Hospital Employment Inquiry

[Shiyuan]

Hey all,

I may be interviewing soon for a hospital-based gig (full time). Quick synopsis:

- 25 bed Critical access hospital. Only 2 other specialty docs - both gen surg. Otherwise mostly ARNP family med types with 2-3 PCP MDs.

- Previously had a full-time surgical DPM. When I inquired about that doc’s case deversity, the CEO told me mostly just amputations.

- They now have a NON-SURGICAL DPM covering their podiatry clinic part-time (that DPM’s primary office 1 hr away at another office in the hospital’s network).

In terms of “selling myself” for the job... outside of the obvious that I am surgical (forefoot + some rearfoot) and the current guy is not, any other talking points I should bring up in terms of RVU generation, scope, etc.?

Appreciate y’all’s insight!

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[Redsting]

I like to point out what should be obvious, that patients will stay local, that MRIs etc will be ordered on site, obviously that the OR will get utilized more.
That you'll be available for the primary/ER to call you. In my experience they don't reach out too much, and usually just want to punt people to you, but that fact that you'll take their call and help out goes a long ways.

In a hospital setting I don't think it takes long to "pay" for yourself. Last year I was 30% over my rvu base and I am only there 3 days a week. That doesn't even count all the downstream revenue they made from me. I was probably around 1.5 surgeries a week too, so not crazy.

 

[dtrack22]

Hey all,

I may be interviewing soon for a hospital-based gig (full time). Quick synopsis:

- 25 bed Critical access hospital. Only 2 other specialty docs - both gen surg. Otherwise mostly ARNP family med types with 2-3 PCP MDs.

- Previously had a full-time surgical DPM. When I inquired about that doc’s case deversity, the CEO told me mostly just amputations.

- They now have a NON-SURGICAL DPM covering their podiatry clinic part-time (that DPM’s primary office 1 hr away at another office in the hospital’s network).

In terms of “selling myself” for the job... outside of the obvious that I am surgical (forefoot + some rearfoot) and the current guy is not, any other talking points I should bring up in terms of RVU generation, scope, etc.?

Appreciate y’all’s insight!

Your willingness to live there and be full time will be the main thing they care about. Just sell them on wanting to be there. But don’t overdo it. They’ll know if you’re blowing too much smoke up their skirts.

 

[Shiyuan]

I like to point out what should be obvious, that patients will stay local, that MRIs etc will be ordered on site, obviously that the OR will get utilized more.
That you'll be available for the primary/ER to call you. In my experience they don't reach out too much, and usually just want to punt people to you, but that fact that you'll take their call and help out goes a long ways.

In a hospital setting I don't think it takes long to "pay" for yourself. Last year I was 30% over my rvu base and I am only there 3 days a week. That doesn't even count all the downstream revenue they made from me. I was probably around 1.5 surgeries a week too, so not crazy.

30% over meaning your bonus at end of year?

 

[icebreaker32]

Hey all,

I may be interviewing soon for a hospital-based gig (full time). Quick synopsis:

- 25 bed Critical access hospital. Only 2 other specialty docs - both gen surg. Otherwise mostly ARNP family med types with 2-3 PCP MDs.

- Previously had a full-time surgical DPM. When I inquired about that doc’s case deversity, the CEO told me mostly just amputations.

- They now have a NON-SURGICAL DPM covering their podiatry clinic part-time (that DPM’s primary office 1 hr away at another office in the hospital’s network).

In terms of “selling myself” for the job... outside of the obvious that I am surgical (forefoot + some rearfoot) and the current guy is not, any other talking points I should bring up in terms of RVU generation, scope, etc.?

Appreciate y’all’s insight!

Let them know you get along well with others

Understand the importance of metrics

Like to practice EBM and do not usually need crazy expensive hardware to do so

 

[Redsting]

30% over meaning your bonus at end of year?

Yeah

Let them know you get along well with others

Understand the importance of metrics

Like to practice EBM and do not usually need crazy expensive hardware to do so

I don't know if they care about expensive hardware. They are cost reimbursed. Most of my hardware isn't expensive anyways but if I ask for something they don't bat an eye.

 

[dtrack22]

I don't know if they care about expensive hardware. They are cost reimbursed.

And critical access is cost plus %. They really don’t care, in my experience.

 

[Feli]

Good advice above, I would just echo to make it clear you're willing to live in their rural area awhile if job/pay is good. That is far and away your main angle.

...In terms of “selling myself” for the job... outside of the obvious that I am surgical (forefoot + some rearfoot) and the current guy is not...

I'd be careful with the "I'm surgical, other guy is not" part. Two reasons:
-if you're not BQ/BC ABFAS, that could draw attention to that aspect of the job needs if they have other candidates who passed ABFAS
-even if you are BQ/BC, pointing it out that you do surgery or are ABFAS could inflame that existing doc (just because he doesn't do surgery or isn't BC doesn't mean he doesn't have an ego or know DPM boards and how they work)

I would bet the existing non-op DPM or one of the gen surgeons is the main decision maker on this position and giving the thumbs up/down to the HR or CEO or CMO, so no need to come in hot (esp if you're not BQ/BC for surgery). You just want to seem easy to work with, competent, and willing to potentially stay there awhile (let's face it, that's why 99% of rural jobs are available). Good luck... I thought you worked at VA?

 

[JustAPedicurist]

no advice to offer but..can I get your old job?

 

[Shiyuan]

Good advice above, I would just echo to make it clear you're willing to live in their rural area awhile if job/pay is good. That is far and away your main angle.



I'd be careful with the "I'm surgical, other guy is not" part. Two reasons:
-if you're not BQ/BC ABFAS, that could draw attention to that aspect of the job needs if they have other candidates who passed ABFAS
-even if you are BQ/BC, pointing it out that you do surgery or are ABFAS could inflame that existing doc (just because he doesn't do surgery or isn't BC doesn't mean he doesn't have an ego or know DPM boards and how they work)

I would bet the existing non-op DPM or one of the gen surgeons is the main decision maker on this position and giving the thumbs up/down to the HR or CEO or CMO, so no need to come in hot (esp if you're not BQ/BC for surgery). You just want to seem easy to work with, competent, and willing to potentially stay there awhile (let's face it, that's why 99% of rural jobs are available). Good luck... I thought you worked at VA?

Thnx bro! No im at a MSG in another state. Pretty much gave up on VA positions.

Non-op guy covers other locations moreso. They forced him to cover here recently. No other candidates as far as I know (cold-call situation). 🤷🏻‍♂️

 

[diabeticfootdr]

Hey all,

I may be interviewing soon for a hospital-based gig (full time). Quick synopsis:

- 25 bed Critical access hospital. Only 2 other specialty docs - both gen surg. Otherwise mostly ARNP family med types with 2-3 PCP MDs.

- Previously had a full-time surgical DPM. When I inquired about that doc’s case deversity, the CEO told me mostly just amputations.

- They now have a NON-SURGICAL DPM covering their podiatry clinic part-time (that DPM’s primary office 1 hr away at another office in the hospital’s network).

In terms of “selling myself” for the job... outside of the obvious that I am surgical (forefoot + some rearfoot) and the current guy is not, any other talking points I should bring up in terms of RVU generation, scope, etc.?

Appreciate y’all’s insight!

Tell them you’ll do full scope Hospital-based podiatry and dedicated to the hospital. Hospitals always want “alignment” with Physicians who can bring in revenue, and that doesn’t mean only what you personally generate. If your services attract patients that require other hospital services, then that is the best. It’s why limb salvage/wound care is sought after by hospitals. Not only is there a need, but these patients require multiple admissions and multiple surgeries. Plus DFI and amp patients have some of the longest LOS in Medicare patients. If they’re not managing effectively, they probably have “opportunity days” to improve and are not using the best DRG. If you optimize this, you save and make them $500K-$1M annually even in a CAH.

For compensation, I would just refer to the MGMA numbers, they’re used to that for all other specialties and then use your future successes to negotiate higher upon renewal.

But don’t forget about the intangibles that will make your life easier. Clinic space in/or close to the hospital, OR access, adequate staff, etc.

As far as call goes, you might just have to be on-call until they hire someone additional to support you in the future. I’ve done that before too. It’s a sacrifice.

Then after you get hired, set up a monthly or every 2 month meeting with the CEO and or CMO. Don’t miss it. Constantly review all the wins you’ve had there. Including if you reduced LOS and reduced OR costs by switching from one graft to another. They have to be constantly reminded. I also meet frequently with the chiefs of all the departments that I use or refer to us. Good, frequent communication avoids complaints.

 

[Shiyuan]

Thanks everyone! Great insight.

 

[Pronation]

It’s why limb salvage/wound care is sought after by hospitals.

Let's be realistic here... pods are recruited for these positions because none of the other surgical specialties want to touch this stuff with a ten foot bovie.

 

[billBOB213]

Sorry, what is LOS?

It’s 4am where I am at, can’t sleep, not running on all cylinders right now haha so I apologize in advance

 

[heybrother]

Sorry, what is LOS?

It’s 4am where I am at, can’t sleep, not running on all cylinders right now haha so I apologize in advance

Length of stay.

Question about billing and length of stay

Hospitals say that very long LOS critical care patients are damaging to finances. Most of these patients are still getting critical care time billed every day so how is that detrimental for ICU billing - what am I missing?

forums.studentdoctor.net

This is from the critical care forum so the applicability isn't perfect, but the explanations are good and it gives you more to read up on.

 

[billBOB213]

Lol thanks!

My pod brain couldn’t look past Loss of Sensation

 

[Pronation]

Lol thanks!

My pod brain couldn’t look past Loss of Sensation

I think the term you’re looking for is LOPS

 

[newfeet]

Hey all,

I may be interviewing soon for a hospital-based gig (full time). Quick synopsis:

- 25 bed Critical access hospital. Only 2 other specialty docs - both gen surg. Otherwise mostly ARNP family med types with 2-3 PCP MDs.

- Previously had a full-time surgical DPM. When I inquired about that doc’s case deversity, the CEO told me mostly just amputations.

- They now have a NON-SURGICAL DPM covering their podiatry clinic part-time (that DPM’s primary office 1 hr away at another office in the hospital’s network).

In terms of “selling myself” for the job... outside of the obvious that I am surgical (forefoot + some rearfoot) and the current guy is not, any other talking points I should bring up in terms of RVU generation, scope, etc.?

Appreciate y’all’s insight!

You decided what you want to do. They don't care about the cases you will do. They want you to use their OR, see their clinic patients, use their labs and refer internally as much as possible. They also want to know if you will fit their hospital and not leave in a year.

 

[DYK343]

I think the term you’re looking for is LOPS

I thought that was code for a toe amp

 

[Retrograde_Nail]

Hey all,

I may be interviewing soon for a hospital-based gig (full time). Quick synopsis:

- 25 bed Critical access hospital. Only 2 other specialty docs - both gen surg. Otherwise mostly ARNP family med types with 2-3 PCP MDs.

- Previously had a full-time surgical DPM. When I inquired about that doc’s case deversity, the CEO told me mostly just amputations.

- They now have a NON-SURGICAL DPM covering their podiatry clinic part-time (that DPM’s primary office 1 hr away at another office in the hospital’s network).

In terms of “selling myself” for the job... outside of the obvious that I am surgical (forefoot + some rearfoot) and the current guy is not, any other talking points I should bring up in terms of RVU generation, scope, etc.?

Appreciate y’all’s insight!

What are they paying you? It better be better than median gross pay for surgical podiatrists because that is all you are going to get. You won't bonus. You won't get good cases for boards.

Personally I would not take this job if you are fresh out of residency and getting board certified is important to you. If you have been practice for 5-10 years and are board certified then this is an ok job. Not great but just ok.

 

[Pronation]

What are they paying you? It better be better than median gross pay for surgical podiatrists because that is all you are going to get. You won't bonus. You won't get good cases for boards.

Personally I would not take this job if you are fresh out of residency and getting board certified is important to you. If you have been practice for 5-10 years and are board certified then this is an ok job. Not great but just ok.

Still better than a garbage private practice associate job.

 

[Retrograde_Nail]

Still better than a garbage private practice associate job.

It is but now you have really put yourself in a bad position if you end up hating it and leave after 3-4 years. No cases for boards. This increases your stress to get board certified for future gigs.

Experience and being board certified is the biggest attractions for the next hospital job when you stack your CV up against other candidates.

If you have work experience in other hospital systems and are board certified I guarantee your CV goes to the top of the list against any new grad. Even if they are a "fellowship trained orthopedic nerve reconstructive podiatrist"

 

[Shiyuan]

What are they paying you? It better be better than median gross pay for surgical podiatrists because that is all you are going to get. You won't bonus. You won't get good cases for boards.

Personally I would not take this job if you are fresh out of residency and getting board certified is important to you. If you have been practice for 5-10 years and are board certified then this is an ok job. Not great but just ok.

Dont know yet, prob MGMA. I’m already Board cert, couldnt care less abt case diversity. I just want to be paid what I’m worth in the area that I want to live in until I die.

 

[Retrograde_Nail]

Dont know yet, prob MGMA. I’m already Board cert, couldnt care less abt case diversity. I just want to be paid what I’m worth in the area that I want to live in until I die.

If you are ok with just making 310K per year (median for surgical DPM per MGMA) for the rest of your life go nuts. You won't get enough volume to actually bonus unless you negotiate a very favorable RVU threshold to bonus. It is really important for you to understand what they will pay you. If needs to be at least 310K. Since it is critical access and you are willing to live there forever it should be more like 350K per year. Like I said you won't have enough volume to bonus.

 

[Shiyuan]

If you are ok with just making 310K per year (median for surgical DPM per MGMA) for the rest of your life go nuts. You won't get enough volume to actually bonus unless you negotiate a very favorable RVU threshold to bonus. It is really important for you to understand what they will pay you. If needs to be at least 310K. Since it is critical access and you are willing to live there forever it should be more like 350K per year. Like I said you won't have enough volume to bonus.

Better than 98% of other DPM jobs out there 🤷🏻‍♂️

Beggars cant be choosers. Because.....



Podiatry.

 

[Retrograde_Nail]

Better than 98% of other DPM jobs out there 🤷🏻‍♂️

Beggars cant be choosers. Because.....



Podiatry.

touche

 

[JustAPedicurist]

If you are ok with just making 310K per year (median for surgical DPM per MGMA) for the rest of your life go nuts. You won't get enough volume to actually bonus unless you negotiate a very favorable RVU threshold to bonus. It is really important for you to understand what they will pay you. If needs to be at least 310K. Since it is critical access and you are willing to live there forever it should be more like 350K per year. Like I said you won't have enough volume to bonus.

You’re insane

 

[Shiyuan]

If you are ok with just making 310K per year (median for surgical DPM per MGMA) for the rest of your life go nuts. You won't get enough volume to actually bonus unless you negotiate a very favorable RVU threshold to bonus. It is really important for you to understand what they will pay you. If needs to be at least 310K. Since it is critical access and you are willing to live there forever it should be more like 350K per year. Like I said you won't have enough volume to bonus.

I do agree on your RVU threshold comment 👍🏻

 

[Retrograde_Nail]

You’re insane

Maybe. Personally I value my education and training to be worth more than 310K per year.

 

[JustAPedicurist]

Maybe. Personally I value my education and training to be worth more than 310K per year.

In an ideal world, sure. As someone looking for a job, that’s not the real world

 

[Retrograde_Nail]

In an ideal world, sure. As someone looking for a job, that’s not the real world

For podiatry? Yes it is not the real world. That is the sad truth of it all.

 

[Pronation]

Maybe. Personally I value my education and training to be worth more than 310K per year.

Either you are completely delusional as to the podiatry job market or this is an obvious troll account.

 

[Retrograde_Nail]

Either you are completely delusional as to the podiatry job market or this is an obvious troll account.

Not a troll account. I know the market sucks. I've been practicing for close to 10 years. I've worked for hospitals my entire career. So I speak on knowing my value from a hospital employed standpoint. Calm down. Trim your stache and put your penlac on and talk to me like a normal person when you are ready.

 

[Pronation]

Not a troll account. I know the market sucks. I've been practicing for close to 10 years. I've worked for hospitals my entire career. So I speak on knowing my value from a hospital employed standpoint. Calm down. Trim your stache and put your penlac on and talk to me like a normal person when you are ready.

lol @ knowing your value

Why even post this nonsense when that dude is ecstatic about possibly having his app chosen out of the other 100 applicants to be at a hospital in the middle of nowhere. Tone deaf?

 

[Retrograde_Nail]

lol @ knowing your value

Why even post this nonsense when that dude is ecstatic about possibly having his app chosen out of the other 100 applicants to be at a hospital in the middle of nowhere. Tone deaf?

Job market is terrible. Facts.

Being hospital employed and knowing what you can generate and having many years generating solid numbers definitely should give you an understanding of your worth. Also gives you confidence to negotiate for as much as you can get. Just being happy and accepting what they give you is not the way.

 

[diabeticfootdr]

If you are ok with just making 310K per year (median for surgical DPM per MGMA) for the rest of your life go nuts.

Some people will never be happy ...

 

[Retrograde_Nail]

Some people will never be happy ...

310K base salary would be 99.9999% percentile of podiatry salaries. Which is not impressive especially since podiatrists are doing fellowship on top of three years of residency. A busy podiatrist in a hospital system is making the hospital at least 1.5-2 million dollars from clinic visits, procedures in clinic and surgeries alone. This does not include the down stream revenue they generate from advanced imaging orders, HBOT, physical therapy referrals, DME, Referrals to orthotist/prosthetist, referrals to other specialists etc etc etc.

Making 310K out of all that production is criminal. Sorry it is.

That means majority of podiatrists who are associates in private practice are not making great ROI because they are making way way way less.

This point of view and perspective from leadership is the biggest issue with podiatry. The word entitlement gets thrown around here when its completely unjustified. People want to get paid what they are worth. If we are not worth 310K then don't make new podiatry schools. Don't make podiatry school so expensive if our profession is not worth paying graduating podiatrists reasonable salaries.

 

[icebreaker32]

Is CutsWithFury back?

 

[Shiyuan]

😜

 

[diabeticfootdr]

310K base salary would be 99.9999% percentile of podiatry salaries. Which is not impressive especially since podiatrists are doing fellowship on top of three years of residency. A busy podiatrist in a hospital system is making the hospital at least 1.5-2 million dollars from clinic visits, procedures in clinic and surgeries alone. This does not include the down stream revenue they generate from advanced imaging orders, HBOT, physical therapy referrals, DME, Referrals to orthotist/prosthetist, referrals to other specialists etc etc etc.

Making 310K out of all that production is criminal. Sorry it is.

Not being disrespectful, but then just go in to PP and do everything yourself if you can think you make $1.5-2M.

There should be lines outside of every school if this was true.

But the operation around a successful $1.5M podiatrist is expensive. All the staff and overhead it takes you to generate that money. It's not in a vacuum. And then, yes, of course ... the entity that hires you (and takes the risk) is rightfully going to want to make money on you. That's business. And if you make a net profit for the hospital, that money will be offsetting services that are net losers.

 

[Retrograde_Nail]

Not being disrespectful, but then just go in to PP and do everything yourself if you can think you make $1.5-2M.

There should be lines outside of every school if this was true.

But the operation around a successful $1.5M podiatrist is expensive. All the staff and overhead it takes you to generate that money. It's not in a vacuum. And then, yes, of course ... the entity that hires you (and takes the risk) is rightfully going to want to make money on you. That's business. And if you make a net profit for the hospital, that money will be offsetting services that are net losers.

Please explain the overhead in a hospital system?

We use all the same resources as ortho in clinic.

If there is a wound care center in place (which there typically is) we use the same resources that were currently being used there. I use the wound care centers nursing staff for my patients who were already there.

We can use orthos nursing staff to see patients.

I do 800-1000 RVUs a month and have ONE RN helping me. This person was a new hire. No NP or PA to help out.

So I walked into a hospital where the only thing they did for me was hire one nurse to help out.

Maybe their overhead increased a little to have extra supplies for what I need but again I’m using the same stuff that ortho had been using prior to me coming there.

I don’t see how the overhead for podiatry is expensive in a hospital practice.

 

[Shiyuan]

I’m assuming no nail patients for your hosp gig? All pathology only probz?

I see approx. 20-25 pts a day, 4-8 surgeries a month, oversee a seperate would clinic in addition to my clinic every day.... and hit 5500 RVU last year. I feel like im doing something wrong? Maybe it’s my corp of DM nail pts 😒😒😒

 

[Retrograde_Nail]

I’m assuming no nail patients for your hosp gig? All pathology only probz?

I see approx. 20-25 pts a day, 4-8 surgeries a month, oversee a seperate would clinic in addition to my clinic every day.... and hit 5500 RVU last year. I feel like im doing something wrong? Maybe it’s my corp of DM nail pts

I see nails at outreach clinics but I mostly do limb salvage and MSK. I average 10-15 cases a week. Last week I did 20 cases. But my facility is close to a 1000 beds.

 

[DYK343]

Please explain the overhead in a hospital system?

We use all the same resources as ortho in clinic.

If there is a wound care center in place (which there typically is) we use the same resources that were currently being used there. I use the wound care centers nursing staff for my patients who were already there.

We can use orthos nursing staff to see patients.

I do 800-1000 RVUs a month and have ONE RN helping me. This person was a new hire. No NP or PA to help out.

So I walked into a hospital where the only thing they did for me was hire one nurse to help out.

Maybe their overhead increased a little to have extra supplies for what I need but again I’m using the same stuff that ortho had been using prior to me coming there.

I don’t see how the overhead for podiatry is expensive in a hospital practice.

Assuming a lot here.
Most hospitals dont directly hire ortho. Sure some do. But not necessarily the norm.
But almost every hospital I have been on staff at has ortho as an independent contractor employee and not directly employed.

Many, but not all hospitals have a wound clinic.

But overall I do get where youre coming from. DPMs make serious profits for hospitals which is why over the last 20 years were on staff more and more.

 

[Retrograde_Nail]

Assuming a lot here.
Most hospitals dont directly hire ortho. Sure some do. But not necessarily the norm.
But almost every hospital I have been on staff at has ortho as an independent contractor employee and not directly employed.

Many, but not all hospitals have a wound clinic.

But overall I do get where youre coming from. DPMs make serious profits for hospitals which is why over the last 20 years were on staff more and more.

We have different work experiences that's all. I've been employed by two different hospitals. Both had their own orthopedists. Both had their own wound care centers.

 

[DYK343]

Maybe it’s my corp of DM nail pts 😒😒😒

Depends on your population size, referral sources, and practice.

Nails pay garbage. 0.51 wRVU max alone.

But if youre in a small area with no referrals might be better to take nails and hopefully they mention something else to bill an E&M.

99213 is worth1.3 wRVU. Add 0.51 and it starts to add up for a 10min encounter.

Seems used carsalesman like. Or more efficiently described online here as lobster like. But its the only way to make a nail care practice pay on wRVU system.

 

[PatchAdamsFan]

310K base salary would be 99.9999% percentile of podiatry salaries. Which is not impressive especially since podiatrists are doing fellowship on top of three years of residency. A busy podiatrist in a hospital system is making the hospital at least 1.5-2 million dollars from clinic visits, procedures in clinic and surgeries alone. This does not include the down stream revenue they generate from advanced imaging orders, HBOT, physical therapy referrals, DME, Referrals to orthotist/prosthetist, referrals to other specialists etc etc etc.

Making 310K out of all that production is criminal. Sorry it is.

I believe we have already established that even in the upper echelon of podiatry that is hospital employment, we are severely underpaid. We fight for a low $54/wRVU while very surgical sub-specialist hits 2-4x our income. And this is top 1% of our job market. Yes, our investment is very poor and the hospitals take full advantage. It's all a question of if you would rather not be paid your worth in a hospital or PP setting. That criminal 310k base would be taken every time. Because podiatry.

 

[DYK343]

We fight for a low $54/wRVU

Pretty sure this number is regional. Higher cost of living parts of country average.
In many parts of the country this is lower. Like 49-51 range.
Someone with regional MGMA data please post.
Open to being proven wrong.

 

[diabeticfootdr]

Please explain the overhead in a hospital system?

I don’t see how the overhead for podiatry is expensive in a hospital practice.

I don't even know if you're joking rn ... and if I should waste time writing a few sentences in response ...

- The information desk person to the CEO of the hospital are non-revenue generating
- Everything needed to comply with local, state, and federal regulations
- The parking lot attendant
- The registration clerk
- The benefits verification person
- The painter who I see on some floor every day
- The janitors who clean your toilet
- The infection control nurse
- The nurse navigator
- The maintenance man(person)
- The biomed safety person that checks your equipment
- The millions of dollars per year for EHR
- Plus, plus, plus, plus ...

None of these people or things generate revenue for the hospital. You do.

Of course, you can say facility fees generate revenue too. But if you want to extricate yourself from the environment in which you can make a $310K base and think you can bring in $1.5-2M in revenue on your own and hire a single nurse, and have no other overhead, go ahead. It's just not based in reality.

And this whole conversation is sadly about your money. It's not about being part of a healthcare system, being a good representative for your profession, and taking care of people in need while you make a 5%er income.

[Many] SDNers poo-poo podiatry incessantly, claiming we're undervalued, and then gripe about a $310K base.

But look, it's an anonymous blog. I wouldn't expect much more.

Instead, there are some real issues with the profession that are noble and should be (and can be) fixed.

 

[Retrograde_Nail]

I don't even know if you're joking rn ... and if I should waste time writing a few sentences in response ...

- The information desk person to the CEO of the hospital are non-revenue generating
- Everything needed to comply with local, state, and federal regulations
- The parking lot attendant
- The registration clerk
- The benefits verification person
- The painter who I see on some floor every day
- The janitors who clean your toilet
- The infection control nurse
- The nurse navigator
- The maintenance man(person)
- The biomed safety person that checks your equipment
- The millions of dollars per year for EHR
- Plus, plus, plus, plus ...

None of these people or things generate revenue for the hospital. You do.

Of course, you can say facility fees generate revenue too. But if you want to extricate yourself from the environment in which you can make a $310K base and think you can bring in $1.5-2M in revenue on your own and hire a single nurse, and have no other overhead, go ahead. It's just not based in reality.

And this whole conversation is sadly about your money. It's not about being part of a healthcare system, being a good representative for your profession, and taking care of people in need while you make a 5%er income.

[Many] SDNers poo-poo podiatry incessantly, claiming we're undervalued, and then gripe about a $310K base.

But look, it's an anonymous blog. I wouldn't expect much more.

Instead, there are some real issues with the profession that are noble and should be (and can be) fixed.

The way you communicate is rather condescending. Especially for a "leader".

You're reasoning is terrible on the salary explanation. This applies for every doctor. I will leave this alone as I won't get a real answer from you.

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Please describe the real issues in podiatry. All I have seen you do is add more ambiguity to our training and definition of what podiatry certification is with the CAQ. I don't see people jumping up and down to get this credential.

Biggest issues in podiatry:
- No need for new schools but we added two more
- Too many bad residencies who double and triple scrub cases to meet numbers fraudulently; Poor oversight of residencies to maintain basic standards
- Too many podiatrists graduating each year without significant demand; Job saturation
- No universal scope for podiatry
- No "public" pushback against AOFAS and their slanderous journal articles in recent years
- huge disconnect between podiatry leadership and current practicing podiatrists
- Poor salaries for majority of practicing podiatrists. Especially private practice associates. Bad ROI

Every thing I've listed are things I think most would agree are major problems. This is not make believe. This is not a disgruntled podiatrist. I am addressing real issues that leadership continues to ignore then promotes "diabetes is increasing...podiatry is important..blah blah blah".