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bigspooner

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Just out of professional courtesy, Id finish the GPR. If the residency program begins after the GPR ends, then there is no conflict. However, the dental world is much smaller than we think so having a bad rep for quitting obligations before completion can catch up real quick
 
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What are your thoughts on someone quitting their GPR as a PGY1 mid-year to work in private practice after being accepted to a specialty program (start day in a couple of months)?

Will the specialty program care she finishes the GPR? Is this frowned upon? Can they revoke the acceptance?
Knew someone that didn't quit their GPR program but semi "checked out" (I.e. got lazy, became less dependable) once they got into their speciality. It wasn't a good look and the word spread to the actual program. Didn't affect their acceptance but their reputation was established before their arrival. One little email from your GPR director to your new program director can set the tone for the duration of your training.

I would ride out the remainder of your GPR training, end on a good note and prepare yourself for your specialty program. Another thought is if a private practice or corp office would be interested in bringing someone on to work only for a few months before leaving as well. Unless your new program allows moonlighting on the weekends as a 1st year resident, you will not be a consistent associate already.
 
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Sometimes acceptances can be based on the completion of gpr. I wouldn’t mess around. By the time you find a job and get started you won’t bring in as much as you think. Just stick through and work hard to get as much experience as possible.
 
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Okay but what if you consider the loss of 50-100k by not working in private practice? Or the lack of experience the GPR program is providing as compared to private practice?

Would any of that change your minds?
Not as much because that question should have been answered prior to pursuing the GPR. If the income potential was more important then the private practice route should have been taken from the start. In my train of thought, at this point, you have two routes.

1. Leave the GPR, take the private practice gig and then start your residency. *Con: not a good look from your GPR, "frowned up", risk of losing your specialty spot based on some technicality (I'm not sure how that would unfold).
2. Stay at the GPR, finish the program and then start your residency. *Con: pay cut and lack of clinical experience (based on your reporting). However, this route offers the most peace of mind

My two cents: I personally care more about my reputation and would prefer to maintain that versus making the potential income.
 
Okay but what if you consider the loss of 50-100k by not working in private practice? Or the lack of experience the GPR program is providing as compared to private practice?

Would any of that change your minds?
That amount of money is not really much in the grand scheme of things. Also, a few months in pp won't really move the needle on your skills as a specialist.
 
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A GPR bail-out will not look good to a potential future employer.
("This guy did does not live up to his commitments. I don't want him working in my organization.")
 
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What are your thoughts on someone quitting their GPR as a PGY1 mid-year to work in private practice after being accepted to a specialty program (start day in a couple of months)?

Will the specialty program care she finishes the GPR? Is this frowned upon? Can they revoke the acceptance?
In the grand scheme how much are they really going to be making in this month and some change before residency starts?? Lol they should just finish
 
Okay but what if you consider the loss of 50-100k by not working in private practice? Or the lack of experience the GPR program is providing as compared to private practice?

Would any of that change your minds?
This argument could hold up if this person quit the GPR within one month of starting but it’s at the end of the program.
 
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Okay but what if you consider the loss of 50-100k by not working in private practice? Or the lack of experience the GPR program is providing as compared to private practice?

Would any of that change your minds?
Most residencies start July 1, is this the same for you?

If so that would give you 2 months in pp (May and June). The difference in pay between pp and GPR for that short amount of time would probably be less than $20k…
And would you also be bailing on that pp office or are they happy to bring you on for 2 months knowing you have a residency lined up? That seems a bit odd too, but possible I guess.

If your residency starts in July then stick your GPR out. No brainer.
 
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Most residencies start July 1, is this the same for you?

If so that would give you 2 months in pp (May and June). The difference in pay between pp and GPR for that short amount of time would probably be less than $20k…
And would you also be bailing on that pp office or are they happy to bring you on for 2 months knowing you have a residency lined up? That seems a bit odd too, but possible I guess.

If your residency starts in July then stick your GPR out. No brainer.
That’s not including licensing costs etc if you are not already licensed in that state
 
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Okay but what if you consider the loss of 50-100k by not working in private practice? Or the lack of experience the GPR program is providing as compared to private practice?

Would any of that change your minds?

I wanna know who's telling you you're gonna make $50-100K in the next 2 months as a new practitioner less than a year out.
 
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Don’t forget malpractice insurance.

It’s not worth it to bail on the GPR at this point in the program. By the time you find a job, get your insurance credentialing done, start the job (which is usually very slow in the beginning), and actually get paid it’ll be time for you to put in your two weeks notice. We are definitely not talking $50K-$100K. More like $10K-$15K. But at what cost? You will be able to market yourself as having completed a GPR and a Specialty program. Otherwise, despite how other people see you, you will be seen as opportunistic. Starting and stopping the GPR when it benefits you, which I would guess would screw over your co-residents. And you would be that person that starts a new job and abruptly leaves 4-6 weeks later.

I strongly agree with everyone here. Ride out the last 10 weeks or so. Maybe you can sit down with your PD and ask him/her for cases that will prepare you for your program. Ultimately, dentistry is restorative-driven. If it’s a Perio program, you need to understand occlusion, and implants (which is a restorative procedure no matter what anyone says). If it’s endo, its not as simple as infection=NSRCT. You need to understand the pathophysiology, and the restorative aspect of it. I used to work with an older dentist that referred all his endo to a particular doc. They RCT’d everything he would send. Then when they come back I would see the patient and have to have the uncomfortable conversation that the tooth needs to be extracted, despite them paying all this money for a specialist to conduct a root canal because the tooth was non-restorable. If it’s Dental Anesthesia, well I guess it doesn’t really matter besides the fact you are in a hospital environment. The best prosth I know completed a GPR first. Want to speak with someone with lots of PG training? Ask @Sublimazing

The bottom line is talk to your PD and try to get as much learning as you can for the remainder of your program. You will maintain your reputation, you will know that you finished two PG programs (which IS marketable), and you can potentially learn a lot in these last few weeks.

I wish you nothing but luck, and a huge congratulations on being accepted into a specialty program after a GPR. You deserve it and you should be very proud. Finish strong and have 2 two post-dental program completions that you can be proud of.
 
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So are you currently a 4th year that got into a GPR, but are applying to endo (it's the only specialty that does acceptance in July and August) and you're wondering if you can quit after getting accepted?
 
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It’s still a terrible look even if your GPR program is weak. Your specialty program will likely have your acceptance be contingent on finishing the GPR (just like passing clinical boards and whatnot). It is a huge red flag if you quit. I get the train of thought but it’s not a good option in real life. Better to keep the line on your future resume “completed a 1 year GPR at so-and-so”instead of a few months at some random office that’s not even related to your desired specialty. Bills suck but 10months of GP salary isn’t worth the risk.

If you’re allowed to moonlight on weekends or something maybe try that.
 
Guys guys guys

So this question was actually in regards to next year where my GPR would be starting in July followed by hearing back and possibly getting accepted into a specialty program in August/September.

The difference in salary for the rest of the year (9 months) would actually be upwards of up to 100k if quitting the GPR and going to private practice. Plus the amount of real-world experience in private practice when compared to this particular GPR program is also significant.

On the other side, I do see how this would not look good to the specialty program, and how actually having that GPR under my belt might have been the deciding factor of me getting accepted. Plus the reputation of quitting the GPR might not be the best.

So would this scenario change anyone's opinion?
Also, let's take one step at a time. I am not saying you are not an excellent candidate with a good shot of getting into whatever program, none of us have any clue. But I caution you from playing out too many of these hypothetical scenarios and getting the proverbial cart in front of the horse. You'd be surprised how quickly that can come off as an unintentional arrogance to programs and inadvertently self-sabotage.

But I digress...don't quit a commitment you made. You look bad, you screw over your coresidents, and you leave your program in a crap situation.
 
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Guys guys guys

So this question was actually in regards to next year where my GPR would be starting in July followed by hearing back and possibly getting accepted into a specialty program in August/September.

The difference in salary for the rest of the year (9 months) would actually be upwards of up to 100k if quitting the GPR and going to private practice. Plus the amount of real-world experience in private practice when compared to this particular GPR program is also significant.

On the other side, I do see how this would not look good to the specialty program, and how actually having that GPR under my belt might have been the deciding factor of me getting accepted. Plus the reputation of quitting the GPR might not be the best.

So would this scenario change anyone's opinion?
Question. If you expect that this “particular GPR program” is going to give you a half-assed experience, why are you going there in the first place?

Don’t count on making a DIFFERENCE in salary of $100k as a new grad in your first 9 months. Are you planning on telling the private practice that you’re gonna bail in less than a year, or is that just going to be a pleasant last-minute surprise for them too?

I don’t know your particular situation, but it’s probably best not to go around burning bridges just for the sake of it.

Just do the GPR or don’t. It’s only one year. Don’t over complicate things.
 
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Guys guys guys

So this question was actually in regards to next year where my GPR would be starting in July followed by hearing back and possibly getting accepted into a specialty program in August/September.

The difference in salary for the rest of the year (9 months) would actually be upwards of up to 100k if quitting the GPR and going to private practice. Plus the amount of real-world experience in private practice when compared to this particular GPR program is also significant.

On the other side, I do see how this would not look good to the specialty program, and how actually having that GPR under my belt might have been the deciding factor of me getting accepted. Plus the reputation of quitting the GPR might not be the best.

So would this scenario change anyone's opinion?
Sounds like you are doing the GPR to boost your resume to get into endo, but then once you get into endo you want to quit the GPR to go into private practice to make more money? This is the kind of stuff that makes me dislike the academic rat race. People are always trying to do volunteer stuff or start organizations just to put on their resume to get into some future program. I would follow through with your committment to the GPR if you are going to put it on you endo application. Or you could back out of the GPR now, don't put it on your app, and just go straight into private practice after you graduate. That way they can at least try to get someone else before programs start.
 
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I agree with everyone on here. No offense to the OP but I think you have ambitious expectations for what you're going to make in PP in the 8-9 months if you were to quit the GPR program. That is...if you quit, get accepted to your specialty program, and start right away, there are a lot contingencies as many have mentioned above. Even if you made the 100k....in the grand scheme of things its not that much money looking at a 25-30 year career. Your loyalty, commitment, and your word are much more important, your reputation is everything. The dental world is small and I think you should finish your commitment to your GPR. Just my .02.
 
I think you have ambitious expectations for what you're going to make in PP in the 8-9 months
Wait...are you saying that the average starting salary for a fresh grad isn’t $325,000?! Why else would people assume $600,000 or more in educational debt to become a dentist? Are you implying these people are stupid?!

4984EFCE-788D-42F6-A3C6-770A3913AA79.jpeg


Big Hoss
 
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Happened at my GPR. One of the other residents got into a specialty residency about half way through, decided to quit. Told program director on Monday. By Wednesday they'd received a call from their new program director basically telling them that the offer would be rescinded if they did not complete their current GPR. By Friday all the paperwork for quitting was shredded. Made for awkward rounds.
 
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terrible advice coming in and i wouldn't personally do it but: get a MD to sign you a leave of absence/sick leave for back pain, burnout, whatever. you won't get to work but you won't have to finish your gpr. but only if you already have a disability insurance otherwise, you will be paying so much $$$ for this in the future.
 
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terrible advice coming in and i wouldn't personally do it but: get a MD to sign you a leave of absence/sick leave for back pain, burnout, whatever. you won't get to work but you won't have to finish your gpr. but only if you already have a disability insurance otherwise, you will be paying so much $$$ for this in the future.
what the heck?
 
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Yea, this is such a shower thought. Sounds good before going through all the pros and cons as others have mentioned plus the headache of getting started in private. It’s one year. You either do GPR or you do private.
 
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Guys guys guys

So this question was actually in regards to next year where my GPR would be starting in July followed by hearing back and possibly getting accepted into a specialty program in August/September.

The difference in salary for the rest of the year (9 months) would actually be upwards of up to 100k if quitting the GPR and going to private practice. Plus the amount of real-world experience in private practice when compared to this particular GPR program is also significant.

On the other side, I do see how this would not look good to the specialty program, and how actually having that GPR under my belt might have been the deciding factor of me getting accepted. Plus the reputation of quitting the GPR might not be the best.

So would this scenario change anyone's opinion?

So you haven't even started this GPR yet?

Won't your GPR be paid? I got paid $60K for mine and that was years ago... yes you can make more in private practice but you're really deciding between that difference in salary versus two dents to your reputation at the beginning of your dental career: first from quitting your GPR (program directors talk) and second from your potential employer (who is going to hire you for 9 months knowing you're going to leave, unless you lie about it...)

Not worth the drama. If you enter your GPR knowing you're wanting to specialize, ask your director to give your more specialty cases. This happened to one of my old co-residents. He was accepted into endo at the very beginning of GPR (July) and spent most of his GPR year getting a head start (tackling harder endo cases than the rest of us) or mostly chilling while on unrelated rotations (was also nice since he passed all the implant restorative cases to us).
 
Guys guys guys

So this question was actually in regards to next year where my GPR would be starting in July followed by hearing back and possibly getting accepted into a specialty program in August/September.

The difference in salary for the rest of the year (9 months) would actually be upwards of up to 100k if quitting the GPR and going to private practice. Plus the amount of real-world experience in private practice when compared to this particular GPR program is also significant.

On the other side, I do see how this would not look good to the specialty program, and how actually having that GPR under my belt might have been the deciding factor of me getting accepted. Plus the reputation of quitting the GPR might not be the best.

So would this scenario change anyone's opinion?
Just go to work. It seems like ur GPR isn’t worth it anyway.
 
I feel like there is one obvious route that can be taken here to offset potential pitfalls down the road...
Just be transparent with the specialty program you will be entering. Ask if the offer is contingent on finishing the GPR. Bring up the scenario that you would like to work in private practice for a few months before starting and see what they say. If they have no issue with it, and that's what you want to do, why not? If they tell you to finish the program, questions answered.
 
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I think it's a shame that many of us are colleagues with you if I am reading your thought processes correctly. What a selfish and narcissistic motivation for your decisions. I wish your co-residents and future employees the best of luck
 
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