List Archives

Sat Sep 12 08:05:44 BST 2009

Ken

I know this is not the USA, but the situation in South Africa is very simple:
Those of us in public hospital service are paid a "communted overtime" for
between 12 and 20 hours per week (depending on your level of seniority)
and this is a fixed amount, whether in-house, on call at home or if called
in. It also is capped - so we don't get more if we work more!

Those in private sector only get paid when they actually work - as they
bill individually seperate to the hospital, they are not paid by the
hospital - in fact it is illegal in SA law to pay drs a retainer - this is
considered as a perverse incentive by our regulatory council (HPCSA) and
can result in fines and deregistration.

At least you canget paid a retainer or per hour!
Tim

Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer University of KwaZulu-Natal Dept Surgery
Deputy Director - IALCH Trauma Service
Durban - South Africa

> Some discussions are occurring regarding payment to surgery specialist who
> are "on call"   I would ask anyone who might wish to share with this  list
> server what the policy is in your local.   It does not need to be  for
> your
> hospital or yourself.     I would ask for three  different figures, if you
> can give it that way.
>
>
>                 REQUIRED  TO BE IN HOSPITAL    Carry beeper at  home on
> call     Per hour  called in
> Trauma
> Critical Care
> General Surgery
> Thoracic Surgery
> Vascular Surgery
> Pediatric Surgery
> Neurosurgery
> Ophthalmology
> Orthopedic Surgery
> ENT
> Plastic Surgery
> --
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