Hey what's up guys my name is John and I'm an emergency medicine PA
And in today's video I want to talk about
I want to share my insane
INSANE
Unbelievable. Unfathomable.
ER locums rate.
I've been in contact with a company over the last four months.
I've been credentialed and onboarded at a hospital.
The locums company is owned by a colleague of mine...
actually it's owned by his cousin.
And I thought the crazy travel rates have come and gone the way of the dodo.
COVID-19 it's it's slowing down.
And I remember during COVID that there were a bunch of Knucklehead ER per diem
nurses making a hundred dollars an hour and I said
"Damn, that's a lot of money."
A hundred dollars an hour to be an ER nurse meanwhile the
full-time nursing staff over there were making
36
38
42 dollars an hour.
And you had these guys coming in making a $100 an hour and they were a W-2, mind you.
I thought that these crazy rates were only restricted
to the nursing staff because there was a huge supply and demand issue, right?
And that's kind of how you find these crazy rates.
When there's a supply and demand issue.
So a normal PA travel rate might be
$80 an hour
$90
$100 an hour
$120 or $140...
I've actually heard of some PAs making $140 an hour.
With this travel company
with this locum's job
They offered me a hundred and twenty dollars an hour plus travel.
This was the initial offer mind you, all the way back in July.
I've now been told that the APP rate...
They've been approved for a hundred and ninety dollars an hour.
$190
Not a typo
Not a mistake
Not an error
$190 an hour.
If you know who Grant Cardone is he always talks
about 10x- OH
if you don't know Grant Cardone don't look him up
He talks about 10x'ing everything and you know
people are out there they're they're fighting for 15 an hour
and I was like
I'm about to 10x this (Expletive)
This $190 an hour is for a 12-hour ER shift that comes out to $2280 a day.
Yeah, I don't make that as a PA at my regular job.
This figure though is a gross figure
it doesn't include local taxes, state taxes, federal taxes,
social security and Medicare...
You know that Uncle Sam is gonna cut into my bread.
One day of working this per diem job will be almost more
money than I've made on my entire time on YouTube
and I mainly attribute that to you guys not
hitting that "like" button enough and being too timid to subscribe.
So what are you waiting for?
Please hit that like button!
For December, I have a three paycheck month coming
So my normal job will be about fifteen thousand dollars of gross income
plus if I did five per diem shifts in December
that would come out to eleven thousand four hundred dollars gross
my other income sources which include Airbnb, YouTube, my websites
I'm estimating should be about another two thousand dollars
before taxes I'm expecting about
$28,000
Insane, right?
And uh, last time I did a YouTube video on making all this money in a month
It was actually like published in some articles and stuff...
Guys don't publish articles about it –
Just link the video.
Doing my ER rotation, I knew of PAs making
$200 – $300,000 a year
So if you're out there and you want to hustle...
There is money.
Let's talk about January
My January expected earnings
I'm estimating that I'll earn ten thousand five hundred dollars for my regular job
at my reduced hours
and I'm reducing my hours so that I can work more per diem shifts
my job's yearly bonus of
fourteen thousand dollars
I'm estimating more or less
my per diem, say I did another five per diem shifts
at $11,400
Plus my other income sources...
once again let's just put two thousand dollars to make things easy
That comes out to $37,900 dollars for January
This is an estimate.
You know, if I'm a couple thousand dollars off
Don't blame me.
I mean it's gonna be more than thirty thousand dollars
I can guarantee you that.
Say I only did two per diem shifts
So even at my worst month, right?
If I only did two
plus with my regular job and you know my extra income that I get
Still looking at about $17,000 dollars a month guys...
Seventeen thousand dollars a month.
So what is the point of this video?
The point
I wrote
I wrote this down
I actually did write this.
The point of this video is to highlight that you
should always keep an eye out for what's out there.
You're not going to find any rates unless you're talking
to people and networking, that is another point.
My second point
I guess that's now my third... my third point.
THIRD POINT
is to stop selling yourself short.
If you're a PA
If you're an NP
and you're making less than a hundred thousand dollars a year?
You are selling yourself short.
You are a valuable asset of any clinic or practice out there
being taken advantage of
and I would also speculate that you are too attached
to a specific geographical area
or a specific, you know, organization
Three years, almost four years, into my PA career
I've now worked at three different hospitals
soon to be four different hospitals
and you have to always be looking out for what is out there
so I just want to say
Go get that bag.
Go look for stuff.
You are not going to hear about any travel rates unless you're talking to travel companies.
And keep in mind that when you are looking for locums rates
travel rates
they are paid
say hypothetically the hospital is like,
"We need these shifts filled and we will pay you 250/an hour for PA."
That travel company then will find you – the PA –
and they will say, "Hey, we'll give you a hundred dollars an hour."
and they're paying, you know, all their staff
and all their people
and they're making a profit off of your hard work and labor
So whatever number they give you, because I remember,
I was getting travel contract rates at $75 an hour
Whatever they're telling you...
There is meat on the bone. There's more to negotiate and this is
this is from other ER doctors telling me
other ER doctors who have been in the travel scene for some time
There is money to be had out there
and you don't have to go to
rural Alaska
or Arkansas
to get these sorts of rates
I did not start like this guys
I was just like you I was making under $60 an hour as a new grad in the ER...
Just to be clear
$190 an hour is a solid physician rate
guys my last job was paying the ER doctors $195 an hour
$215 an hour for night shift
I acknowledge that this $190 an hour rate is very temporary
you know we have the holidays coming up
it takes them months to credential a PA
and also mind you that this facility has 15 to 16 empty ER shifts per month guys
and they are filling these empty ER middle shifts with doctors
travel doctors
who are getting paid even more money
so it is in the hospital's best interest to kind of fill these
gaps with some schmuck like me at a lower rate
and uh that is sort of where we are
I expect this rate to be probably November, December
I wouldn't be shocked if I got this rate in January or February
I also would not be shocked if the rate starts to tumble
down towards something a little more reasonable
So what am I going to do with this money?
I feel like I should always end the video with what are my plans, what are my intentions?
Uh with this money I do plan on renovating my pathetic excuse of a backyard for next year
that way it'll be even nicer from myself and for my Airbnb guests
I'm going to pay off my sports car
I also might even snag an MK14 EBR
maybe even a Sig Spear LT
as a belated Christmas gift
You guys should be keeping track of your finances
I just do a spreadsheet now but I also do use YNAB
The reason I think I increased my income and my net worth
and all that
is because I've been prioritizing it.
So if this sort of stuff interests you
I mean, I have a ton of videos on my channel.
Check me out on Instagram
for more of my travels
more of what I've been doing on a day-to-day
and as always guys
Stay safe out there. Have a great rest of your day.
Bye bye