just how lucrative can you make PM&R?

[neurotrancer]

If someone wanted to have a PM&R clinic with PTs working under them doing all the pt while the doc did all the procedures (EMG, etc.), just how lucrative could PM&R be?

I am very interested in the possibility of carving a niche for myself by being superspecialized in my future practice and doing only a few procedures, but in great volume.

I am also very interested in PM&R.

Thanks!

---

Members don't see this ad.

 

[Fermata]

If someone wanted to have a PM&R clinic with PTs working under them doing all the pt while the doc did all the procedures (EMG, etc.), just how lucrative could PM&R be?

I am very interested in the possibility of carving a niche for myself by being superspecialized in my future practice and doing only a few procedures, but in great volume.

I am also very interested in PM&R.

Thanks!

If I'm not mistaken there are legal(and ethical) problems with self-consulting with the PT's.

PM&R does allow you to tailor a practice to what you like....

Some just read scans all day...
Some just give spinal injections all day..
You can be in a pain clinic...
There's a PM&R group in town that just does lower back pain...

There's just so much you can do....

 

[Su4n2]

as someone who witnessed an EMG done yesterday if u do these all day , you will kill yourself. it's very boring. interperting is one thing but actually doing them will put you to sleep. just an opinion...

 

[drvlad2004]

as someone who witnessed an EMG done yesterday if u do these all day , you will kill yourself. it's very boring. interperting is one thing but actually doing them will put you to sleep. just an opinion...

As a student, you won't get too excited about by EMGs because it looks plain boring especially when it is over your head as a student and 1st year resident. It was painful, as a 4th year student, when I had to sit in and watch some EMGs and not understand a thing of what was done. It appears that as you continue doing EMGs and further understand the physiology behind what you are doing, you get to really love doing it along with outpatient MSK. Still, the physiatrists that just EMGs, seem to enjoy it and make an excellent living by just specializing in it. Regardless, during your residency training, I think it is very important to have a PM&R program that you actually "do" lots of EMGs (over 200). I found some programs, including some NYC/LI programs, to be very weak in EMGs.

If you want to make a fortune in PM&R, the harder you work then the more money you will make. PM&R does not equal "Plenty of money and relaxation." Those physiatrists (or any other specialists) are busting their ass by working longer hours to make that half-million salary.

Man, I am totally loving my internship but I can't wait to start my PM&R program.

 

[PublicHealth]

As a student, you won't get too excited about by EMGs because it looks plain boring especially when it is over your head as a student and 1st year resident. It was painful, as a 4th year student, when I had to sit in and watch some EMGs and not understand a thing of what was done. It appears that as you continue doing EMGs and further understand the physiology behind what you are doing, you get to really love doing it along with outpatient MSK. Still, the physiatrists that just EMGs, seem to enjoy it and make an excellent living by just specializing in it. Regardless, during your residency training, I think it is very important to have a PM&R program that you actually "do" lots of EMGs (over 200). I found some programs, including some NYC/LI programs, to be very weak in EMGs.

If you want to make a fortune in PM&R, the harder you work then the more money you will make. PM&R does not equal "Plenty of money and relaxation." Those physiatrists (or any other specialists) are busting their ass by working longer hours to make that half-million salary.

Man, I am totally loving my internship but I can't wait to start my PM&R program.

Drvlad,

You mentioned that you're enjoying your internship. Could you expand on this a bit? What exactly are you enjoying about internship? Is it the program? Hours? Patients?

Thank you!

PH

 

[Su4n2]

Vlad! long time no hear!

actually i was explained the physiology and the anatomy and that was really interesting. it was good to findout that all those muscles learned in anatomy would be of some use buteven the doc said that he does a couple a day and once u start doing them it's boring. but to each his own
where are you for internship? how many hours are u working?

 

[drvlad2004]

Yeah, I haven't been on SDN for a while since going to SoCal for vacation and then starting internship at North Shore University Hospital in Plainview.

This month, I am working in the ER and I am enjoying it. There are lots of excellent and a lot of young attendings that love to teach. There is one attending who worked at Cedars-Sinai in L.A., and others who trained at LIJ, St. Barnabas in the Bronx, SUNY Brooklyn, etc. My work hours in the ER are long (12 hour shifts on Tues, Wed, Thurs, and Friday). The attendings really don't push me to work the whole 12 hours/day. However, nearly all of the attendings love to teach in the ER and they like to pimp. I also do 24 hour call every Sunday of this month in medicine and without a resident. Luckily Sundays are lighter days in the hospital (I get 4-5 hours of sleep) unlike the weekdays. Also, it is nice having 2 excellent OMM attendings affiliated with the hospital so that I can do OMM electives.

Personally, the excitement of having a greater role as a physician is what I like about internship. In general, the work hours are not horrible at the hospital. Interestingly, 8 out of 15 interns are going into PM&R (3 to NYU Rusk, 1 @ SUNY Brooklyn, 1 @ Mt. Sinai, 1 @ Stoney Brook, 1 @ LIJ, and me at NUMC). The patient population is predominantly of the baby boomer generation, which works well for mr going into PM&R.
PublicHealth and Su4n@, feel free to PM me about my internship. It's early thus far, but I am actually enjoying my experience and I'm not dreading my internship at least for now.

 

[illyseATC]

If I'm not mistaken there are legal(and ethical) problems with self-consulting with the PT's.

would you be able to elaborate on that?

 

[Finally M3]

I think there are ethical problems if you own/are a partner in a stand-alone PT facility (Stark law). It's like a PCP being a partner in an imaging center or reference lab, and they send all their patients for testing to centers they own.

 

[paz5559]

I think there are ethical problems if you own/are a partner in a stand-alone PT facility (Stark Law). It's like a PCP being a partner in an imaging center or reference lab, and they send all their patients for testing to centers they own.

Half right: Stark II allows you to refer to a facility you own 100%, typically within or adjacent to your office. If you are a partial owner, that is where things get sticky. As for the ethical and moral aspects, if I believe my facility is best able to provide the services I want my patient to receive, I personally don't find myself in any ethical quandry, but I suppose that is for each practicioner to dcide for him/herself.

Yeah, I haven't been on SDN for a while since going to SoCal for vacation and then starting internship at North Shore University Hospital in Plainview.

Hey doc, I thought North Shore flagship was in New Hyde Park or Manhassett - are you at a sattellite? Is that just for this month, or are you there for your internship? In either case, while you are in Plainview, make sure you checkout Fairway Market on Manetto Hill Road - it is a larger version of the renound grocery/prepared food/Zabar's equivalent on the Upper West Side

 

[Sanman]

New Hyde Park is the flagship. Fairway isn't as good as it used to be in my opinion.

 

[paz5559]

New Hyde Park is the flagship. Fairway isn't as good as it used to be in my opinion.

Sanman

We will ahve to disagree on both points - LIJ is in NHP, NSUH is in Manhassett.

As for Fairway, pray tell, what do you think is a better option on that gastronomic wasteland called Long Island?

 

[drvlad2004]

Sanman

We will ahve to disagree on both points - LIJ is in NHP, NSUH is in Manhassett.

As for Fairway, pray tell, what do you think is a better option on that gastronomic wasteland called Long Island?

Paz is correct about the locations of LIJ and NSUH Manhasset. Those two main hospitals within the LIJ-North Shore University Hospital System are only a few minutes apart. My internship is at a satellite hospital in Plainview. Plainview has the AOA internship among the North Shore Hospitals. Hence, I didn't want to confuse anyone with which hospital it is.

I never heard of Fairway before. I'll check it out. Personally, I also think that LI is a gastronomic wasteland. Good places to eat are very limited in variety. It is definitely not like New Orleans, socially or culturally. Being a seafood lover, New Orleans has so many good places to eat . 4 more years of having to live in LI and certainly no more, afterwards, for me

 

[Sanman]

Originally posted by paz5559

Sanman


We will ahve to disagree on both points - LIJ is in NHP, NSUH is in Manhassett.

As for Fairway, pray tell, what do you think is a better option on that gastronomic wasteland called Long Island?

Come to think of it you're right NSUH is in manhasset- Community drive

I'm used to thinking of LIJ, even though they're like 4 miles away from each other.

As for food, there's a pizza place called La Piazza which is pretty good for pizza and italian and gold & meyer's deli which is pretty good too. There are decent seafood places closer the shore, but you gotta go looking.