Example of a GOOD job market

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Nilf

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This is a cut-and-paste from a post made by a dermatology resident named Long Dong. It's an email from a recruiter.


"Dear Doctor,



I received word today regarding your recent inquiring about the Dermatology positions with my clients in various states (see attachments). I would appreciate receiving your updated CV with daytime contact phone # in order to better understand your background and to best represent you to my clients who are in need of a qualified Dermatology specialist such as yourself. When are you available to interview, accept a permanent practice offer, and commence a full time Dermatology practice? Take a look at the following Dermatology jobs and let me know if any of them interest you. I look forward to assisting you with your future practice search.



#20401…. Wichita Falls, TX….join MSG as 1st gen DERM, $350-400K base salary, MOHS welcomed but not required, signing bonus, loan assistance, full benefits, shareholder status

#20783....Temple, TX………join MSG replacing solo gen DERM, $300K base salary, $25K signing bonus, production bonuses, full benefits, 5 weeks vacation/CME, 1 year to shareholder status

#20437…. Longview, TX………join MSG as 1st gen DERM, $350-450K base salary, MOHS welcomed but not required, signing bonus, full benefits, shareholder status

#21145…….Houston, TX……..solo practice for sale in highly desirable area of city, over 15,000 patient files

#20817…. Sacramento, CA…..2nd gen DERM needed to join 1 in MSG, NO MOHS, NO cosmetics, must see PEDS, salary, signing bonus, production bonuses, full benefits, 2 year to shareholder, NO visa issues

#21215…. Oakland, CA……join 5 DERMS in SSG, 3 clinical locations in Bay area, 100% production based income, NO visa issues

#20808…. Bryan, OH…..2nd gen DERM needed to join 1 in MSG, salary, signing bonus, production bonuses, full benefits, 2 years to partnership, NO visa issues

#20702…. Mankato, MN…..Mayo clinic branch in need of gen DERM, hospital employed, salary, full benefits, production bonuses, J1 & H1B visa accepted

#20695…. Greenville, NC….Academic Faculty Dermatologist needed, practice will involve hospital consults, clinical patients, teaching residents, salary, production bonuses, full benefits

#20519…. Bowling Green, KY…join MSG as 2nd gen DERM, attractive base salary, signing bonus, botox/cosmetic surgery welcomed, full benefits

#21465…. Springfield, MO….join 5 DERMS in MSG, 1:6 call, $330-350K base salary, $20K signing bonus, full benefits, production bonus, NO MOHS or cosmetics, no visa issues

#20288…. Hannibal, MO……..join MSG as 1st gen. DERM, $325K base salary, $20K sign on bonus, production bonuses, full benefits

#20292…. Modesto,CA………..join MSG as 2ndgen. DERM, call 1:2, 4 ½ days work week, EMR, income guarantee, full benefits, stockholder options, no MOHS surgery

#20293…. Stockton, CA……… join MSG as 2nd DERM w/MOHS, call 1:2, 4 ½ days work week, EMR, income guar, full benefits, stockholder options

#19470…. Eau Claire, WI……..join 6 gen DERMS in MSG, cosmetics/botox welcomed, $325K base salary, $45K signing bonus, full benefits, H1-B visa accepted

#21377…. Plattsburgh, NY…… take over hospital employed private Derm practice, signing bonus, salary, prod bonus, full benefits, 53 total PTO

#16364…. Malone, NY…………..hosp spons solo, employee, $300K base, $25K signing bonus, up to $150K bonuses, 5 wks vac/CME, full benefits, H1-B visa accepted

#18176…. Middletown, NY…..join 2 DERMS in MSG, salary, production bonuses, full benefits, 4 weeks vac/CME, 2 years to shareholder status

#21064… Watertown, NY….. join 1 female general Derm in hospital employed practice, $300-350K base salary, $20K sign bonus, Loan assistance, production bonuses, full benefits

#20534…. Melbourne, FL……..1st Derm needed in MSG, salary, production bonuses, full benefits

#20623…. Kinston, NC…………General Derm needed to join private practice of 1 DERM, 1 PA, guarantee, buy out practice, signing bonus, can do cosmetics or MOHS, must have experience

#20622….Kinston, NC…………General Derm to join MSG, salary, signing bonus, production bonus, full benefits, can do cosmetics or MOHS

#17365…. Laconia, NH…………2 Derms needed to join MSG, $300K base, bonuses, loan assistance, 6 wks vac/CME, full benefits, J1 & H1-B visa accepted

#20927…. Berlin, NH……….first full time gen Derm needed as hospital employed solo, salary, bonuses, full benefits

#17408…. Gallipolis, OH………2 Derms needed to join 1 derm in MSG, salary, full benefits, 7 wks vac/CME, partnership track

#17804…. Astoria, OR………hospital employee, salary, full benefits

#17866… Birmingham, AL…hospital sponsored solo with gross guarantee or can be employee with salary, full benefits

#21362… Wausau, WI…..first Derm needed in MSG, salary, $20K signing bonus, full benefits, 9 weeks PTO, no visa issues

#18018… Portage, WI…..join part time DERM in MSG, salary, full benefits, loan repaymt assistance, full benefits, 8 wks vac/CME, J1 & H1B visa accepted

#20996… Stevens Point, WI…..join MSG, 1 year salary $325-350K, signing bonus, loan assistance, full benefits, EMR

#18149… Ogden, UT……..join MSG, salary, production bonuses, full benefits, 1 year to shareholder CONTRACT PENDING

#18536… Philadelphia, PA…..2 DERMS needed for Philly area as independent contractors, $300K guarantee, malpractice ins, must be BE/BC

#18484… Fort Dodge, IA…..1 Derm needed for 2010 start date, join 2 Derms in MSG, No call, 2 year guarantee, loan repayment asstnce, J1 & H1-B visa qualifier

#18736… State College, PA…..join 1 gen Derm in MSG for 2010 start date, botox/cosmetics welcomed, $300-325K base salary, bonuses, full benefits, 5 weeks vacation/CME, 18 months to partnership, H1B visa accepted

#18958… Albuquerque, NM…. Join 1 Derm in MSG, must have MOHS training/experience, $325K base, $10K signing bonus, production bonuses, full benefits, 2 years to partnership, will build new Dermatology suites to specifications

#19143…Rome, GA….join female Derm in MSG, 2 year guarantee, bonuses, full benefits, 2 year partnership track

#19202…Richmond, IN…hospital employed full time Derm, $325K, $30K signing bonus, bonuses, full benefits, $10K relocation

#19261…Biloxi, MS…….hospital sponsored solo, NO CALL, clinical based practice, $350K base salary, full benefits, 600K patient draw area

#19819… Charlotte, NC…. Join MSG with 6 Derms, no MOHS training needed, salary, possible signing bonus, production bonuses, full benefits

#19979…Findlay, OH…..2nd gen Derm needed in MSG, cosmetics and/or MOHS experience welcomed, 2 year guarantee, partnership, H1-B visa accepted

#19980…Peoria, IL… 1st DERM needed to join MSG, $325-350K salary, signing bonus, prod. Bonuses, full benefits

#20014…Caribou, ME…. employed solo general Derm needed to join MSG, salary, production bonuses, full benefits, J1 & H1-B visa accepted

#20015…Waterville, ME…employed solo Derm w/MOHS needed, will include teaching, $300-350K base, production bonuses, full benefits

#20017…Freeport, IL…. First general Derm needed to join MSG, $350K base, production bonuses, full benefits, NO visa issues

#20021…Clive, IA…….general w/cosmetics Derm needed to join 2 plastic surgeons, suburb of Des Moines clinic, work 4 days/wk, 12K patient base, salary, production bonuses, full benefits

#21004… Dothan, AL…..MOHS needed, hospital employed, salary, full benefits, referrals from Derms and NS on staff

#21084… Maitland, FL….general Derm for SSG in Jacksonville clinic, salary, signing bonus, full benefits, 5 weeks vac/CME, No call, NO visa issues

#21289… Fort Walton Beach, FL….. replace retiring DERM in MSG, no call, salary, production bonuses, full benefits, 5 wks vac/CME, NO visa issues

#21456… Naples, FL……join 7 DERMS in SSG, no call, salary, full benefits

#21203… Grosse Pointe, MI……join 2 female DERMS, general w/cosmetics, can do 1 day wk MOHS, salary, full benefits, NO visa issues"


THIS IS WHAT GOOD JOB MARKET LOOKS LIKE.

For all those who claim that pathology job market is 'OK'... You sirs are misinformed...
 
All the listed positions for derm. It is well known that derm-trained pathologists have no problem i securing the position they dream of.

The question is about non-derm trained pathologists.....
 
Yes, derm has protected their specialty very well. Limited number of spots and highly competitive as we all know. Definitely one of the fields with the best job market. I remember asking a derm attending why the limited number of spots. His reply (cant remember his full explanation) was something like they didn't want grads to go out there and do cosmetics.

I've always wondered how many of those wanting derm would do it if the field was like pathology where you may have to relocate to even get a job.
 
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Given the structural dissimilarities between pathology and most specialties, for a similar situation to occur in our field would likely require one of two scenarios:

1. Large numbers of practices that can barely keep up with their volume (the "restrict supply" approach).

2. Opening vast new revenue streams (a.k.a. "how radiology did it").

Option 2 seems far more palatable, but option 1 is the only approach I see put forth on this board.
 
Given the structural dissimilarities between pathology and most specialties, for a similar situation to occur in our field would likely require one of two scenarios:

1. Large numbers of practices that can barely keep up with their volume (the "restrict supply" approach).

2. Opening vast new revenue streams (a.k.a. "how radiology did it").

Option 2 seems far more palatable, but option 1 is the only approach I see put forth on this board.

#2 are you talking about molecular pathology, in vivo endoscopy?
 
#2 are you talking about molecular pathology, in vivo endoscopy?

Pretty much. It has yet to be seen whether most molecular pathology is worth embracing, but right now it's our only sizable opportunity for new growth.
 
Well if you had a dermpath or GU path fellowship I would bet your job offers would be similar with pod/reference lab offerings.

But having said that it is true that the some of the professional societies in particular for the surgical subspecialties go to great lengths to limit the number of residency spots. While in path the only limiting factor is CMS and the ACGME.

In part this is because path is dominated by academics and increasing residency spots doesn't harm the academic path market that much. Path is an inherently academic specialty while ortho is inherently non-academic. I mean the most famous orthopedic surgeons (i.e. operate on professional athletes are community practice ones). Therefore the relationship between community practice pathology and academic pathology is most acrimonious in medicine.



This is a cut-and-paste from a post made by a dermatology resident named Long Dong. It's an email from a recruiter.


"Dear Doctor,



I received word today regarding your recent inquiring about the Dermatology positions with my clients in various states (see attachments). I would appreciate receiving your updated CV with daytime contact phone # in order to better understand your background and to best represent you to my clients who are in need of a qualified Dermatology specialist such as yourself. When are you available to interview, accept a permanent practice offer, and commence a full time Dermatology practice? Take a look at the following Dermatology jobs and let me know if any of them interest you. I look forward to assisting you with your future practice search.



#20401…. Wichita Falls, TX….join MSG as 1st gen DERM, $350-400K base salary, MOHS welcomed but not required, signing bonus, loan assistance, full benefits, shareholder status

#20783....Temple, TX………join MSG replacing solo gen DERM, $300K base salary, $25K signing bonus, production bonuses, full benefits, 5 weeks vacation/CME, 1 year to shareholder status

#20437…. Longview, TX………join MSG as 1st gen DERM, $350-450K base salary, MOHS welcomed but not required, signing bonus, full benefits, shareholder status

#21145…….Houston, TX……..solo practice for sale in highly desirable area of city, over 15,000 patient files

#20817…. Sacramento, CA…..2nd gen DERM needed to join 1 in MSG, NO MOHS, NO cosmetics, must see PEDS, salary, signing bonus, production bonuses, full benefits, 2 year to shareholder, NO visa issues

#21215…. Oakland, CA……join 5 DERMS in SSG, 3 clinical locations in Bay area, 100% production based income, NO visa issues

#20808…. Bryan, OH…..2nd gen DERM needed to join 1 in MSG, salary, signing bonus, production bonuses, full benefits, 2 years to partnership, NO visa issues

#20702…. Mankato, MN…..Mayo clinic branch in need of gen DERM, hospital employed, salary, full benefits, production bonuses, J1 & H1B visa accepted

#20695…. Greenville, NC….Academic Faculty Dermatologist needed, practice will involve hospital consults, clinical patients, teaching residents, salary, production bonuses, full benefits

#20519…. Bowling Green, KY…join MSG as 2nd gen DERM, attractive base salary, signing bonus, botox/cosmetic surgery welcomed, full benefits

#21465…. Springfield, MO….join 5 DERMS in MSG, 1:6 call, $330-350K base salary, $20K signing bonus, full benefits, production bonus, NO MOHS or cosmetics, no visa issues

#20288…. Hannibal, MO……..join MSG as 1st gen. DERM, $325K base salary, $20K sign on bonus, production bonuses, full benefits

#20292…. Modesto,CA………..join MSG as 2ndgen. DERM, call 1:2, 4 ½ days work week, EMR, income guarantee, full benefits, stockholder options, no MOHS surgery

#20293…. Stockton, CA……… join MSG as 2nd DERM w/MOHS, call 1:2, 4 ½ days work week, EMR, income guar, full benefits, stockholder options

#19470…. Eau Claire, WI……..join 6 gen DERMS in MSG, cosmetics/botox welcomed, $325K base salary, $45K signing bonus, full benefits, H1-B visa accepted

#21377…. Plattsburgh, NY…… take over hospital employed private Derm practice, signing bonus, salary, prod bonus, full benefits, 53 total PTO

#16364…. Malone, NY…………..hosp spons solo, employee, $300K base, $25K signing bonus, up to $150K bonuses, 5 wks vac/CME, full benefits, H1-B visa accepted

#18176…. Middletown, NY…..join 2 DERMS in MSG, salary, production bonuses, full benefits, 4 weeks vac/CME, 2 years to shareholder status

#21064… Watertown, NY….. join 1 female general Derm in hospital employed practice, $300-350K base salary, $20K sign bonus, Loan assistance, production bonuses, full benefits

#20534…. Melbourne, FL……..1st Derm needed in MSG, salary, production bonuses, full benefits

#20623…. Kinston, NC…………General Derm needed to join private practice of 1 DERM, 1 PA, guarantee, buy out practice, signing bonus, can do cosmetics or MOHS, must have experience

#20622….Kinston, NC…………General Derm to join MSG, salary, signing bonus, production bonus, full benefits, can do cosmetics or MOHS

#17365…. Laconia, NH…………2 Derms needed to join MSG, $300K base, bonuses, loan assistance, 6 wks vac/CME, full benefits, J1 & H1-B visa accepted

#20927…. Berlin, NH……….first full time gen Derm needed as hospital employed solo, salary, bonuses, full benefits

#17408…. Gallipolis, OH………2 Derms needed to join 1 derm in MSG, salary, full benefits, 7 wks vac/CME, partnership track

#17804…. Astoria, OR………hospital employee, salary, full benefits

#17866… Birmingham, AL…hospital sponsored solo with gross guarantee or can be employee with salary, full benefits

#21362… Wausau, WI…..first Derm needed in MSG, salary, $20K signing bonus, full benefits, 9 weeks PTO, no visa issues

#18018… Portage, WI…..join part time DERM in MSG, salary, full benefits, loan repaymt assistance, full benefits, 8 wks vac/CME, J1 & H1B visa accepted

#20996… Stevens Point, WI…..join MSG, 1 year salary $325-350K, signing bonus, loan assistance, full benefits, EMR

#18149… Ogden, UT……..join MSG, salary, production bonuses, full benefits, 1 year to shareholder CONTRACT PENDING

#18536… Philadelphia, PA…..2 DERMS needed for Philly area as independent contractors, $300K guarantee, malpractice ins, must be BE/BC

#18484… Fort Dodge, IA…..1 Derm needed for 2010 start date, join 2 Derms in MSG, No call, 2 year guarantee, loan repayment asstnce, J1 & H1-B visa qualifier

#18736… State College, PA…..join 1 gen Derm in MSG for 2010 start date, botox/cosmetics welcomed, $300-325K base salary, bonuses, full benefits, 5 weeks vacation/CME, 18 months to partnership, H1B visa accepted

#18958… Albuquerque, NM…. Join 1 Derm in MSG, must have MOHS training/experience, $325K base, $10K signing bonus, production bonuses, full benefits, 2 years to partnership, will build new Dermatology suites to specifications

#19143…Rome, GA….join female Derm in MSG, 2 year guarantee, bonuses, full benefits, 2 year partnership track

#19202…Richmond, IN…hospital employed full time Derm, $325K, $30K signing bonus, bonuses, full benefits, $10K relocation

#19261…Biloxi, MS…….hospital sponsored solo, NO CALL, clinical based practice, $350K base salary, full benefits, 600K patient draw area

#19819… Charlotte, NC…. Join MSG with 6 Derms, no MOHS training needed, salary, possible signing bonus, production bonuses, full benefits

#19979…Findlay, OH…..2nd gen Derm needed in MSG, cosmetics and/or MOHS experience welcomed, 2 year guarantee, partnership, H1-B visa accepted

#19980…Peoria, IL… 1st DERM needed to join MSG, $325-350K salary, signing bonus, prod. Bonuses, full benefits

#20014…Caribou, ME…. employed solo general Derm needed to join MSG, salary, production bonuses, full benefits, J1 & H1-B visa accepted

#20015…Waterville, ME…employed solo Derm w/MOHS needed, will include teaching, $300-350K base, production bonuses, full benefits

#20017…Freeport, IL…. First general Derm needed to join MSG, $350K base, production bonuses, full benefits, NO visa issues

#20021…Clive, IA…….general w/cosmetics Derm needed to join 2 plastic surgeons, suburb of Des Moines clinic, work 4 days/wk, 12K patient base, salary, production bonuses, full benefits

#21004… Dothan, AL…..MOHS needed, hospital employed, salary, full benefits, referrals from Derms and NS on staff

#21084… Maitland, FL….general Derm for SSG in Jacksonville clinic, salary, signing bonus, full benefits, 5 weeks vac/CME, No call, NO visa issues

#21289… Fort Walton Beach, FL….. replace retiring DERM in MSG, no call, salary, production bonuses, full benefits, 5 wks vac/CME, NO visa issues

#21456… Naples, FL……join 7 DERMS in SSG, no call, salary, full benefits

#21203… Grosse Pointe, MI……join 2 female DERMS, general w/cosmetics, can do 1 day wk MOHS, salary, full benefits, NO visa issues"


THIS IS WHAT GOOD JOB MARKET LOOKS LIKE.

For all those who claim that pathology job market is 'OK'... You sirs are misinformed...
 
That's a great job market. Oh, if only I had any interest whatsoever in derm, any other clinical specialty, money, or living in any of those places...
 
Don't really know how in vivo endoscopy will pan out but molecular seems to be limited to large academic centers or reference labs. The cost of these molecular tests are quite expensive and the reimbursement not so much. You really need to have high enough volume in order to bring these tests in house. I don't know how many community practice groups have molecular testing but I don't think it would be much. So possible revenue stream from molecular testing would only benefit larger centers. I don't know if this is accurate but this is what seems to be true from what I've been seeing.
 
Don't really know how in vivo endoscopy will pan out but molecular seems to be limited to large academic centers or reference labs. The cost of these molecular tests are quite expensive and the reimbursement not so much. You really need to have high enough volume in order to bring these tests in house. I don't know how many community practice groups have molecular testing but I don't think it would be much. So possible revenue stream from molecular testing would only benefit larger centers. I don't know if this is accurate but this is what seems to be true from what I've been seeing.

PCR used to be exotic, now you can run one for about $6 in the back of a Pinto. Technology is like an aging hooker - cheaper and easier with each passing year (and possibly done in the back of a Pinto).

And yes, molecular testing is being performed in community hospitals, mainly in the microbiology labs (think hookers again).
 
While it looks like there are a lot of openings for dermatologists, there are very few that I'd consider to be desirable locations. If you just look at the positions in CA, none of them are in SoCal & only 1 is in the Bay Area (Oakland).

In my opinion, a good job market is where I have no problems finding a position where I want to live. An ideal market is where I'm recruited for & offered a job while I'm still in training (where I want to live).


----- Antony
 
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