Private Practice

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selldrugs22

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Hi guys. I am currently pre pod and I stumbled upon a very alarming post yesterday in the pre pod forum by the user 'goblin' where he copy-pasted a comment from a youtube video with some scary allegations about how the future of private practice is dead because in 2018 there will be no more fee-based billing and how it will focus more on quality. Can you guys please shed some light on this and what it actually means for podiatrists.

Here is the post:


  1. goblin


    "Prospective students. I urge you to do your homework. Beware of glossy advertising promotional's and YouTube videos with expansive views of the New York skyline. The reality of podiatry today is quite different. I graduated in the early 80s and I have nothing to gain or lose by telling you the following. Podiatry schools today are a money making scheme and the only people getting rich are the administrators? the schools that are taking your money. Do some homework on my unmatched residency graduates 2013. But more to the point be aware of the ICD 10 coding/ACO/ACA coming down the pike in 2016. Private practice is dead by 2018. The article written by the president of the ACFAS, a quite mainstream and traditional board, probably the most "prestigious" board in podiatric medicine and re-what he has to say about the death of private practice in 2018. The point is this podiatry cannot survive without CPT coding. It is the life blood of a podiatric practice. Podiatrists will be losing almost all CPT coding options which put in layman's terms means that you cannot bill for services that you perform on the patient. All of the services will be bundled into one code. Podiatric practitioners today are virtually giving their practices away or financing their practices to any "willing" residency graduated was willing to sign on the dotted line… Podiatry will be reduced in the coming years to "job placement" at clinics in VA's and the like. You will be an indentured servant, have no autonomy and certainly will not be able to be an entrepreneurial provider of medical services. Be aware that three-year surgical resident graduates today are having a very difficult time finding any kind of job placements. The statistics are not all in but the outlook is grim. I have three friends that completed a three-year surgical residency and none of them, not one has been offered a job. The statistics nationally are that those that are offered jobs are getting somewhere between 35,000 and 70,000 per year. Don't believe me. Check it out for yourself. Don't talk to the administrators and the teachers of the students at these institutions. The students are brainwashed in the first place the administrators have a vested interest in selling you their wares. My best advice would be to ignore all of them and contact a third-year resident currently graduating from a program and see what their job prospects are. Did they even receive an offer for a job. Think about it. I have not met one three-year surgical residency graduated that is even considering opening up a private practice no less purchasing one That's seven years of your life. There are close to 90 students in 2013 that's close to 10% of the graduating classes in the US that today are unlicensed and cannot make a living. They have no chance or hope of getting licensed either as there are not enough residencies for current grads moving forward. It's a big risk and the payoff is that there. Use your head do your homework before putting in those seven years. But again my advice to you would be to absolutely contact third-year residence around the US and that's when you really got to know the real deal on the game. Regardless of what response you may read regarding my post be aware that I am a podiatrist that has no vested interest one way or the other as to what decision you make. I retired many years ago but I feel a moral compunction to if not warn you in regards to what you're getting into, at least give you something to think about. Good luck"

    Yesterday at 2:34 AM

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Is the small private practice dying? Yes slowly but not just for podiatry. It's for all professions. It is less and less lucrative in big cities. Rural areas will thrive for quite some time. Larger, multi-specialty and group practices will probably hang on for awhile but I suspect even those will eventually die off over time with all the changes to medicine.

But the post above is very recognizable author (long winded rants, no paragraph spacing, writing that is jumbled). He is very disgruntled against the profession. Somewhere something went wrong for this author and he takes "revenge" by posting doom and gloom writings online under multiple handles on multiple sites. The profession is thriving and there are no shortage of jobs.
 
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Thanks for the reply. So will podiatrists still be able to get paid for individual procedures such as in grown nail procedures or will everything be grouped into a common fee? I see this scenario really hurting the private practice model.
 
I think ldsdude anwered the question well in the pre-pod form.
 
Well i'm asking the question again which clearly indicates it wasn't clear to me.
 
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