Anesthesiologist Jobs Dallas, TX

Big or small city? Warmer weather? State income taxes? Political climate towards physicians/malpractice in that particular state? It all depends on what is most important to you. As a rule of thumb, as the location becomes more desirable there and more people willing to accept lower paying and higher stress jobs in order to be in that area. —I feel lucky to be able to practice in the Dallas-Fort Worth area at Trinity Anesthesia, because it checks all the boxes that are important for my family and I. It’s one of the biggest cities in the United States and has all the fun amenities that come with a big city (concerts, museums, great restaurants, all 4 of the main professional sports teams).  DFW airport is enormous and direct flights to exotic locations are easy to find. It’s also warm, doesn’t have state income taxes and I think it’s the most physician friendly state in the country. The malpractice insurance rates here are unbelievable to my friends in New York and Florida, who pay huge amounts in malpractice insurance. There is also the Corporate Practice of Medicine act in Texas, which allows doctors certain freedoms not found in most states.  I will continue to highly recommend Texas and Trinity Anesthesia to other anesthesiologists.

Although some folks may like the guarantee of a certain salary, I’ve always been a big proponent of having a level of performance-based compensation. This is a fancy way of saying, if you would like to work more you will be paid more, and vice versa. We try to be as fair as possible and incentives such as these level the playing field. If you hear of an “eat what you kill” model this means that anesthesiologists will be paid based directly upon the amount that is billed for the cases they perform. The concern I share with new grads is that often the senior docs are in the well-paying (insured) OR and the less desirable ORs can be extremely low paying either due to payor mix or low volume of cases. That can create a large discrepancy and hamper collegial relations.  What we do here at Trinity Anesthesia to ensure fairness is to enable a guaranteed base salary, to take some of the financial pressure off of the anesthesiologist. But then they would have an opportunity easily earn more than that base salary as a bonus.   

After surveying many practices around the country, we at Trinity Anesthesia found that a blended unit ensures a level of fairness and sustainability to the practice. We want to keep our anesthesiologists around for a long time and the practices with the happiest and longest tenured docs were in blended unit practices. With a blended unit, our Anesthesiologists don’t have to worry about the individual insurance plans, since all the insurance payment rates are averaged out.

This is strictly a matter of personal preference. In general, practices with more call will allow you to make more money. You are working more hours, so it makes sense. Personally, I love having my nights and weekends free, and I am ok having a slightly less, but still great income. Having time to rest and refresh can help reduce burnout and allow doctors to perform at their best while at work.

Although they would never admit it to an applicant, many practices would jump at the opportunity for a big pay day. Especially the older docs who are about to retire. However, I have never found one practice that after a couple of years is happy they sold to someone like USAP or NAPA. Here at Trinity we would never sell to a corporate practice. We feel like this is the dream job and why would we want to ruin it!

It is important to know who owns the practice, or really who is making the decisions. It is always concerning to us when the practice is owned by business firms (private equity) since their priorities are profit.  We always put our patients first and we value having our physicians happy.

The national salary ranges between $150k and $450k, however an anesthesiologist’s salary varies by experience, training, practice setup, and location, among other factors.

Scrubs and comfortable closed toed shoes. Often we wear a light jacket since ORs can be a little cold.

Most anesthesiologists work 40-60 hours a week, however that can vary based on location, practice setup, and other obligations.

Typically, anesthesiologists work 10-12-hour days with varying number of cases depending on the type of procedure, complexity, and health of patient. Most anesthesiologists will also be on call a few nights a week. At Trinity Anesthesia, we primarily cover elective outpatient surgeries with generally healthy patients allowing our anesthesiologists to have lighter, more enjoyable schedules and not take call.

Anesthesiologists work in hospital settings, surgery centers, and offices or treatment centers. They work with surgeons, dentists, and other physicians performing surgery or procedures.

You might wonder about the practice setup of utilizing a CRNA versus an anesthesiologist working solo. Often this isn’t a main concern for applicants, but it should be.  Some anesthesiologists prefer supervising CRNAs and some prefer performing their own cases. And if you are a new graduate you may not even know what you prefer. There are pros and cons to each, but for new graduates, we recommend a practice where they will receive plenty of hands-on experience performing their own anesthetics.

This will allow new or recent graduates a chance to really hone their craft, which will carry on throughout their careers. Graduates that go right into supervising 4 CRNAs have it really hard right out the gate. It’s very difficult to manage all the medical care, so instead of perfecting their skills, they are desperately trying to sign charts and only take over airways once they become difficult or bloody.

It is beneficial to have some easy airways to gain confidence and improve on the smaller details when it is not an emergency situation. Some older anesthesiologists may have spent the last 20 years only supervising and may not be confident performing cases on their own. Many of the amazing surgeons that we work with prefer to have an anesthesiologist in the OR with them, but that’s not always the case. 

This is one of the top factors for new graduates. Being close to family is important for many folks. But what else is important to you? Big or small city? Warmer weather? State income taxes? Political climate towards physicians/malpractice in that particular state?

It all depends on what is most important to you. As a rule of thumb, as the location becomes more desirable there and more people are willing to accept lower-paying and higher stress jobs in order to be in that area.

Anesthesiologists in the Dallas-Fort Worth area who work with Trinity Anesthesia love their job. They say it checks all the boxes that are important for the family. The employees enjoy living in one of the biggest cities in the United States and all the fun amenities that come with a big city (concerts, museums, great restaurants, all 4 of the main professional sports teams). The DFW airport is enormous and boasts direct flights to exotic locations that are easy to find. Texas doesn’t have state income taxes and is often perceived as the most physician-friendly state in the country.

The malpractice insurance rates in Texas are unbelievable to other medical professionals in New York and Florida, who pay huge amounts in malpractice insurance. There is also the Corporate Practice of Medicine Act in Texas, which allows doctors certain freedoms not found in most states.  The staff at Trinity highly recommends living in Texas and working for Trinity Anesthesia to other anesthesiologists.