Ugh I know. Makes it even worse because I know I’m going to be competing against Inova, Medstar and Baltimore VA grads on top of anyone else who wants to comeback to that area.
I think a lot of it stems from the fact that podiatry is inherently a field of insecure people beginning from day 1 when they couldn’t get into DO or MD school. It’s a constant battle of proving to the public that they’re actually a doctor and don’t just trim nails
If you can’t get a hospital/ortho job I think the best option is to search for a fair and ethical associate job that’ll pay 150k+. Believe me they are out there but you won’t find them on PM News.
These are not hard at all... nearly any pod supergroup pays that mark or more. There are a lot of groups with a half dozen, dozen, many dozens of offices.
Hence why I said if you can’t get one of those jobs..
I've said this to someone else on here - the thing is to find something actionable to take from what we say on here. If you just randomly go to one pod and say "Can I work for you" - it is entirely possible they will offer you $75K, 20% collections, no benefits, and tell you to pay for your own malpractice. Its so bad that its comedic. No one values a podiatrist less than another podiatrist. Its the guy who tried to tell me that 17% of collections is generous or another guy that his podiatry office is worth $800K and I need to put the money up before working for them as an associate. As already indicated above - you are going to WORK to get a job. If you don't - good for you, but more likely than not you'll go through a blood bath and when you come out the other side you can either acknowledge how bad it was (even if you like the work) or you can rose colored glasses it like our leadership does. We don't walk the same employment path MD/DOs do.
Agree. I have had job interviews and other contacts made via SDN as well...
Sir I am a doctor. My scrubs identify me as a surgeon, and my stethoscope means I am important.
No bank will give you a startup loan until you have 1-3 years experience out of residency. You might qualify for some small personal loans but interest will be astronomical and lenders will be sketchy. And they won’t be enough to cover all your costs and pay yourself a salary while you built a patient base.
Yeah, unless you go super rural and have a nearly instant feeder group (vasc, IM, etc), then this is a recipe for disaster for many reasons for normal office podiatry.
So we are once again back to toenails. Podiatrists are the toenail kings!
It all leads back to the "toenails" (and calluses).
it is how we start and end our day...
If you gaze too long into the fungus, the fungus also gazes into you. - Warren Joseph
Yesterday I ended my day with finding out the police was called on one of my patients because he showed up ranting about shoes. Luckily I wasn’t supposed to be there and I was just closing notes and minding my business.
We don't dispense shoes so he need to go rant some place else. Apparently he was kicked out of a PP for the same behavior.
I love it when patients come in for diabetic shoes and to have nails cut and they sit there and go off on a political rant about other government entitlements. Like bruh, how do you think you're sitting in that chair right now.
I don't recommend it, but if you want to know and ask....they will let you know it is NOT an entitlement because they paid for it.
Yes, I hilariously have a guy who wants Texas to secede and is obviously there for diabetic nails, leg ulcers, etc on Medicare.
I’ve pulled dog and cat hair out of few people. Not as cool as the time we took at a fish bone in the schools clinic.
The hospital I work at wanted to take some pictures for the website/handouts or whatever. The lady asked if I had a stethoscope to take a picture with. I laughed. I did not wear one for the pictures.
This is the essence of our state.
I told most recent hospital to not even order a white coat. I can think of 2 times since graduating I have worn one, and both were pictures. I refuse to wear one now. I also have never worn anything but scrubs to work. Wearing a shirt and pants is too hard when you are on your hands and knees busting crumblies. Because ......IT ALWAYS COMES BACK TO TOENAILS
Yup. Always wore scrubs in residency, always wear scrubs to work. Even with scrubs you’ll catch shrapnel into a pocket or something on accident I can only imagine how gross it would be if I was wearing dress clothes. White coats also get scuffed way too easily and make patients uneasy, it’s a lose lose.
Also I wear scrubs so they know I am a surgeon and real doctor.
Unless you wear them in public - then you get mistaken for a nurse who just got off a shift
for 1990s tuition, 1990s reimbursements, and 1990s 1-year residency training, podiatry makes a lot more sense as a career choice
Also, see here:
Dr. Deheer how do you manage to juggle all those things? I have two kids and I can barely keep up with work needs and family needs.
Close some schools. Such a joke we are opening more. Gotta get those nursing home gigs filled!
CPME needs to step up their game and hold these schools accountable. There is a lot on the line for students (>$200k and time investment) if they fail boards e.g. bad residency/unable to match.
It's not easy to be involved at so many levels, but I love it and make it work. The changes coming in healthcare with value-based care will offer tremendous opportunities. I sold my practice to Upperline Health a couple of years ago. This past year Upperline was awarded the first-ever specialty ACO contract from CMS. CMS is using Upperline as a test for specialty ACO contracts because CMMI (Medicare and Medicaid) view podiatry as the primary healthcare provider of the lower extremity and see podiatry as a vital player in healthcare's future regarding care and cost management. CMS believes in podiatry, and venture capital believes in podiatry. I believe in podiatry. No specialty in healthcare is without its problems. I do not know any primary care providers happy with their job. Working at a large teaching institution, I interact with several of them. People will always complain, and their complaints should be heard by those in a position to help when possible. Some will complain to complain, and that is fine, but I would instead concentrate on the positives and be grateful for my career and the life it has provided for me.
I'm all for a free market but this is a deceptive line of thinking. For schools, the customers are the students. The product they are selling to these customers (i.e. a high-paying career as a well-respected surgeon) is not currently accurate due to gross over saturation of the profession. Clearly, most major/minor metropolitan areas do NOT need more podiatrists. Rural? Sure, but this is not part of the value proposition of Podiatry school. Nobody is going to NYCPM with dreams of practicing in South Dakota or Mississippi. I would argue that the free market has very clearly demonstrated a lack of appetite for more new grads in this field. The schools are operating in their own 'free market' of bilking MD/DO rejects that still want to play doctor. Sounds harsh but tell me how I'm wrong
That's great for the owners/parters of Upperline but 'cost management' screams increased volume for lower pay for the associates...
The President of APMA is paid, but you are not paid for the other twelve years of being on the Board.
