Forum Members Official: Job Offer Thread

[dtrack22]

Pay is very low for seattle. Very low.
No way I would ever practice in Seattle. The ortho/DPM disrespect is strong there.
May be the most malignant city in the country to be a DPM.
Love the town/life/culture there. Love the olympics. Love coffee. Love the temperate foggy weather.
But no thanks.
Also lots of serial killers.

Yeah COL over there is brutal. But it’s Kaiser so you are generally insulated from the UW/Harborview and Providence ortho politics. Kaiser in Seattle/Tacoma/Olympia are also primarily outpatient clinic facilities. Not big Kaiser Hopsitals like in SoCal and NorCal, so there really isn’t any significant call responsibility. Your clinic is capped and the benefits with the Washington Permanente group are traditional Kaiser benefits (my understanding) so think health insurance and pension in retirement. These are upper tier DPM jobs and it’s not close.

But $300k leaves you house poor in most places you’d actually want to live. And the Seattle metro has to have some of the worst traffic in the country. My cousin lives in Seattle city limits, less than 10 miles from his job, takes him 45 min to get to work. Most folks also have no idea what it’s like to experience only 10 days of sunshine between October and March….

Still some of the best jobs (I think they have a handful of positions open right now in Western WA) posted here in some time.

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[Retrograde_Nail]

Surgical Podiatrist​

Seattle, Washington

Clinic
Full Time
Residency
BE or BC
Job Details

Description

About Us

Washington Permanente Medical Group (WPMG) is a clinician-led, self-governed and independent multi-specialty group practice, providing care to the more than 700,000 Kaiser Permanente patients in Washington state. We work unencumbered by traditional health care obstacles and without silos; prioritizing people over profits, collaboration over ego, and driven by a singular goal: our patients' health. At WPMG, we take care of the whole person, with a team to address the fundamental, social, and emotional needs that contribute to total health. We are clinicians motivated by the desire to make a purposeful difference in the communities we serve, and in how health care is delivered.

Summary

Kaiser Permanente-Washington Permanente Medical Group- is seeking a full-time (1.0 FTE) Surgical Podiatrist to join our Capitol Hill Campus team in Seattle, Washington.

Core Components of this position include:

• Outpatient evaluation, management, and surgical treatment of all aspects of the foot and ankle including but not limited to foot/ankle trauma, diabetic complications, arthrodesis, amputation, wound care, and foot/ankle reconstruction
  
  
• Collaborating with the Kaiser Permanente orthopedic surgery team to treat complex foot/ankle patients in our partner hospital in Seattle.
  
  
• Shared Call responsibilities.
  
  Capitol Hill Campus is a multispecialty medical center. Lab, Radiology and Pharmacy on site. Office hours are 8am - 5pm Monday through Friday, with Urgent Care open 24 hours a day, 7 days a week.
  
  As a condition of employment, all clinicians and employees are required to verify COVID-19 vaccination status. As part of the pre-boarding process and before starting work, you will be required to verify your vaccination status, and will be provided an opportunity to apply for an accommodation based on a religious or medical reason, if needed.
  
  Compensation and Benefits
  
  The entire salary range for this position is $273,727.00 to $322,032.00 and will be prorated based on FTE. Placement of new hires will be in the range of $273,727.00 to $305,931.00 based on factors such as education, training or experience.
  
  Employees (and their families) are covered by medical, dental, vision, basic life, and disability insurance. Employees are able to enroll in our company's 401k plan, receive employer contributions to the 401(k) plan, and enroll in our cash balance pension plan. Employees will also receive four weeks of paid vacation leave every year and eight paid holidays throughout the calendar year, and will receive continuing medical education leave and funding.

This was posted a couple years ago and I applied for it and got past the first couple phone interviews and even talked to head of ortho but then got ghosted. The job posting then got pulled of nowhere. It was strange. Glad they re-posted this posting. It is very interesting opportunity but it is extremely expensive to live in Seattle area now. Downtown Seattle is a dump these days being a sanctuary city. It was not nearly as bad pre-COVID. Good luck to anyone taking this job.

If you screw up a case there are ton of Swedish alum podiatrists and Harborview orthopedists who would love to throw you under the bus. Believe it.

 

[icebreaker32]

Podiatry it is bipolar. It is haves and have nots. It is a profession of surgeons and nail trimmers. It is saturated as far as the need for for 7-8 year trained podiatrists, and very, very saturated as far as the supply of organizational jobs are concerned (even including bear country, swamps, corn fields and Indian reservations).

Apply for a job at NailSpaDr or Mayo Clinic. What other profession can you spend $300,000 to $500,000 and 7-8 years of training to have such diversity of job choices (not in a good way)?

Podiatrist​

NailSpaDr
Dallas, TX

From $120,000 a year - Full-time
Responded to 75% or more applications in the past 30 days, typically within 10 days.

Job details​

Benefits​

• Dental insurance
• Health insurance
• Paid time off

Are you a skilled and compassionate Podiatrist seeking a unique opportunity to practice your expertise in a dynamic and innovative setting? NailSpaDr, a leading Medi-Nail Spa in Dallas, TX, is currently looking for a dedicated and experienced Podiatrist to join our team and provide exceptional foot and ankle care to our valued clients.
Position: Podiatrist
Location: Dallas, TX
Company: NailSpaDr
Job Description: As a Podiatrist at NailSpaDr, you will be an integral part of our medical team, focusing on diagnosing and treating a wide range of foot and ankle conditions. Your responsibilities will include, but are not limited to:

• Conducting thorough foot and ankle examinations, including X-rays and other diagnostic tests, to identify and diagnose medical conditions.
• Developing personalized treatment plans for clients, incorporating both non-invasive and surgical interventions as required.
• Providing expert care for common foot ailments such as ingrown toenails, bunions, plantar fasciitis, and other related conditions.
• Performing foot and ankle surgeries, when necessary, with precision and skill.
• Educating clients on proper foot care and preventative measures to maintain optimal foot health.
• Collaborating with the NailSpaDr team to ensure seamless patient care and an exceptional client experience.
• Keeping accurate and up-to-date medical records in our electronic medical records system.
• Provide general and cosmetic podiatry services to the clients of nail salons, nursing homes, assisted living facilities, and long term care facilities within an assigned territory

Qualifications:

• Doctor of Podiatric Medicine (DPM) degree from an accredited podiatry program.
• Valid and active state license to practice podiatry in Texas.
• Board certification in podiatry is preferred but not mandatory.
• Proven experience as a practicing Podiatrist, with a strong track record of successful treatments.
• Comprehensive knowledge of podiatric conditions, treatments, and surgical procedures.
• Excellent communication and interpersonal skills, with the ability to build rapport with clients and team members.
• Compassionate, patient-centered approach to healthcare.
• Ability to work efficiently in a fast-paced environment while maintaining attention to detail.

Benefits: NailSpaDr values its employees and offers a competitive compensation package, including:

• Competitive salary based on qualifications and experience.
• Comprehensive medical and dental benefits for eligible employees.
• Opportunities for continued education and professional development.

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday (rotating Saturday upon mutual agreement)

Work setting:

• In-person

Ability to commute:

• Fort Worth, TX Dallas, TX: Reliably commute before starting work (Required)

How to Apply: If you are a passionate Podiatrist looking for a rewarding opportunity to make a difference in the lives of our clients, we invite you to apply for this position. Please submit your resume, along with a cover letter detailing your relevant experience and why you are interested in joining the NailSpaDr Com team. Applications can be emailed to [email protected] with the subject line "NSDR Podiatrist Application - Dallas."
NailSpaDr is dedicated to providing top-quality care to our clients, and we believe that you, as a skilled Podiatrist, can contribute significantly to our mission. We look forward to reviewing your application and discussing the potential for you to be a valuable member of our team.
Job Type: Full-time
Pay: From $120,000.00 per year
Benefits:

• Health insurance
• Paid time off

Medical specialties:

• Wound Care

Schedule:

• 8 hour shift

Supplemental pay types:

• Bonus opportunities

Ability to commute/relocate:

• Dallas, TX: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

• BC/BE (Preferred)
• Medical License (Required)

Willingness to travel:

• 75% (Required)

Work Location: In person

Podiatrist​

Mayo Clinic

Mayo Clinic​

Job details​

Here’s how the job details align with your job preferences.Manage job preferences anytime in your profile.
Job Type
Full-time

Benefits​

Pulled from the full job description​

• Continuing education credits
• Opportunities for advancement

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. You’ll thrive in an environment that supports innovation, is committed to ending racism and supporting diversity, equity and inclusion, and provides the resources you need to succeed.

Responsibilities
Mayo Clinic Health System in Mankato, MN, is seeking a surgical podiatrist with full spectrum skills to join our established practice in Southwest Minnesota. The successful candidate will join a collaborative team of Orthopedic Surgeons and Podiatrists to offer first class patient care. Comprehensive skills include: management of a general podiatry practice; as well as the management of complicated diabetic foot care. ED and hospital consults as well as clinic outreach is expected (~2 days/week in Fairmont, MN). Candidates must have strong interpersonal skills, be interested and familiar in working within a multidisciplinary team approach and have hospital-based experience.
Mayo Clinic Health System links Mayo Clinic’s respected expertise in practice, education, and research with the health-delivery systems of our local communities. Mayo Clinic Health System is a vibrant and growing health care system with over 17,000 employees serving 44 communities in southern Minnesota, western Wisconsin and northern Iowa. We offer a stable practice environment, a highly competitive compensation package, and exceptional benefits.

Qualifications
Candidates must be board-eligible/board-certified and eligible for licensure in the State of Minnesota.

Exemption Status

Exempt

Benefits Eligible

Yes

Schedule

Full Time

Hours/Pay Period

80

International Assignment

No

Site Description
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.

Affirmative Action and Equal Opportunity Employer

As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.

Recruiter

Ashley Andres

 

[air bud]

Surgical Podiatrist​

Seattle, Washington

Clinic
Full Time
Residency
BE or BC
Job Details

Description

About Us

Washington Permanente Medical Group (WPMG) is a clinician-led, self-governed and independent multi-specialty group practice, providing care to the more than 700,000 Kaiser Permanente patients in Washington state. We work unencumbered by traditional health care obstacles and without silos; prioritizing people over profits, collaboration over ego, and driven by a singular goal: our patients' health. At WPMG, we take care of the whole person, with a team to address the fundamental, social, and emotional needs that contribute to total health. We are clinicians motivated by the desire to make a purposeful difference in the communities we serve, and in how health care is delivered.

Summary

Kaiser Permanente-Washington Permanente Medical Group- is seeking a full-time (1.0 FTE) Surgical Podiatrist to join our Capitol Hill Campus team in Seattle, Washington.

Core Components of this position include:

• Outpatient evaluation, management, and surgical treatment of all aspects of the foot and ankle including but not limited to foot/ankle trauma, diabetic complications, arthrodesis, amputation, wound care, and foot/ankle reconstruction
  
  
• Collaborating with the Kaiser Permanente orthopedic surgery team to treat complex foot/ankle patients in our partner hospital in Seattle.
  
  
• Shared Call responsibilities.
  
  Capitol Hill Campus is a multispecialty medical center. Lab, Radiology and Pharmacy on site. Office hours are 8am - 5pm Monday through Friday, with Urgent Care open 24 hours a day, 7 days a week.
  
  As a condition of employment, all clinicians and employees are required to verify COVID-19 vaccination status. As part of the pre-boarding process and before starting work, you will be required to verify your vaccination status, and will be provided an opportunity to apply for an accommodation based on a religious or medical reason, if needed.
  
  Compensation and Benefits
  
  The entire salary range for this position is $273,727.00 to $322,032.00 and will be prorated based on FTE. Placement of new hires will be in the range of $273,727.00 to $305,931.00 based on factors such as education, training or experience.
  
  Employees (and their families) are covered by medical, dental, vision, basic life, and disability insurance. Employees are able to enroll in our company's 401k plan, receive employer contributions to the 401(k) plan, and enroll in our cash balance pension plan. Employees will also receive four weeks of paid vacation leave every year and eight paid holidays throughout the calendar year, and will receive continuing medical education leave and funding.

Application states do you have a Washington license, whereas normally they say do you have current tly or the ability to obtain a Washington license....so may only be looking for people with active Washington license.

 

[air bud]

Pay is very low for seattle. Very low.
No way I would ever practice in Seattle. The ortho/DPM disrespect is strong there.
May be the most malignant city in the country to be a DPM.
Love the town/life/culture there. Love the olympics. Love coffee. Love the temperate foggy weather.
But no thanks.
Also lots of serial killers.

Sir I believe you have never practiced in Houston.

 

[DYK343]

Sir I believe you have never practiced in Houston.

I must say I have never even been to Houston.
Seattle and NYC are known malignant cities with Seattle taking the cake.
Its a pissing match up there.

 

[Hybrocure]

Pay is very low for seattle. Very low.
No way I would ever practice in Seattle. The ortho/DPM disrespect is strong there.
May be the most malignant city in the country to be a DPM.
Love the town/life/culture there. Love the olympics. Love coffee. Love the temperate foggy weather.
But no thanks.
Also lots of serial killers.

I imagine the pus bus is absolutely brutal in cities like Seattle right now with all the fentanyl stuff going on

 

[DYK343]

I imagine the pus bus is absolutely brutal in cities like Seattle right now with all the fentanyl stuff going on

I think the pus bus is pretty much brutal everywhere.

So im told the South is the worst for diabetes.

Coastal states tend to have less obesity - unless southern coastal states.

 

[619]

Podiatrist​

Chillicothe, Ohio

Sign-On Bonus
Relocation Assistance
Loan Repayment
Health System
Full Time
BE or BC
Health System
Adena Health System is seeking a Podiatrist to join an established practice in South Central Ohio
Adena Health System is seeking a BE/BC Podiatrist to join an established practice at Adena Health System in South Central Ohio. The selected physician will be based at Adena Regional Medical Center in Chillicothe, Ohio and also see patients two days/week at the Jackson, Ohio office location. This is a great opportunity to join an established, collegial practice of four physicians and five nurse practitioners with an average of 25 patients/day seen.
This is a full-time employed position within the multi-specialty Adena Medical Group. The position offers generous benefits and a highly competitive compensation package.

• Call coverage: 1:4
• EMR: Epic

Benefits:

• Salary guarantee for two years (additional compensation for productivity)
• Generous student loan repayment and/or sign-on bonus
• Public Student Loan Forgiveness (PSLF) qualified
• $15,000 relocation benefit
• Six-weeks per year time away, with a seventh week added starting year three of employment

About Adena Orthopedic and Spine Institute
Adena Orthopedic and Spine Institute houses Adena Health’s nationally accredited orthopedics program in a 111,000-square-foot, five-story orthopedic facility and is home to state-of-the-art, specialized care for orthopedics, spine, sports medicine, neurology, podiatry, and interventional pain management in a hotel-like, concierge atmosphere. Adena's joint replacement program, which utilizes the Mako robotic system, has been awarded Advanced Total Hip and Knee Replacement Certification from The Joint Commission and the American Academy of Orthopaedic Surgeons.
About Adena Health System
Adena Health System is an independent, not-for-profit and locally governed health organization that has been “called to serve our communities” for more than 125 years. With hospitals in Chillicothe, Greenfield, Washington Court House, and Waverly, Adena serves more than 400,000 residents in south central and southern Ohio through its network of more than 40 locations, composed of 4,500 employees – including more than 200 physician partners and 150 advanced practice provider partners – regional health centers, emergency and urgent care, and primary and specialty care practices. A regional economic catalyst, Adena’s specialty services include orthopedics and sports medicine, heart and vascular care, pediatric and women’s health, oncology services, and various other specialties. Adena Health System is made up of 341 beds, including 266-bed Adena Regional Medical Center in Chillicothe and three 25-bed critical access hospitals—Adena Fayette Medical Center in Washington Court House; Adena Greenfield Medical Center in Greenfield; and Adena Pike Medical Center in Waverly.
About South Central Ohio
Less than one hour from Columbus, Chillicothe is a metropolitan community that has attracted young entrepreneurs – as evidenced by taking a stroll through the city’s historic downtown district. With close proximity to both Columbus and Cincinnati (just two hours away), our community enjoys easy access to US 23 (north/south), US 35, and US 50 (east/west). About 60% of the population of the United States is located within a day’s drive from Ross County. Local industries, many of which are experiencing tremendous growth, have found the region to be a great place for cultivating and maintaining a skilled workforce. Located in the heart of southern Ohio, manufacturers have easy access to the Heartland Corridor to the north, the Ohio River to the south, and metropolitan areas. In addition, access to natural resources, scenic landscapes, and outdoor activities fosters an active and healthy lifestyle that makes recreation a part of your everyday life.

Contact Information
For more information and to apply contact [email protected]

 

[podiatryresident]

Pay is very low for seattle. Very low.
No way I would ever practice in Seattle. The ortho/DPM disrespect is strong there.
May be the most malignant city in the country to be a DPM.
Love the town/life/culture there. Love the olympics. Love coffee. Love the temperate foggy weather.
But no thanks.
Also lots of serial killers.

I have heard 2 stories about recent graduates who got jobs in Seattle, they graduated in 2023. One from VA Tucson, one from VA Puget South. Both of them make > 300k. That's what I heard, I can't verify @@.
I'm reading this forum every day so I have very low expectation on my 1st job : ))

 

[icebreaker32]

I have heard 2 stories about recent graduates who got jobs in Seattle, they graduated in 2023. One from VA Tucson, one from VA Puget South. Both of them make > 300k. That's what I heard, I can't verify @@.
I'm reading this forum every day so I have very low expectation on my 1st job : ))

Podiatry is a bipolar profession in many ways, so I tend to believe both the very good and the very bad.

 

[Shiyuan]

Podiatrist​

Chillicothe, Ohio

Sign-On Bonus
Relocation Assistance
Loan Repayment
Health System
Full Time
BE or BC
Health System
Adena Health System is seeking a Podiatrist to join an established practice in South Central Ohio
Adena Health System is seeking a BE/BC Podiatrist to join an established practice at Adena Health System in South Central Ohio. The selected physician will be based at Adena Regional Medical Center in Chillicothe, Ohio and also see patients two days/week at the Jackson, Ohio office location. This is a great opportunity to join an established, collegial practice of four physicians and five nurse practitioners with an average of 25 patients/day seen.
This is a full-time employed position within the multi-specialty Adena Medical Group. The position offers generous benefits and a highly competitive compensation package.

• Call coverage: 1:4
• EMR: Epic

Benefits:

• Salary guarantee for two years (additional compensation for productivity)
• Generous student loan repayment and/or sign-on bonus
• Public Student Loan Forgiveness (PSLF) qualified
• $15,000 relocation benefit
• Six-weeks per year time away, with a seventh week added starting year three of employment

About Adena Orthopedic and Spine Institute
Adena Orthopedic and Spine Institute houses Adena Health’s nationally accredited orthopedics program in a 111,000-square-foot, five-story orthopedic facility and is home to state-of-the-art, specialized care for orthopedics, spine, sports medicine, neurology, podiatry, and interventional pain management in a hotel-like, concierge atmosphere. Adena's joint replacement program, which utilizes the Mako robotic system, has been awarded Advanced Total Hip and Knee Replacement Certification from The Joint Commission and the American Academy of Orthopaedic Surgeons.
About Adena Health System
Adena Health System is an independent, not-for-profit and locally governed health organization that has been “called to serve our communities” for more than 125 years. With hospitals in Chillicothe, Greenfield, Washington Court House, and Waverly, Adena serves more than 400,000 residents in south central and southern Ohio through its network of more than 40 locations, composed of 4,500 employees – including more than 200 physician partners and 150 advanced practice provider partners – regional health centers, emergency and urgent care, and primary and specialty care practices. A regional economic catalyst, Adena’s specialty services include orthopedics and sports medicine, heart and vascular care, pediatric and women’s health, oncology services, and various other specialties. Adena Health System is made up of 341 beds, including 266-bed Adena Regional Medical Center in Chillicothe and three 25-bed critical access hospitals—Adena Fayette Medical Center in Washington Court House; Adena Greenfield Medical Center in Greenfield; and Adena Pike Medical Center in Waverly.
About South Central Ohio
Less than one hour from Columbus, Chillicothe is a metropolitan community that has attracted young entrepreneurs – as evidenced by taking a stroll through the city’s historic downtown district. With close proximity to both Columbus and Cincinnati (just two hours away), our community enjoys easy access to US 23 (north/south), US 35, and US 50 (east/west). About 60% of the population of the United States is located within a day’s drive from Ross County. Local industries, many of which are experiencing tremendous growth, have found the region to be a great place for cultivating and maintaining a skilled workforce. Located in the heart of southern Ohio, manufacturers have easy access to the Heartland Corridor to the north, the Ohio River to the south, and metropolitan areas. In addition, access to natural resources, scenic landscapes, and outdoor activities fosters an active and healthy lifestyle that makes recreation a part of your everyday life.

Contact Information
For more information and to apply contact [email protected]

Doc who left there I think got in to Columbus VA.

Nice salary and bennies at Adena!

 

[Jummy Biffett]

I have heard 2 stories about recent graduates who got jobs in Seattle, they graduated in 2023. One from VA Tucson, one from VA Puget South. Both of them make > 300k.

That's shocking coming from those programs (no offense to anyone)...there is hope out there!

 

[Hybrocure]

That's shocking coming from those programs (no offense to anyone)...there is hope out there!

Wonder how much they’re working though. I know some new grads at 300k jobs but they’re also working 90-100 hour weeks doing complex cases with call on top of it and seeing over 40 patients a day.

Ultimately for most big salaries in podiatry it usually means you’re working your butt off. That’s good for type A driven people but for others who got into podiatry for the 8-5 family life it’s not so great.

 

[Feli]

Wonder how much they’re working though. I know some new grads at 300k jobs but they’re also working 90-100 hour weeks doing complex cases with call on top of it and seeing over 40 patients a day.

Ultimately for most big salaries in podiatry it usually means you’re working your butt off. That’s good for type A driven people but for others who got into podiatry for the 8-5 family life it’s not so great.

That, and there's always the minor detail that 68% of statistics say that 93% of people embellish how much they make and/or minimize how much they work.

You have the gunners saying they do 700 billion rvu per month, and then you have the VA ppl trying to count christmas day as their 109th day off.

So, yeah... there's that.

 

[Retrograde_Nail]

Wonder how much they’re working though. I know some new grads at 300k jobs but they’re also working 90-100 hour weeks doing complex cases with call on top of it and seeing over 40 patients a day.

Ultimately for most big salaries in podiatry it usually means you’re working your butt off. That’s good for type A driven people but for others who got into podiatry for the 8-5 family life it’s not so great.

300k salary is nice but work RVU production bonuses is where you stack checks.

This is why Kaiser is terrible. They work you like a dog for 275-300k salary in the most expensive areas of the US. No production bonuses. That sucks.

If you get a hospital job that pays you 275-300k but you get an RVU production bonus on top of that then you have the potential to double your money in bonuses if you work hard enough.

 

[Shiyuan]

Any takers for that lucrative NYCPM gig? 😂😂😂

 

[Hybrocure]

Any takers for that lucrative NYCPM gig? 😂😂😂

Nah I’m trying to be lebrons podiatrist for 84k a year

 

[619]

Orthopedics Board Certified PODIATRIST​

St. Cloud, Minnesota

Full Time
St. Cloud Orthopedic Associates focuses on a work life balance in a physician owned practice. We are searching for an Orthopedics Board Certified PODIATRIST to join our growing practice. St. Cloud has served our community for nearly 70 years. The focus of our collaborative staff, which includes 21 orthopedic specialists, is on providing each patient with personalized care that results in fast recoveries and exceptional outcomes.
Practice Details

• Full-time - 4 days/week
• Vacation: 6-7 weeks
• CME: 2 weeks
• Outreach within a 60 mile radius
• General Orthopedic Call
• In-house X-ray, PT & OT Services

St. Cloud Orthopedics has recently received nine awards on the local, state, and national levels!
Our 2022 awards include:

1. Best of the Best Winner for the eight consecutive time in Physical Therapy (St. Cloud Times Readers' Survey)
2. Best of the Best Winner for Orthopedic Center (St. Cloud Times Readers' Survey)
3. Best of the Best Winner for Foot & Ankle Center (St. Cloud Times Readers' Survey)
4. Healthcare Professional of the Year for Dr. Mitchell Kuhl (Sartell Choice Awards)
5. Minnesota's Best Gold Winner in Orthopedic Surgery (Star Tribune Readers' Choice Award)
6. Minnesota's Best Gold Winner in Urgent (Orthopedic) Care (Star Tribune Readers' Choice Award)
7. Minnesota's Best Silver Winner in Physical Therapy (Star Tribune Readers' Choice Award)
8. Minnesota's Best Silver Winner in Sports Medicine (Star Tribune Readers' Choice Award)
9. America's Best Ambulatory Surgery Centers (Newsweek Statista Award, in collaboration with St. Cloud Surgical Center)

St. Cloud Orthopedics is pleased to announce that we have been awarded four 2023 Minnesota's Best Awards. We won gold in Urgent Care/Walk-In Clinic (OrthoDirect) and Orthopedic Surgeon (for the third consecutive year), and bronze in Medical Practice and Sports Medicine.
Minnesota's Best takes reader nominations and votes for businesses and organizations across the state of Minnesota, including all of the Twin Cities Metro area.
All Surgeons have privileges at the St. Cloud Hospital, and the St. Cloud Surgical Center. All physicians have their own APP.
St. Cloud Hospital

• "Truven Top 100" Hospital eleven times. St. Cloud Hospital is the only hospital in Minnesota that has received the Top 100 hospitals distinction 11 times.
• U.S. News & World Report has ranked St. Cloud Hospital #32 in the nation for orthopedics. Overall, St.
• Cloud Hospital ranks third among Minnesota's approximately 150 hospitals. Less than 3 percent of all those in the nation - earned a national ranking (top 50) in at least one of 16 specialties.
• Magnet Hospital
• Regional referral center of 489 beds with $225 million hospital expansion-new surgical suites, new
• ICU/CCU & private rooms
• Serving a 12 county area of -700,000

Community of St. Cloud

• 60 minutes from Twin Cities
• Population of 130,000, Service area ~700,000
• Four season recreation
• Theatre and arts
• Excellent School options
• Family Friendly
• Four colleges
• Lakes area

St. Cloud Orthopedics is a Green Building located in the Medical Area in Sartell.
Check out or website at www.stcloudorthopedics.com
Contact Information

 

[Shiyuan]

Orthopedics Board Certified PODIATRIST​

St. Cloud, Minnesota

Full Time
St. Cloud Orthopedic Associates focuses on a work life balance in a physician owned practice. We are searching for an Orthopedics Board Certified PODIATRIST to join our growing practice. St. Cloud has served our community for nearly 70 years. The focus of our collaborative staff, which includes 21 orthopedic specialists, is on providing each patient with personalized care that results in fast recoveries and exceptional outcomes.
Practice Details

• Full-time - 4 days/week
• Vacation: 6-7 weeks
• CME: 2 weeks
• Outreach within a 60 mile radius
• General Orthopedic Call
• In-house X-ray, PT & OT Services

St. Cloud Orthopedics has recently received nine awards on the local, state, and national levels!
Our 2022 awards include:

1. Best of the Best Winner for the eight consecutive time in Physical Therapy (St. Cloud Times Readers' Survey)
2. Best of the Best Winner for Orthopedic Center (St. Cloud Times Readers' Survey)
3. Best of the Best Winner for Foot & Ankle Center (St. Cloud Times Readers' Survey)
4. Healthcare Professional of the Year for Dr. Mitchell Kuhl (Sartell Choice Awards)
5. Minnesota's Best Gold Winner in Orthopedic Surgery (Star Tribune Readers' Choice Award)
6. Minnesota's Best Gold Winner in Urgent (Orthopedic) Care (Star Tribune Readers' Choice Award)
7. Minnesota's Best Silver Winner in Physical Therapy (Star Tribune Readers' Choice Award)
8. Minnesota's Best Silver Winner in Sports Medicine (Star Tribune Readers' Choice Award)
9. America's Best Ambulatory Surgery Centers (Newsweek Statista Award, in collaboration with St. Cloud Surgical Center)

St. Cloud Orthopedics is pleased to announce that we have been awarded four 2023 Minnesota's Best Awards. We won gold in Urgent Care/Walk-In Clinic (OrthoDirect) and Orthopedic Surgeon (for the third consecutive year), and bronze in Medical Practice and Sports Medicine.
Minnesota's Best takes reader nominations and votes for businesses and organizations across the state of Minnesota, including all of the Twin Cities Metro area.
All Surgeons have privileges at the St. Cloud Hospital, and the St. Cloud Surgical Center. All physicians have their own APP.
St. Cloud Hospital

• "Truven Top 100" Hospital eleven times. St. Cloud Hospital is the only hospital in Minnesota that has received the Top 100 hospitals distinction 11 times.
• U.S. News & World Report has ranked St. Cloud Hospital #32 in the nation for orthopedics. Overall, St.
• Cloud Hospital ranks third among Minnesota's approximately 150 hospitals. Less than 3 percent of all those in the nation - earned a national ranking (top 50) in at least one of 16 specialties.
• Magnet Hospital
• Regional referral center of 489 beds with $225 million hospital expansion-new surgical suites, new
• ICU/CCU & private rooms
• Serving a 12 county area of -700,000

Community of St. Cloud

• 60 minutes from Twin Cities
• Population of 130,000, Service area ~700,000
• Four season recreation
• Theatre and arts
• Excellent School options
• Family Friendly
• Four colleges
• Lakes area

St. Cloud Orthopedics is a Green Building located in the Medical Area in Sartell.
Check out or website at www.stcloudorthopedics.com
Contact Information

Great gig right there.

 

[Sweatshirt]

Orthopedics Board Certified PODIATRIST​

St. Cloud, Minnesota

Full Time
St. Cloud Orthopedic Associates focuses on a work life balance in a physician owned practice. We are searching for an Orthopedics Board Certified PODIATRIST to join our growing practice. St. Cloud has served our community for nearly 70 years. The focus of our collaborative staff, which includes 21 orthopedic specialists, is on providing each patient with personalized care that results in fast recoveries and exceptional outcomes.
Practice Details

• Full-time - 4 days/week
• Vacation: 6-7 weeks
• CME: 2 weeks
• Outreach within a 60 mile radius
• General Orthopedic Call
• In-house X-ray, PT & OT Services

St. Cloud Orthopedics has recently received nine awards on the local, state, and national levels!
Our 2022 awards include:

1. Best of the Best Winner for the eight consecutive time in Physical Therapy (St. Cloud Times Readers' Survey)
2. Best of the Best Winner for Orthopedic Center (St. Cloud Times Readers' Survey)
3. Best of the Best Winner for Foot & Ankle Center (St. Cloud Times Readers' Survey)
4. Healthcare Professional of the Year for Dr. Mitchell Kuhl (Sartell Choice Awards)
5. Minnesota's Best Gold Winner in Orthopedic Surgery (Star Tribune Readers' Choice Award)
6. Minnesota's Best Gold Winner in Urgent (Orthopedic) Care (Star Tribune Readers' Choice Award)
7. Minnesota's Best Silver Winner in Physical Therapy (Star Tribune Readers' Choice Award)
8. Minnesota's Best Silver Winner in Sports Medicine (Star Tribune Readers' Choice Award)
9. America's Best Ambulatory Surgery Centers (Newsweek Statista Award, in collaboration with St. Cloud Surgical Center)

St. Cloud Orthopedics is pleased to announce that we have been awarded four 2023 Minnesota's Best Awards. We won gold in Urgent Care/Walk-In Clinic (OrthoDirect) and Orthopedic Surgeon (for the third consecutive year), and bronze in Medical Practice and Sports Medicine.
Minnesota's Best takes reader nominations and votes for businesses and organizations across the state of Minnesota, including all of the Twin Cities Metro area.
All Surgeons have privileges at the St. Cloud Hospital, and the St. Cloud Surgical Center. All physicians have their own APP.
St. Cloud Hospital

• "Truven Top 100" Hospital eleven times. St. Cloud Hospital is the only hospital in Minnesota that has received the Top 100 hospitals distinction 11 times.
• U.S. News & World Report has ranked St. Cloud Hospital #32 in the nation for orthopedics. Overall, St.
• Cloud Hospital ranks third among Minnesota's approximately 150 hospitals. Less than 3 percent of all those in the nation - earned a national ranking (top 50) in at least one of 16 specialties.
• Magnet Hospital
• Regional referral center of 489 beds with $225 million hospital expansion-new surgical suites, new
• ICU/CCU & private rooms
• Serving a 12 county area of -700,000

Community of St. Cloud

• 60 minutes from Twin Cities
• Population of 130,000, Service area ~700,000
• Four season recreation
• Theatre and arts
• Excellent School options
• Family Friendly
• Four colleges
• Lakes area

St. Cloud Orthopedics is a Green Building located in the Medical Area in Sartell.
Check out or website at www.stcloudorthopedics.com
Contact Information

This says "general orthopedic call".... so do they want an orthopod and not a podiatrist?

 

[Feli]

This says "general orthopedic call".... so do they want an orthopod and not a podiatrist?

They have four ABFAS podiatrists with good to excellent training; I know one of them from shadowing back when I lived in Minn pre med/pod... it's F&A call they take and get f/u for. They do pretty full scope F&A. It'd dry up pretty fast on the big stuff if they got a F&A ortho or trauma who wanted that stuff, but they don't have one in that group anymore.

Decent job, probably good pay, fairly rough weather area... "four seasons recreation" = winter is roughly 50% of the year. It is not uncommon to get snow in Sept... almost guaranteed to have some snow on the ground before Halloween. It's a pretty big shock if you've never been through a north/Canada type of winter.

Just like the Brainerd one posted awhile ago, good spot for people who like hunt, camp, fish, snowmobile, hockey, don't mind the cold, etc. This one will get 300+ apps easily.

 

[Hybrocure]

Orthopedics Board Certified PODIATRIST​

St. Cloud, Minnesota

Full Time
St. Cloud Orthopedic Associates focuses on a work life balance in a physician owned practice. We are searching for an Orthopedics Board Certified PODIATRIST to join our growing practice. St. Cloud has served our community for nearly 70 years. The focus of our collaborative staff, which includes 21 orthopedic specialists, is on providing each patient with personalized care that results in fast recoveries and exceptional outcomes.
Practice Details

• Full-time - 4 days/week
• Vacation: 6-7 weeks
• CME: 2 weeks
• Outreach within a 60 mile radius
• General Orthopedic Call
• In-house X-ray, PT & OT Services

St. Cloud Orthopedics has recently received nine awards on the local, state, and national levels!
Our 2022 awards include:

1. Best of the Best Winner for the eight consecutive time in Physical Therapy (St. Cloud Times Readers' Survey)
2. Best of the Best Winner for Orthopedic Center (St. Cloud Times Readers' Survey)
3. Best of the Best Winner for Foot & Ankle Center (St. Cloud Times Readers' Survey)
4. Healthcare Professional of the Year for Dr. Mitchell Kuhl (Sartell Choice Awards)
5. Minnesota's Best Gold Winner in Orthopedic Surgery (Star Tribune Readers' Choice Award)
6. Minnesota's Best Gold Winner in Urgent (Orthopedic) Care (Star Tribune Readers' Choice Award)
7. Minnesota's Best Silver Winner in Physical Therapy (Star Tribune Readers' Choice Award)
8. Minnesota's Best Silver Winner in Sports Medicine (Star Tribune Readers' Choice Award)
9. America's Best Ambulatory Surgery Centers (Newsweek Statista Award, in collaboration with St. Cloud Surgical Center)

St. Cloud Orthopedics is pleased to announce that we have been awarded four 2023 Minnesota's Best Awards. We won gold in Urgent Care/Walk-In Clinic (OrthoDirect) and Orthopedic Surgeon (for the third consecutive year), and bronze in Medical Practice and Sports Medicine.
Minnesota's Best takes reader nominations and votes for businesses and organizations across the state of Minnesota, including all of the Twin Cities Metro area.
All Surgeons have privileges at the St. Cloud Hospital, and the St. Cloud Surgical Center. All physicians have their own APP.
St. Cloud Hospital

• "Truven Top 100" Hospital eleven times. St. Cloud Hospital is the only hospital in Minnesota that has received the Top 100 hospitals distinction 11 times.
• U.S. News & World Report has ranked St. Cloud Hospital #32 in the nation for orthopedics. Overall, St.
• Cloud Hospital ranks third among Minnesota's approximately 150 hospitals. Less than 3 percent of all those in the nation - earned a national ranking (top 50) in at least one of 16 specialties.
• Magnet Hospital
• Regional referral center of 489 beds with $225 million hospital expansion-new surgical suites, new
• ICU/CCU & private rooms
• Serving a 12 county area of -700,000

Community of St. Cloud

• 60 minutes from Twin Cities
• Population of 130,000, Service area ~700,000
• Four season recreation
• Theatre and arts
• Excellent School options
• Family Friendly
• Four colleges
• Lakes area

St. Cloud Orthopedics is a Green Building located in the Medical Area in Sartell.
Check out or website at www.stcloudorthopedics.com
Contact Information

I think that is Dr Mariash’s place he is very good and super nice guy

 

[bloxxeeey]

Spoke with a few places, no word back from them. A couple said they'd open the application for me but never did. Really feeling helpless, seems like I'm just wasting time on this job hunt but I'll keep pushing through.

 

[Retrograde_Nail]

Spoke with a few places, no word back from them. A couple said they'd open the application for me but never did. Really feeling helpless, seems like I'm just wasting time on this job hunt but I'll keep pushing through.

That’s all you can do. Just keep emailing and calling.

 

[HeySister]

There is a good amount of truth behind eating dirt, getting abfas certified, and then restarting your job search. Find a place where you can do a lot of cases in 3-4 years, recognize you are going to get taken advantage of financially and try to not boil over, and then leave when the opportunity comes. Private practice surgery will never pay well for younger docs who cannot out 5-6 cases in the schedule a day. I did an Austin recently that paid $378. There is no profit here. I did a toe amputation after that paid $195. Two cases paid less than $600. Even if the practice owners offered me 50% collections that's still a relatively low income day. Get your cases and move on.

 

[Feli]

There is a good amount of truth behind eating dirt, getting abfas certified, and then restarting your job search. Find a place where you can do a lot of cases in 3-4 years, recognize you are going to get taken advantage of financially and try to not boil over, and then leave when the opportunity comes. Private practice surgery will never pay well for younger docs who cannot out 5-6 cases in the schedule a day. I did an Austin recently that paid $378. There is no profit here. I did a toe amputation after that paid $195. Two cases paid less than $600. Even if the practice owners offered me 50% collections that's still a relatively low income day. Get your cases and move on.

Yep, this is almost always the best way.

Taking a busy PP job or maybe a low end hospital job (rural, VA, IHS) can get new grads the numbers, exp, the skills, and then ABFAS... which can lead to a good paying org job. The PP route can also set one up to have the skills to start or buy their own PP, which doesn't cost as much as many assume and is plenty of income in most places and typically much better control of hours and lifestyle once it gets off the ground. Either way, ABFAS and learning office/billing to eventually get to higher income should be the goal in the early years... that gives more options.

If the early focus is on money or good hours or good job quality, 95% of DPMs are going to be frustrated. The job market's very saturated. It's too bad that so much time in school and training results in that, but that is the state of podiatry. It's supply and demand.

It will be very rare for any DPM to get a good hospital or org job right out of training. For podiatry, those jobs are just so heavily applied to by past grads that it's pretty hard to get interview or serious consideration without exp and BC - or sometimes hard even with RRA cert. The create-a-job rural MSG or hospital or ortho ones are fine also, but getting to the ABFAS and more options should still be the goal. The first job seldom works out, and one always has to think of ways to create more and better future options.

 

[bloxxeeey]

Yep, this is almost always the best way.

Taking a busy PP job or maybe a low end hospital job (rural, VA, IHS) can get new grads the numbers, exp, the skills, and then ABFAS... which can lead to a good paying org job. The PP route can also set one up to have the skills to start or buy their own PP, which doesn't cost as much as many assume and is plenty of income in most places and typically much better control of hours and lifestyle once it gets off the ground. Either way, ABFAS and learning office/billing to eventually get to higher income should be the goal in the early years... that gives more options.

If the early focus is on money or good hours or good job quality, 95% of DPMs are going to be frustrated. The job market's very saturated. It's too bad that so much time in school and training results in that, but that is the state of podiatry. It's supply and demand.

It will be very rare for any DPM to get a good hospital or org job right out of training. For podiatry, those jobs are just so heavily applied to by past grads that it's pretty hard to get interview or serious consideration without exp and BC - or sometimes hard even with RRA cert. The create-a-job rural MSG or hospital or ortho ones are fine also, but getting to the ABFAS and more options should still be the goal. The first job seldom works out, and one always has to think of ways to create more and better future options.

I guess they may be the route but by the time I get ABFAS we will have 1500-3000 new foot and ankle surgeons in the country.

What are your thoughts on working with big equity groups such as upper line?

 

[heybrother]

I guess they may be the route but by the time I get ABFAS we will have 1500-3000 new foot and ankle surgeons in the country.

What are your thoughts on working with big equity groups such as upper line?

Everyone else in medicine has realized that PE is just exploitation. They pull 20% of the profits off the top without actually adding anything.

 

[bloxxeeey]

Everyone else in medicine has realized that PE is just exploitation. They pull 20% of the profits off the top without actually adding anything.

And what do other private practice podiatrist pull off the top? I'm guessing more without giving decent PTO, health insurance, retirement plans or CME.

 

[eyeeye_captain]

And what do other private practice podiatrist pull off the top? I'm guessing more without giving decent PTO, health insurance, retirement plans or CME.

Different field, but the economics work out pretty similarly if I go by percentages. On my associate contract, I was making the same or higher % collections than the partners until I had paid for myself (~2.5x base) and started hitting my bonus, that last little bit took me down to maybe 3% lower than them at that point. So since I had a base salary, I technically skimmed them for a while until I was up and going. After that, my bonus was skimmed around 20%. Sucked, but my check got bigger.

The difference between that and PE is I had the opportunity to make partner and start eating all of what I kill. That’s never going to happen with PE. Oh, you might get some shares that are probably going to be worthless, but you’re always paying the piper with no possible endpoint. The only way to win is to be a partner when they write the check for your soul.

Is it a fair system? If you make it to the other side, I don’t think it’s good but it’s not terrible, though it absolutely can be and is abused. It’s still better than serving the corporate overlords. And before you think I’m the ophtho version of a mustache, we rewrote my old contract and the most recent associate got a bump in base and bonus.

 

[Boba Foot]

Everyone else in medicine has realized that PE is just exploitation. They pull 20% of the profits off the top without actually adding anything.

Pods have been slow to realize that PE firms are vulture capitalists. I guess if they’re too dumb to get into med school they’re probably also too dumb to realize finance suits are going to take them for a ride.

 

[Retrograde_Nail]

I guess they may be the route but by the time I get ABFAS we will have 1500-3000 new foot and ankle surgeons in the country.

What are your thoughts on working with big equity groups such as upper line?

Stay away. They offered me a 150k salary and like 30% bonus after hitting 600k in collections. It’s ridiculous. It’s just a fancier private practice set up that still takes advantage of young podiatrists while the shareholders make the money. There is no guarantee you will ever become a shareholder/partner. At least that’s how it was explained to me. They couldn’t give me a clear answer on the path to partnership. You have to kick ass for several years before they would consider it. Hard pass unless you are desperate.

 

[icebreaker32]

So which option is better.....working as an associate for mustache with no chance of being offered partnership or PE?

 

[eyeeye_captain]

So which option is better.....working as an associate for mustache with no chance of being offered partnership or PE?

When asked to choose between turd sandwiches to eat, my advice is to find the one with the most bread and least turd.

(Read, bread = money, turd = professional/personal headaches)

 

[bloxxeeey]

Stay away. They offered me a 150k salary and like 30% bonus after hitting 600k in collections. It’s ridiculous. It’s just a fancier private practice set up that still takes advantage of young podiatrists while the shareholders make the money. There is no guarantee you will ever become a shareholder/partner. At least that’s how it was explained to me. They couldn’t give me a clear answer on the path to partnership. You have to kick ass for several years before they would consider it. Hard pass unless you are desperate.

But let’s be honest most private practices are going to abuse you for over 100k, no benefits, little PTO. By the time you're making 150k which is what private equity will offer you, you're working a ton, still getting no benefits, probably low surgical cases/volume. At least if I'm working for private equity I'll have a 9-5 and a 401k.

 

[Feli]

But let’s be honest most private practices are going to abuse you for over 100k, no benefits, little PTO. By the time you're making 150k which is what private equity will offer you, you're working a ton, still getting no benefits, probably low surgical cases/volume. At least if I'm working for private equity I'll have a 9-5 and a 401k.

PE can be useful only in that you can save a bit with the higher base. That can be useful, esp in areas without non-compete. They are a means to an end (solo PP, ABFAS cert, hospital job, etc). They are not a good long term plan.

Good advice above that PE podiatry $150k or $180k or whatever 30% or 35% jobs long term are pointless... no partner chance, low end %, dead end jobs that can re-assign you between locations, give you crap staffing, etc just like a PP. They don't pay reasonable for podiatry, as they might for other specialties. The podiatry PE are often somewhat dangerous in that they will push you to do 'big ticket' stuff that is under scrutiny - or will be soon - such as fake grafts, extensive testing, creative DME billing, refers to "path lab" or vasc testing or PT or various other services they own.

Some PP are ok if you want some partner path. They are also better to learn at generally (not as cookie-cutter and "protocols" as the PE tend to be). They are usually more of a real model for what your own office would be like. You won't own a DME store and toenail clip histo lab when you're solo one day.

I have worked both...
I would pick normal small/medium podiatry PP for learning and job quality and possibly partnership/buyout.
I would pick PE podiatry for volume, income.
I would pick solo PP podiatry 100x over either one.

 

[HalluxSlicer]

Yep, this is almost always the best way.

Taking a busy PP job or maybe a low end hospital job (rural, VA, IHS) can get new grads the numbers, exp, the skills, and then ABFAS... which can lead to a good paying org job. The PP route can also set one up to have the skills to start or buy their own PP, which doesn't cost as much as many assume and is plenty of income in most places and typically much better control of hours and lifestyle once it gets off the ground. Either way, ABFAS and learning office/billing to eventually get to higher income should be the goal in the early years... that gives more options.

If the early focus is on money or good hours or good job quality, 95% of DPMs are going to be frustrated. The job market's very saturated. It's too bad that so much time in school and training results in that, but that is the state of podiatry. It's supply and demand.

It will be very rare for any DPM to get a good hospital or org job right out of training. For podiatry, those jobs are just so heavily applied to by past grads that it's pretty hard to get interview or serious consideration without exp and BC - or sometimes hard even with RRA cert. The create-a-job rural MSG or hospital or ortho ones are fine also, but getting to the ABFAS and more options should still be the goal. The first job seldom works out, and one always has to think of ways to create more and better future options.

One of the Bay Area Kaiser residency just hired a graduating PGY-3 as a full time Attending. Reason being is because one of the long time occupant Podiatrist either retired or croaked.

 

[HeySister]

If you can get a reasonably fair private practice offer it may be a better option. Getting reasonable will be tough. Just say no to any garbage. At some post you will find someone who will hopefully pay you at least 35% collections, which is the very lowest end of reasonable private practice offers. Respectable starts at 40% and good at 45%.

Remember with private equity and whatever upper line health is, they have bloated expenses for investors and admin. Somebody has to pay for the people who do nothing. That is coming out of your collections. Find out how many non-clinical admins they have. The more they need to feed the less you take home with each visit. Upperline seems to be disguised behind some kind of mission. We all know better. It's not about the patient it's about money. I would still take the job that gives you the best case diversity in the shortest period of time.

 

[dtrack22]

I guess they may be the route but by the time I get ABFAS we will have 1500-3000 new foot and ankle surgeons in the country.

What are your thoughts on working with big equity groups such as upper line?

The people who are going to make money with Upperline and other PE firms generally already have. The only people PE benefits are the near-retirement docs who sold for million(s) and are about to get out. They squeezed all the juice out and everyone left behind is a perma-associate making 30% of collections without any real equity or ownership, no matter what they “promise.”

The only reason to join a practice owned/ran by a private equity firm is because it is the best $ offered to you out of residency. Otherwise you are better off working for a PP pod group where partnership (however likely or unlikely) is theoretically on the table. A small % of associates do ultimately partner and make good money in an “eat what you kill, plus ancillary revenue streams” setup. All without bouncing around 3-4 different jobs. 0% of associates at Upperline will be able to say the same.

 

[Hybrocure]

If you can get a reasonably fair private practice offer it may be a better option. Getting reasonable will be tough. Just say no to any garbage. At some post you will find someone who will hopefully pay you at least 35% collections, which is the very lowest end of reasonable private practice offers. Respectable starts at 40% and good at 45%.

Remember with private equity and whatever upper line health is, they have bloated expenses for investors and admin. Somebody has to pay for the people who do nothing. That is coming out of your collections. Find out how many non-clinical admins they have. The more they need to feed the less you take home with each visit. Upperline seems to be disguised behind some kind of mission. We all know better. It's not about the patient it's about money. I would still take the job that gives you the best case diversity in the shortest period of time.

I agree completely. I’m an associate and I’m at an ethical and fair PP where I am treated well and given a lot of freedom to practice how I want. It would take a lot of money for me to leave.

I would much rather work under a cool boss rather than be treated as a number or a widget by a desk jockey who knows nothing about medicine which is who is pulling the strings in those big companies

 

[Feli]

I agree completely. I’m an associate and I’m at an ethical and fair PP where I am treated well and given a lot of freedom to practice how I want. It would take a lot of money for me to leave.

I would much rather work under a cool boss rather than be treated as a number or a widget by a desk jockey who knows nothing about medicine which is who is pulling the strings in those big companies

The worst part of PE, besides sketchy staffing and no ability to keep/remove employees who are good/bad, is that the PE admins are so into "protocol" nonsense that you really have no flexibility to suggest OTC products, supplies you need, ideas, etc. They want everything to be cookie-cutter... same schedule for all docs, same marketing, all patients get ABI, same instruments, same OTC stuff, all refers go to X place they own or have "arrangement" with, etc.

At least in most podiatry PP, you have some flexibility to treat patients well and do good work and get what you need in terms of scheduling or supplies or etc. That's what makes those jobs fairly good... if the owner/manager is a good doc and not just an associate mill operator.

...Being PP owner is obviously the ultimate in terms of being able to market and schedule and staff and practice do everything however you want... and you keep about 2x as much on your collections compared to what you do as associate. That situation, or ABFAS + hospital/MSG job, should be the long term goal for most DPMs.

 

[bloxxeeey]

The worst part of PE, besides sketchy staffing and no ability to keep/remove employees who are good/bad, is that the PE admins are so into "protocol" nonsense that you really have no flexibility to suggest OTC products, supplies you need, ideas, etc. They want everything to be cookie-cutter... same schedule for all docs, same marketing, all patients get ABI, same instruments, same OTC stuff, all refers go to X place they own or have "arrangement" with, etc.

At least in most podiatry PP, you have some flexibility to treat patients well and do good work and get what you need in terms of scheduling or supplies or etc. That's what makes those jobs fairly good... if the owner/manager is a good doc and not just an associate mill operator.

...Being PP owner is obviously the ultimate in terms of being able to market and schedule and staff and practice do everything however you want... and you keep about 2x as much on your collections compared to what you do as associate. That situation, or ABFAS + hospital/MSG job, should be the long term goal for most DPMs.

My dream position would be to be a PP owner. I've got the financial backing to do it with a consultant. I know everyone recommends working for x years, but I guess that's why you would would a consultant to get you started.

 

[bloxxeeey]

Nothing this week. Got rejected from several positions before the interview phase. Got reached out to by a recruiter working for a big equity group as well. Seems like that's where my career most likely is moving.

 

[Feli]

My dream position would be to be a PP owner. I've got the financial backing to do it with a consultant. I know everyone recommends working for x years, but I guess that's why you would would a consultant to get you started.

You don't need consultant to open a PP (or value a PP).
That is a bigtime podiatry myth and just a way for lazy podiatrists to try to make extra $. Most of them who sell their "system" run (or used to) an average or even below average PP. Look at Dem Faction and other such "podiatry practice management experts": the guy is like 400 pounds.... would people trust him to advise on their own health? Do you think he had a booming PP of his own? Do you think he has good podiatry med and surg skill? Do you want to be like him? Again, most of them who lecture and purport to be gurus just sell their "system" run (or used to) an average or even below average PP. The supergroup I worked for recently hired a lady to speak who was the biller for her husband's solo practice (therefore a "billing expert", wtf), and she was predictably terrible.

It's fine to listen to the "expert" people at a meeting or free vid or blog or whatever... you can learn from anyone. However, just like CME meetings, some speakers suck and talk out of their arse. This is PODIATRY, after all. Take it all with a grain of salt. Do NOT pay big bucks for that practice mgmt info. The biggest part of being an owner is being able to design your own system and improve and modify it. Why would you want to buy a questionable model from somebody who had questionable training/success? Many of them often give suspect advice, don't have the relevant degrees (CPC, MBA, CPA, etc), aren't too successful in PP themselves, and will stray far out of their lane (legal advice, surgery coding when they barely do surgery, buy in/out advice when they've never done that, etc).

If you "consult" with anyone, get a good attorney, lights-out CPA, high quality biller/coder service, MBA specialist for brief HR or policies advice, and mainly great and friendly and happy staff beside you daily. That is your team and your consults. You already know the podiatry part just fine, and you'll know it well with a bit of PP experience.

Some experience working as a PP associate (or supergroup or MSG or etc... but small/medium PP is typically best) definitely helps, but you really only need a year or two to learn what you can. Some people, like me, need a lot more years until they have the PP area/money logistics prepped. However long it takes, the goal during employed time is just to learn billing and coding, have an idea of how office flows, understand basic staffing and marketing ideas, have mental list of supplies needed, know forms needed, get your communication with pts practice, get efficient, get ABFAS cert if you can, get on area plans and hospitals and meet some area PCPs (only useful in area without enforced non-compete), etc.

...I know plenty of DPMs who did owner PP straight out of residency (started solo or bought out a DPM). They had varied success. None failed.
Although I wouldn't say that's top option to start cold (you will make a lot of mistakes and miss a lot of things), you can still just network with ppl doing the same thing, read books and articles, the AAPPM, FB groups on it, etc. Again, the ones with a year or a few years of PP work before going to owner did better, for many reasons.

But yeah, don't do consultant time and $$ waste. Nobody knows you like you. Besides, you can get most of the key info in a $10 book.

 

[air bud]

It's just like the Internet, are those STR gurus making money selling courses or running STRs?

 

[bloxxeeey]

You don't need consultant to open a PP (or value a PP).
That is a bigtime podiatry myth and just a way for lazy podiatrists to try to make extra $. Most of them who sell their "system" run (or used to) an average or even below average PP. Look at Dem Faction and other such "podiatry practice management experts": the guy is like 400 pounds.... would people trust him to advise on their own health? Do you think he had a booming PP of his own? Do you think he has good podiatry med and surg skill? Do you want to be like him? Again, most of them who lecture and purport to be gurus just sell their "system" run (or used to) an average or even below average PP. The supergroup I worked for recently hired a lady to speak who was the biller for her husband's solo practice (therefore a "billing expert"), and she was terrible.

It's fine to listen to the "expert" people at a meeting or free vid or blog or whatever, but just like CME meetings, some speakers suck and talk out of their arse. This is PODIATRY, after all. Take it all with a grain of salt. Do NOT pay big bucks for that practice mgmt info. The biggest part of being an owner is being able to design your own system and improve and modify it. Why would you want to buy a questionable model from somebody questionable training/success? Many of them often give suspect advice, don't have the relevant degrees (CPC, MBA, CPA, etc), aren't too successful in PP themselves, and will stray far out of their lane (legal advice, surgery coding when they barely do surgery, buy in/out advice when they've never done that, etc).

If you "consult" with anyone, get a good attorney, lights-out CPA, high quality biller/coder service, MBA specialist for brief HR or policies advice, and mainly great and friendly and happy staff beside you daily. You already know the podiatry part just fine, and you'll know it well with a bit of PP experience.

Some experience working as a PP associate (or supergroup or MSG or etc... but small/medium PP is typically best) definitely helps, but you really only need a year or two to learn what you can. Some people, like me, need a lot more years until they have the PP area/money logistics prepped. However long it takes, the goal during employed time is just to learn billing and coding, have an idea of how office flows, understand basic staffing and marketing ideas, have mental list of supplies needed, know forms needed, get your communication with pts practice, get efficient, get ABFAS cert if you can, get on area plans and hospitals and meet some area PCPs (only useful in area without enforced non-compete), etc.

...I know plenty of DPMs who did owner PP straight out of residency (started solo or bought out a DPM). They had varied success. None failed.
Although I wouldn't say that's top option to start cold (you will make a lot of mistakes and miss a lot of things), you can still just network with ppl doing the same thing, read books and articles, the AAPPM, FB groups on it, etc. Again, the ones with a year or a few years of PP work before going to owner did better, for many reasons.

But yeah, don't do consultant time and $$ waste. Nobody knows you like you. Besides, you can get most of the key info in a $10 book.

But a lot of what you listed is why I would want a consultant. To set up a flow, start inventory, logistics, documentation, paperwork, credentialing with insurance etc.There is a value to that and that's from the consultant. I can modify after and change as time goes on. I'll be honest with you, it's something I'm heavily considering going forward. I know it's going to suck but I rather bite that bullet now than later when it gets even tougher and tougher to open up shop. I may hold off until 6-8 months into my first year of attending hood but I'm very much leaning towards doing it

 

[podiatryresident]

But a lot of what you listed is why I would want a consultant. To set up a flow, start inventory, logistics, documentation, paperwork, credentialing with insurance etc.There is a value to that and that's from the consultant. I can modify after and change as time goes on. I'll be honest with you, it's something I'm heavily considering going forward. I know it's going to suck but I rather bite that bullet now than later when it gets even tougher and tougher to open up shop. I may hold off until 6-8 months into my first year of attending hood but I'm very much leaning towards doing it

I think Feli is right. You may need a good mentor who is already PP owner , not that management company!

 

[icebreaker32]

I think Feli is right. You may need a good mentor who is already PP owner , not that management company!

Yes you don't need a consultant it is not the easy solution to starting a business. They can help you with a few things, but there are an endless list of things and there will be ongoing things also most of which you can figure out at as you go.

Experience by being an associate for a year or two really helps to see how things were done in an office. You will probably not mirror everything but it gives you a baseline to at least see how one office was doing it. Many claim they learned some of these things in a fellowship (if nothing else how to code and what services and products were profitable.) A few residencies may provide good exposure or you might be able choose an elective rotation basically as a practice management rotation in a successful office.

What you will need is an ongoing network in the early years not just someone you pay for a little guidance before you open. A mentor, peers or residents a few years ahead of you or people you meet through networking. Lots more information available online than ever before. You can consider going to an AAPM meeting. You don't have to peddle the products they push, but it is another way to find like minded people and make connections wether it be someone else attending or someone that is an "expert" speaking at a conference. We joke about PM but it is still relevant for now at least and serves a purpose, IPED is probably the closest thing the profession has to a modern equivalent of PM News that you may want to consider joining.

 

[heybrother]

But a lot of what you listed is why I would want a consultant. To set up a flow, start inventory, logistics, documentation, paperwork, credentialing with insurance etc.There is a value to that and that's from the consultant

You will 100% regret your decision to hire a consultant because in fact all of these things ultimately have to be done by you.

The act of credentialing with insurance is something you will have to do for the rest of your career. The consultant isn't going to fill the paperwork out. You are - how can they, its your personal information that goes into the paperwork. You'll have to resubmit that paperwork everytime an insurance changes or a re-credentialing happens so you need to understand the paperwork backwards and forwards. The paperwork is not hard - its just lengthy and requires you to list all of your college dates and things like that.

I joined an IPA. Literally, the paperwork they asked for to take over part of our insurance credentialing was already a excel/pdf the office maintained for maintaining our credentialing.

The majority of insurances requires you to maintain a CAQH profile. You'll be doing this yourself and you'll be reattesting every 3-6 months. This is one of those monstrously huge forms where you list your life story.

You'll sign up with Medicare. Everyone manages to do this - it doesn't take a consultant.

You'll probably have to write a business plan to try and get a business loan. There are business plan templates online and the act of writing the business plan is valuable for looking at how you think the finances of the office will work.

Coming up with inventory for your office isn't complicated. You'll likely buy from some sort of overpriced supplier like Henry Schein. Walk around a private practice office affilitiated with your residency and take pictures of what they have. If someone thought it was valuable I could walk around my office and take pictures of everything we have.

You'll buy some DME. I'll tell you ahead of time as someone who sells orthotics and CAM boots and braces that I don't sell a lot of size 16 orthotics and that woman wear smaller sizes than men. I have a lot of storage space and having excess orthotics and boots doesn't bother me because our mark-up is so high.

In general for your free schedule you'll peruse the Medicare fee schedule and probably multiply all operative codes by at least 2.5x Medicare. You can read previous threads I've written on how to write a fee schedule.

Your EHR will allow you to assign some variation of 15 and 30 minute slots and what not. It doesn't matter how this is set-up because likely as a new provider you will see whatever dregs walks through the door while you try to desperately build your practice. I was seeing 8 new a day when I started.

You believe this person is going to offer you value. They will not. In the end you will do everything and you will be better for it.