New Job: Lifestyles of the Rich and Famous

[Czech777]

Upcoming graduate from a brand name program. Had an interesting offer:

An uber elite private community wants a pain doctor. They have full clinic with staff and procedural space ready to go. They'll pay 80% MGMA. No production or RVU expectations. Very light schedule. Unclear incentive / benefit structure (no contract in hand).

I daydream about doing it for 10 years to build my retirement war chest. On the other hand, it's so non-traditional.

Would you consider it?

---

Members don't see this ad.

 

[Agast]

Sounds like a concierge pain management set up. Are you expected to take call and always be available? Write for bzos when someone can’t sleep? Did this community hire other medical specialists to be on site or is it just Pain?

 

[Czech777]

No controlled Rx. 9-5 availability only. Internist and dental onsite. All else goes to adjacent town.

 

[callmeanesthesia]

Biggest question I would have is who exactly is paying the bills? Because if your salary is part of their HOA, so to speak, then expect them to treat you like the help. On the other hand, sounds like a cush gig with a high salary in a very safe area, and no practice build-up time, so if you save most of what you make and this job doesn’t work out, you should have the capital to start up your own practice somewhere else.

 

[Agast]

No controlled Rx. 9-5 availability only. Internist and dental onsite. All else goes to adjacent town.

Ooooo go for it then. Sounds respectable. And then keep us updated. If it’s a successful model I imagine other similar communities will do the same. How’s your golf game?

 

[hyperalgesia]

Get the details and report back. Something fishy here.

 

[clubdeac]

80% MGMA right off the bat? That’s insane. So you be making ~$600-700k from day one with no controlled substances? Take it and never look back. And yes, sock away 1/2 your take home and retire in 10 years

 

[VA Hopeful Dr]

Get the details and report back. Something fishy here.

If it seems too good to be true, it probably is. Can't remember who first told me that but I've found it to be universally true.

 

[RoloTomassi]

Sounds great. Unless there's some huge red flag that comes up in the contract, I'd go for it.

 

[PainDoc2025]

Bruh, I'd do this in a heartbeat if everything is okay with the contract and nothing shady.

 

[Agast]

If it seems too good to be true, it probably is. Can't remember who first told me that but I've found it to be universally true.

At the end of the movie you find out the community recruits a young pain grad every year, and at his welcome dinner he is served the body of the old pain doctor who has been ritualistically sacrificed.

 

[ateria radicularis magna]

I gotta hear more details!
What sort of “community” are we talking about here?
In have never heard of anything like this. It sounds amazing.

 

[Agast]

I gotta hear more details!
What sort of “community” are we talking about here?

Yeah, like would they be interested in a gently-used pain doctor who graduated from a middle of the road program? Asking for a friend

 

[au bon pain]

Is this The Villages? If so, they'd have to pay double

 

[DODOCSS]

fisher island?

 

[drrosenrosen]

There has to be a catch here. If there's not, though, take it. Even if there is, take it and sock away money for as long as you can stand it.

 

[drusso]

Upcoming graduate from a brand name program. Had an interesting offer:

An uber elite private community wants a pain doctor. They have full clinic with staff and procedural space ready to go. They'll pay 80% MGMA. No production or RVU expectations. Very light schedule. Unclear incentive / benefit structure (no contract in hand).

I daydream about doing it for 10 years to build my retirement war chest. On the other hand, it's so non-traditional.

Would you consider it?

I think the rest of the field is shifting toward this kind of model.

 

[Czech777]

Thanks for the help. Will post more specifics as they come.

 

[ateria radicularis magna]

I think the rest of the field is shifting toward this kind of model.

Really? Have you heard of anything remotely similar to this before?

 

[PainDoc2025]

Thanks for the help. Will post more specifics as they come.

Keep us updated

 

[drusso]

Really? Have you heard of anything remotely similar to this before?

Patients are voting with their feet and abandoning Big Box pain for Boujee pain...

 

[SSdoc33]

I think the rest of the field is shifting toward this kind of model.

of course you do

 

[drusso]

of course you do

How am I wrong?

 

[SSdoc33]

How am I wrong?

if all you have is a hammer, everything looks like a nail

 

[SSdoc33]

How am I wrong?

your "reality" is consistently different than what the rest of the board seems to see. i dont see pain medicine shifting towards a "concierge" model. does anyone else?

 

[cowboydoc]

your "reality" is consistently different than what the rest of the board seems to see. i dont see pain medicine shifting towards a "concierge" model. does anyone else?

In a very limited segment, yes. Full scale a la plastics, no.

 

[Ducttape]

i have heard of these concierge practices, but only those who have oodles of money and live in big cities.

 

[drusso]

i have heard of these concierge practices, but only those who have oodles of money and live in big cities.

That's a myth. Direct care is everywhere and patients love it. Pain is ideally suited for a direct care model--for 1/2 my patients 1/2 the calendar year they are functionally direct care already as every dollar goes to their deductible.

 

[RoloTomassi]

That's a myth. Direct care is everywhere and patients love it. Pain is ideally suited for a direct care model--for 1/2 my patients 1/2 the calendar year they are functionally direct care already as every dollar goes to their deductible.

But many really care that it goes towards their deductible even if it would cost the same as self pay. They/their family have other medical costs and going towards deductible is important.

Obviously this is a unique opportunity, and the field isn't going this direction, or else everyone here wouldn't have the "too good to be true" reaction.

Going 100% regenerative is the only scenario I see similar.

 

[Ducttape]

in the area that i am in, there is 1 just opened direct primary care office.

this is no where near standard of patient care in this area, and outside of NYC, is essentially unheard of.

as far as i am aware, there are no direct care pain physicians within 150 miles

 

[nvrsumr]

I see the future as govt payors, more limited options and procedures done by mildlevels

 

[BobBarker]

We had a clinic try DPC but include radiology, lab, optometry, etc. They didn’t have enough clients to make it work at the low price they offered it. It was incredibly cheap.

 

[drusso]

I see the future as govt payors, more limited options and procedures done by mildlevels

Elections have consequences. This why its so important to get the right politicians in office.

 

[Ferrismonk]

Elections have consequences. This why its so important to get the right politicians in office.

Show me a good politician?

 

[nvrsumr]

Elections have consequences. This why its so important to get the right politicians in office.

Maybe make more money in the future.

More Govt payors- less narrow networks

More limited options - more efficient practice

More mlps - making more money off others work

 

[SandmanMD]

Is this The Villages? If so, they'd have to pay double

There has been a practice that has been trying to hire a pain physician in the Villages once every few months.
Either it’s growing like crazy or they have horrible turnover.

 

[DOctorJay]

in the area that i am in, there is 1 just opened direct primary care office.

this is no where near standard of patient care in this area, and outside of NYC, is essentially unheard of.

as far as i am aware, there are no direct care pain physicians within 150 miles

Green Hills Direct Family Care - Allentown, PA

Dr. Corba is a Direct Primary Care provider in Allentown, PA. Learn more about Green Hills Direct Family Care and the DPC model.

www.greenhillsdirectfamilycare.com

Mapper — Direct Primary Care Frontier

Find a direct primary care practice near you. The DPC Frontier mapper displays the location of over 1000 DPC practices in the United States. Click on a dot for additional imformation.

mapper.dpcfrontier.com

 

[powermd]

We have a bunch of DPCs in Portland, ME. They all seem to be doing well. My own DPC is closing to new patients soon. My wife goes to a different one, and she's doing well too. I have no idea how much money they're making, but they're happy.

 

[NJPAIN]

There has been a practice that has been trying to hire a pain physician in the Villages once every few months.
Either it’s growing like crazy or they have horrible turnover.

One of the practices is a cardiology group with an underutilized outpatient cardiac cath lab. I think the business deal scares people off.

 

[drusso]

We have a bunch of DPCs in Portland, ME. They all seem to be doing well. My own DPC is closing to new patients soon. My wife goes to a different one, and she's doing well too. I have no idea how much money they're making, but they're happy.

I mountain bike with a DPC MD who left a large physician employer and he said he makes just slightly less, but no meetings, admin, etc.

 

[ateria radicularis magna]

I mountain bike with a DPC MD who left a large physician employer and he said he makes just slightly less, but no meetings, admin, etc.

Awwww yeeeahhhh

 

[Ducttape]

Green Hills Direct Family Care - Allentown, PA

Dr. Corba is a Direct Primary Care provider in Allentown, PA. Learn more about Green Hills Direct Family Care and the DPC model.

www.greenhillsdirectfamilycare.com

Mapper — Direct Primary Care Frontier

Find a direct primary care practice near you. The DPC Frontier mapper displays the location of over 1000 DPC practices in the United States. Click on a dot for additional imformation.

mapper.dpcfrontier.com

cool.

its only 199 miles away...

 

[DOctorJay]

cool.

its only 199 miles away...

Haha admittedly I don’t know exactly where you’re at. Green Hills is 97 miles from NYC.

If you check the other link it has multiple DPC practices likely closer to your location.

 

[blockstar]

Is this The Villages? If so, they'd have to pay double

its gotta be The Villages. have viagra rx prewritten.

 

[RoloTomassi]

its gotta be The Villages. have viagra rx prewritten.

And careful not to stick yourself. HIV is rampant

 

[DrSpine]

Something seems way too good to be true there. But if it's legit, take it.