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619 said:
...
Call Rotation: Shared with other DPM's and current year fellows

...
  • Fellowship (Required): Rearfoot/Ankle or Trauma/Orthoplastics
  • Board Status: ABFAS Board-Eligible or Certified (Foot & Ankle)
  • At least 10 Total Ankle Replacements (TAR) done in a 24-month period...
Click to expand...
What is this "call" thing? 🙁
Do a long training and fellowship just to take call... I don't get the kids these days.
Meawhile, a lot of orthos do a sports or hand or total joint or whatever fellowship to say they should NOT take call.

With reqs like that bulleted, this had seriously better pay the DPM about $400k plus?
Makes you wonder how many pts can seriously need TAR in about 250k Las Cruces area (would call it a metro, but it's not... 250k for the large surround are is being very generous).
 
Homo sapien said:
I'm tired of jobs not putting the pay.

Also 10TARs in 2 years? Are they that prolific unless you're slapping them in anyone with ankle stiffness
Click to expand...
Obviously you don't know enough about that fellowship...

But that is actually the question....why not the fellows stay?
 
619 said:

Physician - Podiatry​

Alamogordo, New Mexico

BE or BC
Full Time
Am I a good match for this job?
Description
Join the Esteemed Team at CHRISTUS South New Mexico Podiatry Associates

Location: Alamogordo, New Mexico

Position: Board-Certified or Board-Eligible Podiatrist

Work Type: Full Time

Recruiter: Reeve Delmas

(945) 985-7877 or [email protected] (preferred)

Why CHRISTUS Health?

At CHRISTUS Health, our greatest asset is our people. From our award-winning clinicians to our compassionate support staff, we share a mission of delivering exceptional care to every patientregardless of background or circumstance.

About the Opportunity

Call Rotation: Shared with other DPM's and current year fellows

Patient Volume: 4,000+ visits/year

Catchment Area: Southern New Mexico - limited orthopedic access means minimal competition and strong patient volume

Procedures Include:

  • Reconstructive foot/ankle surgery and total ankle replacement
  • Minimally invasive techniques (arthroscopy, bunion/hammer toe correction)
  • Fracture care, tendon/ligament repair (Achilles, peroneal)
  • Pain management (injections, heel pain, arthritis)
  • Diabetic wound care and preventive foot care
  • Pediatric deformity correction (flatfoot, clubfoot, etc.)
Visa Support: H1B and J1 visa sponsorships available

Qualifications & Requirements

  • Fellowship (Required): Rearfoot/Ankle or Trauma/Orthoplastics
  • Board Status: ABFAS Board-Eligible or Certified (Foot & Ankle)
  • At least 10 Total Ankle Replacements (TAR) done in a 24-month period
Life in Alamogordo, NM

Nestled in the Tularosa Basin, Alamogordo offers a unique blend of outdoor adventure and cultural richness. Just 15 minutes from White Sands National Park, youll find:

  • 100+ trails for hiking, biking, and ATV riding
  • Attractions like the NM Museum of Space History and Tularosa Basin Museum
  • Eagle Ranch: New Mexicos first and largest pistachio farm and winery
Experience Cloudcroft

Only 27 minutes away, Cloudcroft is a refreshing mountain escape with:

  • Cooler temperatures (avg. 20F lower than Alamogordo)
  • Abundant wildlife and scenic trails
  • Golf at one of the countrys highest-altitude courses
  • Disc golf, spa amenities, and more
Connect With Us

If you're interested in this opportunity, wed love to connect. You may:

Click to expand...

I know they definitely have one application awaiting review.



1750332142007.png
1750332214055.png
 
That’s a dream job. 67$/hour in LA. Probably rub shoulders with Hollywood stars.
 
Hey all, just wanted to get your guys’ opinion on an offer I received recently. Just for some background, I completed a fellowship after residency, got a VA job after graduating and got my boards certification after a year out.
Now I’ve been offered a hospital job close to home in a rural part of south Oklahoma. The base pay is 250k for the first yr, then goes to a base draw in yr 2 at 225k with 41/RVU. No call, mixed pathology from DFC to elective recon and some trauma (general orthos there like their ankle fractures). 20k sign on, 15k relocation.
Been reading a lot of the recent posts (which I appreciate), and given the current climate, is this an offer any of you would accept immediately or try to negotiate? And if you tried to negotiate, any insight into what else could be reasonably asked for (salary increase, RVU factor, guaranteed salary, etc)? Appreciate any feedback!
 
TO1O said:
Hey all, just wanted to get your guys’ opinion on an offer I received recently. Just for some background, I completed a fellowship after residency, got a VA job after graduating and got my boards certification after a year out.
Now I’ve been offered a hospital job close to home in a rural part of south Oklahoma. The base pay is 250k for the first yr, then goes to a base draw in yr 2 at 225k with 41/RVU. No call, mixed pathology from DFC to elective recon and some trauma (general orthos there like their ankle fractures). 20k sign on, 15k relocation.
Been reading a lot of the recent posts (which I appreciate), and given the current climate, is this an offer any of you would accept immediately or try to negotiate? And if you tried to negotiate, any insight into what else could be reasonably asked for (salary increase, RVU factor, guaranteed salary, etc)? Appreciate any feedback!
Click to expand...
Rvu should be 50
 
TO1O said:
Hey all, just wanted to get your guys’ opinion on an offer I received recently. Just for some background, I completed a fellowship after residency, got a VA job after graduating and got my boards certification after a year out.
Now I’ve been offered a hospital job close to home in a rural part of south Oklahoma. The base pay is 250k for the first yr, then goes to a base draw in yr 2 at 225k with 41/RVU. No call, mixed pathology from DFC to elective recon and some trauma (general orthos there like their ankle fractures). 20k sign on, 15k relocation.
Been reading a lot of the recent posts (which I appreciate), and given the current climate, is this an offer any of you would accept immediately or try to negotiate? And if you tried to negotiate, any insight into what else could be reasonably asked for (salary increase, RVU factor, guaranteed salary, etc)? Appreciate any feedback!
Click to expand...
Also how much PTO? or is it you have time off as long as you meet the base draw?

What type of surgeries will they demand, and how does that apply to what you feel comfortable with?

What amount CME money/time?

What are the ancillary benefits
 
Current VA pay is 220 so it would be a decent increase.
PTO first year is 26 days, then once it goes to base draw it’s technically unlimited, but obviously have to meet the numbers.
They also give 5000 for CME with 5 days
As for cases, I don’t do a ton of frames, but aside from that I’m doing pretty much everything here at the VA. At the hospital I’ve been told pretty much any foot and ankle path that comes in I’d be able to staff.
I would be the first pod they’ve ever hired, and the only foot and ankle person there. I’d essentially be starting up the department from scratch, which I know will command a lot of time outside of just clinical hrs. I feel like I should be asking for more, just not really sure what would be considered a fair counteroffer
 
TO1O said:
Hey all, just wanted to get your guys’ opinion on an offer I received recently. Just for some background, I completed a fellowship after residency, got a VA job after graduating and got my boards certification after a year out.
Now I’ve been offered a hospital job close to home in a rural part of south Oklahoma. The base pay is 250k for the first yr, then goes to a base draw in yr 2 at 225k with 41/RVU. No call, mixed pathology from DFC to elective recon and some trauma (general orthos there like their ankle fractures). 20k sign on, 15k relocation.
Been reading a lot of the recent posts (which I appreciate), and given the current climate, is this an offer any of you would accept immediately or try to negotiate? And if you tried to negotiate, any insight into what else could be reasonably asked for (salary increase, RVU factor, guaranteed salary, etc)? Appreciate any feedback!
Click to expand...
This is similar to my first rural hospital contract. RVU is low, I'd ask for 50 and see what them come up with. Throw in some loan repayment too
 
TO1O said:
Current VA pay is 220 so it would be a decent increase.
PTO first year is 26 days, then once it goes to base draw it’s technically unlimited, but obviously have to meet the numbers.
They also give 5000 for CME with 5 days
As for cases, I don’t do a ton of frames, but aside from that I’m doing pretty much everything here at the VA. At the hospital I’ve been told pretty much any foot and ankle path that comes in I’d be able to staff.
I would be the first pod they’ve ever hired, and the only foot and ankle person there. I’d essentially be starting up the department from scratch, which I know will command a lot of time outside of just clinical hrs. I feel like I should be asking for more, just not really sure what would be considered a fair counteroffer
Click to expand...
Ask 275 and loan repayment and 50+ rvu
 
TO1O said:
Current VA pay is 220 so it would be a decent increase.
PTO first year is 26 days, then once it goes to base draw it’s technically unlimited, but obviously have to meet the numbers.
They also give 5000 for CME with 5 days
As for cases, I don’t do a ton of frames, but aside from that I’m doing pretty much everything here at the VA. At the hospital I’ve been told pretty much any foot and ankle path that comes in I’d be able to staff.
I would be the first pod they’ve ever hired, and the only foot and ankle person there. I’d essentially be starting up the department from scratch, which I know will command a lot of time outside of just clinical hrs. I feel like I should be asking for more, just not really sure what would be considered a fair counteroffer
Click to expand...
I've started podiatry department at 3:00 or 4 hospitals now I don't even remember... You're not doing brain surgery bro. You're not setting up cardiac rehab or structured physical therapy courses or whatever etc There's not that much work to be done other than a little bit of marketing and education to outside providers and referral sources.
In terms of loan payment, you want 100K spread across 5 years, something you can negotiate is that it won't start until you switch to production, that's how my loan repayment works is I'm not eligible for it until I switch to production which I will do within 6 months of starting. And yeah who cares about PTO if your goal is to get on production right away if the volume is truly there. If it's going to take you some time to build things up, then enjoy that time off.

And if you're at a huge hospital that's a big referral source like retrograde you're doing frames, if you're at a more rural hospital you maybe do one or two a year and find ways to avoid them because they're not worth it. 5 foot recons ankle fusions chronic Achilles repairs diabetic stuff, IM nails... You will get all that and be just fine and that's plenty.
 
TO1O said:
... I’ve been offered a hospital job close to home in a rural part of south Oklahoma. The base pay is 250k for the first yr, then goes to a base draw in yr 2 at 225k with 41/RVU. No call, mixed pathology from DFC to elective recon and some trauma (general orthos there like their ankle fractures). 20k sign on, 15k relocation. ...
Click to expand...
Only you know how much the close to home part is valued... and what other offers you may or may not have, what other interest the hospital might have, all that. Don't forget that they probably have 95% of the leverage (money, other apps who want the spot, pod is likely just an option to them... not a need for them to have), and that whatever side/party cares less has most of the power. That's probably not you.

So yeah, I would avoid counter with higher salary, higher bonuses, add other bonuses, blah blah, higher rvu pay, higher ABC, add XYZ.

The wRvu is pretty low... I'd be more inclined to negotiate mainly on that value (shows you want to work and get busy fast) than try to push salary or bonuses (might indicate you want money, don't intend to get busy fast, might not intend to stay awhile). Have data on the area and mgma ready to go. You don't get what you deserve, you get what you negotiate, but some points are more important than others to them - and some matter more to you. Read the book X by Aarnio if you have not studied that stuff? Cool book, you can knock it out in a day or two... make the list of negotiating points and figure out which ones you actually care about (and ask/acertain which they value most... hint, prob salary and sign/reloc, potential longevity of hire).

In the end, if it's a good place to work overall, it'll be good. It sounds like you like the option of it. If the admins suck, it'll be bad... that's any employed job. Definitely ask to talk to some non-pod surgeons and docs who currently do (or preferably, who did) work for the hospital and see how their admins, support, staffing, etc are for their FTE docs in general. If they decline to give you anyone or set up calls or meetings with other surgeons and only want you to talk to admins and HR, then that obviously tells a lot.

(as mentioned, starting a new dept is not really that hard... you won't be busy with a full schedule from day 1, and supply lists readily available if you have never started a clinic/office before... ideally make your own so you get what you want and need)

I would definitely get out of the VA and on to a more normal clip and setup soon if you plan to do that at some point. You will do well. 👍
 
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What's interesting to me about RVUs is that they

(a) produce a disassociation between actual collections and physician payment ie. the podiatrist E&M fixation game vs the fact that hospitals often make more money from procedures

(b) but they also tie you back to the expectations of compensation for your specialty. Podiatrists are presumed to be a low compensation/low reimbursement specialty. You end up trapped on the low end of the RVU spectrum when in fact a podiatrist with the right case volume could generate adequately lucrative surgical facility fees. You've board certified rearfoot which means you are doing at least some volume of rearfoot/ankle fusions or fractures... I think those are good hospital cases if you don't put a million dollars worth of hardware in or spend 8 hours doing one case or try to keep them in the hospital for a week afterwards. The hospital would presumably be very happy to have an orthopedist do those cases efficiently and it would be even funnier to have a podiatrist do them and make 1/2(?) the RVUs for the same facility fee.
 
heybrother said:
What's interesting to me about RVUs is that they

(a) produce a disassociation between actual collections and physician payment ie. the podiatrist E&M fixation game vs the fact that hospitals often make more money from procedures

(b) but they also tie you back to the expectations of compensation for your specialty. ...
Click to expand...
Yeah, RVUs (in hospital setting) are just casino chips, credit card, carnival tickets, whatever... a way to separate people from the actual money figures.

Hospitals want their docs (and peers at other hospitals) talking about RVUs per month, year... not any acutual collections/pay.

It'd be like you and I discussing how many pts we see per day/week/month (without regard to what we did for each, what insurance they had, if the bills got paid, how much we collect, how much we net).

The good thing is stuff like Medscape and Mgma and other big physician income surveys ... but very regional and limited data (esp for podaitry). In the end, the only income number that matters is one's own... and what their savings and debt paydown rate/percent is, if they like their job/life a bit in the end. We all know high earner docs that spend it faster than they make it. 🙂
 
346K (initial offer at 320) Base, 45 per RVU up to the base, then 35 per RVU after (yea that sucks).
Large system run, smaller community hospital.
25K signing bonus, 25K (initial 15K) non-productivity bonus; 3k CME and the typical 5 days CME, 30days PTO, 403b, 457, etc.
Would ideally like to get the RVU up to 50 but they don't really want to budge; maybe I could add a retention bonus of 15K per year
Typical DM foot call if around, ortho will be taking the trauma call
 
hotpoddy said:
346K (initial offer at 320) Base, 45 per RVU up to the base, then 35 per RVU after (yea that sucks).
Large system run, smaller community hospital.
25K signing bonus, 25K (initial 15K) non-productivity bonus; 3k CME and the typical 5 days CME, 30days PTO, 403b, 457, etc.
Would ideally like to get the RVU up to 50 but they don't really want to budge; maybe I could add a retention bonus of 15K per year
Typical DM foot call if around, ortho will be taking the trauma call
Click to expand...
What's the payback on all thpse signing and other bonuses if you leave early

When do the RVUs kick in

RVU is pure ****. So you have no reason to get busy maybe? Base salary is fantastic though.

How often is DM foot call? What's the match on 403b, if any?
 
"Non-surgical Podiatrist opening in Utica, NY

Podiatrist
Location: Utica, NY

Visa Assistance: No

Please note: this role is PERM / Full-time. We do not have locums roles.

Established medical group is seeking a non-surgical Podiatrist to join our highly successful Podiatry Department. The physicians perform consultations in a state-of-the-art facility with on-site lab and radiology services available.

About the Group:

A physician-owned and physician-run multi-specialty group established in 1938, we have grown to become one of the largest multi-specialty groups in the Central New York region with 80 years of experience, over 100 physicians and mid-level providers, and 25 specialties.

Partnering with a dedicated and highly qualified professional staff including mid-level providers, we offer a professional, stimulating practice with a predictable work schedule, competitive compensation, comprehensive benefit package, 4 weeks vacation and CME all leading to full partnership and a production based salary at the end of 2 years. Our growing group offers a broad array of ancillary and support services under one roof for the convenience of both patients and physicians. In addition to having Electronic Medical Records, we also have been awarded superior performance designation by MGMA for outstanding Practice management and have achieved the highest accreditation by the AAAHC.

Quality of Life
High Income Potential
Thriving Community
Outstanding Recreational Choices
Excellent Schools
Easy access to major metropolitan areas
Multi-Specialty Group
A vote in your future
Being part of a Center of Excellence
BC/BE medical partner consultations
Lower Upstate New York malpractice insurance premiums
Greater negotiating power with insurance companies

Area Highlights:

The area offers a safe, friendly uncongested community, located in the rolling hills of Central New York. In close proximity are the cities of Syracuse, Cooperstown, Saratoga and Albany. Also within easy driving distance are Boston, New York City, Toronto, Montreal, Washington D.C., Philadelphia and Rochester.

The beautiful surrounding Adirondack Park is a source of countless recreational activities. The city of Utica and surrounding townships offer a good range of educational and cultural facilities. The area’s public and parochial schools rate among the best in the country. For entertainment and activities there is a diverse offering of restaurants, a zoo, the symphony, touring Broadway plays, the Munson-Williams-Proctor Institute art museum, a children's museum, a repertory actors' theater, and many other assets that make our area vibrant, growing city and a great place for people to live.

Not what you're looking for? Let me know where you're looking and I will send you a list.

Also, please share your personal email address if different than this one. That way we can keep you apprised of opportunities in the future when you graduate or change positions.


Molly Britt
CEO - Britt Medical Search
888-534-5864
[email protected]"

...podiatry is really more excellent when non-surgical. My 14 incoming text messages last night from ~11pm until 345am attest to this.

season 5 episode 3 GIF
 
hotpoddy said:
346K (initial offer at 320) Base, 45 per RVU up to the base, then 35 per RVU after (yea that sucks).
Large system run, smaller community hospital.
25K signing bonus, 25K (initial 15K) non-productivity bonus; 3k CME and the typical 5 days CME, 30days PTO, 403b, 457, etc.
Would ideally like to get the RVU up to 50 but they don't really want to budge; maybe I could add a retention bonus of 15K per year
Typical DM foot call if around, ortho will be taking the trauma call
Click to expand...
Is it a retained base long term? If so then ask yourself how much you need/want to make. If you transition to a production payscale you will want that $/rvu increased because smaller community hospital can mean less production, especially if you aren't getting the easy trauma. It's similar to what my offer was but $/rvu is 52, and the non-productivity bonus is 10% of base salary. If it's an area you want to be then go for it. Someone left the hospital/retired or area pod left or new from scratch? Will take time to build depending on that answer.
 
Bluecollarmed said:
Is it a retained base long term? If so then ask yourself how much you need/want to make. If you transition to a production payscale you will want that $/rvu increased because smaller community hospital can mean less production, especially if you aren't getting the easy trauma. It's similar to what my offer was but $/rvu is 52, and the non-productivity bonus is 10% of base salary. If it's an area you want to be then go for it. Someone left the hospital/retired or area pod left or new from scratch? Will take time to build depending on that answer.
Click to expand...
2 years set base.
The job is basically from scratch with the hospital, the PP female retired.
I live 30 minutes away but can commute. I will be DPC'ing every dead foot that comes through the door.
 
hotpoddy said:
346K (initial offer at 320) Base, 45 per RVU up to the base, then 35 per RVU after (yea that sucks).
Large system run, smaller community hospital.
25K signing bonus, 25K (initial 15K) non-productivity bonus; 3k CME and the typical 5 days CME, 30days PTO, 403b, 457, etc.
Would ideally like to get the RVU up to 50 but they don't really want to budge; maybe I could add a retention bonus of 15K per year
Typical DM foot call if around, ortho will be taking the trauma call
Click to expand...
That's obviously great, obviously it makes no sense to cut your RV used down other than they don't want you to burn yourself out, I would probably try and feel them out on that as in is that what they're trying to accomplish? You don't want to make it look like you don't want to work but obviously they're disincentivizing you to work more..... Everything else is fantastic and no-brainer
 
Homo sapien said:
What's the payback on all thpse signing and other bonuses if you leave early

When do the RVUs kick in

RVU is pure ****. So you have no reason to get busy maybe? Base salary is fantastic though.

How often is DM foot call? What's the match on 403b, if any?
Click to expand...

Yeah, take the base, do as little work as humanly possible. If there is any push back tell them it isn’t worth it for you to be busier at anything below MGMA median $/wRVU compensation (in the $50’s). Maybe that’s what gets them to budge, but otherwise make $345k with benefits for a few years to do minimal work. It isn’t a terrible situation.
 
Bluecollarmed said:
Is it a retained base long term? If so then ask yourself how much you need/want to make. If you transition to a production payscale you will want that $/rvu increased because smaller community hospital can mean less production, especially if you aren't getting the easy trauma. It's similar to what my offer was but $/rvu is 52, and the non-productivity bonus is 10% of base salary. If it's an area you want to be then go for it. Someone left the hospital/retired or area pod left or new from scratch? Will take time to build depending on that answer.
Click to expand...
Every location is specific... If there's no competition it literally is just a numbers game. Define smaller community hospital? My hospital has a service area of between 80 to 90k. Only hospital for 40 plus miles. No surgical pods, not foot ankle Ortho. I am on pace for 9500 RVUs my first year without working too hard (minimal Fridays). I am switching to production 6 months in. Bet on yourself, screw a long term base.

Edit - no call either....but I do inpatient stuff Ortho punts to me but always have right of refusal. If I say busy can't do they say ok cool, no problem....so not really unpaid call.
 
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