Anyone here working full-time in mobile pain management/palliative care — how do pay and hours compare to clinic roles? I’m weighing leaving a 4x10 specialty rehab/pain position with 1-in-4 weekend call to build a mobile service in Denver, but I’m concerned about late-night crisis visits, caregiver expectations around euthanasia/pain flare triage, and whether a retainer or per-visit model better protects patient comfort and my boundaries… I want to keep families supported and comfortable without burning out — what’s worked for you?
@OP, have you tried a 60–90 day pilot on your off day with a simple “no unscheduled after 7 pm” rule and 1.5x weekend/after-hours fee? In my Denver mobile palliative setup I cleared about 10–20% more than clinic only after adding a small monthly retainer for active cases to cover triage and using IAAHPC resources (https://iaahpc.org) to set expectations on pain flares/euthanasia — otherwise your phone becomes the pager no one asked.
Coming from a 4x10 with 1-in-4 call, I’m netting about 20% more doing Denver mobile with 3.5 field days and no late nights after I set a retainer that covers tele-triage and a hard “after 7:30 = actively dying only” rule. The real unlock was a shared after-hours rota with two other mobiles plus a prepaid euthanasia deposit, which cut crisis expectations way down. @lucasB77’s pilot is fine, but I’d first line up two partners and trial the rota for 60 days — would you consider that before going solo?