Take care ; ). I remember your earlier threads before you started and you've come a long way! It's very different working with other physicians as colleagues versus when you have a more senior role. You feel often like a punching bag for displaced insecurities and resentment. When in reality, you are on the same team and worked just as hard (likely harder by being a self starter) than colleagues. But, you are suddenly the big bad capitalist (trying to take advantage of us poor employees) and because you are "rich" people feel entitled to ask for outrageous pay (and hound you regularly, even monthly for raises--even if you were paying $350/hr) for giving zero work. Also, many people will not care much for the reputation of your practice, at least nowhere as much as you do. In reality, working and thinking of each other collectively is what promotes PP success and everyone's future. Commonly people are looking to get paid big today and they are looking far less at long term consequence--very short sighted. If I had to do it all over again...I'd grow much more slowly. With new hires, I no longer offer full time positions to physicians. And I do not hire people who just finished residency. Overwhelming majority, statistically speaking are just too naive, entitled, inexperienced -- life experience and emotional maturity is a pre-rec and also ingredients for an even better physician. The reputation of the practice comes first. I encourage physicians to work part time and keep part of another gig (when they work here), so people can compare and decide what they appreciate and learn what does not work for them. Otherwise it's like being trapped in 5 unhappy marriages all at once. A physician who is simultaneously employed elsewhere, gives you both the flexibility to titrate up or down what you both like and what you don't like. Don't underestimate how easily a poor performing psychiatrist can ruin the reputation (therefore SEO, referral stream, and financial security) of your brand--it is ironically from overconfidence and unrealistic views of how things stand in the market. It takes years of work to build up a place but from the historical experiences at my practice, less than 9 months to dismantle most of it (only takes one provider!). Kindness and humility is what propels us. btw, I've never hired NPs. These are all psychiatrists who work/worked at the practice. There's good providers out there. But just like establishing a healthy patient physician relationship, have healthy and firm boundaries and make expectations and realistic projections clear. I'm always on the lookout for people to join the team but learned to spend a lot more time lurking, gathering info and slowing hitting each small trigger.
