saturation and competition

[jsaul]

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Where I practice there is one other pain doc in the building where I lease. there is a group of 2 across the street that practice there about 3 days a week. There is one 2 blocks north of me. there is a group of 2 about 2 blocks west of me. Then there is 1 pain doc about 3/4 mile west of me. there are 4 about 2 miles east of me. then there about 9 about 5 miles north of me . And another 2 more 10 miles north of me. Then there are a huge number- at least 13 that I can think of >15 miles away from in all distances

 

[bedrock]

Do you live in a highly desirable area?

 

[101N]

Where I practice there is one other pain doc in the building where I lease. there is a group of 2 across the street that practice there about 3 days a week. There is one 2 blocks north of me. there is a group of 2 about 2 blocks west of me. Then there is 1 pain doc about 3/4 mile west of me. there is 2 about 2 miles east of me. then there about 7 about 5 miles north of me . And another 2 more 10 miles north of me. Then there are a huge number more at least 10 that I can think of >15 miles away from in all distances

How long have you been there? What you are describing doesn't sound sustainable to me. Time to plot an exit strategy.

I left an area somewhat like that, but not for that reason. Is the cost of living high where you are?

 

[PMR2008]

Where I practice there is one other pain doc in the building where I lease. there is a group of 2 across the street that practice there about 3 days a week. There is one 2 blocks north of me. there is a group of 2 about 2 blocks west of me. Then there is 1 pain doc about 3/4 mile west of me. there is 2 about 2 miles east of me. then there about 7 about 5 miles north of me . And another 2 more 10 miles north of me. Then there are a huge number more at least 10 that I can think of >15 miles away from in all distances

Sound a lot like any desirable metropolitan area like NYC, Chicago, Austin, San Diego etc. There has to be enough business for everyone to at least break even I imagine. Were these specialist present in your area before you started?

 

[jsaul]

i have been at thisspecific location for 2 years. I recently moved about 8 miles from previous location where i was for 4 years-- first job out of fellowship...It is a major city in the US...the point is there are a lot of us here in this area" fighting" for patients. My schedule is never full.

 

[101N]

i have been at thisspecific location for 2 years. I recently moved about 8 miles from previous location where i was for 4 years-- first job out of fellowship...It is a major city in the US...the point is there are a lot of us here in this area" fighting" for patients. My schedule is never full.

Is this job in w/i a 50mi radius of your fellowship? If so, there in lies the problem.

You are going to do some soul searching and, IMO, cut bait.

 

[Disciple]

i have been at thisspecific location for 2 years. I recently moved about 8 miles from previous location where i was for 4 years-- first job out of fellowship...It is a major city in the US...the point is there are a lot of us here in this area" fighting" for patients. My schedule is never full.

It's like that for all specialities in desirable areas. If nobody is head and shoulders above the rest, you have to be willing to do what others are not. For surgeons, lots of call and redo surgeries. For pain management, unfortunately, narcotic dumps, heavy work-comp, personal injury, etc.--(work comp and PI apply to surgeons as well)

And then, not that I agree with it, there are the under-the-table deals that others here have posted about.

 

[facets]

Is there a rural area an hour or 2 out of the "city" where your skills will be more appreciated. I went to rural arizona 23 years ago simply because I married someone who lived there. I hated it at first, things seemed so backwords, and I was from "the city." As time went on I appreciated the residents more and more, most of them are retired, they appreciate seeing a doctor (most of them see a PA or FNP) pay their bills and don't give you the big city attitude "give me what a want or I'll go elsewhere to get it." If "the city is an hour or 2 away you can still go during the weekend, really what do you do during the week anyway besides work? There is much less saturation in the rural areas. You may even get help paying off some school loans. Just be sure to scrape the horse poop off your shoes before you go into town or they will know "you ain't from around here"