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- Jan 22, 2009
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Hello SDN, there are a few questions that I would love to get input about in starting a new practice in the NJ/NY metro area. Here is my situation...
I am anesthesia trained and completing a pain fellowship at an Ivy-league pain fellowship. I already have a very-well paying anesthesia & part-time pain job lined up after graduation, however after COVID it seems that it will be primarily anesthesia due to their needs. It is a low-call frequency position so I will have time to pursue my pain ambitions. What I am envisioning is that after 6 months or so of "real world" pain practice and experience, setting up a "part-time" practice, wherein I can see new patients and do procedures on the weekends I am not on call. The pain office would be set up outside of my current non-compete area. During the week days all follow-ups would be telemedicine, unless they need a true physical examination. I can rent a simple medical office for patient visits and do procedures at an ASC. Marketing would ideally be word-of-mouth after having a good patient experience with excellent bedside manner, and online, as in-person marketing with local docs and PCPs would be very difficult. I would control overhead costs by using myself and my wife to do all in-office things ourselves without staff (paperwork, checking patients, appointments, etc), not doing in-office procedures, maximizing telemedicine, and having this alternative income route through anesthesia.
- How do you find an ambulatory surgery center that will allow you to do procedures, what should I look out for when pursuing this agreement?
- Would this model work if I am accepting insurance, or would it only be profitable if I am out-of-network only?
- Can new patient visits be done reasonably through telemedicine?
- Any words of wisdom in general would be greatly appreciated!
I am anesthesia trained and completing a pain fellowship at an Ivy-league pain fellowship. I already have a very-well paying anesthesia & part-time pain job lined up after graduation, however after COVID it seems that it will be primarily anesthesia due to their needs. It is a low-call frequency position so I will have time to pursue my pain ambitions. What I am envisioning is that after 6 months or so of "real world" pain practice and experience, setting up a "part-time" practice, wherein I can see new patients and do procedures on the weekends I am not on call. The pain office would be set up outside of my current non-compete area. During the week days all follow-ups would be telemedicine, unless they need a true physical examination. I can rent a simple medical office for patient visits and do procedures at an ASC. Marketing would ideally be word-of-mouth after having a good patient experience with excellent bedside manner, and online, as in-person marketing with local docs and PCPs would be very difficult. I would control overhead costs by using myself and my wife to do all in-office things ourselves without staff (paperwork, checking patients, appointments, etc), not doing in-office procedures, maximizing telemedicine, and having this alternative income route through anesthesia.
- How do you find an ambulatory surgery center that will allow you to do procedures, what should I look out for when pursuing this agreement?
- Would this model work if I am accepting insurance, or would it only be profitable if I am out-of-network only?
- Can new patient visits be done reasonably through telemedicine?
- Any words of wisdom in general would be greatly appreciated!