So, I am paring down the list of places where I have been offered a position next year. Just wondering, those of you already out of residency or currently interviewing for position: what are some things about your job you really like and what are some things you would change if you could? I know the answers will be different for different people, but I am curious to hear what hindsight-advice anyone care to share when considering derm positions. Thanks...
Things to watch out for:
- If you are pursuing a salary structure that is straight productivity, will you be busy right away? If not, may want to consider a position with a base salary
- Schedule: 4 days versus 5?
- How many rooms do you work out of and how many support staff do you have? This seems like a nitpicky thing but you won't want to be the doc running out of 1-2 rooms with 1-2 MAs particularly if you are very busy. How well trained are the MAs or do you have to train them yourself?
- Benefits: I was surprised to see how much this varied from position to position. Be sure to ask
- Opportunity for cosmetics / Mohs / path / peds / complex medical derm / research / teaching / etc: If there's a particular area of dermatology you are leaning towards, make sure the practice can offer it to you and can offer it to you in the volume that you desire
- NPs / PAs: Are you comfortable overseeing them? Does your practice make you do this?
- Average number of patients seen per day/per hour. I've heard of some practices actually employing Press-Ganey surveys and evaluating their providers much like providers in an Emergency Department would be monitored. Be aware that as your average number of patients seen/day arises, those satisfaction scores tend to drop (and hopefully your pay isn't linked to those surveys)
- Inpatient consults?
- Call schedule
- Who do they refer to for Mohs? For path? If you trained in the area or are familiar with those physicians/labs, do you feel comfortable with those referral patterns?