MonteResident

Well they rounded up residents for mandatory anti-union meetings with our program directors. A lot of gaslighting in those meetings. Basically telling us that unions don't work, will ruin our working relationships, will have expensive dues, won't achieve what we're hoping for. Ironic in the setting of a very real demonstration of union power by our nurse colleagues.

Otherwise they haven't done much. A few free meals in the hospital. Nurses have been carrying "Patients over Pepperoni" signs to parody the fact that they often think some free pizza will solve our disgruntlement. We are at a non-profit hospital in a poor community so we don't expect much, but it's pretty pitiful.

Yeah, as I noted in another comment, California is leading the way and they say 1:5 for medical/surgical floors. 1:1 or 1:2 in ICUs.

I mean it's ridiculous! A physician could never reach that kind of compensation doing clinical work and I think that really changes a leader's perspective and priorities. But it's also just part of the much wider American issue of out of control executive pay. I don't think we'll solve this one in healthcare until it's been addressed more globally.

I guess it depends on who we're talking about. Executive pay is a real sticking point and our hospital CEO, Dr. Philip Ozuah is an incredibly highly paid hospital exec who reportedly made $13million a few years ago. I can't imagine how a physician could make that much in good conscience while telling nurses they are being greedy but that's administrators for you.

https://www.healthleadersmedia.com/strategy/bronx-hospital-honcho-made-13-million-compensation

Doctors and nurses vary a lot in salary depending on specialty, years of experience, etc. but no where near the millions of dollars of top admins. Think $100,000 to $800,000 (rarely).

It's really expensive! And in NYC, space is an issue. Montefiore has expanded significantly into Northern suburbs of NYC but we know it's because these areas are whiter, more affluent, and more profitable. In the mean time, they announced the closure of a critical ambulatory site in The Bronx where many needy patients receive their primary care.

Attracting employees is about pay, but also a good work environment. Montefiore is the teaching hospital of Albert Einstein School of Medicine and is a major academic institution so we expect to be able to do incredibly good medicine here and are faced with so many daily obstacles that are kind of unique to NYC and then to The Bronx. And in my time here, it feels like hospital admin is focused on profit and rarely with what it takes to make this a great place to work.