Rural vs. Metro Dentistry

Started by DrReo
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DrReo

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I've been consider practicing in either as both have their advantages/disadvantages. What's the general consensus about rural vs working in the city/suburb?

I've read that rural dentistry is in need (obviously) but the patient's have a difficult time affording the procedures. On the other hand, some say "this is where the money is at and less competition exists too". However, how do the hundreds of dentists in the suburban area's survive? Are they making a decent living or is it more cut throat for patients? In short, I'm curious of the difference in financially, patient and business wise in the two different areas.
 
I've been consider practicing in either as both have their advantages/disadvantages. What's the general consensus about rural vs working in the city/suburb?

I've read that rural dentistry is in need (obviously) but the patient's have a difficult time affording the procedures. On the other hand, some say "this is where the money is at and less competition exists too". However, how do the hundreds of dentists in the suburban area's survive? Are they making a decent living or is it more cut throat for patients? In short, I'm curious of the difference in financially, patient and business wise in the two different areas.

My 2 cents on this. And let me prefice it with the following: For the last 9+ years I've practiced in a rural setting, and prior to that I practiced for 2 years in what you'd call the classic "suburban" area.

Myth #1 about rural dental practice: Patients have a tough time affording dental work. - Generally "no" to that. From what I've seen, in a rural area, contrary to popular myths, people actually do have jobs, and they're not all based on agriculture 😉 Seriously though, the fees I charge are generally a bit (maybe 10-15%) lower than what a comparable procedure would cost in a suburban area, but the folks that I treat also tend to be both very realistic about what they can afford, and also very faithful about making their payments - much more so than what I saw in my time in surburbia.

In general, the stress level of my patients in my rural area is less than than I saw in suburbia = less TMJ patients 😀

Competition - less dentists around, less paid advertising needed, also a more friendly dental environment, where a number of my colleaugues actually get together for lunch on a very regular basis and bounce ideas freely off each other. Definitely not a cut throat environment - I couldn't say that about my time in suburbia

Type of practice - with less specialists close by, I tend to do more procedures(endo's, exo's, etc) in a rural setting than I did in a suburban setting

Compensation - factoring in things like time, experience level, etc. I'm making comfortably more in my rural setting, and with a lower overall stress level, than I feel that I would currently be if I had stayed in suburbia

That being said, a rural practice isn't for everyone. It helps greatly that I not only enjoy practicing in this type of environment, but I also enjoy living in a more rural setting, where the closest "real" mall is basically a 30 minute drive (I've got the classic strip mall much closer, and grocery stores/home improvement stores/etc within 10 min of my house).
 
i don't have much experience with true rural dentistry, my experience spans practices in downtown big city, true suburban and remote suburban areas.
i'd have to agree with Dr. Jeff in terms of the difference in stress level between big city and remote areas, it's much more laid back in the suburbs, the folks in downtown are a bit more uptight!.
now in terms of what you can do, it's more of your comfort level, if you are confident in what you do than it does not matter where you are practicing, i think it's good to have specialists around you so you can cherry pick the cases that you want and send the rest as opposed to being stuck with everything.
For ex, the practice in downtown i was able to place and restore implants on pt's i saw as good candidate for my skill level, but there is a periodontist in practice as well and i refered the rest to him. same goes for endo, omfs...etc.
in the suburban practice i felt pressured to do everything, now maybe that was a function of me being the associate and the manager just did not want to send pts away. but there were other issues as well, lots of specialists in remote/suburban/rural practices only accept FFS or PPO no HMO/medicaid and so we had to do what we can for the patients.

But given all that, if I'm to open my practice today, i'd pick a suburban practice 30-1 hr away from a medium sized city.
 
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Thanks Dr. Jeff- this is exactly what I was hoping to hear.
 
good thread Reo. i have been wondering the same thing. my personal thoughts were to live wherever i felt i could be happiest to live, and adjust practice location accordingly. i don't know how much more you can make in the country, but i'm not sure it's enough to lure me away from a city.
 
I was just discussing this with my wife. We are discussing this as she works in the VA system and we would like to her to stay within the system. I want to work in a rural area. What are you all considering rural versus suburban (distance to nearest wal-mart, home depot, acadamey, etc.)? We are thinking we will have to live in-between since most VA's are in cities like Dallas, Houston, Shreveport, etc. Thanks.

Mud
 
I was just discussing this with my wife. We are discussing this as she works in the VA system and we would like to her to stay within the system. I want to work in a rural area. What are you all considering rural versus suburban (distance to nearest wal-mart, home depot, acadamey, etc.)? We are thinking we will have to live in-between since most VA's are in cities like Dallas, Houston, Shreveport, etc. Thanks.

Mud

Have you considered the Alexandria VA Medical Center, Alexandria, Louisiana?