Forum Members Official: Job Offer Thread

[Hybrocure]

Hospitals are missing out if they don’t accept hiring non op DPMs for those NP/PA jobs.
Plenty of experienced docs and new grads alike will take those offers and do a much better job and likely stay on longer than a NP or PA who can work anywhere at the drop of a hat.

Pods cut nails because they have to not because they want to. PAs and NPs are not trapped like we are they can do whatever they want anywhere they want

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[Boba Foot]

Considering every orthopedist in the USA functions like this it is not too crazy. Maybe work in a hospital and see how real doctors run their practices. It is called efficiency. The hospital wants it this way. So their docs can do more cases and not get bogged down with aftercare.

“But other docs do it” doesn’t make it good patient care.

 

[Retrograde_Nail]

“But other docs do it” doesn’t make it good patient care.

I am sorry years of being an extern and a resident have programmed you to function like every mustache pod. Literally no one in orthopedics does this. So you, the podiatrist, are saying it’s bad patient care?

Ortho never rounds on the weekends. They never round period. Their PA/NP does it for them. Patients are happy and fine. You don’t know what you are talking about.

 

[Hybrocure]

I am sorry years of being an extern and a resident have programmed you to function like every mustache pod. Literally no one in orthopedics does this. So you, the podiatrist, are saying it’s bad patient care?

Ortho never rounds on the weekends. They never round period. Their PA/NP does it for them. Patients are happy and fine. You don’t know what you are talking about.

B-b-but my residency director told me the doctor has to round on every inpatient every day in the hospital

 

[HeySister]

I am sorry years of being an extern and a resident have programmed you to function like every mustache pod. Literally no one in orthopedics does this. So you, the podiatrist, are saying it’s bad patient care?

Ortho never rounds on the weekends. They never round period. Their PA/NP does it for them. Patients are happy and fine. You don’t know what you are talking about.

Correct. Value yourself more. Spending 10-20 hours a week rounding and commuting to and from rounding is how you burn out. If you burn out you are not good to anyone. If CMS valued these interactions they would pay for them. They don't. I round if I am concerned about a patient (rare) or if the patient specifically asks or insists (also rare). Otherwise my assistants do it. My quality of life is far higher in this approach. Results are probably better too.

 

[Retrograde_Nail]

Correct. Value yourself more. Spending 10-20 hours a week rounding and commuting to and from rounding is how you burn out. If you burn out you are not good to anyone. If CMS valued these interactions they would pay for them. They don't. I round if I am concerned about a patient (rare) or if the patient specifically asks or insists (also rare). Otherwise my assistants do it. My quality of life is far higher in this approach. Results are probably better too.

Thank for bringing common sense to this conversation.

 

[GreenHousePub]

B-b-but my residency director told me the doctor has to round on every inpatient every day in the hospital

I stopped doing this a while ago. For the rare inpatient case I do, if the surgery is Thursday or Friday I round on them on Monday.

 

[Feli]

Correct. Value yourself more. Spending 10-20 hours a week rounding and commuting to and from rounding is how you burn out. If you burn out you are not good to anyone. If CMS valued these interactions they would pay for them. They don't. I round if I am concerned about a patient (rare) or if the patient specifically asks or insists (also rare). Otherwise my assistants do it. My quality of life is far higher in this approach. Results are probably better too.

Yes, 100%.

The hospital logic on extenders and support staff is to make the docs more RVU-producing and better job quality... so that they might stay awhile (much easier to attract/retain PAs and support staff than docs).

...from the PP standpoint, it's just all about efficiency.
If you want to make $400k, that's $200/hr, so hire someone or contract out basically everything that can be hired for less than that rate... cleaning the office scheduling, repairs, stocking rooms, cleaning instruments, manager functions, certain types of patient visits or tasks, supplies and inventory, accounting, marketing, policies and paperwork, credentialing, billing, sorting your mail, medical records requests, etc etc.

That "someone" might be a MA, receptionist, an associate DPM, an office manger, or a specialist like attorney or MBA or CPC or answer service or cleaning service or whatever. The only exception is if you enjoy any of that stuff... you can do any of it yourself if you're the owner, but know you're leaving $$ on the table if you have the volume waiting to be seen and the task you're doing can be hired/contracted for less than you make as owner.

As to "weekends" and "on call," PP should consider those largely unrecognized terms... most likely antiquated Mongolian or early Greek or possibly Byzantine verbages with bad bad baaaad connotations.

 

[air bud]

“But other docs do it” doesn’t make it good patient care.

The type of inpatients being discussed are not your elective bunion surgery that requires more hand holding....bro be glad Ortho didn't cut your leg off.

 

[diabeticfootdr]

Like it or not, this is the way of the future for a lot of surgical specialties.

Agreed. Administrators want to maximize a surgeon’s surgical time. It’s the pressures of the modern medical world and is a reflection of specialization.

 

[diabeticfootdr]

B-b-but my residency director told me the doctor has to round on every inpatient every day in the hospital

If you’re the admitting provider, you do.

 

[wakaflocka88]

I will maybe round post op day 1 and give reassurance if need be otherwise our group’s PA and Hospitalist can manage the other stuff, I can text them the plan or drop a note. I don’t know why we need to make the pathologies more complicated than need be, for most scenarios but not all encompassing.

I refuse to take call. I value my time and life far more than podiatry. I feel bad for the associates that think taking call is a sign of strength in building up your owners practice, and not being paid at all. Go enjoy life outside of this profession

 

[air bud]

I will maybe round post op day 1 and give reassurance if need be otherwise our group’s PA and Hospitalist can manage the other stuff, I can text them the plan or drop a note. I don’t know why we need to make the pathologies more complicated than need be, for most scenarios but not all encompassing.

I refuse to take call. I value my time and life far more than podiatry. I feel bad for the associates that think taking call is a sign of strength in building up your owners practice, and not being paid at all. Go enjoy life outside of this profession

You get paid a livable wage bro. These people taking free call are barely getting by/forced to by their owner/daddy or just people who hate their family/life.

 

[Hybrocure]

You get paid a livable wage bro. These people taking free call are barely getting by/forced to by their owner/daddy or just people who hate their family/life.

Lol it’s funny you mention people who hate their family/life, I’ve definitely met some docs who I question whether they just take call to not be home with the wife and all their kids

 

[ExperiencedDPM]

Below is information on a current opening! If interested, please send your CV for review. If you aren't interested, I will gladly provide additional opportunities for you.
If this location no longer fits your search, please let me know in which cities/states you are looking and I will send you a list of openings in your locations of interest.

Podiatry Opening in Jamestown, NY
Erie, PA 50m; Buffalo, NY 75

Seeking a well-trained, BE/BC dynamic Podiatrist to their established Podiatry group to work alongside one podiatrist.

• Full-Time, hospital employed
• Schedule: Monday-Friday, Clinic Hours: 8am 4:30pm
• Surgery hours will be determined with block schedule
• Call: discussed during interview
• Inpatient and outpatient setting
• Average number of patients per day: 25-30
• EPIC outpatient EMR Cerner inpatient EMR
• Busy practice seeking physician to continue growth and increase patient access.
• Work with knowledgeable nurses and a flexible team in a well-known office.
• Physicians will enjoy an excellent compensation package, full benefits, paid CME and relocation assistance.

Conditions Treated:

• Bunions, calluses, corns, and hammertoes
• Complex reconstruction of the foot and ankle
• Fractures, dislocations, and trauma
• Sports-related injuries
• Ankle sprains, strains, and instability
• Athletes foot, fungal toenails, and infections
• Chronic foot wounds
• Custom orthotics
• Flat feet, high arches, and heel pain
• Childrens foot problems
• Diabetic foot care

Network of family physicians and specialists dedicated to making quality care for families more accessible and more comprehensive than ever before. Employs more than 50 physicians and 20 advanced practice providers including Cardiology, Gastroenterology, General Surgery, Internal Medicine, Family Medicine, Nephrology, Neurology, Pulmonary/Sleep Medicine, Womens Health, Orthopaedics, Aesthetics, and Neurosurgery.

This opportunity will allow you to live in a beautiful, four-season, affordable city on the water, in a family-friendly community with short commutes to the office from many surrounding neighborhoods. Chautauqua County is located less than three hours from Cleveland, Pittsburgh, Rochester, and Toronto and within an easy drive from Buffalo, Niagara Falls, and Erie. You will love living here!

To view other postings, click: All Physician Careers

I look forward to working with you!​

Dave Sicking
Archway Physician Recruitment
Physician Recruiter
[email protected] (best method)
Phone: (314) 322-5919
Position ID: 40783

Projected Salary: Minimum Salary Range: $150,000 | Maximum Salary Range: $203,333. The referenced pay range represents reasonable estimate of the compensation for this position. The pay range may include potential incentive based compensation for achievement of quality or length of service metrics, if any is offered for the position. The successful candidate’s actual compensation package will be determined based upon multiple factors which include, among other things, the candidate’s expertise and experience, market factors, and related position salaries.

Please be advised that this salary is just an estimate

 

[Feli]

...
Podiatry Opening in Jamestown, NY
Erie, PA 50m; Buffalo, NY 75m ...
... Chautauqua County is located less than three hours from Cleveland, Pittsburgh, Rochester, and Toronto and within an easy drive from Buffalo, Niagara Falls, and Erie. You will love living here! ...

Man, you can make almost any place sound decent if you can name random potentially fun stuff that is within THREE HOURS driving.

I'm sure this city will be awesomely super-saturated with DPMs within a decade or less of LECOM grads... assuming it is not already.

 

[air bud]

Epic and

Below is information on a current opening! If interested, please send your CV for review. If you aren't interested, I will gladly provide additional opportunities for you.
If this location no longer fits your search, please let me know in which cities/states you are looking and I will send you a list of openings in your locations of interest.

Podiatry Opening in Jamestown, NY
Erie, PA 50m; Buffalo, NY 75

Seeking a well-trained, BE/BC dynamic Podiatrist to their established Podiatry group to work alongside one podiatrist.

• Full-Time, hospital employed
• Schedule: Monday-Friday, Clinic Hours: 8am 4:30pm
• Surgery hours will be determined with block schedule
• Call: discussed during interview
• Inpatient and outpatient setting
• Average number of patients per day: 25-30
• EPIC outpatient EMR Cerner inpatient EMR
• Busy practice seeking physician to continue growth and increase patient access.
• Work with knowledgeable nurses and a flexible team in a well-known office.
• Physicians will enjoy an excellent compensation package, full benefits, paid CME and relocation assistance.

Conditions Treated:

• Bunions, calluses, corns, and hammertoes
• Complex reconstruction of the foot and ankle
• Fractures, dislocations, and trauma
• Sports-related injuries
• Ankle sprains, strains, and instability
• Athletes foot, fungal toenails, and infections
• Chronic foot wounds
• Custom orthotics
• Flat feet, high arches, and heel pain
• Childrens foot problems
• Diabetic foot care

Network of family physicians and specialists dedicated to making quality care for families more accessible and more comprehensive than ever before. Employs more than 50 physicians and 20 advanced practice providers including Cardiology, Gastroenterology, General Surgery, Internal Medicine, Family Medicine, Nephrology, Neurology, Pulmonary/Sleep Medicine, Womens Health, Orthopaedics, Aesthetics, and Neurosurgery.

This opportunity will allow you to live in a beautiful, four-season, affordable city on the water, in a family-friendly community with short commutes to the office from many surrounding neighborhoods. Chautauqua County is located less than three hours from Cleveland, Pittsburgh, Rochester, and Toronto and within an easy drive from Buffalo, Niagara Falls, and Erie. You will love living here!

To view other postings, click: All Physician Careers

I look forward to working with you!​

Dave Sicking
Archway Physician Recruitment
Physician Recruiter
[email protected] (best method)
Phone: (314) 322-5919
Position ID: 40783

Projected Salary: Minimum Salary Range: $150,000 | Maximum Salary Range: $203,333. The referenced pay range represents reasonable estimate of the compensation for this position. The pay range may include potential incentive based compensation for achievement of quality or length of service metrics, if any is offered for the position. The successful candidate’s actual compensation package will be determined based upon multiple factors which include, among other things, the candidate’s expertise and experience, market factors, and related position salaries.

Please be advised that this salary is just an estimate

Epic and cerner? Shoot me. On or the other

 

[Adam Smasher]

Crazy. 6 years ago, I interviewed with some PP docs in Jamestown NY. They were a good group, offered me a fairly standard (low) salary. Looks like they gutted their practice and sold out to the health system.

I remember exploring the area and thinking to myself, the most interesting thing about this podunk rustbelt town is that Lucille Ball was born there, and the nearest metro is an hour drive away--Erie PA!--and yet despite all that I'd still have to put up with NY state regulations and politics. It's scary how close I came to taking that offer, just to be done with the job hunt, but I couldn't imagine a future for myself when Jamestown itself has no future.

 

[619]

Exciting opportunity for a surgical podiatrist to focus on both inpatient and outpatient care in Milwaukee, Wisconsin​

Milwaukee, Wisconsin

Loan Repayment Program
Malpractice Insurance
Relocation Assistance
Sign-On Bonus
Health System
Contract
Full Time
Residency
BE or BC
New Grad
Academic
Bilingual
H1B
Research
Join one of the nation’s largest, most respected health systems and experience what it means to live well. Advocate Health is seeking a surgical podiatrist to join our physician-led medical group and serve patients at the Aurora Medical Center in Milwaukee, Wisconsin.
Job details

• Full time Surgical Podiatrist with an interest in wound care
• The Aurora St. Luke's Medical Center is a 938-bed full service community hospital providing innovative care to patients in a culturally affirming and compassionate environment
• Responsibilities in this position will be split 50% Inpatient and 50% Outpatient care
• Working at several clinics including Milwaukee and Wauwatosa, the outpatient and elective responsibilities will include time in clinic and time in the OR; you will also care for non-surgical patients, perform surgical consults, and collaborate with other non-surgical podiatrists and primary care to enhance referrals; surgical cases will include forefoot, bunions, hammer toes, etc. and some rearfoot procedures, no ankle replacements or trauma
• Inpatient responsibilities include operative treatment and care of patients at St. Luke's Medical Center as part of the Acute Care Foot/Lower Limb treatment team; you will work in partnership with orthopedics, hospitalists, wound care specialists and general surgeons
• Procedures will include non-operative and surgical podiatry, with some limb preservation, routine and complex wound stabilization, diabetic ulcers, and amputations
• Excellent staff support
• EPIC EMR

What Advocate Health offers

• Integrated nationally recognized organization with physician-led medical group and embedded service line
• A diverse and inclusive environment ensuring safe and equitable care for all patients
• A competitive compensation model that is sustainable, equitable, transparent, compliant, and rewarding
• Health, dental, vision, life and paid medical liability insurance
• 401(k) plan with up to 3% employer match, in addition to a 3% company contribution for a total employer contribution of up to 6%
• Parental leave, adoption assistance and surrogacy assistance
• CME allowance
• Relocation assistance up to $12,000

About Milwaukee, Wisconsin
With a county-wide population of nearly a million, Milwaukee offers the best of everything you’d expect to find in a major city while retaining a hometown feel in its many and diverse neighborhoods. Culturally, Milwaukee has many options, ranging from performing arts centers, theaters and museums – including an internationally designed lakefront art museum – to one of the nation’s top 10 zoos. Sophisticated, scenic, affordable and event-filled, Milwaukee has an impressive array of public and private schools, including UW-Milwaukee and Marquette University, award-winning restaurants, world-class shopping, and one of the most convenient and “user-friendly” international airports in the world.
About Advocate Health
Advocate Health is the third-largest nonprofit integrated health system in the United States. Advocate Health has a combined footprint across six states – Alabama, Georgia, Illinois, North Carolina, South Carolina and Wisconsin. We are a national leader in clinical innovation, health outcomes, consumer experience and value-based care, with Wake Forest University School of Medicine serving as the academic core of the enterprise. In Illinois and Wisconsin, we serve nearly 3 million patients annually across 27 hospitals and more than 500 sites of care. We are a leading employer in the Midwest with a diverse team of over 77,000, including 3,700+ employed physicians and more than 2,000 Advanced Practice Clinicians in our physician-led medical group.
We are committed to diversity and inclusion every single day and in everything we do. By cultivating an atmosphere of acceptance and compassion, we create a welcoming environment where our patients can heal, our teammates can thrive, and our business can grow. As a teammate, working in a diverse setting allows you the chance to grow in ways that will broaden your perspective to deliver the best possible patient care.
Contact Information
[email protected]

 

[icebreaker32]

Indiana University Health Ball Memorial Physicians is seeking a skilled Podiatrist to join its expanding team of highly trained and subspecialized physicians. Clinical experiences is preferred as we are looking for someone to collaborate across different specialties within the physician group such as orthopedic surgery, vascular surgery and plastic surgery. As IUHP looks to expand programmatic care and centers of excellence, podiatry will have a role across different spectrums.

Position Details:

• Schedule:
  • Full Time, Monday-Friday
• Practice Location: IU Health Ball Orthopedic at Ball Memorial Hospital in Muncie, IN
• Evaluate patient in clinic setting and inpatient environment, formulate plan of care individualized for patient, coordinate care with support and ancillary staff
• Call shared with IU Health partners and other local providers- estimated 1 in 4 call
• Strong compensation and benefit package

Requirements:

• DPM
• Experienced candidates preferred
• Ability to become licensed in Indiana

Healthcare System/Hospital Description

IU Health Ball Memorial Hospital is a 332-bed hospital and is designated as alevel 3 trauma center. It is both a teaching hospital and a regional tertiary referral center. Over the last decade, the hospital has undergone a $130 million remodel and currently serves over 82,700 patients daily.

 

[bloxxeeey]

It seems like 120K is pretty much the upper end of most offers coming out of residency. 100-120K, some lower than 100k but not many higher than 120k.

 

[icebreaker32]

It seems like 120K is pretty much the upper end of most offers coming out of residency. 100-120K, some lower than 100k but not many higher than 120k.

This is podiatry. Most will start off as an associate with a low salary and poor benefits. Then to improve one's situation they need to either land an organizational job or they must start their own practice or buy in as a partner and possibly buy in at a surgery center also.

 

[air bud]

This is podiatry. Most will start off as an associate with a low salary and poor benefits. Then to improve one's situation they need to either land an organizational job or they must start their own practice or buy in as a partner and possibly buy in at a surgery center also.

I can't remember the last time I heard about a pod buying into an ASC. But very regional. Where I trained all the pods had ASC shares but that was a while ago and they were all well established

 

[bloxxeeey]

This is podiatry. Most will start off as an associate with a low salary and poor benefits. Then to improve one's situation they need to either land an organizational job or they must start their own practice or buy in as a partner and possibly buy in at a surgery center also.

Yeah I agree this is the most standard.
100-120k
2 weeks PTO
Very little CME 1000-1500$
Bonus collections after 3x salary - collect 20-30%.

One position offered 25% after I collect 850k

 

[Shiyuan]

Yeah I agree this is the most standard.
100-120k
2 weeks PTO
Very little CME 1000-1500$
Bonus collections after 3x salary - collect 20-30%.

One position offered 25% after I collect 850k

Indeed

 

[GreenHousePub]

I can't remember the last time I heard about a pod buying into an ASC. But very regional. Where I trained all the pods had ASC shares but that was a while ago and they were all well established

I just got in on one last year.

 

[heybrother]

I just got in on one last year.

Multi-specialty or podiatry only?

 

[GreenHousePub]

Multi-specialty or podiatry only?

Multi-specialty, owned by a national organization. Primarily ortho and optho. I bought in, not from the ground up.

 

[MicroPod]

One of the docs we work with in residency is buying into a new surgery center (multi specialty) and is very excited about it.

Another one owns the surgery center (multi specialty) and operates in it.

Might be better for another thread but could anyone share their experience with them and how lucrative they can be?

 

[podwho]

Multi-specialty, owned by a national organization. Primarily ortho and optho. I bought in, not from the ground up.

can you talk about this in more detail? costs, profit sharing, liabilities and responsilbities? How you went about it. I am looking into this at a local place my self but very little data to work off of.

 

[eyeeye_captain]

Multi-specialty, owned by a national organization. Primarily ortho and optho. I bought in, not from the ground up.

 

[podourology]

My search so far.
-Rejected 1 private practice offers just hung up phone mid discussion. ~90k offers, asked them if benefits included foot stamps. They did not laugh at my joke, mutually agreed i'm not looking a career there.

 

[Feli]

My search so far.
-Rejected 1 private practice offers just hung up phone mid discussion. ~90k offers, asked them if benefits included foo[d] stamps. They did not laugh at my joke, mutually agreed i'm not looking a career there.

It's fun to mock offers, but I would not do that to the places themselves, especially if you are looking at others in the area. Thank them for their time and move on.

You never know who is a classmate, connection, co-resident, former colleague, etc. At minimum, a lot of podiatrists network at meetings. If one place is hiring, I bet they know who else nearby is... and what they're paying or offering. They all live there, work there, go to local hospital and CME meetings. Whether they are friends or neutral or enemies, they still know one another. There are plenty of SDN users, random podiatrists, etc who developed a rep of being tough to work with, rude, whatever. It affects their options and compensation; it affects their networking ability and the job offers people share with them.

As much as we rag on 75k, 80k, 90k, 100k, collection % only, mobile podiatry offers... they are still offers. Podiatry severely lacks good offers, but at least we have offers.

Look only to pharmacy to see how low job offers can get with public and private equity employers, new schools, and saturation. See how many doctorate grads leave the profession altogether.

Keep searching and calling.
"Good" offers can't exist without "bad" ones.
Success is the best revenge.

 

[podourology]

It's fun to mock offers, but I would not do that to the places themselves, especially if you are looking at others in the area. Thank them for their time and move on.

You never know who is a classmate, connection, co-resident, former colleague, etc. At minimum, a lot of podiatrists network at meetings. If one place is hiring, I bet they know who else nearby is... and what they're paying or offering. They all live there, work there, go to local hospital and CME meetings. Whether they are friends or neutral or enemies, they still know one another. There are plenty of SDN users, random podiatrists, etc who developed a rep of being tough to work with, rude, whatever. It affects their options and compensation; it affects their networking ability and the job offers people share with them.

As much as we rag on 75k, 80k, 90k, 100k, collection % only, mobile podiatry offers... they are still offers. Podiatry severely lacks good offers, but at least we have offers.

Look only to pharmacy to see how low job offers can get with public and private equity employers, new schools, and saturation. See how many doctorate grads leave the profession altogether.

Keep searching and calling.
"Good" offers can't exist without "bad" ones.
Success is the best revenge.

I have other offers that's just my lowest. I'm seeing 160-200k. Mulling over a hospital wound care job to see if 200k with benefits is worth no surgery. I don't think job market is that bad.

 

[Scrantonicity]

I have other offers that's just my lowest. I'm seeing 160-200k. Mulling over a hospital wound care job to see if 200k with benefits is worth no surgery. I don't think job market is that bad.

Man, that sounds like the dream. Easy to say though since I'm over 11 years out and ABFAS certified....I'd give up surgery for a cush job like that any time...

 

[air bud]

Man, that sounds like the dream. Easy to say though since I'm over 11 years out and ABFAS certified....I'd give up surgery for a cush job like that any time...

Wait 200k with Benny's and no surgery is a cush job?

 

[Hybrocure]

Man, that sounds like the dream. Easy to say though since I'm over 11 years out and ABFAS certified....I'd give up surgery for a cush job like that any time...

The irony of so many pods becoming ABFAS cert so they can go non op is one thing to add to the list of problems with podiatry

 

[Feli]

I have other offers that's just my lowest. I'm seeing 160-200k. Mulling over a hospital wound care job to see if 200k with benefits is worth no surgery. I don't think job market is that bad.

You feel that considering jobs not using half the skills you trained in order to achieve 2:1 ratio of loans to income ROI is "don't think the job market is that bad"??

What other health profession does this???
... Maybe a chiro grad taking a job doing disability audits but no manipulations or a counselor grad doing limited scope niche clients?
RNs and MDs take some limited gigs to get good hours or certain city, but they make better than 1:1 ROI for it (and they can go back to full scope later if they want to).

 

[podourology]

A $200k (Hospital doesn't qualify for loan forgiveness) as a ceiling without bonus is not cush for an expensive and highly litigious city. I am just not interested, but ya know stuff happens.

 

[bloxxeeey]

I haven't been having much luck. I have about 100k saved up coming out of residency with some family support and a wife that pulls 200k+, would I be crazy to start my own practice? I have gotten some decent offers there just areas where I can't see us settling down for long term. I can't imagine just going for a year or two to make a little money then just coming to an area where I want to live to start up.

 

[podourology]

I haven't been having much luck. I have about 100k saved up coming out of residency with some family support and a wife that pulls 200k+, would I be crazy to start my own practice? I have gotten some decent offers there just areas where I can't see us settling down for long term. I can't imagine just going for a year or two to make a little money then just coming to an area where I want to live to start up.

I pity your poverty. Open up your own and do NH 2-3 days a week and scale up. That's what my friend did and they just trimmed out all the NH. You didnt apply to hospitals?

 

[Shiyuan]

I’d say look more rural but…

 

[icebreaker32]

I can't imagine just going for a year or two to make a little money then just coming to an area where I want to live to start up.

Yah don’t do this.

Take a job close to somewhere you would potentially like to open an office and be happy to potentially live the rest of your life. For an actual great job some are willing to make some compromises on location, but not for a typical associate job that is slightly better than another typical associate job.

 

[Scrantonicity]

Wait 200k with Benny's and no surgery is a cush job?

Depends on the benefits, guess when I hear benefits now I'm spoiled being at the VA. But yeah, never seeing post ops ever again, never being on call and still making 200K sounds pretty cush though. Just 8-5, twirl your mustache and go home. Especially when today we have associates working their asses off and doing complex surgeries, seeing their boss's post-ops as well as their own, taking call for 2-3 hospitals for $120K-160K lol. Messed up world we live in...

 

[Feli]

...never seeing post ops ever again, never being on call and still making 200K sounds pretty cush though. Just 8-5, twirl your mustache and go home. ...

This is called PP owner.
Post ops are up to you. Staffing. Hours. Whatever... up to you.
Except you should make more in an area with decent or good payers... a whole lot more with associate(s).

... Especially when today we have associates working their asses off and doing complex surgeries, seeing their boss's post-ops as well as their own, taking call for 2-3 hospitals for $120K-160K lol. Messed up world we live in...

They will figure it out one day.

Everyone needs to start somewhere to get the money to start their own or the ABFAS and exp to be competitive for most hospital jobs.

....would I be crazy to start my own practice? I have gotten some decent offers there just areas where I can't see us settling down for long term. I can't imagine just going for a year or two to make a little money then just coming to an area where I want to live to start up.

I did that - a few times.

Banks don't tend to just grant loans to people with 3x loans-to-salary. So, you need to save up somehow. Also, it greatly helps to see a biz run well before doing it yourself.

If you dont have the money, go get it. Chase the bag - and the exp - for a couple years.

If you have the money, either start up now or take a job near your start target area to learn the practice management and area - just mind any (enforceable) non-compete.

...For an actual great job some are willing to make some compromises on location, but not for a typical associate job that is slightly better than another typical associate job.

Concur.
It's one thing to get 200k or 250k+ with 401/401 match.... that allows seriously saving up and/or knocking out debts. That's worth going to less than optimal places for, especially if job quality/refers are good (ortho type, not limb salvage slop). Since those are so rare in podiatry, most people will jump on those.

For typical podiatry jobs 125k-200k no benefits associate or supergroup/PE/MSG, those can be found in any area. Go where you or family like.

 

[bloxxeeey]

This is called PP owner.
Post ops are up to you. Staffing. Hours. Whatever... up to you.
Except you should make more in an area with decent or good payers... a whole lot more with associate(s).


They will figure it out one day.

Everyone needs to start somewhere to get the money to start their own or the ABFAS and exp to be competitive for most hospital jobs.


I did that - a few times.

Banks don't tend to just grant loans to people with 3x loans-to-salary. So, you need to save up somehow. Also, it greatly helps to see a biz run well before doing it yourself.

If you dont have the money, go get it. Chase the bag - and the exp - for a couple years.

If you have the money, either start up now or take a job near your start target area to learn the practice management and area - just mind any (enforceable) non-compete.



Concur.
It's one thing to get 200k or 250k+ with 401/401 match.... that allows seriously saving up and/or knocking out debts. That's worth going to less than optimal places for, especially if job quality/refers are good (ortho type, not limb salvage slop). Since those are so rare in podiatry, most people will jump on those.

For typical podiatry jobs 125k-200k no benefits associate or supergroup/PE/MSG, those can be found in any area. Go where you or family like.

Let's say I start planning to open a practice. I have 200k saved, will I survive a year. I'm not planning on opening up in any saturated metro. More like a college town.

 

[DYK343]

I have other offers that's just my lowest. I'm seeing 160-200k. Mulling over a hospital wound care job to see if 200k with benefits is worth no surgery. I don't think job market is that bad.

Wound care is a major source of surgical volume. Emergent and non emergent.

Does it specifically say non surgical?

Aside from I&Ds/amps, surgical offloading is a big part of effective woundcare.

 

[Feli]

Wound care is a major source of surgical volume. Emergent and non emergent.

Does it specifically say non surgical?

Aside from I&Ds/amps, surgical offloading is a big part of effective woundcare.

You are right, but it's not that way everywhere. It's still very regional.

This kid is talking NYC training and practice. The majority of hospitals in NY give the foot surgery to vasc, gen, ortho or a maybe a rare employed surgical DPM. They can pay the non-op pods less to just do outpt wounds and and make rounds, so that's what they do. DPMs are jumping over one another to take the work. Even the "good" podiatry residencies there don't have great volume or diversity and usually "learn" most of thier RRA with non-DPMs. They consider the DPMs doing 'big stuff' there to be Charcot and DM ankle fx and other stuff that pods in less saturated areas look to generally avoid.

Some of the Mich hospital systems were that way also... DPMs get to do clinic wound care, but even any of the DM Charcot or other deformity stuff goes to ortho. Bunions for DM patients or forefoot amps might go to one of the employ DPMs, but most of their DPM hospital FTEs do little or no OR surgery at all. I tried to refer the 'academic' DPMs Charcot a few times as I did not want to deal with it in PP/MSG, and it was all re-routed to ortho dept at UMich. The patients would get their wound care with DPMs (or me), but any significant surgery with ortho or vasc if I or other outside pods didn't want to do it.

There are dozens of major metro cities I'm aware of where DPMs get sent hardly anything besides nails and wounds. They have to "find" their surgery - particularly any elective stuff - by explaining to PCPs and attract it with advertising. Even toe and met fractures are largely sent to ortho in a lot of places. Change is veeery gradual. Hospitals will always be more relatively saturated for work than PP or rural areas; the big metro hospital systems employ a lot of MD/DO surgeons. In good times or where docs are scarce (rural, govt), DPMs might get to do more and be sent more. If there are more politics or more supply of MD and DO surgeons, pod scope will be more limited.

At then end of the day, even a simple exostectomy or TAL can't be taken for granted as being done by DPM. Not everywhere.
The answer is not fellowships in exostectomy.

 

[DYK343]

You are right, but it's not that way everywhere. It's still very regional.

This kid is talking NYC training and practice. The majority of hospitals in NY give the foot surgery to vasc, gen, ortho or a maybe a rare employed surgical DPM. They can pay the non-op pods less to just do outpt wounds and and make rounds, so that's what they do. DPMs are jumping over one another to take the work. Even the "good" podiatry residencies there don't have great volume or diversity and usually "learn" most of thier RRA with non-DPMs. They consider the DPMs doing 'big stuff' there to be Charcot and DM ankle fx and other stuff that pods in less saturated areas look to generally avoid.

Some of the Mich hospital systems were that way also... DPMs get to do clinic wound care, but even any of the DM Charcot or other deformity stuff goes to ortho. Bunions for DM patients or forefoot amps might go to one of the employ DPMs, but most of their DPM hospital FTEs do little or no OR surgery at all. I tried to refer the 'academic' DPMs Charcot a few times as I did not want to deal with it in PP/MSG, and it was all re-routed to ortho dept at UMich. The patients would get their wound care with DPMs (or me), but any significant surgery with ortho or vasc if I or other outside pods didn't want to do it.

There are dozens of major metro cities I'm aware of where DPMs get sent hardly anything besides nails and wounds. They have to "find" their surgery - particularly any elective stuff - by explaining to PCPs and attract it with advertising. Even toe and met fractures are largely sent to ortho in a lot of places. Change is veeery gradual. Hospitals will always be more relatively saturated for work than PP or rural areas; the big metro hospital systems employ a lot of MD/DO surgeons. In good times or where docs are scarce (rural, govt), DPMs might get to do more and be sent more. If there are more politics or more supply of MD and DO surgeons, pod scope will be more limited.

At then end of the day, even a simple exostectomy or TAL can't be taken for granted as being done by DPM. Not everywhere.
The answer is not fellowships in exostectomy.

Yeah I agree. NY is on the list of places I would never practice (I've said that many times on here - Northeast in general no thanks).

But if ortho is really upset about elevating osteotomies, kellers, Gastroc lengthenings I&Ds/amps then ortho is really not busy.

I know its pretty saturated up there. But the fact that ortho wants these cases is pretty hilarious.

No thanks. Pass on NE (and seattle/alabama/carolinas...)

 

[podourology]

You are right, but it's not that way everywhere. It's still very regional.

This kid is talking NYC training and practice. The majority of hospitals in NY give the foot surgery to vasc, gen, ortho or a maybe a rare employed surgical DPM. They can pay the non-op pods less to just do outpt wounds and and make rounds, so that's what they do. DPMs are jumping over one another to take the work. Even the "good" podiatry residencies there don't have great volume or diversity and usually "learn" most of thier RRA with non-DPMs. They consider the DPMs doing 'big stuff' there to be Charcot and DM ankle fx and other stuff that pods in less saturated areas look to generally avoid.

Some of the Mich hospital systems were that way also... DPMs get to do clinic wound care, but even any of the DM Charcot or other deformity stuff goes to ortho. Bunions for DM patients or forefoot amps might go to one of the employ DPMs, but most of their DPM hospital FTEs do little or no OR surgery at all. I tried to refer the 'academic' DPMs Charcot a few times as I did not want to deal with it in PP/MSG, and it was all re-routed to ortho dept at UMich. The patients would get their wound care with DPMs (or me), but any significant surgery with ortho or vasc if I or other outside pods didn't want to do it.

There are dozens of major metro cities I'm aware of where DPMs get sent hardly anything besides nails and wounds. They have to "find" their surgery - particularly any elective stuff - by explaining to PCPs and attract it with advertising. Even toe and met fractures are largely sent to ortho in a lot of places. Change is veeery gradual. Hospitals will always be more relatively saturated for work than PP or rural areas; the big metro hospital systems employ a lot of MD/DO surgeons. In good times or where docs are scarce (rural, govt), DPMs might get to do more and be sent more. If there are more politics or more supply of MD and DO surgeons, pod scope will be more limited.

At then end of the day, even a simple exostectomy or TAL can't be taken for granted as being done by DPM. Not everywhere.
The answer is not fellowships in exostectomy.

yeah, not worth it for me with my training. I have LOR from ortho, gen surg guys which hold a lot more weight for hospital jobs. 🙊

I worked hard these last 3 years and networked very well. Wherever I go, I will do well. I am not cocky, I just work hard and people appreciate it.