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They make more than us doing the surgery.
What’s even crazier is that there are actual job postings all over the country offering those salaries. Apparently CRNAs haven’t discovered the “word of mouth” and “create your own job” approaches to finding employment yet.
 
Why would you even want to do consistent surgery if you’re private equity employed or private practice associate employed? Let’s say you’re making $150-200k. Is it worth the stress of surgery?

I mean I guess some of you love it way more than I do.
 
Maybe I'm the only person getting BCBS ASC incentive pay (no ownership), but well done straight forward cases where you collect your deductible/co-insurance up front aren't unreasonable. On Monday I did a 10 minute case that was worth $850 and then immediately followed it with a fracture repair/graft that was worth about $1500-1600. I was done by like 11 and then went back to my office at 2:30 and saw 4 more people. Amazing? No. Earlier that week a guy paid for 4 flexor tenotomies up front. Much easier money than repairing a navicular.

In private practice - you can't sit their and bemoan how well paid the hospital RVU doctors are. All you can do is generate good encounters for yourself and do your best to collect as much of what you are owed up front. Is a Medicare bunion underpaid at like $500-600? Definitely. At the end of the year though if you don't do the case you'll have $500-600 less to work with. Maybe you could have filled your clinic with more office encounters instead or - maybe you would have had fewer clinic cases overall because people don't want to refer to a non-surgical doctor. Will I be following that navicular for awhile - probably. Its entirely possibly I will regret doing that case in the end. I was offered an opportunity to do a case. I will be paid for it. Perhaps there was a better use of my time available, but for now I used the lemons I was handed.
 
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Anything below 200K for non op podiatrist is egregious. MGMA data supports over 200K salary for non op DPMs. This is a terrible job offer. I suspect the salary is this low because the surgical podiatrists already there deem it be fair. It seems like job offers where there are other podiatrists already employed at the hospital are always worse than if the hospital hiring their first podiatrist. Disgusting.
It’s disgusting, but as podiatrist out many years- the older screw there fellow pods
 
Was talking about the CRNA expected growth during cases today with the guy beyond the drapes . We only employ CRNAs at our CAH. He mentioned there are tons of schools opening to cash in on the gold rush of all this high pay and anticipated demand. They'll end up saturated like every other profession that has good ROI.
 
Was talking about the CRNA expected growth during cases today with the guy beyond the drapes . We only employ CRNAs at our CAH. He mentioned there are tons of schools opening to cash in on the gold rush of all this high pay and anticipated demand. They'll end up saturated like every other profession that has good ROI.
Yes and no... they legitimately do have high demand.
CRNAs can find a job in any state, any place, their choice of PT/FT/call... all good/great pay. (RNs have mostly same job options unless they are truly bad, fail boards, etc). The anesthesia programs will also continue to get TOP nursing grads with very high admissions standards... less than 0.2% of nurses become anesthetist.

The CRNAs will water it down a bit if they increase programs, but they have room to do that. ER - and other speciaties - has been adding residency spots fast of late, and they are still in high demand and high paid. My facility is also mostly CRNA... and so was IHS (all CRNA). Even with MD anesthesia and Anesth Assts, the CRNAs still have not nearly met their facility/public demand (and many CRNAs also retire pretty young).

The CRNAs anywhere are generally trying to get their group to hire more and pay one another good sums to get out of call as they all already have plenty of money/hours... yet podiatry is gladly taking free call and trying to stop any other DPMs from coming to their area/facility. 🙂

Podiatry just has none of those things: high average income, many job options, great incoming students, general cooperation among its practitioners. CRNAs are in a much better spot... but that's not to say it won't still lose a little demand with rapid expand.
 
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Was talking about the CRNA expected growth during cases today with the guy beyond the drapes . We only employ CRNAs at our CAH. He mentioned there are tons of schools opening to cash in on the gold rush of all this high pay and anticipated demand. They'll end up saturated like every other profession that has good ROI.
This happens in every industry. Same thing is going to happen in the trades a few years down the line now that everyone is hyping them up and kids are skipping a college education to enter them. The part that sucks for them is they won't have a college education to fall back on; they're going to be stuck in an increasingly competitive field with blown out knees and a shot lumbar spine maxing out Google Ads budgets and having to match every other tradesmans' rate in a race to the bottom. Also private equity en****tification.
 
An update from the ACFAS sponsored "Podiatry" job board...

Podiatrycareers.org

There has really been an explosion of postings recently! 60 jobs are listed today. If you ignore the fact that 24 of them are for MD/DO F&A Orthopedic surgeons...it's impressive.

Of the 26 actual Podiatry jobs (on the "Podiatry" job board), 3 of them are nursing home gigs in Wisconsin that claim "$300k+ uncapped earning potential!", one is a practice for sale, another is a sub $300k Kaiser job that you won't get, There is a locums position, the remainder are associate positions in Podiatry groups. Only 2 large MSG job postings. Oh and one job is for an academic center medical director position that states MD/DO...so 25 Podiatry jobs on the Podiatry job board...

Good luck tributes
 
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An update from the ACFAS sponsored "Podiatry" job board...

Podiatrycareers.org

There has really been an explosion of postings recently! 60 jobs are listed today. If you ignore the fact that 24 of them are for MD/DO F&A Orthopedic surgeons...it's impressive.

Of the 26 actual Podiatry jobs (on the "Podiatry" job board), 3 of them are nursing home gigs in Wisconsin that claim "$300k+ uncapped earning potential!", one is a practice for sale, another is a sub $300k Kaiser job that you won't get, There is a locums position, the remainder are associate positions in Podiatry groups. Only 2 large MSG job postings. Oh and one job is for an academic center medical director position that states MD/DO...so 25 Podiatry jobs on the Podiatry job bord...

Good luck tributes
but they did a survey and reported a mean salary of $446,000.
 
An update from the ACFAS sponsored "Podiatry" job board...

Podiatrycareers.org

There has really been an explosion of postings recently! 60 jobs are listed today. If you ignore the fact that 24 of them are for MD/DO F&A Orthopedic surgeons...it's impressive.

Of the 26 actual Podiatry jobs (on the "Podiatry" job board), 3 of them are nursing home gigs in Wisconsin that claim "$300k+ uncapped earning potential!", one is a practice for sale, another is a sub $300k Kaiser job that you won't get, There is a locums position, the remainder are associate positions in Podiatry groups. Only 2 large MSG job postings. Oh and one job is for an academic center medical director position that states MD/DO...so 25 Podiatry jobs on the Podiatry job bord...

Good luck tributes
Appears podiatry supergroups are getting new recruits just fine without spending the ad money.

mustache GIF
 
Funny how even the largest podiatry employers don't post the salary... you know, with all the recent high income surveys and all?

Podiatric Physician-Tampa, Florida- $30K Sign on bonus​

Updated 9/29/26
Tampa, Florida, United States
Physician

Podiatric Medicine

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Job at a glance​

Degree Required DPM
Position Type Full-Time
Work Environment Clinic/Private Practice
Visa Sponsorship No

Job description​

About Us

A Specialty Path to Good Health

Upperline Health is the nation’s largest provider dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses.

Triage is temporary.
Treatment is transformative.

With over 130 podiatric medical and surgical clinics in 10 states, Upperline Health providers coordinate patients’ care among a team of specialists – podiatric physicians and surgeons, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients’ immediate and long-term health needs.
We put patients at the center of value-based care.

Why Join Our Team?

  • We are offering a $30,000.00 sign on bonus
  • Be a pioneer for change by advancing the paradigm of how podiatric medicine and surgery is viewed across the medical landscape
  • Mission driven culture and innovative team transforming specialty care
  • Competitive compensation package with uncapped bonus structure, including a sign on bonus
  • Path to partnership
  • Competitive benefits – comprehensive health, dental, vision, 401K (matching), PTO and parental leave
  • Medical malpractice, licensure, and board dues paid annually
  • CME expense allotment
  • Support providing relief from administrative burdens
  • Robust onboarding and rotational shadowing program for recent residency and fellowship graduates to effectively learn all aspects of the business operations
  • Mentorship from top-tier podiatric physician leaders assisting with continuous professional development
  • Collaborate with a supportive interdisciplinary team providing holistic care to at-risk patients

About the Podiatric Physician
Upperline Health is seeking a well-trained Doctor of Podiatric Medicine (DPM) to provide foot and ankle care.
The candidate must demonstrate compassion for patient needs, have great attention to detail and thrive in a collaborative environment. As Upperline expands, this individual will be able to explore a wide range of career opportunities within the company. Join an established, high-volume clinic with an existing patient panel, allowing you to step into a thriving practice from day one.

What You’ll Be Doing

Our DPMs provide Upperline services in a clinic setting. Staff membership at the hospital will be expected.

  • Assess the patients presenting lower extremity complaints, review his/her medical history, listen to the patients’ concerns, perform a physical examination, order the appropriate imaging or medical labs and then develop and implement a clinical plan of care
  • Provide care for podiatric patients including comprehensive examination, with an all-encompassing approach to all aspects of foot and ankle care including at-risk foot care, painful foot and ankle conditions, trauma, wound care and surgical management when appropriate
  • Administer advice and instructions on foot care and you will also educate patients and families about general wellness care, medication usage, side effects, medical adherence and prevention.
  • Maintain patient medical records and medical documentation consistent with state regulations and Upperline Health standards and policy
  • Participate in continuing education as required by the state Board of Podiatric Medicine
  • Prescribe medication as permitted by the state Board of Podiatric Medicine
  • Other related duties as deemed necessary

Experience and Qualifications​

  • Degree of Doctor of Podiatric Medicine with appropriate certification and licensure is required
  • DPM license required – active license preferred or the ability to obtain within applicable timeframe
  • Our DPMs must have strong compassion for our patients and their families
  • Possession of DEA registration or eligibility required
  • CPR certification expected, and consistent the requirements of the state Board of Podiatric Medicine
  • Excellent oral and written communication skills to ensure that each of your interactions with patients, family caregivers, clinicians, and team members is effective and meaningful
 
Once again those signing bonuses aren’t real. It’ll be taxed over 50% and you’re never leaving that job with a noncompete. If you work for private equity you’re going to hate it but good luck
 
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30k is interesting, I wonder what strings are attached? Presumably you pay it back if you leave before a certain time--2 years? 3 years?
I've seen the same group offer higher. it's desperation homie. and like i said it'll be taxed over 50%, it's not worth it. it's there to trap you. But these new grads will find out the hard way
 
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It's PE so their goal is entrapment. They'll slap a large non-compete area on you and put a long claw back period on the "bonus". The goal is for you to just sign the contract so then you can't leave. They'll probably also pay it out over time (multiple disbursements) rather than an initial lump sum. Wouldn't surprise me if they offer a lower base and say "but we're giving you such a large sign on bonus!"
 
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Call it entrapment, call it tenure. Obviously they're not going to pay out 30k only for the hire to take the money and run. I'm wondering what would be a fair commitment. Realistically you don't want the hire to vacate their job in less than 2 years because it's going to take them that long to build their patient base and become profitable. I'm thinking from a small business owner perspective because that would be a massive hit for the business to front someone that kind of money and have the arrangement not work out. From a super-group perspective, the loss is easier to absorb but the risk is the same. Also the noncompete situation in Florida is really stacked against the associate.

As for taxes, FL has no income tax, and Upperline didn't write the Federal tax code. Whatever the associate has to pay in terms of payroll tax, Upperline has to pay the same 6.2%. So 30k pre-tax is better than nothing.
 
Call it entrapment, call it tenure. Obviously they're not going to pay out 30k only for the hire to take the money and run. I'm wondering what would be a fair commitment. Realistically you don't want the hire to vacate their job in less than 2 years because it's going to take them that long to build their patient base and become profitable. I'm thinking from a small business owner perspective because that would be a massive hit for the business to front someone that kind of money and have the arrangement not work out. From a super-group perspective, the loss is easier to absorb but the risk is the same. Also the noncompete situation in Florida is really stacked against the associate.

As for taxes, FL has no income tax, and Upperline didn't write the Federal tax code. Whatever the associate has to pay in terms of payroll tax, Upperline has to pay the same 6.2%. So 30k pre-tax is better than nothing.

We're grousing about PE, but what we need to be doing is trying to increase the overall sophistication of the podiatry job applicant population. I can imagine a podiatry podcaster saying "and you can get a sign on bonus" as if that's a good thing or a positive reflection of the job environment, when in fact it is many things, both good and bad. Many new grads don't have any money. That is their moving money, or their home buying money, but little do they know its also their golden handcuff money. I'm trying to hire another employee right now and its funny to me how a lot of these resumes have jobs where people leave after 3-4 months over and over again. I wonder how many new podiatrists know within a day or 2 that they've made a mistake.
 
Oh, they have money... $300k debt or $400k.

The sad part is they don't know they'll actually pay back $500k, $650k, etc with the interest piling.
I don’t think people understand how bad the interest is on these student loans….

Mine go up like $1500 a month just in interest. It’s a losing game
 
I don’t think people understand how bad the interest is on these student loans….

Mine go up like $1500 a month just in interest. It’s a losing game
Interest doesn't matter if you're going for IDR or PSLF forgiveness. Anything after date of forgiveness is just monopoly money.
 
Interest doesn't matter if you're going for IDR or PSLF forgiveness. Anything after date of forgiveness is just monopoly money.
Yeah, I’m banking on PSLF. With this job market and the pay we’re seeing, I honestly don’t know how anyone supporting a family can manage $200–300k in debt without a wealthy spouse or family money to fall back on.
 
IMG_2803.jpeg

For the sake of levity, this was my most recent hospital job ad. Nothing like giving no info on - let’s count it - volume, call, schedule, staff, pay, and benefits. And the closest “city” they cite has pop <20k.

Not sure I’m fixing eyes where the hills have them. The MD game isn’t always greener grass.
 
Interest doesn't matter if you're going for IDR or PSLF forgiveness. Anything after date of forgiveness is just monopoly money.
Sure, but you still pay more than the orig loans amount (and have the debt burden longer).
There is no hack to avoid it. They've done the math.
It's an ugly financial situation no matter what.
 
If anything, the tax liability on a signing bonus fresh out of residency would be less, since you're still in a pretty low tax bracket for that tax year. Not that Upperline will move you too much higher in subsequent tax years.
 
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you're not even going to see $30,000 is my point. they will take the tax out before you get it on a bonus almost always. in florida you will get approx $21,000 so no not 50% but also that is a state without state income tax. in california you would get $17,000 so closer to my 50%.

so cool it can help you move or whatever. you'll be moving again in a year or two probably anyways.
 
Yeah but that's more of a tax gripe than a podiatry gripe. Dak Prescott got the highest signing bonus in NFL history, but I haven't seen anyone complain to him "you're not even going to see $80 million"