do not join multispecialty practice

[josenewin]

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i have heard that pediatricians are treated as NPs in multispecialty groups. i had a freind who got out of multispecialty apparently he was working as hard as a resident. they had 3 or 4 urgent care which were staffed by NPs and FPS; afterhours you need to help your comrades in Urgent care, while you are taking calls from parents, after a whole day in the office seeing 45 patients. The partnership they promised after 2 yrs did not materialise even after 4 yrs. Apparently he learned that the Surgeons and cardiolgist did not want the peds and FPs to join the partnership;because specialist beleived that Peds were getting the money from the procedures that were done by other procedure heavy specialties! They need the primary care to feed into their practice, thats it.
Folks, my advice - Do a thorough research.

 

[Bernardo_11]

i have heard that pediatricians are treated as NPs in multispecialty groups. i had a freind who got out of multispecialty apparently he was working as hard as a resident. they had 3 or 4 urgent care which were staffed by NPs and FPS; afterhours you need to help your comrades in Urgent care, while you are taking calls from parents, after a whole day in the office seeing 45 patients. The partnership they promised after 2 yrs did not materialise even after 4 yrs. Apparently he learned that the Surgeons and cardiolgist did not want the peds and FPs to join the partnership;because specialist beleived that Peds were getting the money from the procedures that were done by other procedure heavy specialties! They need the primary care to feed into their practice, thats it.
Folks, my advice - Do a thorough research.

Per the bolded above I agree 100%. After doing the research though, you may find that there is some potential gain depending on the make-up of the group. For example, the multi-specialty group I once worked for was dominated by family practice and internal medicine docs, there was one consulting surgeon who did a 1/2 day clinic once a week but he had his own practice elsewhere. I was the only pediatrician in the practice and had my own private area. Being that I did not plan on being a partner or anything it was a good employment right out of residency and felt like the young expert on cases dealing with children. 😀

 

[BigNavyPedsGuy]

Per the bolded above I agree 100%. After doing the research though, you may find that there is some potential gain depending on the make-up of the group. For example, the multi-specialty group I once worked for was dominated by family practice and internal medicine docs, there was one consulting surgeon who did a 1/2 day clinic once a week but he had his own practice elsewhere. I was the only pediatrician in the practice and had my own private area. Being that I did not plan on being a partner or anything it was a good employment right out of residency and felt like the young expert on cases dealing with children. 😀

I just want to tell you that I love your signature factoid!

 

[oldbearprofessor]

Actually, raw goat milk naturally has only a tiny amount of folic acid in it, but as sold as a powder commercially in stores for children, folic acid is often added. One needs to read the label. Of note is that goat's milk is naturally very high in phosphorus making it unsuitable for the first week of life due to the risk of hypocalcemia.

 

[josenewin]

Multispecialty group are often well connected. Due to their large patient base, they have advantage, often they negotaite with the insurance companies. Not to speak of their clout in congress and state capitols; they work through highly complicated network

 

[oldbearprofessor]

Multispecialty group are often well connected. Due to their large patient base, they have advantage, often they negotiate with the insurance companies. Not to speak of their clout in congress and state capitols; they work through highly complicated network

All of these things are also true of large Children's Hospitals. So what?

 

[josenewin]

Thats right - but in childrens hospital you are working 40 to 50 hrs a week not 65 hours. And pediatricians command some sort of respect in childrens hospital, you are not treated as dirt. I am not talking about 10 or 20 physician group MSG, I am talking about 100 plus physician group. My freind's Multispecialty group had two email listing, one for specialists and the second one for NP, PA and Peds and FP. In childrens hospital it is guaranteed that you get screwed by a doc, in MSG you get screwed by HS educated practice site administrators. , Money is not good too 110 to 120 K

 

[TexasRose]

Thats right - but in childrens hospital you are working 40 to 50 hrs a week not 65 hours. And pediatricians command some sort of respect in childrens hospital, you are not treated as dirt. I am not talking about 10 or 20 physician group MSG, I am talking about 100 plus physician group. My freind's Multispecialty group had two email listing, one for specialists and the second one for NP, PA and Peds and FP. In childrens hospital it is guaranteed that you get screwed by a doc, in MSG you get screwed by HS educated practice site administrators. , Money is not good too 110 to 120 K

I know you mean well, but joining the forum to bash an entire type of practice set-up based on your friend's experience is hard to take very seriously.

 

[josenewin]

just wanted to get the word out regarding blood sucking multispecialty group, my freind wasted 4 yrs of his life, he overlooked many fellowship opps, just sad.

just do the research- there are good MSGS too

 

[oldbearprofessor]

just wanted to get the word out regarding blood sucking multispecialty group, my freind wasted 4 yrs of his life, he overlooked many fellowship opps, just sad.

just do the research- there are good MSGS too

In general, messages are best conveyed by the actual person who had the problem. It is helpful if they are conveyed clearly, with some sense of grammar, capitalization and spelling. These things don't have to be perfect on the internet, but some minimal effort goes a long way in making messages easier to follow.

Meanwhile, an n=1 is poor evidence-based medicine and since this seems to be the only purpose to this thread and your joining SDN, I think it's time we closed this discussion. If your "friend" wishes to really describe their experiences, invite them to join SDN and make a thread about what happened to them.