multi specialty group pain practice

[nvrsumr]

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I know of physiatirists who are pain fellowship trained and have been hired by spine neurosurgery and ortho groups to do conservative care, PT scripts, injections, fluoro procedures, and EMGs. Some of the positions are partnership track with ASC buy ins, etc...

I was wondering about the pros and cons of being a partner in a multi-specialty group. In particular: call, practice overhead, possible surgical back up for implants, work hours, differences in culture, etc...

Thanks

 

[lobelsteve]

I know of physiatirists who are pain fellowship trained and have been hired by spine neurosurgery and ortho groups to do conservative care, PT scripts, injections, fluoro procedures, and EMGs. Some of the positions are partnership track with ASC buy ins, etc...

I was wondering about the pros and cons of being a partner in a multi-specialty group. In particular: call, practice overhead, possible surgical back up for implants, work hours, differences in culture, etc...

Thanks

Already been looked at.

www.algosresearch.org
http://www.algosresearch.org/Education/StartingPractice/index.html

 

[nvrsumr]

Thanks Steve. That is an excellent website Algos has put together. I was more specifically thinking of practice set up where the pain physician is a full partner with the neurosurgeons and not just an employee. On the surface this seems to be a win win situation. Just looking for any roadblocks or benefits I hadnt thought of. Anyone with actual experience in this practice model whod like to chime in?

 

[ampaphb]

Thanks Steve. That is an excellent website Algos has put together. I was more specifically thinking of practice set up where the pain physician is a full partner with the neurosurgeons and not just an employee. On the surface this seems to be a win win situation. Just looking for any roadblocks or benefits I hadnt thought of. Anyone with actual experience in this practice model whod like to chime in?

To me, the real potential compromise is your integrity - working with surgeons, you bias is not going to be to keep patients from going under the knife until they absolutely have to - afterall, that is the lifeblood of the practice, and you are merely the facilitator who gets patients to jump through the requisite hoops insurance carriers insist on pre-operatively (the joke I have heard is that interventionists in ortho or neuro spine practices do three epidurals WITHOUT steroids, and then send them back to the surgeon)

So long as you are comfortable that your colleagues will treat you as an equal, and actually pay attention to your recommendations, rather than just using you as an additional revenue source to push procedures through their ASC, THEN it makes sense. But those situations are few and far between.

 

[lobelsteve]

To me, the real potential compromise is your integrity - working with surgeons, you bias is not going to be to keep patients from going under the knife until they absolutely have to - afterall, that is the lifeblood of the practice, and you are merely the facilitator who gets patients to jump through the requisite hoops insurance carriers insist on pre-operatively (the joke I have heard is that interventionists in ortho or neuro spine practices do three epidurals WITHOUT steroids, and then send them back to the surgeon)

So long as you are comfortable that your colleagues will treat you as an equal, and actually pay attention to your recommendations, rather than just using you as an additional revenue source to push procedures through their ASC, THEN it makes sense. But those situations are few and far between.

They are much less frequent than that if they do even exist. Think of them as a unicorn mermaid.

 

[Mister Mxyzptlk]

I was more specifically thinking of practice set up where the pain physician is a full partner with the neurosurgeons and not just an employee.

Has this ever happened? I always thought that a pain doc in a surgical group enjoyed the same status as Dobby the house-elf in Harry Potter.

 

[Doctodd]

just like was already mentioned more eloquently than me....you will be somebody's bitch!!!

T

 

[nvrsumr]

There seems to be a consensus.... I appreciate everyones input. Anyone have a good experience with this type of practice set up?