I would say Columbia in NYC and Yale in CT but you must be willing to work very hard at least the first year . If you want to know more about programs in Ct PM me
why the University of Colorado nephro program has been unfilled year after year??
It seems to be a desirable place to live, the program seems to care about fellows, but still, don't understand why doesn't fill all positions.
This isn't a bad time to start liking nephrology.. I know a physician who is pulling over 300,000 with his own practice. Also, it's still not competitive so you can virtually match at your top choice
You can easily make 300k+ as a hospitalist these days. Of course no extra two years of training required for that. Hospitalist has basically killed fields like ID and renal. Too much money for it to make sense financially. I would only do these fellowships if you have an actual interest in them. Financially it just does not make sense.
If you believe in market economics, then there's no way a specialty with high income ceiling would go unmatched or have this many specialists going back to hospitalist medicine.
I agree that the top 10% of earners in nephrology have high income ceiling, but there's no guarantee anyone will be in the top 10%. You can't sell this to an applicant.
The average nephrologist will struggle to justify financially, especially if factoring in opportunity cost, in doing this specialty. There are many nephrologists financially worse off than a hospitalist. So let's just be real about the current state of finances.
yes, there is data to support that many nephrologists are not practicing nephrology
Fellows’ priorities are changing, so must the specialty
- In this article a well known nephrology job recruiter laments that nephrology graduates are choosing hospitalist medicine over a nephrology career.
- Another article reveals data showing that 36% of nephrology graduates are returning to hospitalist medicine. And of the remaining people who join a nephrology practice, “some 50% leave within 5 years”.
An appeal to industry leaders: Take charge of the future of nephrology
Both authors are well known in the industry. They are not making this up. These are not insignificant percentages.
In addition to the ASN survey data, we also know private nephrology practices, particularly smaller practices, have difficulty attracting the new generation of incoming nephrologists. This is due in part to as many as 36% of graduating nephrology fellows decide to work for hospitals, but not as nephrologists.2 They become employed as hospitalists. In that role, fellows forgo specialty training and provide general medicine services within the “safer” confines of the hospital setting while enjoying higher initial salaried positions. The starting salary difference can be as high as $60,000, with an initial salary $240,000 for a hospitalist vs. approximately $180,000 for a private practice nephrologist.2 Even larger private practices that successfully sign new recruits have difficulty retaining them. Some 50% leave within the first 5 years.2 This is a huge resource drain on our specialty.
Call it "the curse of the first job," Stajduhar says. Overwhelmed by the sheer variety of choices and unaccustomed to negotiating for a job, new doctors often wind up in positions that are a bad fit for them, and they move on after just a few years. In a survey[1] of established physicians, Jackson & Coker found that more than half had left their first job after 5 years, and more than half of that group had stayed only 1 or 2 years.
Many new physicians prefer to work in hospital systems rather than physician-led practices. Merritt Hawkins' 2014 survey of final-year residents found that 36% planned to work in a hospital. Their preference for all kinds of employment with a hospital may be much greater because hospitals also offer many positions within group practices, which are listed as a separate practice location in the survey.
Just my observation. I live in a mid-sized city and I personally know of 5 nephrologists who are working as hospitalist in the community. Very sad.
I don't think ASN would want to publish data on the percentage of grads who are not practicing in nephrology.
Hello, are there are Nephrology Fellowship programs that would consider an applicant without IM training?
I am an ECFMG-certified physician with 2+ years of ACGME-accredited residency experience from Harvard-affiliated training programs in General Surgery (2 years) and Anesthesia (6 months) and an MPH from Harvard T.H. Chan School of Public Health. I have been away from clinical practice since 2017 and am planning to apply to the 2020 IM match.
However, given that I have been away from clinical practice for a few years now, I am considering enrolling in an unfilled clinical fellowship to help my transition back into IM.
Thanks!
I appreciate the transparency and words of advice. I am thinking that ANY clinical opportunity, no matter its explosive nature, would be helpful because it would help transition me back to the clinical environment and assuage any concerns that future PD's might have about my gap in clinical training.To answer your questions. Yes, programs will take you but that's because they need someone to cover their night calls. There's no guarantee you can
match into IM afterwards. I don't want you to come out with nothing and feeling exploited. This option is really of last resort and not recommended.
I was looking for jobs in 2017. At the time, starting salary among different places I looked was $180k-220k. I don't know much about Florida or Houston specifically. I would look for a signing/moving bonus.Hello all, just looking for advice here, we are looking for a nephro job in 2022 , what is the salary range we should go with ? we are looking at either Houston specifically or Florida in general.
Also, how to judge a good practice , I mean does productivity bonuses mean a lot ? and regarding partnership , is it good to join a corporates practice or smaller ones ?
any insights would be appreciated.