For phone / video consults, I can generally do around 8 per hour.
Wow that's about 1 patient every 7.5 minutes. What kinds of conditions are you managing by and large?
Triaging whether someone needs to see PCP, go to UC, or ER. Refill albuterol, temporary refill of BP medication while they try to get in to PCP, sinus infection. yeast infection, uncomplicated UTI, URI vs COVID, flu, rashes. Pretty typical low level urgent care or acute care type problems. Anything not appropriate for virtual care gets recommended to in-person care (and you still get compensated for it even if you don't actively treat or manage it and just recommend pt be seen in person)
You can only see patients that are located in a state where you have a licence to practice in.
I know this is still in its infancy but have they started getting into BC specialists like Onc or Cards telehealth? To me that would be quite good.
I was offered some loan repayment and sign on bonuses in both rural and cities. I chose rural because that’s where we wanted to live. $75,000 combined loan repayment and sign on bonus. I can’t remember what the city offers were. In a rural setting you’re immensely more valuable to the community and they want you happy.
True. I definitely figured rural would have higher incentives. I just wasnt sure if it was common for more populous cities to offer loan repayment/sign on bonuses at all.
If you do the palliative fellowship, I can get you a job the day you graduate in upstate SC (my hospital is starting a palliative care fellowship in the next 1-2 years and they want attendings who also do a fair bit of clinical work).
I’m just an intern but if I end up on the palliative bus I may look into that. I enjoy palliative but wouldn’t completely leave general medicine for it. Spent too much time memorizing the things to just not use them.
One staff at my hospital is the main medical director of the main hospice in our area and also has some clinic time periodically through the week. She'll get paged throughout the day and field hospice stuff, but otherwise finds it very manageable. Other attendings spend their time on and off on the hospice/palliative service in the hospital with other time spent in their primary specialty (EM shifts or IM clinic or IM inpatient/ICU). I think you could definitely make both a PC clinic and hospice/palliative work.
Increase pay but also increase stress, work hours, risk, and malpractice among other things —> not worth it to say the least
do you think one could do something like 3 days of primary care clinic per week then 2 of palliative or something like that plus hospital consults/hospice work? I think something like that would be nice If i dont do PCCM. I do not mind working 50-60 hours per week
No idea, my knowledge of how our palliative care schedule works is exceptionally limited. I suspect it depends on how much they want to have someone else on the schedule.
Im currently a second year but very interested in doing some OB in a family medicine practice. I would like to be able to incorporate deliveries & not sure if c-sections would be possible. If someone enjoys it is it worth it? Im a little worried about all the liability you take on as well..
advancedfamilymedicine.wordpress.com
This is a good question.
I can't speak to the super desirable places like SD, LA, SF, or NYC but here in SC every single city of note is hiring for multiple physicians with the possible exception of Charleston.
How much of this did you know going in for that FQHC? What would you have done differently to become aware of those things while applying?
How long do you have to work that job to get the loan repayment/sign on bonus?
3 years. The sign on bonus was immediate and the loan repayment is paid monthly. If I leave prior to 3 years I’d have to pay it back. I’ll be at three years in august, I’m planning on staying. Another city had a 100,000 sign on bonus but they paid much less of a guarantee. Like $50,000 less and they wouldn’t give me average salaries of new physicians or tell me cost of partner buy in. The cost of living was also much higher.
Exactly, its probably a horrible deal or horrible management. Some people genuinely don't know what new hires get because their books are a mess or they don't retain new hires enough to know this info (i.e. revolving door where people are usually there less than a year), or they're not interested in people buying in. Red flags are red flags for a reason.
I've had a couple FM docs ask me about this since SAR work is pretty lucrative for PM&R. From what I understand, the major hindrance to this is that the primary in SNF's (usually FM or IM) can only round on the patients once per month. PM&R can round twice per week. You can probably estimate the gross collections based off the link below:
I do but I don’t know how much I generate. Right now during covid it’s not a lot. None of the patients or families want them in the nursing home. My census is a 7 maybe. It was previously over 20. It is nice that it lets me be able to do a 4 day work week. I see my patients every 60 days at least but also them in between if something comes up.
I have a 4 day clinic work week and one day a week of the 5 day week is nursing home.
Only solo providers I would think are on direct call 24 hours a day. I share call between all the other doctors in my practice. I don’t make that amount currently but I think it’ll be close once I’m a partner but still waiting to see financials and how things hash out with covid.
I think it was a DPC specific question
A full DPC practice should gross a doctor about 225-250k/year gross.
This sounds like a good deal. Outpatient has better deal than inpatient.
Is this rural canada or a big city? Thats awesome!
Big city. Expensive to live in in terms of gas, about 6.30/gallon CAD (we drive a Tesla and bike everywhere as a result, so not a big deal for us). Electricity is cheap about 9.4 cents per KWH. Housing is also expensive but on par with cities like SF, LA, etc. property taxes are ridiculously low (7200 a year on a house worth 2.5m). Food isn’t cheap either… a dozen organic eggs will run you 6-7 bucks CAD, organic Milk about 8-9 bucks for 4 L (3.78 L in a gallon). A chipotle burrito bowl runs about 15 bucks but I haven’t been to a US chipotle in a long time so not sure how much it is back stateside.
