Forum Members Official: Job Offer Thread

[ExperiencedDPM]

Define "field"

Is it what is directly visualized? Or is it used as another way to describe an "anatomical area"?

Let's say patient comes with great toe abscess and ulcer sub 5th metatarsal base. MRI workup demonstrate great toe osteomyelitis with questionable findings involving the fifth metatarsal base.

I bring patient to OR and perform great toe amputation and then bone biopsy of the fifth metatarsal base to determine if it is actually osteomyelitis or not. In my opinion this should be billable as the bone biopsy is being taken from a different area of the foot away from the main area of surgery.

Would love to read your thoughts on this scenario.

If I was asked to review that case scenario, I would approve the biopsy.

And as a point of clarification, if you do bill for a biopsy, it also has to be a completely different and identifiable procedure.

Performing an arthroplasty and sending the resected bone for “biopsy” is not a second procedure. You can’t bill a biopsy simply because you resected bone as part of another procedure. You can’t perform one procedure and get paid for two.

This may sound intuitive but it happens all the time.

Another example of billing for 2 procedures when really performing one is when there’s a dislocation and you perform an arthrodesis. Reduction of the dislocation is included in the arthrodesis of that joint. You need to reduce the deformity in order to align the site properly for the arthrodesis.

Remember, CCI edits and entire CPT system was created by physicians and the AMA. NCCI policy is a government policy.

So if any of these edits or rules seem “stupid”, you can blame the AMA and CMS.

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[icebreaker32]

When Medicare demands a payback from a hospital employee who pays it back?

 

[ExperiencedDPM]

NaTCh does, because he’s filthy rich.

 

[Shiyuan]

I can perform a ROS and work that heart and lung listerner thingy.

Speaking of... it kinda cracks me up when I see a pic of a podiatrist on their respective website with a stethoscope around their neck.

 

[ExperiencedDPM]

Speaking of... it kinda cracks me up when I see a pic of a podiatrist on their respective website with a stethoscope around their neck.

Never understood that either. When I see that the first word that comes to mind is douche.

 

[deleted1138023]

I can perform a ROS and work that heart and lung listerner thingy.

i remember during an internal medicine rotation years ago they asked me to read an ekg… I read the read on the top of the paper. and the attending paused for like 20 seconds and seemed stunned. And then finally was like “no… actually read it”

Good times.

 

[PeaJay]

Speaking of... it kinda cracks me up when I see a pic of a podiatrist on their respective website with a stethoscope around their neck.

My stethoscope is now a toy for my daughter. We however admit as primary in my hospital system and thus occasionally need to borrow one from a nurse.

 

[icebreaker32]

Never understood that either. When I see that the first word that comes to mind is douche.

Necessary for foot soaks

Oxford podiatrist arrested, charged in connection with a $3.8M healthcare fraud scheme - The Oxford Eagle

Podiatrist Marion Shaun Lund of The Foot Doctor in Oxford was arrested Friday, July 15, on several charges of healthcare fraud and conspiracy to commit fraud. A federal jury issued a nine-count indictment on Lund, who was accused of being involved with a $3.8 million healthcare fraud scheme...

www.oxfordeagle.com

 

[ExperiencedDPM]

Dr

Necessary for foot soaks

Oxford podiatrist arrested, charged in connection with a $3.8M healthcare fraud scheme - The Oxford Eagle

Podiatrist Marion Shaun Lund of The Foot Doctor in Oxford was arrested Friday, July 15, on several charges of healthcare fraud and conspiracy to commit fraud. A federal jury issued a nine-count indictment on Lund, who was accused of being involved with a $3.8 million healthcare fraud scheme...

www.oxfordeagle.com

Yep, definitely a douche.

 

[JewOnThis]

Necessary for foot soaks

Oxford podiatrist arrested, charged in connection with a $3.8M healthcare fraud scheme - The Oxford Eagle

Podiatrist Marion Shaun Lund of The Foot Doctor in Oxford was arrested Friday, July 15, on several charges of healthcare fraud and conspiracy to commit fraud. A federal jury issued a nine-count indictment on Lund, who was accused of being involved with a $3.8 million healthcare fraud scheme...

www.oxfordeagle.com

I have met him when he was a student. Well, this is what happens when one gets too greedy.

 

[icebreaker32]

It is so often the mid career professional that gets in trouble due to FOMO and seeing many of their peers profiting and suddenly buying new cars and taking fancy vacations from whatever the latest kickback scheme is in the profession.

 

[air bud]

It is so often the mid career professional that gets in trouble due to FOMO and seeing many of their peers profiting and suddenly buying new cars and taking fancy vacations from whatever the latest kickback scheme is in the profession.

100 percent this

 

[heybrother]

Damn, this guy loved his stethoscopes.

Fungal nail testing, absolutely essentially.

Briefly on fraud and private practice
(a) nothing pays anymore and everything is so hard to do / order / pre-authorize etc SOOOO - lemme just try and blast Medicare in the face by over ordering fungal cream. Back in the day people had the decency to just order prosthetics for people who didn't need them. What does a guy with 2 eyes need with a prosthetic glass eye!? I don't know, but at least you had a funny story to tell the other inmates.

(b) See PADPM's post from forever ago. Money is mostly made on the slow grind. The day to day. Some encounters are paid more handsomely than others. It really is fascinating to me to be in a situation where our hourly rate is based on how hard we're willing to work in an hour. Beats my old $25 an hour job easy.

(c) if you don't like what insurance pays - drop them. Dropping 65% of Medicare Humana was the best thing I ever did. Goodbye United next year. If you don't like what you are paid for your cash encounters - increase the price. I saw a thing on IPED the other day about someone trying to find a way to add 99212s to their cash uncovered care visits because they updated the patient's allergies. The patient is already there paying cash - if you don't think the encounter is profitable enough - increase the price. Its amusing to me that the visits where this is being suggested are assuredly Medicare visits where there won't be a copay and the DPM knows the patient won't be paying. So, fraud risk against an "insurance" that will send you to jail.

(d) Get an actual partner. This whole screwing associates thing is just the dumbest thing in the world. The end result is - we all end up in solo practices. Make a friend. Get along. Play nice. Two people have so much better control over overhead. Yes, its more mouth to feed. But its vacation coverage. Its getting to work your office manager to the bone. Its someone always being in clinic on your surgery day or vacation.

 

[Feli]

Hyer, hyer…..hyer

That’s it.

Everything else won’t guarantee you anything. Not anymore.

Yeah, nothing's guaranteed with fellowships... that's for sure.
Hyer's is the closest thing to a proven product... kinda like PI and West Penn residency were for awhile (many alumni spin off to lecture, teach, etc).

I would say that if one wants a fellowship, just pick the best teachers and/or best cases... pick what you want and pick diversity (different thinking and different case types from one's residency):
Hyer, Camasta, Cottom, Klutts, DiDomenico, Hofbauer, Hollawell, Ng, RScott, etc are most of the top DPM fellowships.

ACFAS - Fellowship Resources

www.acfas.org

Some have great surgeons, complex cases, good job connects for afterwards. No doubt. A lot of residencies have those things too, and a lot of the best surgeons just contribute to the good residencies.

Some Most fellowships are pretty worthless (esp if you did a good residency). I agree. It is no wonder that after the top few fellowships, most fill with residents from mediocre programs or can't even fill at all in some years. The reason is because it's a year of your life that gains you nothing substantial - besides personal enrichment and a line on your CV. There is no certification or guarantee or rarity for job apps as MD/DO gets in fellowship. The DPM will be a foot and ankle specialist/surgeon whether they do 3yrs or 4yrs or 18years of training... still same board exam, pathologies, same jobs, etc. The training wheels have to come off sometime.

If life were infinitely long, I probably would've tried for Camasta fellowship or something just out of personal interest (I don't think his existed back then, but I really liked his skill/thought/planning/cases on clerkships... not enough to interview for that program and 3yrs of working like a dog and, knowing myself, probably getting kicked out before first year ended, lol). He and Mendicino at West Penn (now Grant) were the most lights-out surgeons I saw with the neatest cases, and I was lucky to see a good number of very awesome docs/cases.

In the end, when you think about it, if most of the fellowship directors didn't do a fellowship... some of them didn't even do 3yrs residency. Same goes for many residency directors, ACFAS speakers, simply great community F&A surgeons, etc. So, why aren't we good enough as-is from a strong 3yr program? We are.

Heck, I can even afford me some nice shoes without fellowship too...

 

[CutsWithFury]

Yeah, nothing's guaranteed with fellowships... that's for sure.
Hyer's is the closest thing to a proven product... kinda like PI and West Penn residency were for awhile (many alumni spin off to lecture, teach, etc).

I would say that if one wants a fellowship, just pick the best teachers and/or best cases... pick what you want and pick diversity (different thinking and different case types from one's residency):
Hyer, Camasta, Cottom, Klutts, DiDomenico, Hofbauer, Hollawell, Ng, RScott, etc are most of the top DPM fellowships.

ACFAS - Fellowship Resources

www.acfas.org

Some have great surgeons, complex cases, good job connects for afterwards. No doubt. A lot of residencies have those things too, and a lot of the best surgeons just contribute to the good residencies.

Some Most fellowships are pretty worthless (esp if you did a good residency). I agree. It is no wonder that after the top few fellowships, most fill with residents from mediocre programs or can't even fill at all in some years. The reason is because it's a year of your life that gains you nothing substantial - besides personal enrichment and a line on your CV. There is no certification or guarantee or rarity for job apps as MD/DO gets in fellowship. The DPM will be a foot and ankle specialist/surgeon whether they do 3yrs or 4yrs or 18years of training... still same board exam, pathologies, same jobs, etc. The training wheels have to come off sometime.

If life were infinitely long, I probably would've tried for Camasta fellowship or something just out of personal interest (I don't think his existed back then, but I really liked his skill/thought/planning/cases on clerkships... not enough to interview for that program and 3yrs of working like a dog and, knowing myself, probably getting kicked out before first year ended, lol). He and Mendicino at West Penn (now Grant) were the most lights-out surgeons I saw with the neatest cases, and I was lucky to see a good number of very awesome docs/cases.

In the end, when you think about it, if most of the fellowship directors didn't do a fellowship... some of them didn't even do 3yrs residency. Same goes for many residency directors, ACFAS speakers, simply great community F&A surgeons, etc. So, why aren't we good enough as-is from a strong 3yr program? We are.

Heck, I can even afford me some nice shoes without fellowship too...

Problem with fellowships is that most podiatry residents who just started their residency programs are already thinking about it. That is how desperate this profession has become. First year residents starting to research fellowships because the job market is saturated and there is really not enough need for 600 surgically trained podiatrists every year.

"Surely fellowship training will distinguish myself from the other 300-500 applications applying for every hospital job"...right?

Then we get these fellowship trained podiatrists who want to call themselves "fellowship trained reconstructive foot and ankle surgeons" on LinkedIn but when they apply for hospital privileges they need to use the P-word....podiatrist. Because that is what you are and that is what you will always be. Doesn't matter if you did a fellowship. It does not matter.

Now you are fellowship trained podiatrist and you want to apply for that hospital job. You think you got it made because you are seeing all those Kaiser SF residents who end doing the Palo Alto Fellowship and end up getting hired at Sutter Health. Fellowship training must be worth it. Has anyone ever seen a Kaiser SF resident who did the Palo Alto Fellowship ever get hired by a hospital other than Sutter Health or PAMF or Kaiser? Yeah me neither. That whole conglomerate is rigged as hell. It is because the powers that be want it that way. But it is not an indication of what you can achieve if you do fellowship training. In fact its misleading as hell.

If you are going to apply to a hospital job outside of the above mentioned there is a STRONG chance you are going to lose out to the well trained non fellowship trained DPM who has 5-10 years of experience and has worked in hospital systems before. There really is no comparison. The podiatrist you lose out to doesn't have an ego and is willing to do all the amputations, wound care and lower extremity limb salvage procedures you feel are beneath your training and being as a "fellowship trained reconstructive foot and ankle surgeon" but really a podiatrist with an identity issue.

So now you committed an extra year to become something your not and you no longer use the P-word to describe yourself. And you have no job.

Good talk see you out there.

 

[Feli]

...Then we get these fellowship trained podiatrists who want to call themselves "fellowship trained reconstructive foot and ankle surgeons" on LinkedIn but when they apply for hospital privileges they need to use the P-word....podiatrist...

But what if they get the new CAQ in surgery from the non-surgery board?
Wouldn't you be confused enough to hire them and let them do lesser MPJ scopes and slap on wound grafts with a 5yr expiration date that have "active cells"?

 

[wakaflocka88]

Problem with fellowships is that most podiatry residents who just started their residency programs are already thinking about it. That is how desperate this profession has become. First year residents starting to research fellowships because the job market is saturated and there is really not enough need for 600 surgically trained podiatrists every year.

"Surely fellowship training will distinguish myself from the other 300-500 applications applying for every hospital job"...right?

Then we get these fellowship trained podiatrists who want to call themselves "fellowship trained reconstructive foot and ankle surgeons" on LinkedIn but when they apply for hospital privileges they need to use the P-word....podiatrist. Because that is what you are and that is what you will always be. Doesn't matter if you did a fellowship. It does not matter.

Now you are fellowship trained podiatrist and you want to apply for that hospital job. You think you got it made because you are seeing all those Kaiser SF residents who end doing the Palo Alto Fellowship and end up getting hired at Sutter Health. Fellowship training must be worth it. Has anyone ever seen a Kaiser SF resident who did the Palo Alto Fellowship ever get hired by a hospital other than Sutter Health or PAMF or Kaiser? Yeah me neither. That whole conglomerate is rigged as hell. It is because the powers that be want it that way. But it is not an indication of what you can achieve if you do fellowship training. In fact its misleading as hell.

If you are going to apply to a hospital job outside of the above mentioned there is a STRONG chance you are going to lose out to the well trained non fellowship trained DPM who has 5-10 years of experience and has worked in hospital systems before. There really is no comparison. The podiatrist you lose out to doesn't have an ego and is willing to do all the amputations, wound care and lower extremity limb salvage procedures you feel are beneath your training and being as a "fellowship trained reconstructive foot and ankle surgeon" but really a podiatrist with an identity issue.

So now you committed an extra year to become something your not and you no longer use the P-word to describe yourself. And you have no job.

Good talk see you out there.

Has this been emailed and sent to the 10 deans/student body of each school yet?

 

[GreenHousePub]

Once again, everyone's overlooking fellowships for the most important part, the fellas.

 

[deleted682934]

Problem with fellowships is that most podiatry residents who just started their residency programs are already thinking about it. That is how desperate this profession has become. First year residents starting to research fellowships because the job market is saturated and there is really not enough need for 600 surgically trained podiatrists every year.

"Surely fellowship training will distinguish myself from the other 300-500 applications applying for every hospital job"...right?

Then we get these fellowship trained podiatrists who want to call themselves "fellowship trained reconstructive foot and ankle surgeons" on LinkedIn but when they apply for hospital privileges they need to use the P-word....podiatrist. Because that is what you are and that is what you will always be. Doesn't matter if you did a fellowship. It does not matter.

Now you are fellowship trained podiatrist and you want to apply for that hospital job. You think you got it made because you are seeing all those Kaiser SF residents who end doing the Palo Alto Fellowship and end up getting hired at Sutter Health. Fellowship training must be worth it. Has anyone ever seen a Kaiser SF resident who did the Palo Alto Fellowship ever get hired by a hospital other than Sutter Health or PAMF or Kaiser? Yeah me neither. That whole conglomerate is rigged as hell. It is because the powers that be want it that way. But it is not an indication of what you can achieve if you do fellowship training. In fact its misleading as hell.

If you are going to apply to a hospital job outside of the above mentioned there is a STRONG chance you are going to lose out to the well trained non fellowship trained DPM who has 5-10 years of experience and has worked in hospital systems before. There really is no comparison. The podiatrist you lose out to doesn't have an ego and is willing to do all the amputations, wound care and lower extremity limb salvage procedures you feel are beneath your training and being as a "fellowship trained reconstructive foot and ankle surgeon" but really a podiatrist with an identity issue.

So now you committed an extra year to become something your not and you no longer use the P-word to describe yourself. And you have no job.

Good talk see you out there.

Nobody talks about the 600 new foot and ankle surgeons a year are replacing a retiring generation of mostly minimally surgical or non-surgical podiatrists.

 

[wakaflocka88]

Nobody talks about the 600 new foot and ankle surgeons a year are replacing a retiring generation of mostly minimally surgical or non-surgical podiatrists.

Maybe half(?) are from VA programs that have no business graduating residents. Then some programs that triple scrub a bunion. So, definitely not 600 new.

 

[icebreaker32]

All of this would not matter if there was an increased demand for podiatrists.

The demand has not increased. The cost of education at mainly private schools continues to increase. The length of residency has increased. Yes some residencies are better than others and not all will be foot and ankle surgeons wether it is due to a poor residency or mainly just not enough jobs to utilize those skills.

Some will do very well and some will not, If all other healthcare professions were this way it would be a different conversation, but they are not. I am amazed honestly that as many podiatrists do as well as they do all things considered

In the past to have an increased chance of success you needed a 1 year surgical residency and to become board certified, then 2 years, then 3 and you needed to be board certified in foot and rear foot and now a fellowship. If demand increased all would be fine, just some better than others, but it has not. It is almost like a pyramid scheme unless demand increases and obviously it only does at a snails pace.

It is hard to recommend podiatry with the job market like it is for DOs, Caribbean MDs, CRNAs, NPs, and PAs

 

[air bud]

Nobody talks about the 600 new foot and ankle surgeons a year are replacing a retiring generation of mostly minimally surgical or non-surgical podiatrists.

Absolutely haven't thought of it this way but totally true.

 

[icebreaker32]

Absolutely haven't thought of it this way but totally true.

Yes we are graduating more foot and ankle SURGEONS than the market needs. The market still "needs" chiropody and without a serious decrease in students, 3 year trained surgeons will provide it and not a nurse at their office . Theoretically every one graduating is a 3 year trained reconstructive foot surgeon.

If demand actually ever went up significantly for podiatry like it does for so many other professions, none of this would matter and there would be enough work or even more than enough both surgical and non surgical for everyone.

 

[deleted682934]

Absolutely haven't thought of it this way but totally true.

At my hospital there are as many podiatrists on staff as orthopedic surgeons.

 

[CutsWithFury]

At my hospital there are as many podiatrists on staff as orthopedic surgeons.

That's a ton podiatrists. Are you at an academic center or level 1 or 2 hospital?

 

[dtrack22]

That's a ton podiatrists. Are you at an academic center or level 1 or 2 hospital?

“On staff” doesn’t mean employed or in a single MSG. It’s still pretty ridiculous but I could see 20 community DPMs being “on staff” because they have privileges there while the hospital has an ortho group with 12 orthopedic surgeons who are the only orthos that cover the hospital.

Like my hospital has 2 podiatrists “on staff” but one is the other guy in town who has one block day of surgery per month and doesn’t use it, doesn’t do any inpatient work, basically doesn’t do much work at all here. But he’s “on staff” which means we have 2 orthopedic surgeons “on staff” and 2 podiatrists “on staff”. The next town over that is decent sized has two podiatrists in town and only one ortho. So they have 2 podiatrists “on staff” at their hospital and 1 ortho. But the podiatrists don’t do much at the hospital. It’s really a deceiving post/description.

 

[deleted682934]

“On staff” doesn’t mean employed or in a single MSG. It’s still pretty ridiculous but I could see 20 community DPMs being “on staff” because they have privileges there while the hospital has an ortho group with 12 orthopedic surgeons who are the only orthos that cover the hospital.

Like my hospital has 2 podiatrists “on staff” but one is the other guy in town who has one block day of surgery per month and doesn’t use it, doesn’t do any inpatient work, basically doesn’t do much work at all here. But he’s “on staff” which means we have 2 orthopedic surgeons “on staff” and 2 podiatrists “on staff”. The next town over that is decent sized has two podiatrists in town and only one ortho. So they have 2 podiatrists “on staff” at their hospital and 1 ortho. But the podiatrists rdon’t do much at the hospital. It’s really a deceiving post/description.

That is the situation and a fair assessment. Most of the podiatrists in town have privileges at this community hospital. There are a few orthopedic surgeons employed by the hospital and then three other orthopedic groups that also take call at the hospital, but only a few of their docs cover this hospital. A lot of the community pods do a few cases a year. Just enough to stay on staff. But if you use the "find a doctor" function there are just as many podiatrists that come up as orthopedic surgeons.

 

[icebreaker32]

Some hospitals are somewhat difficult to get and maintain active staff/surgery privileges and some are very easy to get and maintain your privileges at without requiring board certification, many cases, attendance at a certisn percentage of meetings etc. Some hospitals also list the orthopedic PAs under find a doctor under orthopedic surgery and most have one.

That being said, having almost as many podiatrists on staff as orthopods is not really that uncommon. It is also not uncommon that many of the podiatrists on staff typically do the majority of their cases at surgery centers and do little inpatient work.

Compared to about any other speciality podiatry is pretty saturated most places, we all know that.

 

[Pronation]

Some hospitals are somewhat difficult to get an maintain active staff/surgery privileges and some are very easy to get and maintain your privileges without requiring board certification, many cases, attendance at a certisn percentage of meetings etc. Some hospitals list the orthopedic PAs under find a doctor under orthopedic surgery and most have one.

That being said, having almost as many podiatrists on staff as orthopods is not really that uncommon. It is also not uncommon that many of the podiatrists on staff typically do the majority of their cases at surgery centers and do little inpatient work.

Compared to about any other speciality podiatry is pretty saturated most places, we all know that.

Inpatient work for private practice pods pays terribly whereas for the hospital employed pod it’s a cash cow.

 

[619]

Inpatient work for private practice pods pays terribly whereas for the hospital employed pod it’s a cash cow.

100% accurate. So that's why we can't be comparing apples to oranges.

For PP, clinic with lots of office procedures is what pays the bills not doing big recon and spending nights in the OR doing add-on cases. Hospital consult is an inconvenience to me at this point. I don't want to spend my lunch break going to the hospital to do a case or see a consult neither do I enjoy going to the hospital in the evening to see a consult or do a case after seeing patients in clinic all day. The "extra consult fee" from hospital consult is a drop in the bucket compared to what I get paid seeing patients in clinic.

However it's a different ball game when you are hospital employed. You want to do all the in-patient work because that's where your money is.

We see it all the time when associates in PP are bragging about spending nights at the hospital doing add-on cases, doing big recon surgery or trauma that takes long hours and the you get pain nothing in the global period. Only if you see the EOB and see how much those long cases reimburse then you will wonder why your boss is spending most of their time in clinic and not in the OR.

To summarize it all
1. Hospital Employed ----- Money is in big recon cases, long cases in the OR, lots of money doing in-patient consult for diabetic foot infections, referrals to imaging, MRI, physical therapy etc

2. Associate at a pod Private Practice ---- Focus on your clinic, do lots of office procedures, don't forget DME, Surgery cases should be quick and easy like about an hour a case with less than 3-4 post-op visits in global period. Don't take free hospital calls and do free consults. Save your energy and focus on growing your clinic.

Gone are the days when you "build" your practice by doing hospital and ER work. Most patients frequenting the hospital and ER have no insurance or are on state insurance and are generally non-complaint. You can't save them from themselves. All you will get is headache and stress. Let the hospital employed folks getting paid on wRVU take care of it.

 

[CutsWithFury]

Inpatient work for private practice pods pays terribly whereas for the hospital employed pod it’s a cash cow.

1000000000000000000000% correct. I love inpatient consults and infections. Show me the money baby. I went on vacation to Dubai and the Maldives in one long two week trip because of inpatient infections.

 

[CutsWithFury]

Gone are the days when you "build" your practice by doing hospital and ER work. Most patients frequenting the hospital and ER have no insurance or are on state insurance and are generally non-complaint. You can't save them from themselves. All you will get is headache and stress. Let the hospital employed folks getting paid on wRVU take care of it.

This is another very accurate take. When I first started my hospital practice at my first hospital job I was doing ALL Medicaid patients because all the surrounding private practice podiatrists refused to see them or did not accept. They had no choice but to come to my hospital based practice. Of course the hospital was not thrilled about it but it was significant patient volume and I worked like a dog to help them. It was a win win. Over time my commercial insurance volume built up from referrals from our PCPs in the group, etc but I got a ton of pathology and volume from all the Medicaid patients.

 

[Feli]

There are nearly as many active DPMs as Ortho docs in the USA, so the ratios might be similar for hospital staff.

Even though a fair amount of DPMs do little/no surgery and probably 99% of active Orthos do surgery, some DPMs still hold hospital privileges for consult or insurance reqs or wound care or other reasoning.

I would say we've progressed, though... it used to be that a lot of hospitals would have zero DPMs (at least for surgery), and others would have a whole lot of DPMs since there were only certain places DPMs were able to do cases (and those places were the rock star residencies decades ago). Now, it's much improved... DPMs doing at least forefoot at almost every major hospital, possible exception of some Univ systems or certain geographic areas.

...Compared to about any other specialty, podiatry is pretty saturated most places, we all know that.

 

[icebreaker32]

Just so people know there are some hospital jobs that are largely the same as PP with little inpatient work. Some hospital systems have aggressively expanded and bought up existing hospitals or built new ones to expand their market share. In addition to buying out family physicians some have bought up podiatry practices and about every other specialty and have jobs with growth/retirement at existing locations or are creating jobs with their expansion. Your salary might be all RVU after a year or base with bonus. In many of these jobs you will be paid the same regardless of insurance, but they will do everything they can to keep the poor insurance mix to a minimum. In these jobs it is like PP and they but want revenue from imaging , labs etc and a half day a week of surgery on patients with good insurance at their hospitals or surgery centers. Main thing is they are trying to create as close to a monopoly as legally allowed. In some are there is mainly one large hospital system taking over market share and in other areas there are several.

 

[deleted1138023]

Any good jobs out there?

 

[Shiyuan]

Any good jobs out there?

Yes. I know of one in FL (MSG). FQHCs are also a hiddem gem IMO.

 

[deleted1138023]

Yes. I know of one in FL (MSG). FQHCs are also a hiddem gem IMO.

Send me the info pls

 

[Pronation]

Any good jobs out there?

Yes about 6 of them advertised right now, for the whole country.

 

[deleted1138023]

Yes about 6 of them advertised right now, for the whole country.

post 'em

 

[newfeet]

post 'em

I found my first two hospital jobs using this. I don’t know if this includes the 6 good jobs… Podiatry Jobs | Nationwide

 

[air bud]

Yes. I know of one in FL (MSG). FQHCs are also a hiddem gem IMO.

Is there any cap on what FCHQs can pay? or is it market based?

 

[Shiyuan]

Is there any cap on what FCHQs can pay? or is it market based?

No cap. Salaries public info... look up 990 on propublica website.

One in OH I know of makes 250K+.

EDIT: FQHC jobs also provide malpractice protection, full benefits (usually), CME time/$$$, etc. As far as I know though, the vast majority are non-surgical.

 

[Shiyuan]

Send me the info pls

PM me for more info.

 

[dtrack22]

I found my first two hospital jobs using this. I don’t know if this includes the 6 good jobs… Podiatry Jobs | Nationwide

I mean there aren’t even 6 good jobs listed there. 3 are looking for NPs to work in podiatry clinics. 2 are Optum health clinics (owned by United Health) where you exclusively treat their Medicare advantage patients so you can save the company who brings in $300 Billion annually some money. A couple are private practice associate jobs. One is a fellowship position, not a real job. One is toenail house calls. And it looks like 3-4 are fairly good MSG/Hospital opportunities.

The job market is a joke. That link has more decent jobs aggregated in one place than just about any other job board I’ve seen, which is really sad when you think about what is posted there at the moment.

 

[newfeet]

I mean there aren’t even 6 good jobs listed there. 3 are looking for NPs to work in podiatry clinics. 2 are Optum health clinics (owned by United Health) where you exclusively treat their Medicare advantage patients so you can save the company who brings in $300 Billion annually some money. A couple are private practice associate jobs. One is a fellowship position, not a real job. One is toenail house calls. And it looks like 3-4 are fairly good MSG/Hospital opportunities.

The job market is a joke. That link has more decent jobs aggregated in one place than just about any other job board I’ve seen, which is really sad when you think about what is posted there at the moment.

I agree it’s a terrible market. Cold calling or external recruiters never worked for me. Praticematch.com some times has about the same level of good jobs.

Podiatry Physician Jobs

Podiatry Physician Jobs with 16 open position and career opportunities posted by hiring hospitals and physician recruiters.

practicematch.com

 

[dtrack22]

I agree it’s a terrible market. Cold calling or external recruiters never worked for me. Praticematch.com some times has about the same level of good jobs.

Podiatry Physician Jobs

Podiatry Physician Jobs with 16 open position and career opportunities posted by hiring hospitals and physician recruiters.

practicematch.com

I love the false hope you get when seeing the hospital/ortho group job only to scroll down in the job post and see they want an actual orthopedic surgeon and not a podiatrist…

 

[newfeet]

I love the false hope you get when seeing the hospital/ortho group job only to scroll down in the job post and see they want an actual orthopedic surgeon and not a podiatrist…

The recruiters do a bad job. I applied for a wound care medical director job a few years back in area that we wanted to live in. They said they were looking at DPM, MD and DO providers. I spoke to the recruiter then a few weeks later they decided they didn’t want a DPM. I was so annoyed.

 

[icebreaker32]

Is there any cap on what FCHQs can pay? or is it market based?

They are a bit different and can do what they want. Even though employees have federal malpractice insurance and can not be sued directly etc they run almost like a for profit non profit.

They essentially make full commercial amounts for each visit more or less through grants, so they care about volume. Some pay well and some don't. I think they have to offer good benefits. Some directors are MDs making 7 figures of successful ones.

Some don't mind if you do surgery, but they care most about volume in the clinic.

 

[Pronation]

I mean there aren’t even 6 good jobs listed there. 3 are looking for NPs to work in podiatry clinics. 2 are Optum health clinics (owned by United Health) where you exclusively treat their Medicare advantage patients so you can save the company who brings in $300 Billion annually some money. A couple are private practice associate jobs. One is a fellowship position, not a real job. One is toenail house calls. And it looks like 3-4 are fairly good MSG/Hospital opportunities.

The job market is a joke. That link has more decent jobs aggregated in one place than just about any other job board I’ve seen, which is really sad when you think about what is posted there at the moment.

So I can tell you that 2 of those listed hospital opportunities have candidates already picked out.

1 of those hospitals has this requirement:

• Foot and ankle fellowship training required

 

[air bud]

So I can tell you that 2 of those listed hospital opportunities have candidates already picked out.

1 of those hospitals has this requirement:

• Foot and ankle fellowship training required

Fellowship!