After reading this thread from start to finish, I must say there is a bunch of B.S. getting passed along as "official advice" to GP's. Let me tell all of you who are in a position as a GP, you will be fine, you just have to be persistent. I am a US trained medical student, completed 2 years in General Surgery, and left for personal reasons not more than 2 years ago. I have had a license to practice medicine in the state of CA (of all places it is VERY hard to get a license here) and I have found excellent paying positions in Los Angeles that put me above $200k a year. I am credentialed by multiple insurance companies (numerous IPA's, Health Net, Medical, Medicare and the list keeps growing). AND TO PUT AN END TO ALL OF THE NON-SENSE ignorant BE/BC or so called "experienced" attendings posting on this thread, I did all of these with a PROBATIONARY LICENSE for a reckless driving charge from 2014. Wait he is not BE/BC? He is a year and a half into licensure and has insurance companies credentialing him? And he is on probation? He must be a terrible doctor! Lol the ironic thing is, I would consider myself to be superior in Family Medicine and Internal Medicine to many of my BC colleagues, just proves what many have said in this post previously about feeling "entitled" and "superior" because of completion of residency and board status. In addition to all of the scope of care they practice, I also incorporate my surgical training for beside procedures, dermatology (minor Aesthetics), and alot of urgent care. I have been employed by locum tenems, private clinics, as well as sought out aggressively by numerous clinics in La. Sure, there are downsides to being a GP
1) I can't get hospital privileges - but there even ways around this. I am working on being a surgical assistant to some of my colleagues who proceeded through surgical residency. I can get in very easily that way once all the details of the situation are settled on. 2) Expect a pay cut - many places won't go over $100/hour in urban areas due to high presence of BC/BE physicians. Get smart, branch out into other areas of medicine. I doubled my salary getting trained, and yes, even "Board Certified" by Aesthetic Associations. Believe it or not, even though these Associations are not recognized by ABMS, they put you through a tough training program before you become qualified to be board certified. I had to spend 1.5 years, 3 weeks in intermittent focused didactics, numerous real live demos on patients followed by BC (Plastics, Dermatology) professor supervised patient injections, 6 months of practicing Aesthetic Medicine in my clinic, almost $10k out of pocket, pass a written and oral exam and present randomly chosen patient charts before I obtained this certification. I have a busy aesthetics practice in addition to the Family Medicine and Urgent Care practices that I contract with. In addition, I just got credentialed to practice Hospice Care, and am on the fast track to becoming the Hospice's medical director, as well as possible two of the practices I contract with.
All in all, anyone who tells you "being a GP is a dead art," or "you can't get contracted with insurance companies" "or you won't get paid" really doesn't know a god damn thing about the actual practice of persistence, and you are telling me you got through residency with that attitude? No wonder you are all jaded, in the next couple years I am on schedule to make an estimated $300k if my growth continues at this rate. How many of you BC and BE physicians can say you've made that much? And how many of you can say you made that by virtue of your own means and ambition? Very few. You have to create, you have to be able to accept the challenge, to be told no, denied opportunities, but you cannot quit. I see 20-30 patients a day sometimes, and I cannot say a single one of them doesn't leave my office saying "Wow that physician is something else, can we start seeing him everytime we come here?" Not blowing smoke of your @sses, but how many of you BC/BE physicians have patients saying that about you? Lol don't get mad or offended, it's not a certification that makes you who you are, see that is where YOU ARE WRONG. Who you are, what you do with your education, well that is something that comes from within. I don't allow anyone to dictate that I am an inferior or less qualified physician because I don't have the board certified acronym under my name. Instead, I have confidence in what I do, faith in where I am going, smart with my money (invest most of it to compensate for the financial set backs of being paid less as a non-specialist), and I am doing all of this with a restricted license. Even the medical board can't dictate who you are or what quality of care, level of service, or satisfaction you can get from being a physician. It only gets better from here. I think whoever is a GP, indeed, if you can it is always better to return to residency training if the situation permits, but this is not always the case. I was just tired of it all, needed out for a bit, and it was really hard to get back in once you resign (on very good terms I must say, still have a glowing LOR from my PD if I ever chose to return to residency, although my probationary license is currently the main reason I have not returned - most residency programs will look down on it and I don't want to be red listed). For me, if I do return to residency, it will most likely be Preventative Medicine. When I left residency, I started my M.P.H. and just graduated 3 weeks ago, so I am already 1/2 of the way done with a Preventative Health residency program.
The lesson here in all of my ranting.... is DON'T STOP LEARNING. I am only 34, have a full life and career ahead of me, went through some tough times, focus on the joy of medicine, and good things come as as result. All of the positive career moves I have taken the past 2 years have been the result of my attitude, of being who supported me because of the attraction to my attitude, and built a practice around me that will one day be my own when they are gone. That is more than many of you can say you will achieve in your lifetime working for a hospital, never or barely achieving partner status. So, to anyone who is a GP, I say unto you never give up - it is a little harder, you are at a slight disadvantage, but if you look at that wiggle room you have been given as an opportunity, you can do more and go farther than narrow minded, restricted to a single way of thinking, tunnel vision Board Certified physicians.
P.S. I do agree with the previous posts that the American Board of General Practice is a scam. However, to my dismay today (which is why I found this old thread in the first place) a very well known insurance company that was putting me through GP credentialing asked me for either 5 years experience or "certificate through the American Board of General Practice." I don't know what to say to them TBH on this one, it is really strange after reading all of the websites on this GP board certification thing that all sounded like a complete scam only to see a very popular insurance company request it. Your thoughts?