NewOnc

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Hello everyone, second year heme/onc fellow without a visa requirement here. I am looking for advice about the upcoming job search. Any information would be appreciated. Looking for a private practice or hybrid practice job. Hesitant to consider academia(but open to hearing opinions). My understanding as far as looking for a job would be to consider three main competing things: compensation, location, and work environment. It seems reasonable to expect two of these three aspects of employment when searching. But I am hoping for some guidance:

1. I am not married to any geographic location and I plan on interviewing at several(hopefully 10-15) locations(both rural and urban) to get a feel for different locations as well as different practice environments. Would you consider this disingenuous? I certainly don't want to waste anyone's time or money in interviewing but I want to get a feel for what is possible/available.
2. What are the other things I should consider? I am aware of things such as non-compete clauses, administrative time, AP roles, overnight and weekend coverage, hospital consults, procedures, partnership vs employee, productivity, but what should I ask about these things and what other things should I consider?
3. For anyone that is currently an attending, what has interviews/hiring been like in the time of covid?
4. Any tips for negotiating?
5. I have heard from several people about having a lawyer(familiar with physician contracts) looking over the final contract. What are the things that I should pay special attention to? Does anyone have any anecdotes about bad contracts/clauses?
6. What does a typical job interview day look like, what are some red flags?
7. What are some things that may be different interviewing as a fellow vs interviewing as an established attending?
8. Where should I begin my search, I am aware of NEJM, ASCO/ASH Jobs, Merrit-Hawkins, and Practice Link. I also do plan on cold-calling certain areas that pique my interest. Any other services that I should look into?
9. What else should I consider?
10. Are there any resources out there that may help answer the above?

I apologize for the long post and I truly appreciate your time in energy in responding. Thank you.
 
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I'm in the same boat and all are pertinent questions though some have been answered one way or the other in this forum. It will help greatly if recent successful new entrants to the market or the old guard chime in.
 
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QuizzicalApe

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Can touch on at least a few things:
1. This is fine; this is the purpose of interviewing
2. If not at an academic center, what is your relationship with the academic center? Does your practice enroll on clinical trials directly? Do you send people off to trials? If you feel the need, do you have access to academic tumor boards or will you mostly discuss cases with your colleagues? Time off/conference time/discretionary CME funds/etc is also worth asking. Just me brainstorming while a patient is being roomed.
 
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DeezNutz13

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1. This is fine. I figure you will be exhausted after 4-5 and will also have a good picture of what you want at this point and should be able to narrow it down. 15 seems erroneous.
2. how busy are calls? Do you induce leukemics or not? See what specialties are not present if in a smaller area and where do patients go that need them. What's the compensation model. How much do you make per wrvu. is there a wrvu target? # patients per day. How many new pts. How long alloted per pt.
3. I did 5 in person interviews in July. Social distancing as much as possible and masks. Most places want to do zoom calls which is fine but you're going to want to see the place if your signing on.
4. Compare contracts and find what is the going rate for salary, wrvu, call time, clinic time. I hired a contract review lawyer as well who helped clarify details.
6. various interviews with clinic managers, oncs, rad oncs, nurse managers, hospital admin, tours. Lunch and dinner usually. Red flags are high turnover. frequent call. One place tried to make me pay my own way out to interview (didnt go).
7. Is your office nice. How does the practice utilize mid levels. How many patients do you need to see ect. partnership. contract benefits such as signing bonus, moving stipend, tail coverage for malpractice ect
8 in addition to what you listed doccafe
 
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bobsmith

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I found this article incredibly helpful (more for those looking for private practice / community jobs):

+ Emphasis on this part:
"Knowing what you want in a position continues to be front and center in finding a good practice match. You should determine as best you can whether your practice philosophy, personal values, and work style are compatible with those of the other physicians in the practice"

There's also a nice breakdown of questions and things to consider at the end of the article
 
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gutonc

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I found this article incredibly helpful (more for those looking for private practice / community jobs):

+ Emphasis on this part:


There's also a nice breakdown of questions and things to consider at the end of the article
I ask a version of that question to everyone I pre-interview when I'm hiring for my community-based academish group. Basically, "describe your dream practice environment". It allows me to quickly and easily decide who I should move forward in the interview process.

Pro Tip: There are no "right" answers here, but there is one absolutely wrong one, and that's to not be able to answer concisely and thoughtfully.
 
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I ask a version of that question to everyone I pre-interview when I'm hiring for my community-based academish group. Basically, "describe your dream practice environment". It allows me to quickly and easily decide who I should move forward in the interview process.

Pro Tip: There are no "right" answers here, but there is one absolutely wrong one, and that's to not be able to answer concisely and thoughtfully.
gutonc, what is the interview process like in the current Covid climate compared to pre-pandemic? Phone --> Zoom--> in person -->offer
 

gutonc

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gutonc, what is the interview process like in the current Covid climate compared to pre-pandemic? Phone --> Zoom--> in person -->offer
Pretty much. I have always done a pre-interview initial phone call for every CV I get. I basically do my own personal interview of them and give a run-down of what the job/practice entails. After that was an interview with the full group. This takes 2 days, even when done via Zoom. Now, we're bringing people out if they and we are interested after the virtual interview process and focus on the office/site we're hiring them for. Our usual interview process has candidates visiting 5-7 different campus sites over the 2 days, which we're obviously trying to avoid these days.

This is my first round of interviews since the pandemic, so I haven't gotten to the offer stage yet, but that's about how it's going to go.
 
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gutonc

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Hello everyone, second year heme/onc fellow without a visa requirement here. I am looking for advice about the upcoming job search. Any information would be appreciated. Looking for a private practice or hybrid practice job. Hesitant to consider academia(but open to hearing opinions). My understanding as far as looking for a job would be to consider three main competing things: compensation, location, and work environment. It seems reasonable to expect two of these three aspects of employment when searching. But I am hoping for some guidance:

1. I am not married to any geographic location and I plan on interviewing at several(hopefully 10-15) locations(both rural and urban) to get a feel for different locations as well as different practice environments. Would you consider this disingenuous? I certainly don't want to waste anyone's time or money in interviewing but I want to get a feel for what is possible/available.
You've gotten a fair number of good answers here, but I'll add some thoughts.

First and foremost, 10-15 is 2-5X too many places to interview at. You do you, But that's way too much.
2. What are the other things I should consider? I am aware of things such as non-compete clauses, administrative time, AP roles, overnight and weekend coverage, hospital consults, procedures, partnership vs employee, productivity, but what should I ask about these things and what other things should I consider?
You've got a pretty good list. Ask about the comp plan and how it's determined. Base, productivity, etc. Call schedule and expectations.
3. For anyone that is currently an attending, what has interviews/hiring been like in the time of covid?
It blows.
4. Any tips for negotiating?
Ask for what you want. You won't get what you don't ask for and you can't know what they're willing to give unless you request. Understand that they may be limited in what/how then can budge.
6. What does a typical job interview day look like, what are some red flags?
See #3 above. It's all a hot mess right now.

A lack of honest answers, or inconsistent answers should make you pay attention. But note that you will meet people during your interview day who don't know what the **** they're talking about, so don't hesitate to ask clarifying questions of "the boss".

I talk to people that interview with my group a minimum of 3 times. One in the pre-interview stage, a formal interview during the interview day, and then a follow-up phone conversation (in-person if they're local and pre-lockdown). Not to mention all the emails and conversations they have with my admin staff. Do NOT be afraid to ask questions. The only true red flag in this process is when people aren't willing to answer your questions.
 
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