reasons. The closest OB group (next town and hospital over) has imploded and those patients are coming to us now. My last few calls have been hellish. My office manager just says "RVUs! Think of your bonus!" Fuck my bonus, at that point, I just wanted sleep.
We're looking at a laborist model when we add our newest doc (and yay, she starts soon!). I have to admit, I would be all over that, no running back and forth between office and the labor deck (which is worth about 4K steps per call according to my new fitbit). No trying to juggle over where we need to be. Just spending shifts on OB, in-house. Or staying in the office & being able to fully be THERE. No need for rescheduling patients because of a delivery.
It would mean that I could effectively work full-time while keeping multiple days off per week. I like the part-time gig, it gives me time to keep my household functional. I can run the kids to lessons and fix dinner. I don't need to hire a cleaner because I can do things over the course of the week. It means I can chaperone field trips (which remind me why I am not a teacher).
Interesting things to ponder. I'm a year into this contract, will need to renegotiate if all of this comes to pass. Overall, this place was a good place for me to land. Reasonable administration, good group, nice hospital, great nurses. It's not perfect, but it's good enough. I'm not stupid; I'm planning on retiring from here unless my husband gets a better teaching job elsewhere. I hope not, I'm not up for moving yet again.
Like I told one of my partners, I'm too old for this shit. OB is hard on your sleep schedule. OB is physically draining. I got home the other day from a post-call office day and made it to the couch. I literally was feeling my legs throb and ache. I just wanted to do something mind numbingly dumb, so I harvested supplies on my Clash of Clans game.