hmp12

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Is so. cal saturated just like any other medical professions?
 

Feli

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Any area with many residency programs (Phila, Chi, NYC, Miami, Cal, Det, etc) will be relatively saturated with those specialists. There are obviously a lot of local attendings supplying the training cases for the many residents in those cities, and many grad residents will stay in the area due to familiarity, good offers to join attending groups, etc.

Saturation is an important consideration, but if you have elite training and interpersonal skills, you shouldn't necessarily be intimidated by saturation. Ask yourself if your training gave you more services to offer patients than the next guy has, and also truly evaluate whether you are good at networking and making connections in the community (both the local medical professional community and the city in general). Keep in mind that saturated areas are also popular due to a huge patient base, so they also have the most growth potential.
 

Feli

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...if you have elite training and interpersonal skills, you shouldn't necessarily be intimidated by saturation. Ask yourself if your training gave you more services to offer patients than the next guy has...
Basically the bottom line is don't think like this... unless you want to have just one of two choices:
A) Avoid any area where there's other fellow DPMs reasonably close (and be fairly screwed if a well trained pod starts up near you someday)
B) Have a pretty darn slow practice if you are in any major metro with a lot of DPMs.

An important thing to remember is this: just because you don't know how to do and aren't cert/privileged for mid/rearfoot surgery won't mean that you can necessarily just find more nail, callus, bunion, orthotic, basic wound, fasciitis, etc "basic" patients. If you set your goal at simply 40 "basic" patients per day, then chances are that you will have 25 "basic" patients per day while another DPM like jonwill's high level RRA and trauma practice across town will have him seeing 25-35 basic pts and 10-15 more advanced pts each day. If your business is not growing, then you're shrinking. Always shoot for having a lot of useful services to offer to your patients and your referring doctor base.