PCP Work after Fellowship

[Dr. Zombie]

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Is it dumb to lets say specialize in Endo or Heme/Onc and still do some PCP work on the side (extra income) while still practicing in your specialty?

 

[bronx43]

Is it dumb to lets say specialize in Endo or Heme/Onc and still do some PCP work on the side (extra income) while still practicing in your specialty?

Yes, it's incredibly dumb.

 

[CanIMakeIt]

Is it dumb to lets say specialize in Endo or Heme/Onc and still do some PCP work on the side (extra income) while still practicing in your specialty?

We have an ID specialist, who also was a chief resident, now working as nocturnal hospitalist and doing ID clinic few days a week. Doesn't make sense to me but to each his/her own

 

[Dr. Zombie]

We have an ID specialist, who also was a chief resident, now working as nocturnal hospitalist and doing ID clinic few days a week. Doesn't make sense to me but to each his/her own

Do you think it's more lucrative the way the ID specialist is doing it? Or should he/she stick to more ID days to make more?

 

[CanIMakeIt]

Do you think it's more lucrative the way the ID specialist is doing it? Or should he/she stick to more ID days to make more?

Well it makes sense to her. She does 3 days of clinic and 2-3 days of nocturnist. So she takes home 2-4K extra everyweek doing the extra shifts and admitting 10 new patients over seeing 50-60 new patients in the clinic. I guess like you she wants to keep up with some of the extra fellowship training she did rather than let it all go and just be hospitalist. She also doesn't work during the day that I know of so she is not on 1 on 1 off schedule so can keep her clinic and if she doesn't want to, she doesn't pick up extra shifts. Her straight up ID salary is definitely going to be lower than hospitalist/combo. I am not sure how much ID people make as private outpatient ID though

 

[Gastrapathy]

My folks internist is an endocrine trained guy. I'd never do it as a GI.


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[bronx43]

Do you think it's more lucrative the way the ID specialist is doing it? Or should he/she stick to more ID days to make more?

Are we talking about PCP work or hospitalist work? Totally different. Hospitalist on the side will add to your income if you are endo, ID, neph, sports med. Hospitalist will probably not add to your income if you are cards, GI, heme onc, pulm/CC, allergy, and possibly rheum. PCP will not add to anyone's income.

 

[Dr. Zombie]

Are we talking about PCP work or hospitalist work? Totally different. Hospitalist on the side will add to your income if you are endo, ID, neph, sports med. Hospitalist will probably not add to your income if you are cards, GI, heme onc, pulm/CC, allergy, and possibly rheum. PCP will not add to anyone's income.

It was actually PCP. I found it funny because I know someone in a private practice and he is an Allergist/Immunologist and also performs PCP tasks (i.e. annual check ups, etc.) so I figured his income was greater than doing A/I by itself since he expanded his scope of practice.

I'm going through IM then fellowship, so I thought ahead wondering if PCP work on the side would add additional income. But thanks for breaking it down. Really appreciate it.

 

[bronx43]

It was actually PCP. I found it funny because I know someone in a private practice and he is an Allergist/Immunologist and also performs PCP tasks (i.e. annual check ups, etc.) so I figured his income was greater than doing A/I by itself since he expanded his scope of practice.

I'm going through IM then fellowship, so I thought ahead wondering if PCP work on the side would add additional income. But thanks for breaking it down. Really appreciate it.

No problem man.
He likely was not able to fill all his time with allergy patients if he decided to do annual check ups. The other possibility is that he actually enjoys them, haha.

 

[gutonc]

It was actually PCP. I found it funny because I know someone in a private practice and he is an Allergist/Immunologist and also performs PCP tasks (i.e. annual check ups, etc.) so I figured his income was greater than doing A/I by itself since he expanded his scope of practice.

I'm going through IM then fellowship, so I thought ahead wondering if PCP work on the side would add additional income. But thanks for breaking it down. Really appreciate it.

This is actually pretty common for non-Cards/GI/Hem-Onc subspecialties. I know a lot of endo, ID, rheum and pulm folks who do PCP work as part of their clinic. Most of the pulm and endo ones do it for people with significant endo and pulm problems (not just a random dude off the street with mild HTN) but it's not uncommon at all.

I will sometimes act as a PCP for my patients who don't have one while they're being actively treated or surveilled, but I try to pass them off to a real PCP if they have long-term or significant primary care needs because I don't think I'm very good at primary care, and my panel is pretty packed with patients who "need" me as it is. I also don't provide primary care for people who don't have heme or onc needs.

 

[Mad Jack]

It was actually PCP. I found it funny because I know someone in a private practice and he is an Allergist/Immunologist and also performs PCP tasks (i.e. annual check ups, etc.) so I figured his income was greater than doing A/I by itself since he expanded his scope of practice.

I'm going through IM then fellowship, so I thought ahead wondering if PCP work on the side would add additional income. But thanks for breaking it down. Really appreciate it.

My gf sees an AI/PCP. He couldn't find enough patients to work as a full time AI.