oreosandsake

10+ Year Member
Apr 6, 2007
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260
Chicago
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Resident [Any Field]
I am 6 months from graduation from PM&R residency and will be in a acgme pain fellowship next year.

any recommendations for what I should be trying to learn or focus on before leaving residency?
not only topics in medicine, but perhaps the business of medicine... etc

is there anything any of you walked out of residency, wishing you had honed in on prior to leaving?

thank you
 

PMR2008

PM&R
10+ Year Member
Aug 17, 2007
577
69
Status
Attending Physician
Forget about learning about medicine. You already know a lot after all the years of training and you will learn all the essentials in the extra year you are spending not earning any money. Learn the business. All the procedures are getting massive cuts. By the time you start you will be lucky to make 25% more than a primary. Spend time with the billing and marketing department. Find local clinics that are privately run and have other sources of income (ancillary, spa etc). The only way to survive after coming out of the fellowship in 2015 will be either working for a hospital system or running a clinic that does not rely on medicare and insurance. Too bad we did not graduate 10 years ago.
 

Gauss

Damnit Jim!
15+ Year Member
Mar 3, 2002
1,209
260
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Attending Physician
start looking for a job, network with everyone. the job market is ugly and starting to freeze up in hospitals with all the cuts. if anyone asks what kind of practice you want, tell them a viable one that will survive the next 5 years. fundamentally you're looking for a group/institution with a culture you are comfortable with that won't implode in 2 years. everything else is gravy, which is sad to say
 
Jan 7, 2014
1
0
Status
Resident [Any Field]
Forget about learning about medicine. You already know a lot after all the years of training and you will learn all the essentials in the extra year you are spending not earning any money. Learn the business. All the procedures are getting massive cuts. By the time you start you will be lucky to make 25% more than a primary. Spend time with the billing and marketing department. Find local clinics that are privately run and have other sources of income (ancillary, spa etc). The only way to survive after coming out of the fellowship in 2015 will be either working for a hospital system or running a clinic that does not rely on medicare and insurance. Too bad we did not graduate 10 years ago.
That sounds pretty depressing. What are the pro's to doing a pain fellowship then? An extra year of training for a PCP salary when you finish up?
 

nvrsumr

Member
15+ Year Member
Apr 25, 2002
1,941
491
na.com
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Attending Physician
If gas pain fellowship buff up on EMG, imaging, MSK injections, botox.