Solo Pract/Associate Vacation

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Lemming

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I am looking to find out how much time can a solo practicioner expect to take in "vacation" per year. I know that everyone's situation and practice is unique, but how much time can a standard, say 4-day a week practice, take off? How exactly does this work when you are the only dentist and you want to take a two week vacation? Does solo practice mean no more two week vacations?

Second, is vacation typically included in offers to associates, and if so what is standard? If vacation is not covered, and it is simply "how many days off you can afford" because you are on a % plan, how much typically would an employer expect for that associate to take off?
 
I am looking to find out how much time can a solo practicioner expect to take in "vacation" per year. I know that everyone's situation and practice is unique, but how much time can a standard, say 4-day a week practice, take off? How exactly does this work when you are the only dentist and you want to take a two week vacation? Does solo practice mean no more two week vacations?

Second, is vacation typically included in offers to associates, and if so what is standard? If vacation is not covered, and it is simply "how many days off you can afford" because you are on a % plan, how much typically would an employer expect for that associate to take off?

Why not ask that question say around 2011 at somewhere
 
You can take as much vacation as you want as an owner dentist. But when you go on vacation not only do you have to pay for the vacation, you have to pay for your office staff to keep the office open and all other office overhead while you are not making money. My hygienists work while I'm on vacation so I generate some income thru that. However, a typical week off of work costs me the vacation plus about $18,000 due to lost income. So I only take 6 vacation days per year. I take a week (4 days) in the summer to go to hawaii, mexico or europe. And in the winter I take 2 days (wed/thur) to go snowboarding.

My next door neighbor dentist takes 12 weeks off a year, but hes 60.

As an associate you typically aren't paid for your vacation unless you work in a clinic or somewhere you have a set salary.
 
Why not ask that question say around 2011 at somewhere
Although I sincerely appreciate your sarcasm, you seem to have misunderstood my question. If you have knowledge of this topic, then by all means contribute. It seem though that one must justify their question by being properly qualified to ask it. I am trying to compare the compensation one gets in the Air Force, to the compensation on can expect to realize in solo practice or an associateship. One of the benefits of the Air Force is that you receive 30 days leave per year. I like to travel. This particular benefit seems pretty good to me because I don't have to worry about patient retention or running a business while I'm away. I have to decide my fate right now, not in 2011, therefore I think I should probably ask that question right now in 2007. 2006Grad, are you working now? If so is it an associateship, and do you have a vacation agreement? Thanks.
 
My hygienists work while I'm on vacation so I generate some income thru that.


Do you have a temporary dentist supervising your hygienists and doing exams in your absence? Hygienists are usually not allowed to work unsupervised, except in some circumstances, say in AZ and they need a special license for that. Where do you practice?
 
You can take as much vacation as you want as an owner dentist. But when you go on vacation not only do you have to pay for the vacation, you have to pay for your office staff to keep the office open and all other office overhead while you are not making money. My hygienists work while I'm on vacation so I generate some income thru that. However, a typical week off of work costs me the vacation plus about $18,000 due to lost income. So I only take 6 vacation days per year. I take a week (4 days) in the summer to go to hawaii, mexico or europe. And in the winter I take 2 days (wed/thur) to go snowboarding.

My next door neighbor dentist takes 12 weeks off a year, but hes 60.

As an associate you typically aren't paid for your vacation unless you work in a clinic or somewhere you have a set salary.

Hey Diagnodent, I take it you use a diagnodent. Would you recommend getting one? The lab rats at UFCD push that device big time but I've never spoken with a dentist that uses one . But come to think of it, thats not really the first question that comes to mind when youre talking to someone
 
My hygienists operates under general supervision and my next door neighbor dentist is there for emergencies while I'm on vacation.

I do have a diagnodent that I don't use that often. But now there is a new device by neks that is better.
 
I have been confusing in my first response after receiving a pm from some one else, and I want to correct myself. I was saying a week off costs about 18k which is true in the fact that if I worked that week my income would be an additional 18k. My overhead is already being paid since it is mainly fixed. So my average weekly production is 20+k.
 
My hygienists operates under general supervision and my next door neighbor dentist is there for emergencies while I'm on vacation.

I do have a diagnodent that I don't use that often. But now there is a new device by neks that is better.

General supervision? I'm not sure what that means. Is the dentist in the office next door is legally "sufficient supervision" even though he is not actually present in your office while your hygienists are doing cleanings in your absence. Does the dentist come in and do the exams, or do your hygienists only perform and charge for cleanings while you were gone? I never really heard of this before. Thanks for the reply.
 
General supervision? I'm not sure what that means. Is the dentist in the office next door is legally "sufficient supervision" even though he is not actually present in your office while your hygienists are doing cleanings in your absence. Does the dentist come in and do the exams, or do your hygienists only perform and charge for cleanings while you were gone? I never really heard of this before. Thanks for the reply.


In CT, as dentists we don't have to be present in the office while our hygenists are working. So, on the few days a year where both my partner and I are out of the office on the same day and the hygenists are working (i.e. an occassional CE course that we both want to goto, a charity golf tournament we both want to play in, a very specific vacation overlap time), our patients are notified ahead of time that the docs won't be there, only prophies, radiographs and fluoride tx(if applicable) are billed, no new patients are scheduled those days, and any patient where one of our hygensist sees something remotely interesting are reappointed in the following few weeks for a doctors exam. Plus, my partner and I review the radiographs taken of our pateints while we weren't there. This scenario happens maybe 2 or 3 days a year, not a big deal.

Back to the original question. Solo practitioner vacation time and/or associate vacation time. Solo practitioner, office closed = no office income generated(unless the state you practice in allows unsupervised hygiene). Many docs in this situation will still take 3 to 5 weeks of vacation per year, some like diagnodent take less. Your call based on your feelings. The trend though tends to be adding in more vacation days as the number of years you've been practicing increases.

As an associate, how vacation works varies based on your employer. Some employers will dictate when you can take your vacation (for many this would be anytime when the senior doc is in the office working so as to always have a dentist in the office), some vacation will be paid, some will be unpaid(once again based on the employer), typically a 3 to 4 week vacation allowance per year for an associate is an average amount. This is often a bargaining point when contract negotiations are happening between a potential senior doc and a potential associate.

Personally, I take a little more vacation time than diagnodent does. I'll take a week in March to go skiing, usually another 3 or 4 days in late May/early June to either attend a conference with my wife(if it's in a location I like) or just plain old vacation to celebrate our early June wedding anniversary, 4th of July week is the only week of the year where my entire office is shut down, a 4 day weekend in mid/late August, and full week in late September/early october for vacation. Add in the standard holidays (New Years day, Memorial Day, Labor Day, Columbus Day, Thanksgiving Day + Thanksgiving Friday) and then X-mas eve/x-mas day. Depending on what day of the week x-mas is on will determine what extra days off I'll take around then, usually atleast the 24th and 26th, sometimes more. On top of that I add in about 10 days of CE courses a year to complement my normal 3.5 day a week work week. As a result, I don't complain too much about my work schedule!😀
 
I have been confusing in my first response after receiving a pm from some one else, and I want to correct myself. I was saying a week off costs about 18k which is true in the fact that if I worked that week my income would be an additional 18k. My overhead is already being paid since it is mainly fixed. So my average weekly production is 20+k.

Now Im really confused. So you are saying that you write a check to yourself (on average) every week for 18k? Lets say you take 10 weeks of vacation, does this mean you are grossing 720k income?????? huh. How can you produce 20k, and take home 18????? PLease clarify.
 
In CT, as dentists we don't have to be present in the office while our hygenists are working. So, on the few days a year where both my partner and I are out of the office on the same day and the hygenists are working (i.e. an occassional CE course that we both want to goto, a charity golf tournament we both want to play in, a very specific vacation overlap time), our patients are notified ahead of time that the docs won't be there, only prophies, radiographs and fluoride tx(if applicable) are billed, no new patients are scheduled those days, and any patient where one of our hygensist sees something remotely interesting are reappointed in the following few weeks for a doctors exam. Plus, my partner and I review the radiographs taken of our pateints while we weren't there. This scenario happens maybe 2 or 3 days a year, not a big deal.😀

Thanks for the info. I've wasn't aware some states allow unsupervised hygiene.
 
Thanks for the info. I've wasn't aware some states allow unsupervised hygiene.

It's definately NOT a bad thing. Now if I could just get my hygenists to take the anesthesia course so they could give some local every now and then, that would really be a good thing👍 I've always found it amusing that my hygenists won't even think twice about digging around in a 10mm pocket with a currette, but yet the concept of using a syringe of local is way too much for them to handle🙄
 
It's definately NOT a bad thing. Now if I could just get my hygenists to take the anesthesia course so they could give some local every now and then, that would really be a good thing👍 I've always found it amusing that my hygenists won't even think twice about digging around in a 10mm pocket with a currette, but yet the concept of using a syringe of local is way too much for them to handle🙄

Really? I didn't even know there were hygienists who didn't give anesthesia. So everytime they S/RP you have to inject for them? And if it wears off or isn't profound enough, you have to do it again for them? That must get tiresome.
 
I was confusing again, sorry. What I'm saying is that during the time I take off I still have to pay the fixed expenses of my office. And I'm not paying myself b/c I'm not working. The only expenses I don't have to pay are my variable expenses like supplies, lab, etc which are 13% of collections. So if I worked instead of taking the time off I would be producing more and only have to pay very little overhead out of that production. So it would basically be more income. I hope that clears things up.
 
Now Im really confused. So you are saying that you write a check to yourself (on average) every week for 18k? Lets say you take 10 weeks of vacation, does this mean you are grossing 720k income?????? huh. How can you produce 20k, and take home 18????? PLease clarify.

(I'm totally making up some of these numbers)
What diagnodent, I think, is saying is that in the typical week he has these numbers:

20k gross
- 2k variable costs (supplies, reagents, etc)
-14k fixed costs (rent, loan payments, staff salaries, insurance, etc)
Total = +4k

When he's on vacation:
0k gross (no patients = no revenue)
0k variable costs (no work done = no supplies consumed)
-14k fixed costs (landlord still wants his check whether or not he's working)
Total = -14k

By not working, he goes from +4k to -14k, or a loss of 18k.
 
One BIG thing to remember is that in the majority of offices, pay is based not on productions, but collections. In a majority of offices do to insurance payments, third party payment organizations (i.e. Care Credit) and payment plans that some patients may have, collections aren't 100% at day of service. How this relates to vacation time, especially once you've been working in that office for a while, is that if you take a week off, your individual production for that week maybe $0, but your collections can be a substantial number do to the lag that often occurs between date of production and date of collection(I.E. if I normally produce $10,000 a week and collect $9,000 a week, if I take a weeks vacation, my production would be $0, but my collections may very well still be $9,000)
 
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