Compensation for mixed clinic/dermpath practice

[aau22]

All,

So grateful for this forum and the info I have been able to get from it. I am likely going to be starting a split practice, with half time clinical and the other dermpath. What do you all think is the best way to structure a contract? Base pay for 2 days of clinic with agreed upon number of patient encounters and percentage of path? Percentage of all? Salary for all if the offer is good enough?

Thanks!

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[sore eye asses]

Percentage for all with base to cover for 1-2 years.

 

[sore eye asses]

Ideally partnership track, no PE, have your attorney add PE buyout clause. But only if you dislike the idea of indentured servitude.

 

[aau22]

Thanks for the feedback. This is not PE with an owner who as of now isn't interested in selling, but that is a really good tip to include in my contract. I like the idea of base for 1-2 years with straight percentage following.

 

[zanzizic]

What kind of base are new derms getting?

 

[sore eye asses]

Mine was north of 400 a few years ago. I suspect still in that range. Maybe a tad lower. But derm/DP should be higher I’d guess. The base is just that, you should work to exceed it second year, and maybe even first, though hard with 3-6 month ramp up.

 

[aau22]

I am seeing variable numbers for straight clinic work...430k for 5 day work week, others around 400 for 4 days. Depends on the group and patient volume.

 

[sore eye asses]

430 for 5 days is madness, run from this practice.

 

[aau22]

Really? Way too low? This isn't one that looks to be working out anyway, but good to know. Coming out of the military, it's hard to know what the going rate is.

 

[sore eye asses]

5 days is too much for derm IMO. 4 very busy days is the norm in PP. At the outset with 25-28 pt daily, 1-2 excisions, some scattered cosmetics, you should be looking at 100k/day worked. I can’t speak on DP but I know compensation has gone down in recent years. Probably need to read 40-50 cases to make it worth a clinic 1/2 day.

 

[sore eye asses]

In order to sustain or exceed 100k/day, you’ll need to see 33-35 pt daily and add more procedures if you feel comfortable doing so, and this is your goal. Or add more DP cases, or a combo of the two. I’m trying to give you ballpark figures for what I think the current market looks like, at least in my neck of the woods. Good luck! And beware PE! I’ve yet to meet a junior physician who benefited from or thrived in a PE environment.

 

[Slack3r]

I’ve been seeing offers from $350k-$450k, mostly 4-5 days. The ones on the higher end are in the sticks, and want 5 clinical days.

 

[Splenda88]

What's a fair salary for dermpath?

 

[MOHS_01]

What's a fair salary for dermpath?

The range would be wide enough to make any answer here irrelevant; I know that sounds like a cop-out, but it actually isn't. A fair salary would be a reasonable offer for the amount of work available for that position; there is a big difference between pushing 120 cases a day, 5 days a week and 40 cases a day, 3 days a week... and, given the glut of derm subspecialists (and the small number needed to service a large population), I honestly feel bad for any general path trained dermpath coming out these days as they don't *responsibly* have the general derm training necessary to fill in the gaps with clinical revenue.

 

[doctalaughs]

430 for 5 days is madness, run from this practice.

Totally dependent on geography. Saturated large metro area on coasts? Maybe even lower. Partially because it’s hard to build a practice to hit those volumes.

Midwest or south, or pretty much any mid-sized town that is low as you’ll have your 35/pts day plus 2 excisions within 6 months and therefore be justifying revenue to support a higher salary over 5 days/wk.