If you have good wound care training and want a lot of those cases, your best bet would be multispecialty/hospital employment groups or vascular surg groups... not so much ortho groups, for reasons mentioned above. You could also just join or start a pod group and get busy pretty fast (but you'd want a few docs - either in your group or willing to provide call coverage - who will go the the hospital regularly and do those cases because there's a lot of night/weekend consults for abscess/gas/etc which probably get way too taxing for a solo doc). A situation where you have residents would also be ideal for obvious reasoning.
There's a definite need for those services, and since a lot of DPMs - and other specialists - aren't crazy about wound care, it's fairly easy to get real busy REAL fast (much quicker than you could build up a bone/joint or sports med patient base that size). As PADPM mentioned, you will end up doing a lot of inpatient consulting and surgery if you go that limb salvage route, but it can get pretty lucrative if you can get in with the int med, ID, vasc, nephro, endocrine, cardiology, etc docs who also see those patients and monopolize the wound consults/surg at a big hospital or a couple nearby hospitals... as was mentioned, a lot of those pts are "frequent fliers" in both the clinic and the hospital due to multiple comorbidities.
Last edited by Feli; 05-24-2012 at 07:17 PM.