Feeling despair

[Hybrocure]

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Have had the same experience fresh out in outpatient setting.
Anecdotally- the ones coming in asking for elective surgery have been huge red flags.

Nobody should ever want foot surgery. I exhaust conservative treatments first with all my patients before elective surgery. Those who come in wanting elective bunions usually bounce off to their next provider when I tell them I don’t operate unless it’s painful. And even if it is painful, half the time they’re wearing horrible shoes and the solution is “don’t wear that”.

 

[dtrack22]

Yep. Big income also comes with big hours if it means riding the pus bus to 10pm after clinic.

The other day I was doing elective cases and saw the usual hospital employed guy with amp booked for 1am on the OR board. No thanks.

if an employed doc is routinely doing cases after 10pm, there are a half dozen different ways to solve that problem. And it can be solved relatively easily almost regardless of facility. Hospital employed = late nights and weekend pus is a false equivalency

You,, DYK 343, retro, myself if I had enough infection volume. 100% rather do infection than elective all day long. As I said before, you're using your MSK rear foot principles, it's challenging it's rewarding. Despite what Feli says, it's not first year cases.

It also pays more, and guess what you don't need a fellowship for it.

My dream job at this point would be getting hired as a “Podiatric hospitalist.” Depending on the size of the facility (or number of facilities covered) maybe you do some wound care clinic, but otherwise you are salaried $400-500k to cover inpatient consults, round, and operate. Shift work. Nothing but pus. little or no follow up.

 

[Weirdy]

I’m in a hospital setting so most likely would feel different if I were doing private practice. High surgery volume in PP podiatry probably only makes sense if you are doing it in a surgery center you own shares in.

Most of the podiatry groups near me with 4-5+ DPMs are running all their surgeries out of the surgery center they have bought shares in.
To them that makes sense.
Little ol me- I lose money everytime I book someone at the nearby hospital. 2 hrs gone easily

 

[heybrother]

Most of the podiatry groups near me with 4-5+ DPMs are running all their surgeries out of the surgery center they have bought shares in.
To them that makes sense.
Little ol me- I lose money everytime I book someone at the nearby hospital. 2 hrs gone easily

Outpatient Surgery Codes with Increased Reimbursement When Performed at an Ambulatory Surgery Center | Blue Cross and Blue Shield of Texas

www.bcbstx.com

I don't know your state or your employment circumstances, but you should explore whether BCBS has this program in your state. The ASC incentive pay is substantial.

 

[Weirdy]

Outpatient Surgery Codes with Increased Reimbursement When Performed at an Ambulatory Surgery Center | Blue Cross and Blue Shield of Texas

www.bcbstx.com

I don't know your state or your employment circumstances, but you should explore whether BCBS has this program in your state. The ASC incentive pay is substantial.

Did not know this.
Thank you.

 

[heybrother]

Did not know this.
Thank you.

Make sure the site of service is appropriately chosen if you perform at the ASC because if you accidentally call the ASC an inpatient hospital you will be paid less.