Community practice and Academic involvement

[GoBeers]

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Anyone here in community private practice but also involved with resident/fellow teaching?
Do you hold an official assistant professor role?
What benefits/compensation are there through the anesthesia residency/fellowship or greater hospital system? Or is it purely volunteerism?
How much do you allow them to do procedures?
Do you just let them shadow you or do you have them interview patients and do formal presentations?

Thank you

 

[nvrsumr]

Med students from local school. 2 week rotations cause I get bored. Always an SI joint and print pic for them on last day. peripheral joints etc as they come and if students are interested

 

[emd123]

Anyone here in community private practice but also involved with resident/fellow teaching?
Do you hold an official assistant professor role?
What benefits/compensation are there through the anesthesia residency/fellowship or greater hospital system? Or is it purely volunteerism?
How much do you allow them to do procedures?
Do you just let them shadow you or do you have them interview patients and do formal presentations?

Thank you

I'm 100% outpatient community practice. I have interns from a local transitional-year program. The ones who are interested in Pain, I let do a fair amount. It builds from very basic stuff in the beginning, to more by the end of their month with me, if they're learning competently. None are advanced enough to do any procedure, even the most basic, alone. The ones that have no interest get less hands on (some don't want any). I don't force them to only shadow. That's insulting and more appropriate for a pre-med. They see clinic patients and present to me.

I am paid to do it although its very minimal. I get $180 per day they're with me. They probably slow me down enough that it's break-even, at best. It's definitely not worth doing unless you enjoy the teaching. I enjoy teaching the ones that are interested. I don't enjoy teaching the ones that are there to coast. I do it 4 out of 12 months per year. I would enjoy it more if they were further along in PGY years, but as of now, PGY 1's are all they've offered to send over.

 

[deleted131481]

From the other side, I am in academics and fellows rotate a few weeks through a few private practices. Those hosting get to put an academic title on their website but no compensation.

The fellows are not doing procedures but primarily observing. However, it tends to be a good experience for both parties. The private practice docs hosting tend to be interested in teaching the fellows about the business side of practice which they don't get from us in the teaching hospital.

Fellows also get to see a much faster pace. What's not to like about showing a fellow how you do a procedure twice as fast as his teacher? 😉

 

[Ducttape]

just be careful with their expectations.

some of these interns are thinking that they will learn enough to allow them to do these procedures in private practice.

and yes, i say this from personal experience.

 

[runfastnow]

I have pre-med for local university and MS3/4 from a local DO school rotate with me. Ends up being ~4 months per year. Pre-med only shadow. Med students shadow for a week then start presenting patients if they want/competent. Try to get them some hands on SI joint or fluoro hip by the end. Largely rewarding experience but sometimes you get some duds that make clinic annoying. Thankfully my nurse is a big extrovert and distracts the duds so I can get work done if needed. What I get paid is probably not worth it, but do my best to not let them slow me down.

Do some teaching about personal finance and investing with my residency program that I had done since I was a resident. It has now morphed into that plus education about private practice, billing/coding, pearls for fellowship matching, and job search/contract stuff that the big academics won't discuss openly.

Add on - sometimes I miss the intellectual side of academics, but then I remember I'd get 60-70% of current pay for more BS, politics, and people telling me I can't do things ... and I stop missing it.

 

[painballer27]

Med student here. I rotated with a pain doc for some time. First day or so I just shadowed but then I started going in and seeing patients in clinic and presenting. Fairly high volume practice but I don't feel like it slowed things down much. Did a few SI injections with guidance and "helped" with some of the other procedures. Great experience, I thoroughly enjoyed it. Hopefully I wasn't a dud lol