Best locations for private practice

[liquidshadow22]

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Considering moves to Texas, Florida vs northeast NJ, MD, NY. Aside from cost of living, income tax any thoughts on which state would likely offer best opportunity for establishing a private practice?

 

[dl2dp2]

These states are too large to generalize. Parts of NY and TX are not very good destinations for private practices.

 

[liquidshadow22]

Yes, totally makes sense. What would you do to evaluate a good location? Just try to see where other practices are located? Seems like a difficult task.

 

[nexus73]

I think you can guess based on number of psychiatrists in an area to gauge likely competition. Maybe a quick call to the discharge planner of the closest psych unit asking if it's a challenge to get people into psychiatrists, and if they're discharging most patients to PCPs. In such an environment you would probably fill with insurance very quickly. This is likely to be the case in places with population less than 150,000 and no psych residencies. But usually this location will not have the socioeconomic means to support a cash psych practice.

If wanting to do a cash practice, you need to be in a larger city with enough people who have the income to pay cash for psych services. But there will probably be more psychiatrists, thus more competition and time to get the cash practice up and running.

Beyond this I would look at the general malpractice environment. I believe Texas has caps on non-economic damages. It would be worth looking into this in other states, and also how long a party has to file a tort claim in the state.

 

[TexasPhysician]

All I know is that I have the hardest time finding a private practice psych in Florida to transfer my patients. This is such an issue that I’ve though about getting my Florida license.

 

[zolof]

All I know is that I have the hardest time finding a private practice psych in Florida to transfer my patients. This is such an issue that I’ve though about getting my Florida license.

Yes its very difficult to find a well run and available private practice psychiatrist here. I know a few after working here for years as a locum but it really varies on region.

 

[ArdorAyurveda]

How about setting up a private practice in Portland or Minneapolis?

 

[WisNeuro]

How about setting up a private practice in Portland or Minneapolis?

If it's mostly med mgmt. focused, Minneapolis would be very easy to fill a schedule for a psychiatrist. I wouldn't bank on a ton of people paying cash for therapy, but we definitely need more prescribers.

Edit: if someone is child/adolescent, even easier.

 

[Dalemane]

If it's mostly med mgmt. focused, Minneapolis would be very easy to fill a schedule for a psychiatrist. I wouldn't bank on a ton of people paying cash for therapy, but we definitely need more prescribers.

Edit: if someone is child/adolescent, even easier.

i think that post about portland and minneapolis was a joke given the current climate

 

[WisNeuro]

i think that post about portland and minneapolis was a joke given the current climate

I was aware, still felt the need to pushback on inaccurate trolling.

 

[ArdorAyurveda]

@Dalemane I wasn’t trolling. Genuine interest in living in either city...

@WisNeuro Thank you for answering my question, but what aspect of my question made you feel that I was trolling?

 

[WisNeuro]

@Dalemane I wasn’t trolling. Genuine interest in living in either city...

@WisNeuro Thank you for answering my question, but what aspect of my question made you feel that I was trolling?

I apologize if I assumed incorrectly, but picking what are the two most media hyped examples of the protests in different geographic regions made me think that.

Otherwise, I can't speak to Portland, but Minneapolis, or the Twin Cities region in general is a pretty good place for MH in general, probably better for psychiatry, even better for CAP. Major hospital systems are going through some pretty major layoffs, along with hospital and clinic closures, so I'd expect the PP need to increase, at least in the short and intermediate terms. If you do some addictions psych, lots of patients to pick up as the largest inpt addictions program is getting shut down and associated outpatient services tied to it in somewhat of disarray.

 

[Shufflin]

basically look for the cities with high cost-of-living, an openness to psychiatrists, then carve out a niche