Private practice/Academics

[SportsMed09]

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Just wondering if anyone has experience, or could share the experience, of private practitioners who participate in resident education? It seems to me that it would be an ideal job for those who want more money and autonomy, while engaging in teaching. I know at one of the places I rotated this is utilized. Anyone able to share how these agreements work, what trade-offs each party gets, and the feasibility of this in the coming future?

 

[Finally M3]

From a private practice perspective;

1) You get to market yourself as clinical/assistant faculty of University so and so

2) If arranged right, you might get a stipend

3) You can see less patients, because teaching a resident will gum up your clinical schedule

4) Malpractice? (dunno)

 

[SportsMed09]

I know it's been a while, but wondering if anyone would share some knowledge on private practice PM&R docs doing teaching? Or how academics vs. private practice vs private with hospital involvement will work in the coming years?

 

[PMR 4 MSK]

I know it's been a while, but wondering if anyone would share some knowledge on private practice PM&R docs doing teaching? Or how academics vs. private practice vs private with hospital involvement will work in the coming years?

I teach a couple classes at the local med school. This year I'll probably help M2s with MSK exam. Doing more as time goes on.

 

[axm397]

I know it's been a while, but wondering if anyone would share some knowledge on private practice PM&R docs doing teaching? Or how academics vs. private practice vs private with hospital involvement will work in the coming years?

IF there is a residency program near u - can be a proctor for rotations or give lectures there. i've taught med students, family med residents, and pre-med college students via lectures, shadowing, etc. there will be a PM&R residency near me and my partner and i have agreed to host rotations in our clinics.

 

[latinman]

I have worked with more than a Faculty member who was "running a private practice" one way or another. It can be done, and you don't necessarily have to give up on pt volume. I know some physiatrists who can see 25-35 pt's in one day, dictate their notes, do procedures, teach and still get done before 5 PM. However, you must be extremely talented.


There are even fellowships out there which are set up in a private practice clinic. Some of the Attendings in these clinics are extremely brilliant, and definitely a great teaching asset to have.

I am not sure whether I personally would be able to accomplish this, since I am disorganized, slow, take a lot of time to gather my thoughts, and dictate my notes.

 

[SportsMed09]

Anyone able to comment on where health care will go in terms of private practice vs. academic jobs? For instance, cardiology private practices are being swallowed up by hospitals. Does PM&R's diversity shield it from a
"hostile takeover", or will we see a shift towards academics, with private practice becoming tougher to sustain in a traditional medical-business model?

 

[RUOkie]

Anyone able to comment on where health care will go in terms of private practice vs. academic jobs? For instance, cardiology private practices are being swallowed up by hospitals. Does PM&R's diversity shield it from a
"hostile takeover", or will we see a shift towards academics, with private practice becoming tougher to sustain in a traditional medical-business model?

It depends. If Medicare goes the way of bundled payments (there are trial runs going on where Medicare pays the hospital a bundled payment for a DRG and the docs and hospital split it), then the private practice INPT physiatrists are screwed. That niche will be filled by hospital employed physicians who are able to manage all of their own problems since the more consultants, the less $ for you.

Outpt PM&R should get away unscathed from that aspect. However, many docs like the idea of working your 40-50hrs/wk, collecting your paycheck, and walking away. Those people prefer being employed. IF the trend continues, the solo/small group(2-3 docs) will find it harder and harder to compete because of economies of scale. I hope not.

 

[PMR 4 MSK]

At risk of saying "never" when I never say never, I will never again sign a contract with a hospital to be an employee or paid contracter. Unless you have no viable financial options, or are going into academics, you have little to gain and everything to lose going to work for a hospital - they essentially own you or treat you like they do.

 

[rysa4]

At risk of saying "never" when I never say never, I will never again sign a contract with a hospital to be an employee or paid contracter. Unless you have no viable financial options, or are going into academics, you have little to gain and everything to lose going to work for a hospital - they essentially own you or treat you like they do.

Yup. True. And the other part is that your situation can change with changes at the administrative level of the hospital, which ain't always a good thing.

 

[PMR 4 MSK]

Yup. True. And the other part is that your situation can change with changes at the administrative level of the hospital, which ain't always a good thing.

Oh yeah. 6 months after I signed with a hospital in '99, they sold the hospital. Within a year the new admin wanted to go in completely different directions for the rehab floor and my clinic.