The end of residency

[TheThroat]

---

Members don't see this ad.

So I know most of us are either residents or students, but do any of you have any insight on getting ready for ending residency and starting private practice?

I have obtained my license and started working on getting malpractice insurance. Here are my questions:

-Can you get hospital privileges before you are done with residency?
-Can you get on insurance plans without hospital privileges?

I spoke to a first year ENT practitioner who didn't start seeing patients in clinic until september and didn't start seeing insured patients until october! I do NOT want this to happen to me.

 

[Poety]

So I know most of us are either residents or students, but do any of you have any insight on getting ready for ending residency and starting private practice?

I have obtained my license and started working on getting malpractice insurance. Here are my questions:

-Can you get hospital privileges before you are done with residency?
-Can you get on insurance plans without hospital privileges?

I spoke to a first year ENT practitioner who didn't start seeing patients in clinic until september and didn't start seeing insured patients until october! I do NOT want this to happen to me.

These are great questions throat - and I think this is exactly why all residencies should incorporate some form of "transitioning to practice" course in the didactic curiculum. I've heard residents say they felt like they didn't know how to go about starting up, or transitioning in general.

BKN - is this something you could add to a program? How do most residents address these issues?

 

[Annette]

I was thumbing through a text book on how to set up a practice- it said you should start planning 2 years in advance!!

Thankfully, I'm planning on joining an established hospitalist group to start out.

Do start working on your license now. Some states charge more, and take longer to process, applications submitted during the late spring/summer months. I don't know if you can get hospital privilges without a license.

 

[BKN]

These are great questions throat - and I think this is exactly why all residencies should incorporate some form of "transitioning to practice" course in the didactic curiculum. I've heard residents say they felt like they didn't know how to go about starting up, or transitioning in general.

BKN - is this something you could add to a program? How do most residents address these issues?

I think most residencies in most specialties do some of this, not to say a great job.

The TMA has a half day course that visits all the state campuses for senior residents.

In EM it's not usually a problem since we go into established groups.

If someone is going solo from the beginning, he'll need to plan well in advance and there all sorts of "consultants" who will be happy to help him.

 

[docB]

Not knowing stuff about practicing when you get out of residency is the main reason that there is so much job turnover for young docs. This is true in EM and other specialties. Many people get a job and learn the ropes and then realize what they really want out of their practice and try to get there.

 

[mayostand]

I was thumbing through a text book on how to set up a practice- it said you should start planning 2 years in advance!!

Hey, what's the name of that book? I've looked around for one for a while and can't find anything.

 

[mackie]

Not the OP, but there are a number of different books out there. Here are a few:

Starting a Medical Practice
by Jeffrey Daigrepont and Lauretta Mink (and American Medical Association endorsed)

Practice Management: A Practical Guide to Starting and Running a Medical Office, by Christian Rainer

The Business of Medical Practice: Advanced Profit Maximization Techniques for Savvy Doctors, by David E. Marcinko