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part-time primary care
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Yes. Not in every setting or practice but roughly 1/3 of the people I know who have recently gone into PC are working PT. Most of them are doing it in academics or for a large managed care groups though where they're salaried employees.
Depends on the group. It's possible but your time buy-in will generally be greater than if you were working full time. During which time the group may decide they don't want a PT partner after all and then you're out on your butt.
Again, this will depend on the group. There are too many variables to give a meaningful answer.
A former faculty member in my subspecialty (who has worked PT in every job she's had since finishing fellowship) said that you can always find a PT position, but you will always have to give something up...salary, benefits, location, partnership to do it. You can't have them all if you're going to work PT.
The short answer is yes. Overhead is relatively fixed, which means that the percentage reduction in time worked equates to a significantly higher percentage in salary reduction.
Example: provider A sees 20 patients/day and nets $160K/year
overhead for provider A is approximately 9 patients/day
a 25% reduction in patient load (part-time) to 15 patients/day,
results in a true income drop by 5/11th (45%) = net of $88K/year
However, a increase in the schedule by 25% results in a dramatic increase in income by 5/11th or 45% to net of $232K/year.
Hence, part-time practice becomes hard in real private practice. In a university setting, where pseudo-math is used for salary determination, the drop will probably be less severe.
Example: provider A sees 20 patients/day and nets $160K/year
overhead for provider A is approximately 9 patients/day
a 25% reduction in patient load (part-time) to 15 patients/day,
results in a true income drop by 5/11th (45%) = net of $88K/year
However, a increase in the schedule by 25% results in a dramatic increase in income by 5/11th or 45% to net of $232K/year.
Hence, part-time practice becomes hard in real private practice. In a university setting, where pseudo-math is used for salary determination, the drop will probably be less severe.
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Translation: If you have to eat what you kill, you won't be able to kill enough in part time practice to afford to eat (and pay off your student loans).
Me? I'm rooting for the dollar collapse and embracing the road warrior future.
