Actual Podiatry Job Postings

[diabeticfootdr]

I would love for ACFAS, or APMA, or whatever the alphabet group that supposedly oversees residencies to take a hard look at these so called "fellowships" because the vast majority of them seem like nothing more than predatory associate positions.

CPME is in the process of revising Document 820, which governs fellowships. They will soon be asking for public comments on the revisions. I’ll post the link here for all to comment.

Problem is that few fellowships seek CPME approval, although if they are, they can get GME funding for their fellow.

Some fellowships are totally independent others are recognized by ACFAS.

The lack of standardization has been an issue. I think they should have standardized names and curriculum for fellowships and make them use the central application process.

There are plenty of things to learn in fellowship, I did one. Not everyone needs or wants one, and that’s fine too.

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[diabeticfootdr]

What no one talks about with fellowships is how much they hinder residents training. Fellowship programs are usually associated with a resident program and therefore turning the residents into retractor monkeys while the fellow goes at it.

If that’s true, it’s a shame. Our fellows’ primary role in the OR is teaching residents. We run multiple simultaneous rooms and I may not even scrub some cases.

 

[icebreaker32]

So if company makes 45M gross and he keeps 33%? He keeps 15M?

Not bad.

Nope, he supposedly puts almost all of it all back in the offices. Must be some real nice offices.

 

[diabeticfootdr]

The hypocrisy of some on this forum is astonishing.

Complaining about low paying jobs … then complaining about high paying jobs.

Complaining about the quality of residency training … then belittling fellowship training for those that want it.

Complaining about student recruitment … then bashing schools who ask for recruitment help from their alumni.

Complaining their aren’t enough hospital jobs … then demeaning the value of hospital-based diabetic limb salvage.

 

[Utvolsdpm]

did y’all see the reply from the owner of the $300k PP job post?

Amazing he would have to post to PM News to fill such a great position

 

[619]

Amazing he would have to post to PM News to fill such a great position

Would have been better to contact local residency programs and one of them will take the offer. But then again it is non-surgical ...... Most new grads want to be in the OR everyday cutting and saving limbs until they realize that surgery does not pay in private practice. Clinic is where the money is at in PP.

Oh well. I hope they find a good candidate.

 

[heybrother]

Would have been better to contact local residency programs and one of them will take the offer. But then again it is non-surgical ...... Most new grads want to be in the OR everyday cutting and saving limbs until they realize that surgery does not pay in private practice. Clinic is where the money is at in PP.

Oh well. I hope they find a good candidate.

They can tell people they got the most talked about job on SDN!

 

[HaimFeldman]

CPME is in the process of revising Document 820, which governs fellowships. They will soon be asking for public comments on the revisions. I’ll post the link here for all to comment.

Problem is that few fellowships seek CPME approval, although if they are, they can get GME funding for their fellow.

Some fellowships are totally independent others are recognized by ACFAS.

The lack of standardization has been an issue. I think they should have standardized names and curriculum for fellowships and make them use the central application process.

There are plenty of things to learn in fellowship, I did one. Not everyone needs or wants one, and that’s fine too.

Appreciate the response. And don't get me wrong, there are certainly some very good and very worthwhile fellowships out there. But they seem to be in the minority. Most of them seem like an excuse for cheap labor.

 

[air bud]

The hypocrisy of some on this forum is astonishing.

Complaining about low paying jobs … then complaining about high paying jobs.

Complaining about the quality of residency training … then belittling fellowship training for those that want it.

Complaining about student recruitment … then bashing schools who ask for recruitment help from their alumni.

Complaining their aren’t enough hospital jobs … then demeaning the value of hospital-based diabetic limb salvage.

It's the internet. We complain. It's what we do. Mob rules.

 

[diabeticfootdr]

Appreciate the response. And don't get me wrong, there are certainly some very good and very worthwhile fellowships out there. But they seem to be in the minority. Most of them seem like an excuse for cheap labor.

That's why CPME had required an institutional sponsor for a fellowship so it couldn't be just in some DPMs office.

However, that may be stifling the number that apply for approval and ACGME doesn't have the same requirement.

Only 15 fellowships are CPME approved.

Also, there is no curriculum in Document 820 and was last revised in 2007.

Plus CPME isn't vocally mandating podiatry fellowships become approved. Imagine what they would do if there were unaccredited schools, unapproved residencies ... or if there was an unrecognized CAQ? Oops!

 

[HardRoadPaved]

$2m / (30 patients x 250 work days) = $266 per patient visit gross...hell no. Just no. I'm sorry even without knowledge it's not happening in nowhwereville VA. Literally every one who walks in the door must be getting high value dme and 25-modifiers. Oh and don't forget the tolcyclen!

Also 33% overhead.... Give me a break....

 

[SM761987]

the highest paid doc takes home 2.6 million meaning he/she is producing 7.8million in collections per year based on the 33%

I wonder if this is one of those practices where some docs are out of network where they assign patients to docs strategically to produce the most revenue.

Maybe they take all basic office procedure like wart excisions, flexor tenotomies and P&As to their ASC and collect off of the OR related fees. A patient’s negative yelp review says they got charged $2600 for an ingrown at the office. That raises an eyebrow

I still have no idea how that can add up to 7.8 million for a podiatrist.

let’s say there is something sketchy going on here. Isn’t there more risk for the docs than the owner. the owner isn’t practicing and is just getting rich off of fraudulent claims of the associates that are happily making a min of 500k

 

[Pronation]

The hypocrisy of some on this forum is astonishing.

Complaining about low paying jobs … then complaining about high paying jobs. Not once in the past 3 years has a 300k private practice job been posted. This is such an obvious bait and switch. Nobody is complaining about real, legit high paying jobs (hospital/MSG/ortho)

Complaining about the quality of residency training … then belittling fellowship training for those that want it. Shouldn't need to do a podiatry "fellowship" if you didn't go to a subpar residency program, of which there are way too many

Complaining about student recruitment … then bashing schools who ask for recruitment help from their alumni. The agenda and bias is too obvious here, so I'll just leave this one alone.

Complaining their aren’t enough hospital jobs … then demeaning the value of hospital-based diabetic limb salvage. There sure aren't enough good pod jobs out there (hospital/MSG/ortho), that means that a majority of graduating pod residents are going to go into a 100k private practice slave labor job. Anyway, it's great that we have these fancy trauma ortho plastic podiatry "fellowships". This allows those fellows to stand out more and they have a better chance of landing a hospital gig, where they will mainly be doing diabetic foot pus since none of the other surgical specialties want to deal with it. But hey, at least the money is good.

The irony is overwhelming here... I'll take the bait. Responses in red...

 

[icebreaker32]

Like I said I think Dr. Rogers means well.

His intentions were well I am sure .....but posting a job that is likely at least a couple standard deviations above the normal pay for a PP associate in a rural area that is not seeking advanced training and calling us hypocritical for having healthy skepticism is not fair. An intellectual person should question anything like this.

There are some who IMO have taken things a bit too far at attacking the fellows themselves.

The underlying issue of why there are suddenly so many fellows though and if most are just doing the fellowships because the job market is not good is a worthwhile discussion.

As far as attacking academic jobs and limb salvage jobs that are much better than a typical PP job, I don't get that either.

I still think most problems would be solved by graduating less students.

 

[deleted1138023]

If that’s true, it’s a shame. Our fellows’ primary role in the OR is teaching residents. We run multiple simultaneous rooms and I may not even scrub some cases.

and then the resident logs it as a first assist because the fellow obviously doesn't have to log cases... CPME should hire someone in the "know" and let's fix all these loopholes.. but nope. CPME program evaluators consists of 70 year old lecturers at the pod schools...

 

[Feeter]

CPME is in the process of revising Document 820, which governs fellowships. They will soon be asking for public comments on the revisions. I’ll post the link here for all to comment.

Problem is that few fellowships seek CPME approval, although if they are, they can get GME funding for their fellow.

Some fellowships are totally independent others are recognized by ACFAS.

The lack of standardization has been an issue. I think they should have standardized names and curriculum for fellowships and make them use the central application process.

There are plenty of things to learn in fellowship, I did one. Not everyone needs or wants one, and that’s fine too.

Can the CPME approved fellowship that are GME funded be one year? Or do they have to be 2 years to be GME funded?

 

[air bud]

Like I said I think Dr. Rogers means well.

His intentions were well I am sure .....but posting a job that is likely at least a couple standard deviations above the normal pay for a PP associate in a rural area that is not seeking advanced training and calling us hypocritical for having healthy skepticism is not fair. An intellectual person should question anything like this.

There are some who IMO than have taken things a bit too far at attacking the fellows themselves.

The underlying issue of why there are suddenly so many fellows though and if most are just doing the fellowships because the job market is not good is a worthwhile discussion.

As far as attacking academic jobs and limb salvage jobs that are much better than a typical PP I don't get that either.

I still think most problems would be solved by graduating less students.

I repeat this is not rural...

 

[diabeticfootdr]

Can the CPME approved fellowship that are GME funded be one year? Or do they have to be 2 years to be GME funded?

820 reads “at least 12 months”.

 

[Boba Foot]

As @SM761987 alluded to above, this dude's IPED post tells you all you need to know when he says, "some of our providers take 7 figures home and work 40 hours per week". If they pay out associates 33% as he claims, and folks are taking home at least a mil, then folks in this practice are billing at least 3 mil in private practice. Working 40 hours a week. That is shady as hell. This guy's house of cards needs to be audited real bad.

 

[air bud]

Interestingly in the IPED forum there is a completely different response....mostly made up of other practice owners. I do wish we had more practice owners with associates on here giving their take on things. I don't think most of the regular posters on here myself included are fully representative of the field.

 

[CutsWithFury]

Interestingly in the IPED forum there is a completely different response....mostly made up of other practice owners. I do wish we had more practice owners with associates on here giving their take on things. I don't think most of the regular posters on here myself included are fully representative of the field.

They maybe practice owners giving a positive response but they are also pretty dumb.

 

[Utvolsdpm]

They maybe practice owners giving a positive response but they are also pretty dumb.

Yea the basic response is #goals

 

[podwho]

The hypocrisy of some on this forum is astonishing.

Complaining about low paying jobs … then complaining about high paying jobs.

Complaining about the quality of residency training … then belittling fellowship training for those that want it.

Complaining about student recruitment … then bashing schools who ask for recruitment help from their alumni.

Complaining their aren’t enough hospital jobs … then demeaning the value of hospital-based diabetic limb salvage.

Do you expect people to blindly go into a field and not ask questions? If someone raises questions or concerns you read it as “complaining”. Very poor sign of judgement if you can’t differentiate between the two.

Staying on topic id like to see more of these “great offers” listed on here. Still waiting…

 

[icebreaker32]

Do you expect people to blindly go into a field and not ask questions? If someone raises questions or concerns you read it as “complaining”. Very poor sign of judgement if you can’t differentiate between the two.

Staying on topic id like to see more of these “great offers” listed on here. Still waiting…

What do you expect to find.....the main sites for podiatry to post jobs are well known. Maybe IPED on FB if people are not aware of if for PP jobs and community/regional/university hospital job site postings (that may or may not show up on a job search site) and maybe state podiatry associations (kind of a reach for jobs usually and more to buy a practice or equipment).

Someone should make a comprehensive job site listing and tag it. Everything from PM News, APMA, ACFAS, IPED, USAjobs to HealthCareers, Practicelink, Indeed, Ziprecruiter etc.

I probably missed a couple.

 

[heybrother]

Interestingly in the IPED forum there is a completely different response....mostly made up of other practice owners. I do wish we had more practice owners with associates on here giving their take on things. I don't think most of the regular posters on here myself included are fully representative of the field.

There's a little too much laser-microwave salesmanship on IPED for me to think of it as anything but a morally dubious place. That said, I think in general there's this tendency in our profession for (a) people to not want to think about where the money comes from and (b) to form tribes that can end up with unreasonable opinions in support of their group.

Private practice people are desperate for success, revenue, etc - for a solution to the feeling that everything is getting worse every year. There's something very real about it - the hospitals and the insurance companies really are running away with all the money. That said, in this case you end up with something that is clearly billing fraud but no one over there is willing to call a spade a spade. Make lots of money? That's to be emulated and celebrated - not analyzed. Every year if you search for "podiatry billing fraud" you can find some new person who went to jail for billing $1.8 million or whatever off Medicare. Until that person is ultimately behind bars, if you put them on IPED and they post "private practice is not dead, I made $1.8 million last year" - people on IPED are going to applaud them rather than asking - how?

The truth is that when people engage in shenanigans it hurts all of us. There are assuredly worsening developments in billing and coding happening each year that are almost assuredly the result of the misbehavior of past practitioners.

On the other side of the coin. I'm happy for podiatrists who find organizational employment that allows them a path towards financial success, but hospital are a financial catastrophe for the American medical system. They do necessary things. They provide care no one else wants to provide and for sick patients. They are part of the social net. We can't do without them. But they also routinely provide the exact same services that private practice provides but at multiple times the cost. The patient pays through the nose for that, but we all pay for that in increasing regulation and higher premiums. Things like facility fees serve no purpose.

 

[619]

If they pay out associates 33% as he claims, and folks are taking home at least a mil, then folks in this practice are billing at least 3 mil in private practice. Working 40 hours a week. That is shady as hell. This guy's house of cards needs to be audited real bad.

Just want to point out that billing 3 mil is not the same as collecting 3 mil in actual $$$. PP pays out from what you collect and not what you bill

A patient’s negative yelp review says they got charged $2600 for an ingrown at the office. That raises an eyebrow

On the other side, it is possible to bill 3 mil when you bill $2600 for an ingrown nail. They probable bill $7k for a hammertoe surgery, $12k for a bunion surgery and $20k for an ORIF ankle. It means you can bill whatever you want but the insurance will pay their maximum allowable fee on their fee schedule. Billing out of network is another different story though.

At the end, insurance companies win and make billions in profit year after year.

 

[wakaflocka88]

This thread was created by Dr. Rogers to keep track of “actual job postings” but as we can see, the job market remains sparse for fair paying jobs. The cycle continues despite what they try to tell us.

 

[air bud]

This thread was created by Dr. Rogers to keep track of “actual job postings” but as we can see, the job market remains sparse for fair paying jobs. The cycle continues despite what they try to tell us.

Or we are all degenerates and can't stay on topic and this is why we can't have nice things

 

[HardRoadPaved]

Oh we are all degenerates and can't stay on topic and this is why we can't have nice things

This is why we all have subpar gpa and mcat scores... But let us take the usmle to get parity :/

 

[MalleableMan]

I know of some practices that are hiring, but they won’t solicit applications online

150K base that becomes 40% of collections

 

[air bud]

I know of some practices that are hiring, but they won’t solicit applications online

150K base that becomes 40% of collections

That is very fair. And smart

 

[Boba Foot]

I know of some practices that are hiring, but they won’t solicit applications online

150K base that becomes 40% of collections

Any in Texas you want to PM to me?

 

[MalleableMan]

Any in Texas you want to PM to me?

I don't know details for private practice contracts in Texas

 

[Pronation]

I know of some practices that are hiring, but they won’t solicit applications online

150K base that becomes 40% of collections

Fair and realistic for private practice. Unfortunate that this is likely the 75th percentile for private practice.

 

[air bud]

HOSPITAL STAFF PODIATRIST - ILLINOIS

Seeking full time surgically trained podiatrist. Board qualified preferred. Rural setting hospital. Must be well versed various aspects of both foot and ankle surgery. MGMA Competitive salary package and benefits. Preferably looking to start in 3-4 months. Must have Illinois license. Send CV to [email protected]

 

[air bud]

ASSOCIATE POSITION - CHANDLER/GILBERT ARIZONA

Growing multi-location practice looking to hire a skilled podiatrist to join our team at Preferred Foot & Ankle Specialists. Seeking Full-time DPM with current Arizona state license and ABFAS or on track for ABFAS. Newly graduated residents are highly encouraged to apply. $200k-$250k annually. Resumes to [email protected]

 

[NatCh]

ASSOCIATE POSITION - CHANDLER/GILBERT ARIZONA

Growing multi-location practice looking to hire a skilled podiatrist to join our team at Preferred Foot & Ankle Specialists. Seeking Full-time DPM with current Arizona state license and ABFAS or on track for ABFAS. Newly graduated residents are highly encouraged to apply. $200k-$250k annually. Resumes to [email protected]

That almost qualifies as a scam but not quite. Phewwww...

 

[Utvolsdpm]

Anybody catch the IPED updates on that posting? Apparently this guy who is about 7 years out should be teaching Hal Ornstein how a practice is run? Kind of hard to believe he is the only one aware of these ways to generate revenue.

I guess I’m out of the loop I’ll have to look up wound care and PCR testing and then ponder why owning my own PCR lab would be a benefit.

 

[PatchAdamsFan]

Anybody catch the IPED updates on that posting? Apparently this guy who is about 7 years out should be teaching Hal Ornstein how a practice is run? Kind of hard to believe he is the only one aware of these ways to generate revenue.

I guess I’m out of the loop I’ll have to look up wound care and PCR testing and then ponder why owning my own PCR lab would be a benefit.

Those are crazy numbers, collecting around $500 per encounter. Annually 76k procedures performed on 11k patient encounters for a non-surgical pod? I'm guessing PCR is a huge part of it, along with plenty of other 'fun' CPT codes. I think what he doesn't realize is that fraud, waste, and abuse aren't the only things he needs to avoid. Insurance carriers drop 'covered services' all the time when finding excessive use that is seemingly legitimate by their own rules. Then the rules change. That's when their gravy train will hit a brick wall.

 

[icebreaker32]

It is the podiatry PP way......kill the golden goose. Then 10 years later another one comes along and repeat.

Many will get away with it (while it lasts) some will get paybacks they can not afford and a few will lose their license and potentially gets jail time also.

 

[heybrother]

The reimbursement for PCR is outrageous - consider the recent EOB I posted where Medicare paid $700 for nail fungus testing. The PCR made up most of the cost.

There's a reason people sell PCR labs at podiatry conferences. It doesn't have anything to do with good medicine.

Remember that we're in a country though that will pay some scumbag more money to run a PCR than for you to definitively amputate a case of osteomyelitis that has been ongoing weekly for 3 years with a wound healing center.

 

[msion]

The reimbursement for PCR is outrageous - consider the recent EOB I posted where Medicare paid $700 for nail fungus testing. The PCR made up most of the cost.

There's a reason people sell PCR labs at podiatry conferences. It doesn't have anything to do with good medicine.

Remember that we're in a country though that will pay some scumbag more money to run a PCR than for you to definitively amputate a case of osteomyelitis that has been ongoing weekly for 3 years with a wound healing center.

Oh god...this. I have no idea of what actually goes on in a wound healing center other than trying different combos of alginate/medihoney and collagen dressings.
I have a pretty good working relationship with a hospital wound care center. How it all started was I did a tenotomy procedure on this guy's toe to offload the ulcer at the tip when he came to me for a diabetic exam. The hospital then called me saying how amazing it was and they will refer me more patients.
Wound care has to involve surgery.

 

[Boba Foot]

Those are crazy numbers, collecting around $500 per encounter. Annually 76k procedures performed on 11k patient encounters for a non-surgical pod? I'm guessing PCR is a huge part of it, along with plenty of other 'fun' CPT codes. I think what he doesn't realize is that fraud, waste, and abuse aren't the only things he needs to avoid. Insurance carriers drop 'covered services' all the time when finding excessive use that is seemingly legitimate by their own rules. Then the rules change. That's when their gravy train will hit a brick wall.

Their Google reviews are full of all sorts of billing complaints. Not a huge shock.

 

[ExperiencedDPM]

One provider working 40 hours a week generating over 7 million dollars in order to take home 2.6 million? Do the math and it’s insulting to even have the balls to write that crap.

Oh, and here is a GREAT job offer.

Esteemed Metropolitan Practice looking for a surgical podiatrist to join our well established team. Starting $90,000, w/PTO, w/401K, and insurance. Starting $150,000 if surgically experienced. Position for Immediate filling, Moonlighting and fulltime applicants only. Submit resume to [email protected]

This is NYC which means 90,000 is like welfare in that city. And 150 if “surgically experienced”. Does that mean residency trained or several years in practice.

Again, this is NYC where renting a closet is 3 grand a month.

 

[icebreaker32]

I know above was listed to prove a point, but most of these jobs being posted on this thread could have been easily found with the half dozen sites everyone should be looking at in addition to networking and using hometown connections etc when looking for a job.

If Dr. Rogers had a hospital contact him for a good job not listed on one of those sites would he put it on here first or offer it up to his residents first? Not saying he shouldn't offer it up to his residents first, I just question how valuable this thread that has been derailed could ever have been.

If there were lots of jobs not easily found elsewhere it should be pinned and derailing should not be allowed.

Mainly associate jobs out there with similar contracts and low base. Some are ethical and might have real potential despite a low base and some do not. Due to job saturation many will move to an area they do not really want to live in, even for a low base associate job....be careful doing this as most PP jobs do not work out longterm. Don't buy a new car and or house.

Main job sites for podiatry

PM News
IPED
APMA, ACFAs classified (maybe ABPM also not sure not a member)
HealthCareers
Practicelink
USAjobs
The large mainstream sites like Indeed, Ziprecruiter, Glassdoor, Linkden etc
University, community and hospital job sites (most end up also being found the on large job sites, but some do not)

 

[wakaflocka88]

I’ll post one I just got an email for. I know some people in this system, DM me if you want more info. Job focus mainly on limb salvage with some recon thrown in there in a large county hospital system in a nice, albeit, expensive city to live in. But hey, at least this is not rural.

 

[josebiwasabi]

got this one in my email yesterday

NORTHERN NEW HAMPSHIRE:

Energetic Podiatrist to join a cohesive, patient-centered, well-respected, dynamic team surrounded by beautiful mountains and lakes in Northern NH.

36 hours of patient contact time per week with flexible schedule options
18-25 patients per day
Call equally divided between the podiatric providers, average 6 days per month, low volume call-back frequency
Meditech Expanse EMR with dictation built-in and support IT
Support provided by MA pool and backup from other Podiatrists and Podiatry NP
Well-equipped clinic and OR
Competitive compensation and benefits package
Sign-on bonus, relocation assistance, and 6-month housing stipend
No sales or income tax, affordable real estate, and safe schools!
The successful candidate will:

hold a doctoral degree in Podiatric Medicine,
be board qualified or certified in foot surgery
board qualification or certification in Reconstructive Rearfoot/Ankle (RRA) is desirable
be confident in diagnosing and treating injuries and diseases of the foot, ankle, and lower leg
be up-to-date with the latest technologies and compete to render conservative and surgical treatments of the foot, ankle, and lower leg
have a strong desire to work with patients of all ages with patience and empathy and a strong desire to work in a team-based practice
have expert knowledge of the diabetic foot and the conservative and surgical needs of these patients in a community and hospital-based setting
have a strong interest in wounds of the foot, ankle, and leg of all etiologies and will be a team member in the Wound Care Center
Best suited for an outdoor enthusiast who prefers a quiet, friendly, close-knit community where you can see the stars, hear the birds, and breathe fresh clean air!

 

[podoloco]

Podiatry Job Search Sites

Podiatry Job Listings, Podiatry Associate, Foot Surgeon Needed, Podiatry Position Postings, Podiatry Help Wanted, Podiatry Job Classifieds, Podiatry Practices For Sale, Podiatrist Wanted

jobs.onpodiatry.com

Links for Podiatry Jobs listings

 

[billBOB213]

sitting here in clinic and had a minute and this thread has made my morning
So many good replies and posts hahahaha

 

[icebreaker32]

This is so human nature. That PCR stuff is shady I am staying away.. Friend gets a new home and all new cars.......I better get in before it's too late.

There is no way this ends well. Extreme outliers in in things that have themselves have suddenly exploded in popularity will either get in trouble, have paybacks or at a minimum lots of denials and pre pay audits that make cash flow a mess and add lots of administrative burdens.