Forum Members Official: Job Offer Thread

[Feli]

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

Yeah, exactly.

But, just because ortho (or gen or vasc) is too busy now, that doesn't mean they always will be. If they're ever not busy, they will then start to gobble up more foot fx, injuries, amps, even wound care if they need to in the future. It's a risk. The wound care - esp non-op - is a niche that's fairly safe for DPMs, but the hospital would pick a semi-retired gen surg or IM or vasc doc 9 times out of 10 even for that too (if they were available at same/similar rate... typically they are not).

Podiatry is a very good and useful service (training and residency-dependent), but we're just not necessary.
A lot of DPMs take those non-op jobs and minimal surgery ones hoping they can add surgery, more surgery, ankle, etc in the future.
That's usually not possible.

The MD/DOs usually know what DPMs can do... and they're happy to hire the best-trained pods to allow them to do a small fraction of what they could do.
In some places, it's a matter of money; podiatry gets paid less to do the work the MDs don't want... and maybe whatever other scraps they can quietly find.
In others (usually univ or big name hospital systems), it's just egos; they know very well that good DPMs can do a Jones fx or even a trimall fx just fine but won't allow it. They will put any podiatry cases on Fridays, noon, 5pm, etc to prove a point.

---

Members don't see this ad.

 

[Boba Foot]

Let's say I start planning to open a practice. I have 200k saved, will I survive a year.

It's going to take you 1-2 years just to figure out what you're doing outside of the clinical and surgical things you've already been taught. Probably better off taking a mediocre associate job and using that 200k to supplement your income for a year or two, if needed, and then opening when you know the day-to-day. There's quite a bit in office management you don't realize as a resident.

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.

Ortho has no interest in doing this stuff in NYC. No idea what Feli is taking about with that.

 

[heybrother]

$200K is enough money to start a practice but you're going to experience a lot of the old expression - "Experience is what you get when you don't get what you wanted". You are going to have all sorts of "lessons" with non-payment, credentialing, etc.

I think there's something to be said for learning in someone else's practice though I also recognize there are groups where you won't learn anything. I met someone recently who was a partner in a group but had no idea what their collections were or what the practice's collections were. Also, everyone is paid the same. Yeah. I had trouble keeping a straight face. Apparently the founder of the group is just brilliant and takes care of it for everyone. There is no world where this person isn't defrauding their partners but so it goes.

Even if you have the resources to start a practice - you absolutely need to develop a business plan for how the practice will function. I've told the story elsewhere but a hand surgeon in my town went out of business in like 1.5 to 2 years. They were previously hospital employed, well known in the town, and bought a beautiful $1,000,000 free standing building. The real estate for my little old podiatry office is worth about $200K as of a year ago ago.

Consider - you start your office and decide you need your own beautiful building, x-ray, shockwave, standing CT, fluoro, Wart Defrauder Machine, LASER NAIL BLASTER, etc and boom - you are sitting there making big payments and going out of business. Make a plan for expenses and cash flow. Go light on staff. Build your way up to things.

 

[Feli]

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.

You will do fine adequately with a cold startup in a new area and without any exp working without training wheels or running an office.

As mentioned by @heybrother , you will just have a lot of inefficiencies and miss a LOT of $ early on if you don't observe while working at an established podiatry office. The biz saying I always use is, "There are two ways to learn: your mistakes or someone else's. One is quicker, and one is cheaper... and they're the same one."

Logistically, you could find an office and supplies. However, it's very hard to sign up for insurance plans and hospital privileges when you're still a resident (may not have full state license, not board cert, dont' have malpractice, addresses established in the area, etc). You probably have no idea what I'm even talking about or what the process for many of those things are, so maybe don't try to open up 6 months from now?? We haven't even gotten to office forms, equipment, staffing, marketing, supplies, and 74 other things. PS, you do NOT get a second chance at a first impression of you and your office with PCPs and hospitals and other important local refer sources.

It is better to learn a bit working at a fair/good podiatry office, realize the general needs and flow of an office, and then apply that knowledge to your own... hit the ground running. Even if you have enough money to start an office (costs vary widely based on location and equipment), I would work a year or two or three and learn in or near your target location before taking the plunge.

Solo practice can be done just fine right from residency, though... and PLEeEeEeNTY of DPMs have done it. Some do fairly well, but they are usually the entrepreneur types who scout and plan solo office for years and/or the type with family money/podiatrist and no real pressure of money or an established office they can just take over at their own pace. Those are the minority; for the majority of DPMs, solo startup will be significantly difficult. For better or worse, one *plus* side to the wretched podiatry pay and job market is that necessity is the mother of invention.
In most places, you could do it with about 50k-100k and line of credit or savings of another 50k-100. Wide ranges are because it's HIGHLY variable as to how much marketing you will need early, how many patients you will get and how quickly, how good your payers are. Some areas are highly saturated, and others are a bit more open and/or you can get a hospital to help with startup costs (typically in exchange for staying there awhile and implication of taking most/all cases and sending imaging/tests to them). Many startup PPs have to take ER call + bad insurances or do nursing homes or do tons of marketing or go without an assistant (scheduler only) or all of those things to make ends meet early on.

...So, again, I vote for work in a PP, then run a PP solo. It honestly works better that way for 95% of DPMs... and consider others on SDN: we won't have to endure years of threads and posts with you complaining about running a solo office, as you do right now with the job market. Tis the holiday season, so think of othersf? 🎅

 

[icebreaker32]

Opening an office takes a lot of work. Even with experience first it will be hard, but it helps at least a little, possibly a lot to have experience.

Until you have hospital privileges and are at least on Medicare it will be idle time basically. Getting on Medicare alone might take 3-4 months. If you fill out one part of the form wrong you might delay it further. It is hard to do much of anything as far as hospital privileges and getting on insurances without a physical address.

You really need to have a feel for the insurance mix, referral patterns and saturation of other podiatrists in the area before you open. You will need to get patients somehow. Referral from PCPs and marketing is usually the way until you have been practicing for a long time. You might get busier faster by taking poor insurances. If no one else in the area takes those insurances you might be busier than expected early on but not doing that well unless you have extremely low overhead. Medicine is a business and you need decent profit margins from smart but hopefully ethical treatment protocols and a certain number of patients walking through the door with decent insurance. Add to it that one of the most difficult part of running an office is managing, motivating, retaining or if necessary firing employees.

Why would anyone do all this? Because podiatry.

Though seriously, if you make it past the early years You at least have job stability and can buy a house and have kids etc if that is important to you. Even if one would just say I would rather just make my 120K plus bonus as an associate than deal with the hassles of opening an office I will argue ROI aside there is no job stability as an associate. As much as we complain about being an associate I have known those who have not had their contracts renewed for various reasons. We all know getting another job close enough to where one already lives can be very hard. Another major drawback of this profession ROI asside is definitely the availability of jobs. Finding a job when one is single and potentially open geographically is different than finding another one where your spouse can keep their job and kids can stay in the same school district. I think most know there is a chance something could happen even if employed by a hospital and they might have to open an office in this profession or move far away.

The benefit to opening an office as mentioned is you have some control of where you live and some job stability. The downside is the early years can be hard, some will not make it which is rarely mentioned on here or file bankruptcy even if they are able to keep the office open etc. There will be ups and downs along the way also even if you are doing well. Some in the right location at the right time with the right investments can make more than hospital employed podiatrists.…sometimes much more.

 

[icebreaker32]

Podiatry | Multi-Specialty Group | Outpatient + 2 OR Days | Minnesota​

Build a schedule to suit your lifestyle in this established Podiatry practice located in the gorgeous Central Lakes region of Minnesota, named the #1 Best State for Physicians!

Practice Details:
• Join a large multi-specialty group that employs two podiatrists
• Incorporate outpatient clinic work with 2 OR days
• 4 day a week schedule with NO call coverage; The most flexible full time schedule you will see!
• Dedicated LPN or MA + knowledgeable surgery case managers and specialty scheduling staff

Compensation & Benefits:
• Unheard of Employer 401k Contributions of 20% of your compensation
• 180 required clinical days annually which allows for 75 personal days annually!
• $15K toward the down payment on home + paid relocation
• Generous CME stipend, Paid Health Benefits & Malpractice Coverage

Please contact Allegra Lowell, Senior Search Consultant for more information:
• Email: [email protected]
• Call/Text: 314-788-6876

 

[DogSnoot]

Location: everett, Washington
posted December 15, 2023

Job Type: Full-Time Associate

Summary: Are you looking for an opportunity to join a surgically-oriented and well-established practice in the beautiful Seattle area of Washington? I am looking to hire an associate who will eventually take over my medical practice. I would like to bring in a physician that is personable and “people” oriented. Specific training should include emphasis on surgery (forefoot, reconstructive rearfoot and ankle surgery). However, willingness to provide all aspects of foot and ankle care is desired. My practice commonly treats diabetic patients and palliative care patients, but I usually perform over 200 surgeries a year. Hospital privileges will be available at two major local hospitals and for elective surgery, we also have three ambulatory surgical centers available. Board certification/board eligibility is highly recommended. For a new practitioner, once you have obtained your board certification, buy in will be available.

Name of Practice: Northwest Foot and Ankle Physicians and Surgeons

Practice Focus/Sub Specialty: Surgery

Practice Arrangement Type: Small Group (2-5 Practitioners)

Post Graduate Training: Three Years

Salary: $175,000-$200,000

Surgery Options: Reconstructive Surgery

Benefits: $120,000-$200,000 (with benefits) If you are an individual who is well-rounded, hard-working and motivated, you will be nicely suited to this practice. The salary is competitive with the benefit of both a base salary and incentive based pay. Other benefits include a full partner/ownership opportunity. Health and dental insurance, 401K and other benefits will also be available. The Washington area provides good work-life balance with beautiful outdoors and access to metropolitan resources, such as symphony, ballet, Broadway plays, shopping and outstanding restaurants. Seattle Seahawks, Mariners, Kraken professional teams and college sports are all available. Schools/education opportunities in the area are excellent. The position is available upon residency completion or sooner if available. References are required, and surgical case logs will be requested. This is an independent private practice. I have been in practice for over 20 years and would like to share the practice with someone who is ethical, diligent, and positive. Your success will depend on your competency and motivation, but my support and mentorship could help you toward a successful career.

Is practice affiliated with a residency-training program? - No

Required to work in a nursing home or LTC Facility? - No

Start Date of Position: August 1, 2024


Position Post will expire: January 14, 2024

How to Apply: Please email CV and letter of interest to [email protected]

 

[Hybrocure]

. My practice commonly treats diabetic patients and palliative care patients, but I usually perform over 200 surgeries a year.

🤷🏻‍♂️

 

[Feli]

🤷🏻‍♂️

A lot of wound wizards count higher level debrides (or even basic ones), tendonotomies, bedside I&D, toe amps, BS office grafts, nail proc, etc as "surgery."

I don't think very many DPMs - of any sort - do 200 surgery cases/yr (4/wk... probably 4.5/wk with vaca and holidays).
200 OR procedures? Sure... forefoot slam = 8 proc, flat foot = 3-5 proc, etc.
200 bona fide surgery cases/yr... that's probably less than 20% or even less than 10% of DPMs. It can be done by driving pus bus super hard, being the "surgery guy" for a pod group, being in ortho group, etc... but it's just not common.

 

[Hybrocure]

A lot of wound wizards count debrides, tendonotomies, bedside I&D, toe amps, BS office grafts, etc as "surgery."

I don't think very many DPMs - of any sort - do 200 surgery cases/yr (4/wk... probably 4.5/wk with vaca and holidays).
200 OR procedures? Sure... forefoot slam = 8 proc, flat foot = 3-5 proc, etc.
200 bona fide surgery cases/yr... that's probably less than 20% or even less than 10% of DPMs.

Im glad someone else noticed this lol

 

[Feli]

"Palm Desert, CA- CVFAI is looking for Podiatry Associate for a large expanding busy surgical practice. Must be 2-3yrs trained. Surgical experience preferred but not needed. Practice sees inpatient/ER consult as well. Must be motivated, and hard working. Dr. Ben Wehrli, DPM. Please email scan your resume to [email protected] 08/30/23"

^^ This guys is a really good thinker and surgeon... he was finishing at DMC when I clerked there (back when it was an elite residency). He has excellent energy and skill - both clinic/surgery and as a teacher.

No idea what the pay would be or how he is to work with post-training, but he does good cases and is real fun personality.

For new or recent grads, this job would be better learning, practical, experience (and pay) than nearly any fellowship. I can tell you that.

 

[Feli]

"Podiatry Associate

Foot & Ankle Specialists of New Mexico
Albuquerque, NM
Apply directly on Health ECareers
Apply on LinkedIn
Apply on Salary.com
Apply on Talent.com
Apply on WAVY Jobs
Apply on KHON2 Jobs
Apply on KSNT Jobs
Apply on Big Country Jobs

9 days ago
Full-time

Health insurance
Job highlights
Identified by Google from the original job post

Qualifications • ABFAS board qualified in foot and reconstructive rearfoot/ankle surgery • Familiar with ICD10 and CPT coding

Benefits • We offer a highly competitive salary with a bonus structure to start • Paid Malpractice & other licenses • 20k sign-on bonus for candidate that starts before April 1st, 2024

Job description
Foot & Ankle Specialists of NM is one of the largest podiatry groups in New Mexico. With five locations and seven physicians we offer specialized, compassionate care to our communities. Surgical privileges at all major hospitals with mandatory on-call. We offer a highly competitive salary with a bonus structure to start. Spanish speaking preferred, but not required.Qualified Candidates• Completion of podiatric residency, fellowship preferred but not required.• ABFAS board qualified in foot and reconstructive rearfoot/ankle surgery.• Familiar with ICD10 and CPT codingBenefits and Compensation• Competitive salary• Competitive Bonus structure• Paid Malpractice & other licenses• 20k sign-on bonus for candidate that starts before April 1st, 2024Interested candidates can email cover letter and CV to [email protected] InformationInterested candidates can email cover letter and CV to [email protected]"

...Pretty decent sign bonus, esp for a PP job.

These guys seemed pretty cool and relaxed when I've seen them at conferences.

 

[GreenHousePub]

"Palm Desert, CA- CVFAI is looking for Podiatry Associate for a large expanding busy surgical practice. Must be 2-3yrs trained. Surgical experience preferred but not needed. Practice sees inpatient/ER consult as well. Must be motivated, and hard working. Dr. Ben Wehrli, DPM. Please email scan your resume to [email protected] 08/30/23"

^^ This guys is a really good thinker and surgeon... he was finishing at DMC when I clerked there (back when it was an elite residency). He has excellent energy and skill - both clinic/surgery and as a teacher.

No idea what the pay would be or how he is to work with post-training, but he does good cases and is real fun personality.

For new or recent grads, this job would be better learning, practical, experience (and pay) than nearly any fellowship. I can tell you that.

From what I have heard it is the direct opposite of what you are describing.

 

[Retrograde_Nail]

Hospital job in Maine. Be a podiatrist. Go live in Maine to make enough money to pay your loans off and maybe live like a doctor. So much opportunity…


Incoming 300 applications for Maine...

Danny Stearn about to get lit up. Sorry Danny boy

 

[Hybrocure]

View attachment 380440

Hospital job on Maine. Be a podiatrist. Go live in Maine to make enough money to pay your loans off and maybe live like a doctor. So much opportunity…


Incoming 300 applications for Maine...

Danny Stearn about to get lit up. Sorry Danny boy

No details about the job. Watch it be for a podiatry NP

 

[Feli]

From what I have heard it is the direct opposite of what you are describing.

See, there you go talking to powe-diatrists again.

He's a bit of a polarizing personality... jock type, high confidence, competitive, jokes around a lot.
I grew up with that (sports, confident ppl, a lot of gunners, a lot of structure), so I work that way also and like that environment of joking around, work hard but earn/achieve more, pushing ppl to be sharp and productive. I guess it's not for everyone.

When he did that program, DMC was one of the very top in the country. They'd consistently get 100 apps and pick 25 interviews for four resident spots... consistently match pod school valedictorians and very hard workers. They had tons of cases, great attendings, rock star grads coming out every year to do ortho groups, TOP fellowships (when fellowships were new and better), etc. We are talking the DMC that was training James Cottom and Ryan Scott, etc... who are now top fellowship directors. Pretty much every guy training there ate, slept, breathed podiatry surgery. I would say he's top 5-10% of DPMs out in practice, maybe better, no question... some of his co-res mentioned are top 0.x% of all.

 

[Feli]

Hospital job on Maine. Be a podiatrist. Go live in Maine to make enough money to pay your loans off and maybe live like a doctor. So much opportunity…


Incoming 300 applications for Maine...

Danny Stearn about to get lit up. Sorry Danny boy

Maine is dope if you want to practice ice fishing auger skills or train for Alone or Deadliest Catch or the hardcore survival shows. 🧊🥶🧊

Concur that Daniel San wakes up Monday to 100+ in the inbox wanting an interview on that job.

 

[Hybrocure]

Maine is dope if you want to practice ice fishing auger skills or train for Alone or Deadliest Catch or the hardcore survival shows. 🧊🥶🧊

Concur that Daniel San wakes up Monday to 100+ in the inbox wanting an interview on that job.

Also known for their model train conventions

 

[dtrack22]

Danny Stearn about to get lit up. Sorry Danny boy

Don’t apologize to Danny. Instead ask for a cut of the fat commission he’ll get for placing someone at a place that probably traditionally struggles to fill Physician openings. Hundreds of apps = $$$ for recruiters

 

[Retrograde_Nail]

Don’t apologize to Danny. Instead ask for a cut of the fat commission he’ll get for placing someone at a place that probably traditionally struggles to fill Physician openings. Hundreds of apps = $$$ for recruiters

Traditionally struggles for real physicians. Yes.

Podiatry is about to light the world on fire and give more reason for hospital CEOs to lowball us in salary negotiations because they know how hard their job posting got it in a matter of days.

 

[GreenHousePub]

See, there you go talking to powe-diatrists again.

He's a bit of a polarizing personality... jock type, high confidence, competitive, jokes around a lot.
I grew up with that (sports, confident ppl, a lot of gunners, a lot of structure), so I work that way also and like that environment of joking around, work hard but earn/achieve more, pushing ppl to be sharp and productive. I guess it's not for everyone.

When he did that program, DMC was one of the very top in the country. They'd consistently get 100 apps and pick 25 interviews for four resident spots... consistently match pod school valedictorians and very hard workers. They had tons of cases, great attendings, rock star grads coming out every year to do ortho groups, TOP fellowships (when fellowships were new and better), etc. We are talking the DMC that was training James Cottom and Ryan Scott, etc... who are now top fellowship directors. Pretty much every guy training there ate, slept, breathed podiatry surgery. I would say he's top 5-10% of DPMs out in practice, maybe better, no question... some of his co-res mentioned are top 0.x% of all.

That's great?

What I heard is it's just the standard associate mill where you get paid low, have to go find your own patients, and given all the low-payers to see.

 

[619]

Podiatrist​

Chambersburg, Pennsylvania

Dental Insurance
Health Insurance
Relocation Assistance
Sign-On Bonus
Vision Insurance
Health System
Full Time
WellSpan Health is a nationally recognized, integrated health system that serves the communities of south-central Pennsylvania and northern Maryland. The organization is supported by 2,000+ employed physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, approximately 20,000 employees, and 200+ patient care locations. WellSpan Medical Group (WMG) is seeking a full-time Podiatrist for their Franklin County location. Individual must be a graduate of an accredited school of Podiatry Medicine with Doctor of Medicine degree plus completion of a residency training program in Podiatric Medicine and Surgery. He or she must also be Board Certified/Board Eligible. At this time, we are seeking a well-rounded podiatrist interested in all aspects of podiatry. Responsibilities will include diabetic foot care, podiatric office procedures, wound care, nursing home resident care, and inpatient hospital consults.
Position Highlights:

• Join a collegial team comprised of 7 DPMs (rotating hospital call shared amongst DPMs)
• High referral-based volume
• Ideal candidate: trauma and wound care experience; surgically trained in ankle/forefoot/rearfoot procedures
• Onsite X-ray machine at all locations
• New provider will split time between Chambersburg, Greencastle and Waynesboro offices
• Hospital-based wound center

Our Commitment to You:

• Physician-designed compensation model
• Competitive signing bonus
• Full relocation and retirement savings plan
• Malpractice coverage including tail
• $4,500/year for CME

About the Community:
Conveniently situated within a short drive of major cities like Philadelphia, Baltimore and Washington, D.C., WellSpan Health’s service area is made up of a diverse mix of welcoming communities that you will love to call home. South-central Pennsylvania offers an idyllic blend of unique cities and towns including Lancaster, York, Gettysburg, Lebanon, Chambersburg and Waynesboro.
Contact Information
For Confidential Consideration Contact:
Stew Sampsel, Physician Recruitment
WellSpan Health
Email: [email protected]

 

[Feli]

That's great?

What I heard is it's just the standard associate mill where you get paid low, have to go find your own patients, and given all the low-payers to see.

Yes, most likely. That is nearly any job... any type.

That is the problem with our saturation - coast to coast.

The well-trained DPM surgeons that start a PP (or get a job at hospital, or MSG, or whatever) don't really need other well-trained surgery pods. There are not enough surgery patients and refers. Instead, they need to get a 2nd or 3rd or etc podiatrist for wounds, C&C, that stuff... basic podiatry doc, preferably at low/avg pay. They basically want something of a glorified podiatry MA or a midlevel type. Another well-trained pod surgeon is acceptable, but it has to be at a fair price (if PP) and/or not cut into their own surgical refers/volume.

That's the sad reality of saturation.

... so, if DPMs take associate gigs (most do), it's best to do that with at least some good colleague(s) who have learning value for practice management, skill, surgery, whatever.

 

[Feli]

Traditionally struggles for real physicians. Yes.

Podiatry is about to light the world on fire and give more reason for hospital CEOs to lowball us in salary negotiations because they know how hard their job posting got it in a matter of days.

Agree 1000%. ^
It'll be a race to the bottom as DPM grads and job apps and cold-calls hit all time highs.

PPs and supergroups and VC groups already know podiatry has huge supply... and pay accordingly.

Bigger for-profit and "not"-for-profit hospital networks will catch on soon.
Many already have (some of the biggest hospital chains pay DPMs below MGMA/avg... because they can).

The final frontier for new DPM grads (or any pods) trying to create a decent paying job is usually private hospitals and smaller/rural hospitals that don't know much and/or have a standard physician pay scale (VA, etc) with podiatry somewhat on par with other physicians/surgeons. Another chance is places that apply MGMA to podiatrists (mostly your bigger downtown hospital or univ hospital types that run largely on govt payer$ or uninsured pts).

...The sad reality, for any profession, is that you're only as valuable as the next guy/gal who will do the job same/similar in that area. That applies for our jobs, insurance payers, whatever. There are many who will do F&A care and surgery for less... more and more every year now.

 

[podiatryresident]

Hello everybody. I'm having an interview with the medical director of a big medical group. Initially, I reached out them asking for joining IPA but they asked my CV and if I'm interested in joining them as an employee. Do you have any tips for me to convince him to offer me a position in their group ? @@. I'm 2nd year , this is my 1st interview, not really active in the market yet! Thank you so much and happy New Year!

 

[Feli]

Hello everybody. I'm having an interview with the medical director of a big medical group. Initially, I reached out them asking for joining IPA but they asked my CV and if I'm interested in joining them as an employee. Do you have any tips for me to convince him to offer me a position in their group ? @@. I'm 2nd year , this is my 1st interview, not really active in the market yet! Thank you so much and happy New Year!

They will offer you a position; why wouldn't they?
If they make more money from your services than you cost them, they will be fine with that, ya?
Be more interested in why they want you, what refers they have, and what they'll provide/pay you than just giddy that they would hire you. They will hire you.

Hospitals will do the same stuff. Same reasoning$.

If you want to be an owner, be an owner. You won't be sorry.

 

[fighiter14]

Looking for a nonsurgical or surgical podiatrist can be new grad that wants to focus more on palliative care in a outpatient setting and surgery will mostly come from call with infection most elective and trauma will be sent to other partners of the group at a hospital in South Carolina. Position has student loan repayment, qualifies for PSLF, sign on bonus, relocation allowance and pay greater than 250k if can do surgery for call. Call is light and will be approximately 10 days a month which you are compensated for call pay if surgical. There is also 403b match and health insurance provided. Message me Resume if interested

 

[Hybrocure]

New job opening. Multiple locations countrywide both rural and city, massive benefits. Competitive with all current associate offers.

Non-surgical. ABFAS or on track for ABFAS preferred.

 

[GreenHousePub]

New job opening. Multiple locations countrywide both rural and city, massive benefits. Competitive with all current associate offers.

Non-surgical. ABFAS or on track for ABFAS preferred.

View attachment 381332

Fellowship a must

 

[air bud]

New job opening. Multiple locations countrywide both rural and city, massive benefits. Competitive with all current associate offers.

Non-surgical. ABFAS or on track for ABFAS preferred.

View attachment 381332

Would a fellowship make you more likely to get hired by a Sam's Club?

 

[Weirdy]

New job opening. Multiple locations countrywide both rural and city, massive benefits. Competitive with all current associate offers.

Non-surgical. ABFAS or on track for ABFAS preferred.

View attachment 381332

Feel free to put this in the meme page but please try to keep this thread focused on legitimate job offers.
Will start deleting after this.

 

[5andten]

Working through an offer. Verbal at this point-visiting in a few weeks to nail down contract. Pay 250-300k salary starting for first two years, then to percentage based collections afterwards. Busy private practice model. Currently 3 docs, 1 is relocating soon to be closer to family, 1 will retire in a couple years. Chance to buy in year 3-will be half owner of practice. Great hospital support. No ortho in the area. Share trauma call every other week with ortho group-not sure why but they want the trauma but don’t have f&a ortho on staff. Chance to buy into surgery center. Will be some driving to satellite locations once or twice a week as this job is rural setting. Sign on bonus negotiable. Relocation assistance also negotiable.

What kind of questions should I be asking? What should I be working into contract? What should I look out for? Thoughts on general offer for what I’ve shares? Thanks

 

[heybrother]

Working through an offer. Verbal at this point-visiting in a few weeks to nail down contract. Pay 250-300k salary starting for first two years, then to percentage based collections afterwards. Busy private practice model. Currently 3 docs, 1 is relocating soon to be closer to family, 1 will retire in a couple years. Chance to buy in year 3-will be half owner of practice. Great hospital support. No ortho in the area. Share trauma call every other week with ortho group-not sure why but they want the trauma but don’t have f&a ortho on staff. Chance to buy into surgery center. Will be some driving to satellite locations once or twice a week as this job is rural setting. Sign on bonus negotiable. Relocation assistance also negotiable.

What kind of questions should I be asking? What should I be working into contract? What should I look out for? Thoughts on general offer for what I’ve shares? Thanks

(a) Where is the money coming from - ie. is there money for call, a subsidy from the hospital, are you in some sort of hospital IPA that is helping to negotiate rates etc. We can badmouth private practice people all day, but a big part of the reason many practices can't pay money in that range is simply because they don't have it. This group somehow has money for you - where is it coming from. Do they expect you to see 40 patients week 1? Is there some local factory/business with workers with amazing insurance?

(b) There are currently 3 people. Presumably you are replacing the one who is relocating. Another is retiring - I suppose this will be coordinated to you potentially buying-in in 3 years. The weird danger here is that buying in is often a big scam. Maybe they just ask you for a nominal amount of money - fine, whatever. Maybe they hire a consultant who shoots for the stars. Clasically, you are to buy the collections of doctors who have already been paid for these services. Consider a practice with 3 doctors each bringing in $600K. The practice has collections of $1.8 million dollars. However, the practice is going to be reduced down to 2 doctors who can only work so much. If you are told the buyin is some percentage of $1.8 million dollars as an example, the problem is that the group's collections will fall to $1.2 million the second other doctor leaves. This is somewhat the game adamsmasher describes where practices and retirements are a ponzi scheme requiring a new doctor to buy in to keep the game going. Maybe it won't be like that, but the whole private-practice - hospital hybrid is more problematic than just being hospital employed when it comes to buyins.

(c) How will call be divided / assigned. Share call every other week - so every other week ortho is on call and your group of 3 divides. So each month theoretically has 2 weeks of call you divided those week by 3. If your group goes down to 2 it sounds like you'll have at least a week of call every month. Ortho though is -always- on call because they take femurs and knees and hips. Do they get first swing at ankles that come in during their week? Do you get the Charcot ankles? Do they get the Blue Cross ankles? Is the call paid for, what are their expectations for you coming in. How many inpatients will you have? Sometimes in medicine the reason people make more money is that actually they are working more.

(d) Anyone can say "chance to buy into surgery center" but who actually owns the surgery center? Is it owned in partnership by the hospital with local doctors? Are any of the current podiatrists surgery center owners? I suppose if you came to work with me I could tell you "chance to buy into surgery center" because technically there is a physician owned surgery center I operate at, but I'm not an owner and I don't think I ever will be.

(e) How far away are their satellite offices? Are they in hospital clinics? Who staffs them ie. your clinic MAs / nurses or the local facility staff?

(f) What does your spouse say? Will they be able to find work there? How far away is Costco, museums, airport, things you would want to do? What is your connection to the area? How far away do your parents live / how is their health - who will take care of them etc? Would you want to raise children there? What's the crime / meth situation? What's housing like? If you commit to this and buy-in, buy a house, and then your spouse says "I hate this place" or "I need to be near a Mercedes dealership" what will you do? Alternatively - if you are not married, do you feel you'll be able to find a spouse in a rural area? Obviously do not answer these questions - they are merely food for thought. What's the point of being rich in the middle no where with nothing to do and no one to be with. Are you willing to make a permanent connection to this area? What's your exit strategy?

(g) Do you actually feel you can get good mentorship here? Are there people here you could coordinate care with?

(h) Who sets your schedule? How much say do you have in crafting it? We had a prior "contract" thread that discussed things to put into a contract. This question was never asked.

(i) Do you feel you can deliver what they are asking of you? Everyone graduates from a "PMSR/RRA" residency but how many calcaneal fractures have you actually repaired? I don't want you to actually tell me - I just think its an interesting consideration. Everyone applies for hospital jobs, but I wonder do people ever question whether they can actually deliver.

 

[Feli]

.... What does your spouse say? Will they be able to find work there? How far away is Costco, museums, airport, things you would want to do? What is your connection to the area? ...

SOML for any podiatrist looking for a fair-paying job.

...Consider a practice with 3 doctors each bringing in $600K. The practice has collections of $1.8 million dollars. However, the practice is going to be reduced down to 2 doctors who can only work so much. If you are told the buyin is some percentage of $1.8 million dollars as an example, the problem is that the group's collections will fall to $1.2 million the second other doctor leaves. ...

Yep... main pitfall right there. ^^^
Post above (whole thing) is giving you gold, @5andten .

A three podiatry doc full-time practice taking call and doing surgery will be wayyy higher than that 1.8M gross (I would sure hope).

You'll get pinched into one of two situations here:
-paying for practice value that's no longer there (doc A quit and doc B retired)
-or paying for the value you yourself added (they avg the net or gross in the 2-3 years you worked there).

So, that's your answer: they can offer you the base because they plan to just work you hard (call/volume) ... and they will get it off of you later with payments for value you added and/or paying for docs who are gone.

...I'd say go and do the interview/tour and just assess the compatibility...
-Is it offices you'd be proud to work in?
-Do staff and docs there seem happy?
-Do you like area?
-How is area economy? Payers? Hospitals? Podiatry saturation?

You can assess job offer financials later; compatibility comes first. Too many young DPMs kill jobs before they even know they'd like the work there... or they foolishly negotiate when it's a job they haven't even seen.

One absolute deal-breaker here (assuming you like it otherwise) will be if they say the pay is $150k to you and $100k to buy-in or 200/50k or 200/100k or something. That's a clear giveaway that it's a setup for above: their end game is you way overpay later.

Last, if the "verbal offer" pay is legit AND you like the area, be open to working with the group a year or two (250k is fine for associate work)... then working for the hospital or on your own. Know if non-compete of the state allows that. That's a perfectly legit play if the job is low quality or pay is not what you expect or the buy-in is insanity. And that's 95% of associate jobs having 1, 2, or all 3 of those problems.

 

[5andten]

All very good points. Thank you.

A. I believe there is some support financially from the hospital. That is something that needs to be further discussed and figured out. Obviously there might be some further stipulations. The town has great insurance from what I’ve seen. Obviously looking further into their books and collections is on the list.

B. That is a great point. Do you recommend working on a number for buy in to be put in the contract prior to signing? Such as, in 3 years you may buy in at 200k. Or whatever it is. Or buy in will be the average of three 3rd party evaluations etc. what’s the best way to go about that?

C. I will have to investigate further how call works.

D. The surgery center is 50% owned by the hospital and 50% by surgeons. 2 of the 3 docs in the group are owners as the 3rd who is relocating chose not to buy in. Supposedly the opportunity to buy in is there but also another thing to discuss when I visit.

E. All clinics are within an hour. Some the pp staff. Some don’t. So there might be headaches with that.

F. Good points. Married. Hoping to have kids so discussions have been ongoing with the wife.

G. In my limited interactions I have felt good about the practice and the docs in it. Hoping to gain more insight when I visit.

H and I. Good points again.

Really appreciate you taking the time to comment at length. As you can tell, still a little early in talks but I want to be fully prepared when I visit and ensure I leave no stone unturned. I have spent quite a bit of time reading posts on this forum which have helped immensely.

 

[5andten]

A three podiatry doc full-time practice taking call and doing surgery will be wayyy higher than that 1.8M gross (I would sure hope).

You'll get pinched into one of two situations here:
-paying for practice value that's no longer there (doc A quit and doc B retired)
-or paying for the value you yourself added (they avg the net or gross in the 2-3 years you worked there).

So, that's your answer: they can offer you the base because they plan to just work you hard (call/volume) ... and they will get it off of you later with payments for value you added and/or paying for docs who are gone.

...I'd say go and do the interview/tour and just assess the compatibility...
-Is it offices you'd be proud to work in?
-Do staff and docs there seem happy?
-Do you like area?
-How is area economy? Payers? Hospitals? Podiatry saturation?

You can assess job offer financials later; compatibility comes first. Too many young DPMs kill jobs before they even know they'd like the work there... or they foolishly negotiate when it's a job they haven't even seen.

One absolute deal-breaker here (assuming you like it otherwise) will be if they say the pay is $150k to you and $100k to buy-in or 200/50k or 200/100k or something. That's a clear giveaway that it's a setup for above: their end game is you way overpay later.

Last, if the "verbal offer" pay is legit AND you like the area, be open to working with the group a year or two (250k is fine for associate work)... then working for the hospital or on your own. Know if non-compete of the state allows that. That's a perfectly legit play if the job is low quality or pay is not what you expect or the buy-in is insanity. And that's 95% of associate jobs having 1, 2, or all 3 of those problems.

Do you recommend trying to lay out buy in terms prior to signing initial contract?

Last paragraph is great food for thought. They don’t have a hospital podiatrist.

Hoping my visit sheds light on a lot of stuff. The doc has been very open to sharing info and numbers over the phone. Obviously it’s all words until i see the books and a contract is in words.

 

[Feli]

Do you recommend trying to lay out buy in terms prior to signing initial contract?

Last paragraph is great food for thought. They don’t have a hospital podiatrist.

Hoping my visit sheds light on a lot of stuff. The doc has been very open to sharing info and numbers over the phone. Obviously it’s all words until i see the books and a contract is in words.

Yes, absolutely define buy in in contract... that's the only way to do it.

You are potentially making a cross country move to a place you don't necessarily love. You ABSOLUTELY need attorney to eval non-compete and buy in price and methods (usually you gradually acquire shares and money to escrow... shares/money back to them if you fail, or back to you if they renege). Attorney will explain. Under no circumstances would you ever go there and start work and just figure out buy-in later if thats a big part of what attracts you overall.

You CAN do the job without defined buy-in if logical plan after visiting seems to be just use job as a bridge and jump ship to that area and attorney confirms non-compete norms allow. That will be clear from visit if their group is not something you really want or if their valuation is rediculously high. In that situation, just softly show interest in buy in and feign ownership interest... but definitely dont blow the deal over it. Everyone is out for themselves, and you can be too (within law/ethics).

But general compatibility area/group/etc comes first. You can do that on your own.

 

[heybrother]

B. That is a great point. Do you recommend working on a number for buy in to be put in the contract prior to signing? Such as, in 3 years you may buy in at 200k. Or whatever it is. Or buy in will be the average of three 3rd party evaluations etc. what’s the best way to go about that?

It would be nice to have it explained to you as specifically as possible how they intend to implement it in the future, but its somewhat unlikely that they'd agree to putting that into the contract and if its not in the contract then it didn't technically happen. One of the most facinating things about podiatry school, this forum, contractual talk etc is there's so little discussion about what a partnership and buy-in actually is and represents. I own 50% of a practice. The contract for the buy-in is like 1/3rd of a page long. Gotta say I wish it was longer, but when it was written I was the person buying in. I made a decision based on what seemed ideal to my finances at the time. I didn't give sufficient consideration to how future profit sharing would be divided or how decisions would be made when we want something different.

When I did my buy-in we set the value of the practice at $180K (high, low, right, wrong, its in the past). The contract established that when my partner leaves his final 50% of the ownership is simply $90K and not some sort of future reevaluated value. I was making a decision to either leave and start my own thing or buy-in. A lot of groups aren't this way though. Buying your own collections is common. Someone in this forum somewhere bought out a podiatrist who had already retired years before from the practice. Absurdity is the norm.

I speak to some other podiatrists recently and one was explaining a buy-in they offered an associate. The value probably wasn't unreasonable by most podiatrist offers but it was for I believe 33% of a group and included income generated from associates. You always have to be careful that you won't be stuck in the future writing checks to partners who want to leave. The finances of this group are also somewhat contingent on their keeping a portion of their associates wages.

The long and the short of it is get as much information as you can. Technically in orthopedic and anesthesiology groups not everyone gets made a partner.

It should also be mentioned that you appear to be starting with a guarantee and then switching to some sort of eat what you kill. There are discussions on other forums about doctors taking a big pay cut when they switch to guarantees.

 

[619]

Physician - Podiatry​

Shreveport, Louisiana

Malpractice Insurance
Sign-On Bonus
Work Life Balance
Full Time
BE or BC
Description
CHRISTUS Highland Medical Center in Shreveport, Louisiana, is seeking a board certified or board eligible Podiatrist. The ideal physician will be a team player who is dedicated to quality patient care. If you are seeking an exceptional lifestyle balance, this is the opportunity for you!
Shreveport and its neighbor Bossier City combined with the surrounding area make up the Louisianas third largest metropolitan area with a population of nearing 450,000. Shreveport-Bossier is the commercial, medical, and cultural hub of the Ark-La-Tex, the area where Arkansas, Louisiana, and Texas meet. Its located 2.5 hours from Dallas, 5 hours to New Orleans, and 3 hours to Little Rock, AR. Shreveport also has two local airports. The LSU campus in Shreveport, currently has 47 fully accredited residency and fellowship programs making it large draw for medical academia.
A faith-based, not-for-profit health system, CHRISTUS Shreveport-Bossier Health System is part of CHRISTUS Health, sponsored by the Sisters of Charity of the Incarnate Word and the Sisters of the Holy Family of Nazareth. CHRISTUS is one of the 10 largest Catholic Health Systems in the country and one of the 20 largest of all health systems in the nation.
Benefits Include:

• Outstanding compensation package and benefits
• Sign-On Bonus
• Malpractice Coverage
• CME Allowance

Qualifications:

• Board Certified or Board Eligible in Podiatry.
• Must possess an unrestricted Louisiana Medical License or be eligible to be licensed in the state of Louisiana.

CHRISTUS Trinity Clinic:

• The areas preferred multi-specialty medical group
• Over 800 physicians and advance practice providers representing 41 specialties in 82 clinic locations throughout Texas and Louisiana
• A physician led group with its own board of directors
• A national leader in patient satisfaction and quality initiatives
• A faith-based, not-for-profit organization
• 2018 Acclaim Award Winner- #1 physician group in the Nation

Recruiter Contact Information:

• Lynda Corotan [email protected]

EEO is the law - click below for more information:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925 .

 

[hyperpodia]

URGENT NEED!!
Locum Podiatrist Needed! Any State License Accepted.
Job Details:
Location: South Dakota
Any State License Accepted!
M-F 8am-4:30p (No Weekends)
Outpatient procedures
No Surgeries
Onsite housing is available at this facility
BC or BE
Weekly Direct Deposit
24/7 contact and support
Malpractice Covered by ABSS
Credentialing Assistance
If you are interested, please send me your CV: [email protected]

 

[GreenHousePub]

URGENT NEED!!
Locum Podiatrist Needed! Any State License Accepted.
Job Details:
Location: South Dakota
Any State License Accepted!
M-F 8am-4:30p (No Weekends)
Outpatient procedures
No Surgeries
Onsite housing is available at this facility
BC or BE
Weekly Direct Deposit
24/7 contact and support
Malpractice Covered by ABSS
Credentialing Assistance
If you are interested, please send me your CV: [email protected]

Sounds like an IHS facility

 

[DogSnoot]

Sounds like an IHS facility

How bad are IHS jobs ? Is it nail jail?

 

[GreenHousePub]

How bad are IHS jobs ? Is it nail jail?

Everything depends on the location and tribe. One location might be excellent with great living situation, another might be terrible and extremely dangerous.

 

[Hybrocure]

Everything depends on the location and tribe. One location might be excellent with great living situation, another might be terrible and extremely dangerous.

Yep also one might be sit around and do nails all day..another might want you to do big time trauma and recons

 

[wakaflocka88]

Meme incoming in 3……2………


Job ID: 1234913
|
Employer Job ID: ND/POD

Podiatrist Job Opportunity​

Beck-Field & Associates, North Dakota
part of Beck-Field & Associates, Inc.

Minot, ND 58701

• 
  Physician-Podiatry
• 
  Employment Type: Full-Time
• 
  Search Firm Recruiter
• 
  Practice Type: Hospital Employee
• 
  Immigration Assistance: No
• 
  Loan Assistance: No

Job Description​

· Hospital Employed
· Base Salary - $375,000
· Signing Bonus - $50,000
· Call 1:3
If you’re looking for great quality of life within a city with excellent family values, this city has it all. Please call Robert Overfield
Mr. Robert Overfield
CEO, Owner

• Work: (800) 839-4728
• Alt: (210) 651-4339
• Fax: (210) 651-4338

Agency Information:Not Specified

 

[tacoboutit]

How bad are IHS jobs ? Is it nail jail?

I know someone currently working at IHS for several years in a medium size metro area and they seem pretty happy there. Making around mid 200s and they get loan repayment unlike me at the VA. They see all types of pathology including foot care, wounds, elective cases and trauma. Seems pretty well rounded. I dont think they plan on leaving there anytime soon. But yeah all IHS are different just like the VA.

 

[air bud]

Remember there are IHS clinics very near large metro areas.

 

[dtrack22]

Minot, ND…lol

And if you take an IHS job you’re paid hourly or salaried for the most part (maybe there are exceptions?), so really anything other than cutting nails is more work than what you’re probably getting compensated for. I would never want an IHS job that expected me to operate on the native population, doing complex cases, for $200k per year. No thanks. Give me their crumblies and their wounds and whatever mindless work there is, and let me refer out everything that needs surgery.

 

[GreenHousePub]

Minot, ND…lol

And if you take an IHS job you’re paid hourly or salaried for the most part (maybe there are exceptions?), so really anything other than cutting nails is more work than what you’re probably getting compensated for. I would never want an IHS job that expected me to operate on the native population, doing complex cases, for $200k per year. No thanks. Give me their crumblies and their wounds and whatever mindless work there is, and let me refer out everything that needs surgery.

The Air Force base at this location is generally regarded as one of the worst duty stations you can get assigned to.

Also for a town of 47k, they have 8 podiatrists established.

 

[Hybrocure]

Also for a town of 47k, they have 8 podiatrists established.

This is very podiatry.