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Did that ever become an issue with EMTALA law or something of that sort?
No, I think EMTALA applies to ERs and not outside consulting doctors. Plus it's considered professional misconduct to do things that you're not knowledgeable doing so the hospital can't really tell you to do something you claim not to be comfortable doing.
 
Most places I interviewed with offered some compensation for call.. I’d say the majority were 200-400 a night. But I feel like that could be highly regional from what I’ve seen.

Also, many hospitals will argue that you take call in trade for “cases” and global post op/noninsured patients *tisk* as their “pay” to you, or to allow you to do your electives/privileges there as compensation. Then maybe after a certain amount of time you can keep privileges without taking call (I know of one place it was like 10 years).
 
What is up with Gotham Enterprises?
I keep seeing ads (see below) for jobs from them all over the place. However, none of these are real practices.

It seems like they are a recruiting agency associated with BetterHelp to hire therapists based on the therapy forums talking about them. But I've been seeing a ton of these pod jobs and when you search the name of the clinics, they don't exist.

What's their goal here?
 

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Also, many hospitals will argue that you take call in trade for “cases” and global post op/noninsured patients *tisk* as their “pay” to you, or to allow you to do your electives/privileges there as compensation. Then maybe after a certain amount of time you can keep privileges without taking call (I know of one place it was like 10 years).
It really really bothers me how they can get away with that with podiatry but they will never say such a thing to ortho or other specialties. This place I was interviewing at, the MD got paid $2-3k each day to take call........
 
What is up with Gotham Enterprises?
I keep seeing ads for jobs from them all over the place. However, none of these are real practices.

It seems like they are a recruiting agency associated with BetterHelp to hire therapists based on the therapy forums talking about them. But I've been seeing a ton of these pod jobs and when you search the name of the clinics, they don't exist.

What's their goal here?
I have applied to their postings before, doubt they exist tbh.
 
Pardon me for speaking the obvious but...

Different specialties get different rates of call pay because they handle different acuity problems. You don't get to compare yourself to neurosurgery or vascular or ortho or intervential cardiology for call pay. They get what they get in return for the assurance for being there when someone's life is on the line. I'm not saying none of you could handle an open tibia fracture, but I know none of the DPMs in my community (myself included) would be appropriate surgeons to do it.

Here's a decent article that reports call pay by specialty, and it's on the internet so it must be true.
 
Conversation with a radiologist in the lounge at lunch:

Xray bro: “I’m getting tired of these recruiters emailing and texting me about jobs every 30 minutes.”

[shows phone with text thread from staffing agency]

dtrack: “yeah gets annoying after awhile, huh?” (Assuming so, because he only gets a voicemail from a Locums agency once every 4 months)

Xray bro: “I told him that one of the opportunities wasn’t close to get me to think about leaving my current group, and he goes ‘that’s fine I have 20 more active openings that might be better.’ Maybe I’ll do a remote job in Hawaii and then I can read during the day and any east coast overnight coverage would still be in the evening with the time difference. But I don’t like Hawaii so…these recruiters are just relentless”

dtrack: “definitely”

[dtrack checks podiatry careers website and finds that over 50% of the job listings are specifically for foot and ankle orthos, only 22 real podiatry jobs listed in the entire country]
 
I don't get paid at all to cover ED
They still find my number somehow on the privileges list and call me on a Friday at 7pm for an uninsured toe amp that's not even my patient.

Its usually an ER resident who just needs some help so I give recs, try to remember the other groups around (who -surprise-also don't take call) and apologize.

Stressful enough running by yourself.

Why do I need to go back to residency days doing free *&^( while my kid wonders where dada is?
I never thought like this at all during residency. Just drink the Koolaid, keep your head down, work hard so you learn.

Now that I'm out.....I wish people told me what the real world is like when you don't have an army of residents doing the footwork for you.
Usually the hospitalist then calls my partner or me in on a courtesy basis, and we both have mixed feelings about agreeing to do these consults, but if we were to ever flat out refuse then there would be some political turmoil between admin, the hospitalist service, and the rest of the DPMs around me that will bring me great amusement.
We seem to have the same 10 discussions over and over on here.

These two statements above show that if we just universally stopped taking free call we would eventually be paid for call.

They need our help but we do it for free. Were a party of scabs.

Too many DPMs are willing to take call hoping they get something out of it. Usually its 9 bad cases for every good case.

Only agree for paid call if you also get medicare rates for uninsured patients. Because its a lot of uninsured I&Ds/Toe amps/Ray resections.
 
From a business/pp/lobster perspective, unpaid call can make sense if you funnel inpatient consults into profitable outpatient services. Amputees need shoes, orthotics, and afos. Nonhealing ulcers/surgical wounds benefit from skin subs (58 modifier), though that gravy train stops Dec 31. Yeah there's a lot of medicaid but a 11042 from medicaid is worth more than a 11721 from medicare+2ndary. And in a saturated marketplace, anything that pays better than toenails is a-okay.

So for me it's been 50-50 good/bad consults, not 1:9. This is 100% just my opinion/experience and your world might be totally different. Absolutely I've stepped on landmines--recently I did what I thought was a slam dunk ray resection develop a hematoma leading to a wound dehiscence, needed reoperation and lots of inane questions about wound care from visiting nurses. But I have found the good outweighs the bad, so you have to take both together (or neither)
 
From a business/pp/lobster perspective, unpaid call can make sense if you funnel inpatient consults into profitable outpatient services. Amputees need shoes, orthotics, and afos. Nonhealing ulcers/surgical wounds benefit from skin subs (58 modifier), though that gravy train stops Dec 31. Yeah there's a lot of medicaid but a 11042 from medicaid is worth more than a 11721 from medicare+2ndary. And in a saturated marketplace, anything that pays better than toenails is a-okay.

So for me it's been 50-50 good/bad consults, not 1:9. This is 100% just my opinion/experience and your world might be totally different. Absolutely I've stepped on landmines--recently I did what I thought was a slam dunk ray resection develop a hematoma leading to a wound dehiscence, needed reoperation and lots of inane questions about wound care from visiting nurses. But I have found the good outweighs the bad, so you have to take both together (or neither)
From an wRVU standpoint there is no bad inpatient consult. 10/10 are profitable.

It is probably regional. I see a whole lot of uninsured patients through the ER. I dont care though. Makes no difference to me.

Glad to read its not the same in your area. Gives hope.

Still dont think anyone should do free call. I also firmly believe that there should be some stipend for unisured patients.
 
From a business/pp/lobster perspective, unpaid call can make sense if you funnel inpatient consults into profitable outpatient services. Amputees need shoes, orthotics, and afos. Nonhealing ulcers/surgical wounds benefit from skin subs.....

Does any of this even matter if these patients are uninsured? I think that's where the discussion of it not being worth taking call is stemming from. All that stuff is great if the patients you're getting consulted on people whom have good insurance, and if they have good insurance, then at least you'll get paid for your inpatient cases and consults (plus whatever outpatient stuff if they decide to follow up with you long-term).

The issue I'm seeing here is people are taking non-paid call while also seeing uninsured patients and sometimes operating and seeing followups for $0 (negative dollars actually considering time away from clinic). Which of course does not make any sense as to what the incentive there is for us to take these cases.
 
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I had a PP attending tell me while taking unpaid call that he basically viewed it as service and a way to give back to the community. He didn’t even try to get paid for the inpatient cases… Of course residents were doing 90% of the call work anyways.
 
Does any of this even matter if these patients are uninsured? I think that's where the discussion of it not being worth taking call is stemming from. All that stuff is great if the patients you're getting consulted on people whom have good insurance, and if they have good insurance, then at least you'll get paid for your inpatient cases and consults (plus whatever outpatient stuff if they decide to follow up with you long-term).

This is a good question, and it's more nuanced than good/bad/no insurance.

Uncontrolled diabetics need insurance to pay for the insulin they're not using. Therefore frequently these patients will be on some coverage and they account for very few uninsured consults. I don't do trauma, so I have to imagine ortho is picking up many uninsured jumping out of the windows of houses they were breaking into.

This brings us to "good" insurance. Commercial payers have good fee schedules, but they use any reason they can come up with to not pay claims. They reject my 99222 because I wasn't the admitting dr. They reject the *inpatient* surgery because I didn't get a referral from the pts pcp. My biller is great at appealing this stuff. If the pt has a deductible, they and I end up playing let's make a deal which I hate.

Medicare/medicaid pay mediocre to poor, but you know what you're getting at least. And as noted above, I can (legally) self-refer outpatient followup care out of them too.
 
This is a good question, and it's more nuanced than good/bad/no insurance.

Uncontrolled diabetics need insurance to pay for the insulin they're not using. Therefore frequently these patients will be on some coverage and they account for very few uninsured consults. I don't do trauma, so I have to imagine ortho is picking up many uninsured jumping out of the windows of houses they were breaking into.

This brings us to "good" insurance. Commercial payers have good fee schedules, but they use any reason they can come up with to not pay claims. They reject my 99222 because I wasn't the admitting dr. They reject the *inpatient* surgery because I didn't get a referral from the pts pcp. My biller is great at appealing this stuff. If the pt has a deductible, they and I end up playing let's make a deal which I hate.

Medicare/medicaid pay mediocre to poor, but you know what you're getting at least. And as noted above, I can (legally) self-refer outpatient followup care out of them too.
I agree that just showing my face around the hospital (already a waste of time) has gotten medicine teams to notice me and maybe send referrals my way.
This usually comes with charity work for 1 year+ until referrals start readily coming in the door.
I've shared a few patients with the other pod down the street.
The ones he sees inpatient as a consult and then follow outpatient are usually wrecks.
Bad vascular disease, poorly controlled DM, some kind of CKD, non compliant, social economic constraints.
The good payers/easy visits have been Charcot and gout with wounds- stuff the ER residents can kind of sort of get to a conclusion of and get them out of the ER for more acute patients.

IDK if its worth it. But I'm trying.
 
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I agree that just showing my face around the hospital (already a waste of time) has gotten medicine teams to notice me and maybe send referrals my way.
This usually comes with charity work for 1 year + until referrals start readily coming in the door.
I've shared a few patients with the other pod down the street.
The ones he sees inpatient as a consult and then follow outpatient are usually wrecks.
Bad vascular disease, poorly controlled DM, some kind of CKD, non compliant, social economic constraints.
The good payers/easy visits have been Charcot and gout with wounds- stuff the ER residents can kind of sort of get to a conclusion of and get them out of the ER for more acute patients.

IDK if its worth it. But I'm trying.
Narrator: it is ___
 
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I had a PP attending tell me while taking unpaid call that he basically viewed it as service and a way to give back to the community. He didn’t even try to get paid for the inpatient cases… Of course residents were doing 90% of the call work anyways.
He's a sucker
 

Podiatrist​

Elmira, New York

Am I a good match for this job?
Arnot Health is actively recruiting a Board Certified/Board Eligible General Podiatrist to join our collegial team of Orthopedic and Podiatric Surgeons and Advanced Practitioners. Enjoy a balanced professional and personal lifestyle in a suburban community that offers all the amenities of a larger metropolitan area. Connect with like-minded physicians sharing common goals. Blend your talents to enhance the practice, the health system, and the community in an environment where physicians, practices and families thrive. Arnot Health is committed to providing all our providers with state-of-the-art practice settings along with full support staff.

Opportunity Information:

  • Provide comprehensive foot and ankle care in outpatient and inpatient setting, including surgery when indicated
  • Participate in diabetic foot management and wound care
  • Collaborate with multispecialty groups such as orthopedics, endocrinology and wound care teams
Income Details / Benefits:

  • Highly Competitive Salary Guarantee with Incentives
  • $240k-$270k
  • Employment Bonus
  • Loan Repayment
  • Generous PTO allowance
  • CME Days
  • Relocation
  • Residency / Fellowship Stipend
  • Full Malpractice Insurance
  • Health, Vision, Dental Benefits
  • 401(k) and/or 403(b)
Affiliated with Lake Erie College of Osteopathic Medicine, Arnot Health is one of the largest Graduate Medical Education training sites. Our training programs include numerous Primary and Specialty care Residencies and Fellowships including Internal Medicine and Family Medicine Residency programs. Candidates with a passion for teaching are of special interest.

If you are seeking a collegial practice located in the beautiful Finger Lakes Region located in Western, NY then you should consider this opportunity!

Arnot Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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Can someone give me an insight on these mobile podiatry jobs? They tend to pay higher than average and I want to apply. Is there a catch?
 
Can someone give me an insight on these mobile podiatry jobs? They tend to pay higher than average and I want to apply. Is there a catch?
You are just a noble mobile podiatrist it's a calling. I think they just fly in tabletop x-rays and reps and you do triples and big hind foot reconstructions in the patient's living room.
 
There is a private practice hiring in the western half of the country, that has 6 locations, only 4 pods total, and none of them are partners. Just 1 owner, who I am estimating to be <50 years old based on his pics and graduation date. Owner is well trained, 3 others are non-op TFP.

I looked through the Facebook posts of the company, and this practice started in the last 10 years I would say as a solo, 1 location place. The 2 older docs (older than owner) are actually new hire associates as I can see their announcements on the FB page. The other guy joined as an associate 2 years ago. He for sure did not buy out the older docs, as he had the locations they are covering well before the 2 older docs joined.

Looking back through FB pics, every year there's 1-2 new people that I guess are only staying for 1-2 years. I looked them up, and they all moved out of state.

Anyways, how common is it for a practice with that many locations to have no partners? Especially one that has been around for 10 years.
Does it not cost this guy more money to have a revolving train of associates than just keeping the good ones long-term by offering partnership?


Upkeep and staffing 6 places must be insane, and having to deal with new associates every 1-2 years makes no sense. You can't tell me over the past 10 or so years, he didn't find anyone that's willing to partner. The locations are in a decent areas (aka not BFE). Two of the locations are in very fancy college towns, and 2 others in decent suburbs. And, the practices are actually really nice. Newer buildings, fancy equipment, modern design theme, etc.
 
There is a private practice hiring in the western half of the country, that has 6 locations, only 4 pods total, and none of them are partners. Just 1 owner, who I am estimating to be <50 years old based on his pics and graduation date. Owner is well trained, 3 others are non-op TFP.

I looked through the Facebook posts of the company, and this practice started in the last 10 years I would say as a solo, 1 location place. The 2 older docs (older than owner) are actually new hire associates as I can see their announcements on the FB page. The other guy joined as an associate 2 years ago. He for sure did not buy out the older docs, as he had the locations they are covering well before the 2 older docs joined.

Looking back through FB pics, every year there's 1-2 new people that I guess are only staying for 1-2 years. I looked them up, and they all moved out of state.

Anyways, how common is it for a practice with that many locations to have no partners? Especially one that has been around for 10 years.
Does it not cost this guy more money to have a revolving train of associates than just keeping the good ones long-term by offering partnership?


Upkeep and staffing 6 places must be insane, and having to deal with new associates every 1-2 years makes no sense. You can't tell me over the past 10 or so years, he didn't find anyone that's willing to partner. The locations are in a decent areas (aka not BFE). Two of the locations are in very fancy college towns, and 2 others in decent suburbs. And, the practices are actually really nice. Newer buildings, fancy equipment, modern design theme, etc.
There's one group down the street from me
Multiple locations, 3 docs including owner
They all make good money, have buy in, and run their own location how they see fit

Those guys are thriving because they want their associates to thrive.

Another guy down the street from me has had 3 associates work there 1-2 years and leave.

It costs more to continue the revolving door.
Fit and personality does matter. Not every hire is perfect. Some want to leave before the day is over, some have terrible training or just treat their new patients poorly, some bully staff, some do not want to pull their own weight but have already maxed out their PTO or take advantage of benefits until their spouse is done training then dip.

The successful groups I've seen all want their DPMs to see as many patients as possible and cut the pie fairly.
Yes the owner may make 10-15% more, but when you have multiple locations, you want reliable docs who play well with each other to be able to cover those locations. Other wise you end up having to cover locations with your already sparse skeleton crew and lose even more patients.

No doctor available in office = patients aren't going there.
 
Does it not cost this guy more money to have a revolving train of associates than just keeping the good ones long-term by offering partnership?
My guess is that he thinks it’s cheaper to revolve associates than it will be to give up a cut of his big PE payout when he ultimately sells out. Given his apparent miserliness, it’s pretty obvious where he’s going with that practice.
 
There's one group down the street from me
Multiple locations, 3 docs including owner
They all make good money, have buy in, and run their own location how they see fit

Those guys are thriving because they want their associates to thrive.

Another guy down the street from me has had 3 associates work there 1-2 years and leave.

It costs more to continue the revolving door.
Fit and personality does matter. Not every hire is perfect. Some want to leave before the day is over, some have terrible training or just treat their new patients poorly, some bully staff, some do not want to pull their own weight but have already maxed out their PTO or take advantage of benefits until their spouse is done training then dip.

The successful groups I've seen all want their DPMs to see as many patients as possible and cut the pie fairly.
Yes the owner may make 10-15% more, but when you have multiple locations, you want reliable docs who play well with each other to be able to cover those locations. Other wise you end up having to cover locations with your already sparse skeleton crew and lose even more patients.

No doctor available in office = patients aren't going there.

Yep I agree. That's why it surprise me to see this place with so many locations and no actual partners or long-term associates. The owner obviously must be smart, otherwise he wouldn't be able to keep afloat six different locations for so long. But at the same time, it's insane that over the past 10 years that I can deduce from their Facebook page and website, not a single associate wanted to stay or was not offered partnership? I don't know, it just kinda irks me the wrong way that someone has a practice like this and yet no partners. Obviously it makes me hesitant to even reach out.

Flip side of this situation is that all his associates over the past 10 years have sucked and that's why he didn't offer partnership to anybody. I feel like that's highly unlikely given that some of the old employees that I looked up have started their own practices or work at major hospital institutions.

It seems like being a revolving door practice creates more work for him and less money coming in overall like you said.
 
My guess is that he thinks it’s cheaper to revolve associates than it will be to give up a cut of his big PE payout when he ultimately sells out. Given his apparent miserliness, it’s pretty obvious where he’s going with that practice.

This practice is in a state that is getting taken over by PE. That's for sure.
In my opinion, he's too young to want to sell within the next 10 to 15 years, but as has been discussed in other threads, some people just want the cash upfront and are willing to sell out and be an employee for less money than they're already making
 

Medical Podiatrist​

Presque Isle, Maine

Am I a good match for this job?
Northern Light A.R. Gould Hospital seeks a BC/BE Medical Podiatrist to join our well-established practice in the city of Presque Isle, Maine. This dynamic group features in-house Vascular, Surgical Podiatry, Orthopedics, Wound care and Dermatology specialties for consultation and collaboration.

Position Highlights:

    • A two-person medical podiatry practice with your partner being an experienced expert willing to mentor and learn
    • Surgical Podiatry and Foot and Ankle Orthopedics available for referral as needed
    • Hospital-employed position
    • Leadership and teaching opportunities
Offer Highlights:

    • Competitive base salary plus incentives
    • 41 days of paid time off annually
    • Relocation and sign-on bonuses
    • Retirement plans with employer matched contributions
    • Generous educational loan reimbursement program, with no maximum
    • Annual CME allotment
Why You’ll Want to Join A.R. Gould Hospital:

    • Leading Provider of Healthcare Services: We are an 89-bed acute care hospital located near the Canadian border in Presque Isle, Maine. Northern Light A.R. Gould Hospital is Aroostook County’s largest hospital and leading provider of healthcare services offering 24-hour emergency services, complete cancer care services, a day surgery center, the region’s most comprehensive imaging center and orthopedic centers, and several specialty services.
    • Small Town Charm: Presque Isle is the largest city and economic hub of Aroostook County. Aroostook meaning "Beautiful River" is rural, with traditions that are honest and hard-working, and a local economy that relies on agriculture, forestry, outdoor recreation, and education.
    • Relaxed Lifestyle: Just outside your doorstep, a four-season recreational playground awaits. Adventure seekers enjoy hiking, skiing, boating, biking, snowmobiling and ATVing. Lakes, rivers, and woodlands are legendary and well-known to hunters, anglers, and outdoor recreationalists. Experience year-round festivals, performing and visuals arts events, unique shopping and dining options, sports competitions, farmers markets, musical performances, golf courses, fitness centers, community center activities, and more!
    • Family Friendly: Great school districts, safe communities, friendly neighbors and a lower-than-average cost of living are ideal for raising a family.
    • Academic Enrichment: The University of Maine at Presque Isle, Northern Maine Community College, and Maine School of Math and Science provide an intellectual spirit and opportunities for continued learning.
    • Well Connected: The local airport provides year-round access to daily, commercial airline service to and from Boston, MA.
 

Physician - Surgical Podiatry - Duluth, MN​

Duluth, Minnesota


Am I a good match for this job?
Job Description

Licensure/Certification Qualifications:

Exciting Opportunity for a Surgical-Focused Podiatrist in Duluth, MN

Are you a dedicated Podiatrist looking to advance your career in a thriving and supportive environment? Essentia Health is seeking a surgical-focused Podiatrist to join our dynamic team in Duluth, MN. This position offers the perfect balance of professional growth, rewarding patient care, and a high quality of life in a beautiful lakeside city.

Why Join Us?

Practice Highlights:

* Collaborative Team Environment: Join a team of 6 skilled Podiatrists and 2 Advanced Practice Clinicians within the Essentia Health Region, with 4 Podiatrists located in the Twin Ports Area.
* Surgical Focus: Perform foot and ankle surgical procedures as per your qualifications and scope of practice.
* Diverse Patient Population: Care for patients of all ages, from pediatric to geriatric, offering routine foot care, diabetic foot care, wound clinic services, and patient education.
* Variety in Procedures: Conduct minor procedures such as ingrown toenail treatments, injections, and minor debridement.
* Innovative Programs: Assist in developing a gait evaluation program and coordinate diagnostic studies, consultations, and procedures.
* Flexible Schedule: Work 3 days a week (.6 FTE) with day hours Monday-Friday. Enjoy no weekend or night call, with occasional daytime call only.
* Outreach Opportunities: Expand your impact with outreach twice a month (or more, if desired) to surrounding communities such as Moose Lake, Hinckley, Ashland, Spooner, Hayward, and Superior.

Compensation & Benefits:

* Competitive Salary: $337,000 annually, with potential for additional bonuses, quality incentives, or production-based compensation.
* Comprehensive Benefits Package: Enjoy health, dental, vision, retirement plans, and more.
* Work-Life Balance: A flexible schedule and no night/weekend call allow you to focus on what matters most.

Qualifications:

* Board-certified or board-eligible surgical/medical DPM.
* Completed surgical/medical training.

Discover Duluth, MN:

Live and work in Duluth, a vibrant city located at the westernmost tip of Lake Superior, just 150 miles north of Minneapolis/St. Paul. With a population of 86,000 and a regional service area of 460,000, Duluth offers the perfect blend of urban amenities and natural beauty.

Why Duluth?

* Outdoor Paradise: Explore miles of hiking and biking trails, stunning lake views, and year-round recreational activities.
* Thriving Arts & Culture: Enjoy local restaurants, breweries, museums, and theaters.
* Family-Friendly Community: Excellent schools, safe neighborhoods, and a welcoming atmosphere.
* Affordable Living: Enjoy a lower cost of living compared to larger metropolitan areas.

Take the Next Step in Your Career

Join Essentia Health and make a meaningful impact on patients' lives while enjoying the lifestyle you deserve. Apply today to become part of our dedicated team in Duluth, MN!

Essentia Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, sexual identity, national origin, disability, or protected Veteran Status.

For additional information please contact:

Liz Huesman, Senior Physician Recruiter

701-261-6824

[email protected]
 
These both look like great opportunities but the summer may be a challenge. Anyone have intel on the northern coast of Alaska? Asking for a friend.
 
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...Exciting Opportunity for a Surgical-Focused Podiatrist in Duluth, MN
....join a team of 6 skilled Podiatrists and 2 Advanced Practice Clinicians within the Essentia Health Region, with 4 Podiatrists located in the Twin Ports Area....
That is my hometown... was ok until out of high school, then winters just waaay too long once you're not in school and playing bball or hockey in winters anymore.
It was pretty depressing when I was there earlier this year too; the homeless has really gotten out of control (like a baby SanFran or Portland or Santa Fe or something). The downtown and many other parts were pretty rugged.

That is a completely insane amount of DPMs for the area population (less than 100k ppl, and some other pods in PP and other hospital in the city also). That is crazy to have probably 10+ podiatrists for a place of 85k or whatever, wow.

I'd imagine it may still beat out Minot, ND by a hair, though?
 
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That is my hometown... was ok until out of high school, then winters just waaay too long once you're not in school and playing bball or hockey in winters anymore.
It was pretty depressing when I was there earlier this year too; the homeless has really gotten out of control (like a baby SanFran or Portland or Santa Fe or something). The downtown and many other parts were pretty rugged.

That is a completely insane amount of DPMs for the area population (less than 100k ppl, and some other pods in PP and other hospital in the city also). That is crazy to have probably 10+ podiatrists for a place of 85k or whatever, wow.

I'd imagine it may still beat out Minot, ND by a hair, though?
It is no Dickinson ND that's for sure.
 

Surgical Podiatrist​

Southern California

Am I a good match for this job?
Salary range for full-time/part-time openings is $261,363.00 - $347,002.00. Potential premium earnings are up to $19,585.00.

Salaries are inclusive of incentives depending on skills and competencies and geographic location. Potential premium earnings are based on location. Annual Salary is determined by longevity with the Group and full time equivalent (FTE) work schedule/effort.

Competitive Compensation and Benefit Package

The comprehensive benefits and longevity-based compensation package offered by Southern California Permanente Medical Group (SCPMG) enables physicians to focus on what they do best – provide their patients with exceptional care.

• Medical/dental/vision coverage
• Supplemental medical coverage
• Special dependent coverage
• Vacation/holiday/sick/education time and leave (prorated to work schedule)
• Retirement and savings plans
• Relocation package
• Professional liability coverage
• Public Service Loan Forgiveness (PSLF) eligible

Additional Information

• ABFAS Board Certification in Forefoot (Foot) and or Foot and Rearfoot/Ankle or recognized ACFAS surgical fellowship training About the areaThe city of Los Angeles offers one of the world’s great urban experiences. Opportunities to enjoy pro sports, entertainment, cuisine, and the arts are virtually endless, with the variety to satisfy its incredibly diverse population. Beaches are nearby; mountains and desert are an hour away, and the weather enables year-round outdoor activities. Working hereThe Los Angeles Medical Center is the region's largest facility—and SCPMG’s largest teaching facility—with a broad offering of primary, specialty, tertiary, and quaternary care programs for a highly diverse patient population. Despite its size, the center is remarkably compact, providing physicians with ready access to interaction and support. Our leadership is dedicated to transparency, and to providing opportunities for others to step up and have a voice. The center’s Graduate Medical Education program is another hallmark, along with our established culture of collaboration and accountability. Physician well-being is key: new hires and partners alike will find wellness events, workshops, trainings, meet-and-greets, and other opportunities to integrate, grow, and thrive—all in one of the world’s premier big cities.


Equal Employment Opportunity
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Contact Information

Recruiter: Stephen Niarhos, [email protected]
Compensation: $261,363 - $347,002, Annually
 

Surgical Podiatrist​

Southern California

Am I a good match for this job?
Salary range for full-time/part-time openings is $261,363.00 - $347,002.00. Potential premium earnings are up to $19,585.00.

Salaries are inclusive of incentives depending on skills and competencies and geographic location. Potential premium earnings are based on location. Annual Salary is determined by longevity with the Group and full time equivalent (FTE) work schedule/effort.

Competitive Compensation and Benefit Package

The comprehensive benefits and longevity-based compensation package offered by Southern California Permanente Medical Group (SCPMG) enables physicians to focus on what they do best – provide their patients with exceptional care.

• Medical/dental/vision coverage
• Supplemental medical coverage
• Special dependent coverage
• Vacation/holiday/sick/education time and leave (prorated to work schedule)
• Retirement and savings plans
• Relocation package
• Professional liability coverage
• Public Service Loan Forgiveness (PSLF) eligible

Additional Information

• ABFAS Board Certification in Forefoot (Foot) and or Foot and Rearfoot/Ankle or recognized ACFAS surgical fellowship training About the areaThe city of Los Angeles offers one of the world’s great urban experiences. Opportunities to enjoy pro sports, entertainment, cuisine, and the arts are virtually endless, with the variety to satisfy its incredibly diverse population. Beaches are nearby; mountains and desert are an hour away, and the weather enables year-round outdoor activities. Working hereThe Los Angeles Medical Center is the region's largest facility—and SCPMG’s largest teaching facility—with a broad offering of primary, specialty, tertiary, and quaternary care programs for a highly diverse patient population. Despite its size, the center is remarkably compact, providing physicians with ready access to interaction and support. Our leadership is dedicated to transparency, and to providing opportunities for others to step up and have a voice. The center’s Graduate Medical Education program is another hallmark, along with our established culture of collaboration and accountability. Physician well-being is key: new hires and partners alike will find wellness events, workshops, trainings, meet-and-greets, and other opportunities to integrate, grow, and thrive—all in one of the world’s premier big cities.


Equal Employment Opportunity
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Contact Information

Recruiter: Stephen Niarhos, [email protected]
Compensation: $261,363 - $347,002, Annually
This will not get you far in California. Practicing in California is hands down the dumbest thing you can do. Stay poor
 
For those of you with 1099 offers...
Yeah, some temps do crazy stuff. That is hilarious.

I talked to IHS dept near where I used to work, they were having problems with locum pods doing big elective stuff on bigguns who were horrible surgical candidates, then leaving the wreckage for the full time ("permanent") pods to deal with. They had to make some policy where chief of surg has to approve cases by locums. Pretty sad for pts, not sure there is really any recourse for the facility hiring the 1099 or locums, though. As long as they have next job lined up, they are pretty consequence-proof.
 
This will not get you far in California. Practicing in California is hands down the dumbest thing you can do. Stay poor
It’s enough for parts of NorCal (outside of Bay Area ofc) but probably not the bay. Kaiser also pays the rest of the surgical specialties significantly more. Private practice jobs in the bay start at 150k which is unlivable
 

Podiatrist – Faculty Opportunity​

Galveston, Texas


Am I a good match for this job?
Podiatrist – Faculty Opportunity

Full Time, Board Certified/ Board Eligible

University of Texas Medical Branch - Galveston, Texas

The University of Texas Medical Branch (UTMB)

UTMB was established in 1891 as the first academic health center in Texas and is a component of the University of Texas System. Today UTMB includes five schools (medicine, nursing, health professions, public and population health, and graduate biomedical sciences), a network of hospitals and clinics that provide a full range of primary and specialized medical care, and numerous research facilities.

The Department of Orthopaedic Surgery and Rehabilitation (DOSR) at the University of Texas Medical Branch (UTMB Health) has a long-standing tradition of excellence in research and education. DOSR operates at three campus locations in the region including League City, Clear Lake, and Galveston. Today we have a multispecialty Orthopaedic Surgery team with educational, as well as research/innovative opportunities. providing podiatry and Orthopaedic services at clinical locations in Galveston County and Southern Harris County.

The DOSR is seeking a highly motivated Podiatrist to join the team to meet the increasing patient care needs in a rapidly growing region in Texas. This position will join our group providing Foot and Ankle services

Candidate Requirements:

  • D.P.M. from an accredited medical school
  • Training in a Podiatry Residency Program
  • Board Certified or Board Eligible in Podiatric Medicine
  • Ability to obtain a valid unrestricted Texas state Podiatrist license
Income Package: Salary is commensurate with Academic rank, experience, and qualifications. In addition, UTMB offers a superior benefits package, an excellent retirement program, a relocation allowance as well as other potential incentives.

Living in South Houston and Galveston, Texas: Information about living in the South Houston and Galveston service area can be found on the UTMB Living Website: http://www.utmb.edu/utmbliving/

APPLY TODAY!! Please send an updated Resume to
Skott Harrington -
[email protected]
 
Any advice on how to approach basically creating a job. Current resident here. The health system I cover has multiple hospitals in our metro area with essentially only one operative podiatrist. He covers primarily 2 maybe 3 of these hospitals with another 2-3 hospitals going mostly uncovered from a pod standpoint. He will occasionally get calls to cover these other locations in emergent cases but really doesn’t have the time/resources to consistently do so.

Additionally ortho and Vasc and other services don’t wanna touch DFU/limb salvage with a 20 ft pole.

Having said all that it seems to me like there is a huge void and this health system could benefit from another pod(honestly probably 2) that can more consistently cover these locations.

May not pan out or may get rejected but how do I begin to approach basically creating a position. Thanks!
 
Any advice on how to approach basically creating a job. Current resident here. The health system I cover has multiple hospitals in our metro area with essentially only one operative podiatrist. He covers primarily 2 maybe 3 of these hospitals with another 2-3 hospitals going mostly uncovered from a pod standpoint. He will occasionally get calls to cover these other locations in emergent cases but really doesn’t have the time/resources to consistently do so.

Additionally ortho and Vasc and other services don’t wanna touch DFU/limb salvage with a 20 ft pole.

Having said all that it seems to me like there is a huge void and this health system could benefit from another pod(honestly probably 2) that can more consistently cover these locations.

May not pan out or may get rejected but how do I begin to approach basically creating a position. Thanks!
Talk to human resources. Try and talk to the CMO/CEO of the hospital. Sell yourself. If you can get a meeting then you have already put yourself in a great position.

Be prepared to feel the wrath of the currently employed DPM who thinks they have the entire system on lock down. Podiatrists hate other podiatrists. Especially when a new podiatrist enters the territory.
 
It's not limb salvage. It's amputation prevention. Wound care is surgery. Imaging, PT, surgery, facility fees etc. greater than 50 percent of diabetic foot ulcers I am making that up but confident are multiple times in the OR. The hospital wants the OR used. Minimal input costs to amputation, ID, washout etc. right now they have Ortho doing amps, closing primarily. Patients are bouncing back hurting readmission numbers.
 
Fair point. I think this pod is overworked thought and wants the help which could help but in your point never truly know
 
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Any advice on how to approach basically creating a job. Current resident here. The health system I cover has multiple hospitals in our metro area with essentially only one operative podiatrist. He covers primarily 2 maybe 3 of these hospitals with another 2-3 hospitals going mostly uncovered from a pod standpoint. He will occasionally get calls to cover these other locations in emergent cases but really doesn’t have the time/resources to consistently do so.

Additionally ortho and Vasc and other services don’t wanna touch DFU/limb salvage with a 20 ft pole.

Having said all that it seems to me like there is a huge void and this health system could benefit from another pod(honestly probably 2) that can more consistently cover these locations.

May not pan out or may get rejected but how do I begin to approach basically creating a position. Thanks!

Are these hospitals not a part of your residency? Like why is there only 1 pod covering multiple places if your programs should have a few docs on staff if its hospital based?
Are those other hospitals maybe already covered by private practice docs? I don't know how big your metro is, but it would seem odd to me that there are multiple uncovered hospitals in any metro in America with how saturated we are.
 
Any advice on how to approach basically creating a job. Current resident here. The health system I cover has multiple hospitals in our metro area with essentially only one operative podiatrist. He covers primarily 2 maybe 3 of these hospitals with another 2-3 hospitals going mostly uncovered from a pod standpoint.... ...it seems to me like there is a huge void and this health system could benefit from another pod(honestly probably 2) that can more consistently cover these locations. ...
Fair point. I think this pod is overworked thought and wants the help which could help but in your point never truly know
If this is true, you'd just talk to the DPM, not go around him. @Retrograde_Nail is 100% above.
He could advocate for you, but, as mentioned, he'd likely tell HR and admins that another pod is not needed (just a nurse for toenail patients!).

It depends on your area and the refer patterns, but as said, hospital pods are generally HIGHLY protective of their volume. They don't want competition for cases or others who will do their work for same/less money. They like to limit outside groups, and they absolutely want to prevent - or at least control - DPM hires by their hospital. If the hospital system does bring in another podiatrist, they want to choose... even for VA and some jobs you'd think it wouldn't matter.

...When I trained, it was basically an unwritten rule that you didn't compete with the docs who trained you.
You theoretically could, and nothing legally stopped you from starting a solo office a mile from the hospitals... but it was pretty frowned upon. You could work for one of them in a group (and many did), but it was considered pretty poor form to compete directly for patients/consults/etc with those who'd trained you by joining a competing group, ortho group, hospital employ, etc. It was generally understood you'd go get a job across town, out of state, whatever to not compete with the guys who'd given you your numbers. If you were staying in the city, you'd at least go to the other areas/suburbs/hospitals of it... or work for one of the attendings' group for at least awhile.

ln other residencies I visited, they take it a step further and basically block you from those hospitals you'd trained at (with either the residency contract itself, privileging politics that require BC which no new grad has to join, whatever). I asked some of them why none of the recent grads stayed on staff, and they basically said that's not possible. The only exception might be if the residency or fellowship director group hired an alumni occasionally... but most grads were expected to leave.

Are these hospitals not a part of your residency? Like why is there only 1 pod covering multiple places if your programs should have a few docs on staff if its hospital based?
Are those other hospitals maybe already covered by private practice docs? I don't know how big your metro is, but it would seem odd to me that there are multiple uncovered hospitals in any metro in America with how saturated we are.
He means there is only one working FOR the hospital system... there are surely many on staff (because podiatry).
 

Podiatrist - Fruitland, ID​

Fruitland, Idaho

Am I a good match for this job?

Saint Alphonsus Medical Group (SAMG) is a physician-led multispecialty group seeking a residency-trained and experienced, full time Podiatrist to join a busy surgical practice. This position requires a proactive approach to practice development for the population of Idaho and its neighboring states. Additional emphasis of this practice is to advance the knowledge of foot and ankle through research and education. This growing practice provides a full range of orthopedic services and podiatric services, focusing on the foot and ankle. From the management of arthritis, tendinitis, and ingrown toenails to surgical management of fractures and deformities, the focus is always on the patient. Requires Idaho and Oregon medical licensure to support the health system's regional surgical needs and programs across all of the communities served. The schedule for this full time position is a typical clinic schedule M-F includes a minimum of 34 patient contact hours per week including surgical procedures. Group Clinic call is required.

Support: 24/7 CRNA Anesthesia; general surgery, orthopedics, ENT, gynecology, urology and endoscopy; Hospital-based imaging services: 24/7 radiology department; in-house coverage for general radiology and CT; after hours call coverage for Ultrasound and Nuclear Medicine (NM); MRI; Breast Care Center; X-ray (CR and DR image capture); ED; Saint Alphonsus network of 70+ Specialty and Primary Care clinics.

Requirements:

  • Doctor of Podiatric Medicine (DPM).
  • 2+ years of practicing.
  • Successful completion of an accredited podiatry residency program.
  • Board certification through the American Board of Podiatric Surgery, or obtain within 3 years.
  • Obtain Idaho & Oregon medical licensure and granting of privileges at Saint Alphonsus Medical Center - Ontario; and other health system-affiliated hospitals as needed.
  • Valid controlled substance registration with the Board of Pharmacy and DEA.
RECRUITMENT PACKAGE

An excellent and competitive income and benefits package is available including:

  • Sign-on Incentives
  • Student Loan Repayment
  • Relocation
  • PTO & CME Allocation
  • Malpractice Insurance (Incl. Tail)
  • Health/Dental/Vision
  • Retirement (403b)
 

Podiatrist - Fruitland, ID​

Fruitland, Idaho Am I a good match for this job? Saint Alphonsus Medical Group (SAMG) is a physician-led multispecialty group seeking a residency-trained and experienced, full time Podiatrist to join a busy surgical practice. This position requires a proactive approach to practice development for the population of Idaho and its neighboring states. Additional emphasis of this practice is to advance the knowledge of foot and ankle through research and education. This growing practice provides a full range of orthopedic services and podiatric services, focusing on the foot and ankle. From the management of arthritis, tendinitis, and ingrown toenails to surgical management of fractures and deformities, the focus is always on the patient. Requires Idaho and Oregon medical licensure to support the health system's regional surgical needs and programs across all of the communities served. The schedule for this full time position is a typical clinic schedule M-F includes a minimum of 34 patient contact hours per week including surgical procedures. Group Clinic call is required. Support: 24/7 CRNA Anesthesia; general surgery, orthopedics, ENT, gynecology, urology and endoscopy; Hospital-based imaging services: 24/7 radiology department; in-house coverage for general radiology and CT; after hours call coverage for Ultrasound and Nuclear Medicine (NM); MRI; Breast Care Center; X-ray (CR and DR image capture); ED; Saint Alphonsus network of 70+ Specialty and Primary Care clinics. Requirements:
  • Doctor of Podiatric Medicine (DPM).
  • 2+ years of practicing.
  • Successful completion of an accredited podiatry residency program.
  • Board certification through the American Board of Podiatric Surgery, or obtain within 3 years.
  • Obtain Idaho & Oregon medical licensure and granting of privileges at Saint Alphonsus Medical Center - Ontario; and other health system-affiliated hospitals as needed.
  • Valid controlled substance registration with the Board of Pharmacy and DEA.
RECRUITMENT PACKAGE An excellent and competitive income and benefits package is available including:
  • Sign-on Incentives
  • Student Loan Repayment
  • Relocation
  • PTO & CME Allocation
  • Malpractice Insurance (Incl. Tail)
  • Health/Dental/Vision
  • Retirement (403b)

Who wants to go to idaho