Job wish list

[AndyDufrane]

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Ok,2 days s/p board exam, now I am on the job search full speed ahead, my situation is that I am in a spine program at a large academic center in the Midwest (not an ACGME pain medicine program), I would like to still retain some of my general pmr training despite doing a fellowship in spine, wanted y'all's opinion if my wish list is realistic in an ideal job

1)spine-seeing patients in outpatient clinic, bread n butter interventional cases (no cervical, sc stims) just lumbar tesi,intralams, facet, caudals, SI, hip IA
2)EMG-mostly outpatient clinic
3)general outpatient msk- knees, shoulder, etc peripheral injections etc
4)spasticity outpatient management (Strokes,TBI,MS,etc )
5)inpatient rehab consults
6)share with partner(s) inpatient rehab unit duties but not be the medical director

Is this realistic? Where would I find this more easily, private practice vs hospital employee vs government job

Thnx in advance

 

[PMR 4 MSK]

Take out the inpt work and thats much of what I do (just add in cervicals).

Yes it's doable.

Network to find the job you want where you want.

 

[101N]

Ok,2 days s/p board exam, now I am on the job search full speed ahead, my situation is that I am in a spine program at a large academic center in the Midwest (not an ACGME pain medicine program), I would like to still retain some of my general pmr training despite doing a fellowship in spine, wanted y'all's opinion if my wish list is realistic in an ideal job

1)spine-seeing patients in outpatient clinic, bread n butter interventional cases (no cervical, sc stims) just lumbar tesi,intralams, facet, caudals, SI, hip IA
2)EMG-mostly outpatient clinic
3)general outpatient msk- knees, shoulder, etc peripheral injections etc
4)spasticity outpatient management (Strokes,TBI,MS,etc )
5)inpatient rehab consults
6)share with partner(s) inpatient rehab unit duties but not be the medical director

Is this realistic? Where would I find this more easily, private practice vs hospital employee vs government job

Thnx in advance

Please pm me.

 

[SSdoc33]

Ok,2 days s/p board exam, now I am on the job search full speed ahead, my situation is that I am in a spine program at a large academic center in the Midwest (not an ACGME pain medicine program), I would like to still retain some of my general pmr training despite doing a fellowship in spine, wanted y'all's opinion if my wish list is realistic in an ideal job

1)spine-seeing patients in outpatient clinic, bread n butter interventional cases (no cervical, sc stims) just lumbar tesi,intralams, facet, caudals, SI, hip IA
2)EMG-mostly outpatient clinic
3)general outpatient msk- knees, shoulder, etc peripheral injections etc
4)spasticity outpatient management (Strokes,TBI,MS,etc )
5)inpatient rehab consults
6)share with partner(s) inpatient rehab unit duties but not be the medical director

Is this realistic? Where would I find this more easily, private practice vs hospital employee vs government job

Thnx in advance

thats a lot on your plate. add in MSK u/s, botox, IMEs, and you've got your hands full. there's only so many hours in the week, be careful not to overextend yourself. wise to keep your options open, though.

 

[caedmon]

Ok,2 days s/p board exam, now I am on the job search full speed ahead, my situation is that I am in a spine program at a large academic center in the Midwest (not an ACGME pain medicine program), I would like to still retain some of my general pmr training despite doing a fellowship in spine, wanted y'all's opinion if my wish list is realistic in an ideal job

1)spine-seeing patients in outpatient clinic, bread n butter interventional cases (no cervical, sc stims) just lumbar tesi,intralams, facet, caudals, SI, hip IA
2)EMG-mostly outpatient clinic
3)general outpatient msk- knees, shoulder, etc peripheral injections etc
4)spasticity outpatient management (Strokes,TBI,MS,etc )
5)inpatient rehab consults
6)share with partner(s) inpatient rehab unit duties but not be the medical director

Is this realistic? Where would I find this more easily, private practice vs hospital employee vs government job

Thnx in advance

I think it's always good to keep your skill set diversified, but it may be hard to find a practice where you can do it all on a regular basis. The best bet is find a position with a group you like, doing primarily what you enjoy the most (probably spine if you did a fellowship) and see the other stuff as it comes. I'm in a large dual specialty group and see primarily spine, but MSK stuff always comes along with it. I primarily do interventional work, EMGs and some MSK ultrasound. Occasionally I will be asked if I see this or that or do botox or whatever, and may or may not do it.

I think the main thing is to find a spot you like in a good group, that offers some amount of freedom and go with it.

Hard to say if PP or academics would be easier to have this type of practice. In PP you may not run into as much red tape, but academics may offer more opportunities such as having a rehab unit to round on.

 

[RUOkie]

OP: You described my practice (without the interventional spine, but add msk ultrasound). The difference is that I do some inpatient rehab management. I am in solo practice however. The easiest way to find that kind of position is in a rural/semirural underserved hospital with a rehab unit. You could either be a hospital employee or a solo guy, depending upon your preference. Likely you would need to be the medical director of the rehab unit as part of your responsibilities.

I do think that finding this type of general practice in an urban area would be far more difficult.

 

[AndyDufrane]

Thanks everybody for the input, but where do I start looking, I do not want to use recruiters, my geographical location is a rural/semi-rural/suburban area in the hudson valley region of NY, should I cold call hospitals or practices, or just saturate the area with cvs/cover letters. thanks in advance

 

[AndyDufrane]

where do I start looking?

 

[fozzy40]

Out of curiosity, can this model work if I were to join a primary care group as opposed to an ortho or neurosurgery group? I look back at my primary care rotations and remember so many patients with rehab issues that were neglected. I think that working for a PCP group would allow me to see the bread and butter MSK and spine patients along with dealing with some general neuro/ortho rehab issues. Perhaps I could do consults for the group as well.

Has anyone seen this model work?

 

[PMR 4 MSK]

Out of curiosity, can this model work if I were to join a primary care group as opposed to an ortho or neurosurgery group? I look back at my primary care rotations and remember so many patients with rehab issues that were neglected. I think that working for a PCP group would allow me to see the bread and butter MSK and spine patients along with dealing with some general neuro/ortho rehab issues. Perhaps I could do consults for the group as well.

Has anyone seen this model work?

Paging Dr. Lobel...

 

[RUOkie]

Out of curiosity, can this model work if I were to join a primary care group as opposed to an ortho or neurosurgery group? I look back at my primary care rotations and remember so many patients with rehab issues that were neglected. I think that working for a PCP group would allow me to see the bread and butter MSK and spine patients along with dealing with some general neuro/ortho rehab issues. Perhaps I could do consults for the group as well.

Has anyone seen this model work?

I would think it could. BUT, the difficulty could come when you are collecting more $ than your bosses do (especially if you do interventions and EMG). I don't know Lobel's situation.

 

[fozzy40]

I did talk with one family medicine doc who was pretty defensive about the thought of me joining their group. However, I'm pretty sure that I can make myself marketable and not just an MSK/spine threat.

 

[oreosandsake]

I did talk with one family medicine doc who was pretty defensive about the thought of me joining their group. However, I'm pretty sure that I can make myself marketable and not just an MSK/spine threat.

hmm, curious how would you end up being a threat to the FM doctors?

unless they were already doing a lot of msk (peripheral joint injections? spine??)

 

[bedrock]

I did talk with one family medicine doc who was pretty defensive about the thought of me joining their group. However, I'm pretty sure that I can make myself marketable and not just an MSK/spine threat.

Don't worry about that one FP doc, he's ignorant. Most primary care docs love physiatrists, particularly with interventional training.

If anything you have to be worried about the FPs over-utilizing you and trying to dump opiod monsters on your doorstep.

 

[fozzy40]

Thanks for the input.

The recurring response I'm getting is that it's a good fit but the group might not like how much revenue I'm generating.

Should be interesting!

 

[AndyDufrane]

so I think in my mind I have an idea of an ideal job,
hospital based employee, either private or state (State hospital, County hospital), doing a blend of spine and general PMR (certain things such as inpatient consults, shared weekend call or 1 week coverage/month with other PMR docs)

spent the latter half of last week cold calling hospitals within 100 sq mile radius of my ideal geographic location (hudson valley region of NY), got in touch with office of physician recruitment or CMO office, some asked for my CV to be emailed to them, but not one hospital had a hospital based employment opportunity for a physiatrist doing spine, they said basically local private groups used their facilities, and I snail mailed a cover letter& CV to a state hospital's CMO, so we will see, am I trying to avoid using recruiters(my impression is they are like pimps, trying to pimp you out, may not land the best suited position), I am going on the adage that "the best jobs are not listed, get by word of mouth", so any other ideas on how to land a good job sans recruiter?

 

[PMR 4 MSK]

so I think in my mind I have an idea of an ideal job,
hospital based employee, either private or state (State hospital, County hospital), doing a blend of spine and general PMR (certain things such as inpatient consults, shared weekend call or 1 week coverage/month with other PMR docs)

spent the latter half of last week cold calling hospitals within 100 sq mile radius of my ideal geographic location (hudson valley region of NY), got in touch with office of physician recruitment or CMO office, some asked for my CV to be emailed to them, but not one hospital had a hospital based employment opportunity for a physiatrist doing spine, they said basically local private groups used their facilities, and I snail mailed a cover letter& CV to a state hospital's CMO, so we will see, am I trying to avoid using recruiters(my impression is they are like pimps, trying to pimp you out, may not land the best suited position), I am going on the adage that "the best jobs are not listed, get by word of mouth", so any other ideas on how to land a good job sans recruiter?

If you know people where you want to live, use them. People trust people they know more than "cold callers." Query attendings and mentors, past and present, who might know people in the area. The more connections you have, the better. Use friends and family to keep and eye and an ear out for you.

 

[bedrock]

so I think in my mind I have an idea of an ideal job,
hospital based employee, either private or state (State hospital, County hospital), doing a blend of spine and general PMR (certain things such as inpatient consults, shared weekend call or 1 week coverage/month with other PMR docs)

spent the latter half of last week cold calling hospitals within 100 sq mile radius of my ideal geographic location (hudson valley region of NY), got in touch with office of physician recruitment or CMO office, some asked for my CV to be emailed to them, but not one hospital had a hospital based employment opportunity for a physiatrist doing spine, they said basically local private groups used their facilities, and I snail mailed a cover letter& CV to a state hospital's CMO, so we will see, am I trying to avoid using recruiters(my impression is they are like pimps, trying to pimp you out, may not land the best suited position), I am going on the adage that "the best jobs are not listed, get by word of mouth", so any other ideas on how to land a good job sans recruiter?

I wouldn't be so down on recruiters. Yes, they are like realtors in that their end goal for the sale to be completed, but also like realtors, they make it much easier to find jobs/houses, that you'd never find otherwise.

Talk to a few recruiters and see what that can find for you. Obviously don't bother interviewing anywhere you're not really interested or in a setup that would never work for you.