Starting rheumatology salaries

[Successor12]

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Any insight would be helpful on what to expect? Numbers of patient? How to negotiate?
Looking for jobs in the midwest region. Private practice mostly

 

[Successor12]

.

 

[Successor12]

No one?

 

[bronx43]

No one?

Totally depends... employed, single specialty, multispecialty?

 

[Successor12]

Single specialty Vs employed. Midwest area

 

[bronx43]

Single specialty Vs employed. Midwest area

If you can find a single specialty that is successful and hiring, join it. This is a no-brainer. Don't let the employed positions entice you with a gaudy starting salary - that means jack s***. Think about this. Three years down the road would you rather be making 250k off RVUs, or would you rather make double that due to you keeping your infusion money? PM me for more discussion.

 

[Successor12]

I tried to PM you but I can not


Thank you for replying

I guess I am sort of lost as to how to negotiate my first contract?
What should I be looking for in a job?
Any tips would be appreciated

 

[PlutoBoy]

I tried to PM you but I can not


Thank you for replying

I guess I am sort of lost as to how to negotiate my first contract?
What should I be looking for in a job?
Any tips would be appreciated

In the south starting salary is around $250,000 fresh out of fellowship. Source: experience.

 

[GQMO16]

I am also looking for jobs and trying to decide between hospital-based or single specialty private practice. In regards to a single specialty rheumatology practice, what sorts of non-clinical responsibilities do most of you deal with? I imagine trying to find patients would be more challenging as you are not being fed by the other physicians employed by the hospital in a single specialty practice. Aside from that, what sorts of administrative responsibilities do you typically encounter? Do you feel like the extra money you make is worth dealing with all those other responsibilities?

 

[bronx43]

I am also looking for jobs and trying to decide between hospital-based or single specialty private practice. In regards to a single specialty rheumatology practice, what sorts of non-clinical responsibilities do most of you deal with? I imagine trying to find patients would be more challenging as you are not being fed by the other physicians employed by the hospital in a single specialty practice. Aside from that, what sorts of administrative responsibilities do you typically encounter? Do you feel like the extra money you make is worth dealing with all those other responsibilities?

Honestly, if your first thought when job searching is "what duties are going to be placed on me," then you should just go with the employed position. Single specialty practices - especially smaller ones - are basically a small business. You do whatever you need to do in order to get referrals, generate revenue, keep overhead low, potentially financial duties such as balancing the books, payroll, etc. These are not really things that others place on you. When you make partner, it's YOUR business. If you don't do those things, the only people who are going to suffer the consequences are you and your partners.
With single specialty, your income potential is VERY high, but the amount of work can be multiple times that of a large health care corporation.

 

[drfunktacular]

Honestly, if your first thought when job searching is "what duties are going to be placed on me," then you should just go with the employed position. Single specialty practices - especially smaller ones - are basically a small business. You do whatever you need to do in order to get referrals, generate revenue, keep overhead low, potentially financial duties such as balancing the books, payroll, etc. These are not really things that others place on you. When you make partner, it's YOUR business. If you don't do those things, the only people who are going to suffer the consequences are you and your partners.
With single specialty, your income potential is VERY high, but the amount of work can be multiple times that of a large health care corporation.

Co-sign

If you're the kind of person who wants to hit save on your last progress note of the day at 4:59pm and blow out of the office, you're probably more suited to an employed MSG practice. On the other hand, if you tend to get to work early/stay late looking for ways to improve efficiency, increase patient satisfaction, increase revenue, etc, you will definitely be rewarded more for your efforts in a private practice.

 

[Obnoxious Dad]

Honestly, if your first thought when job searching is "what duties are going to be placed on me," then you should just go with the employed position. Single specialty practices - especially smaller ones - are basically a small business. You do whatever you need to do in order to get referrals, generate revenue, keep overhead low, potentially financial duties such as balancing the books, payroll, etc. These are not really things that others place on you. When you make partner, it's YOUR business. If you don't do those things, the only people who are going to suffer the consequences are you and your partners.
With single specialty, your income potential is VERY high, but the amount of work can be multiple times that of a large health care corporation.

No physician should waste his/her time on accounting and payroll. First off there are better things to do such as marketing the practice and keeping up with new medical developments. Furthermore, accounting and payroll should be left to professionals. There are dozens of ways to screw these processes up. I've been a CPA for almost 30 years and I have had to bill for thousands of hours of time to unscrew up the books of people who are accounting amateurs but very accomplished in unrelated fields.

 

[bronx43]

No physician should waste his/her time on accounting and payroll. First off there are better things to do such as marketing the practice and keeping up with new medical developments. Furthermore, accounting and payroll should be left to professionals. There are dozens of ways to screw these processes up. I've been a CPA for almost 30 years and I have had to bill for thousands of hours of time to unscrew up the books of people who are accounting amateurs but very accomplished in unrelated fields.

For small start up practices that don't have much room for overhead, the physicians more often than not do their own books. Once they grow large enough, they will hire professional help.

 

[Obnoxious Dad]

For small start up practices that don't have much room for overhead, the physicians more often than not do their own books. Once they grow large enough, they will hire professional help.

This is penny wise and pound stupid. It's a complete waste of time. Here are the 34 pages of instructions from the IRS to fill out W-2s.
https://www.irs.gov/pub/irs-pdf/iw2w3.pdf
Why would any physician waste his/her time learning this junk? The options aren't limited to Grant Thornton or Deloitte vs. doing it yourself. The best option is a small CPA practice linked to a payroll processor. It's cheap, fast and accurate.