Literally this except I have a cushy PP job not hospital. This is just a job to get by and thankfully it makes a relatively good living for me and my family. But you better believe every time I'm between pts and not scrolling SDN I'm looking for the next google or amazon to invest in and gtfo this job
Still plenty of rise left in GOOG... I have been buying it almost 10yrs now. It's my #1 holding, even more than index. Right now, Google's not even back to pre-Ukraine price, even despite massive inflation. Revenue and EPS is up up up since basically forever, so I'd say it's best share price value in awhile (but always good value due to all the useful/essential and profitable services they control).
I have a lot of Google too but AI could significantly change the company. I love google because of YouTube even if it’s not such a big % of their business
Well that would be fine.
You can log in here or make free account to see the ACFAS fellowships, nearly all of them list their current and past fellows. Then, just like any doc, google the fellow names and see where they work now. The majority end up in private practice group associate gigs, like most DPM grads. Of course the top DPM fellowships (Hyer, CORE, Cottom, etc) tend to get ortho jobs or hospital jobs many times (a lot later start own practice or ortho partner also)... but even some of them are in PP associate after the additional year of elite fellowship. I was gonna link to a few, but that's kinda bad form... maybe they chose job based on location or family, dunno.
Like I said before, the recent Fellow grad (2022) from one of the competitive ACFAS fellowship is at a PP in high COL area making 160K starting; seeing about 30 patients mornings and afternoons with 1 OR day per week. Has privileges at few local community hospitals. From my POV he seems overworked and have been grinding which I respect but the compensation to debt ratio is insane... which begs the question; is fellowship even worth it...
The problem with fellowships is that their purpose has evolved rapidly over the years. It really wasn't that long ago that you did a fellowship as remedial training after a sub-par residency. I can't say how I know this, but source: trust me, bro.
I agree 100%
The state of the profession and one’s individual situation can be two completely different things. If you have a good job and do well then who gives a **** about problems for new grads or those who got bad training. Keep your head down and grind. Podiatry only sucks for those whose 7 year 200k+ investment lead to a low paying job. If you’re making good money what’s there to complain about? The future of podiatry is irrelevant to most as long as they are getting $$$.
I feel many on here were inappropriate with Dr. Richie.
I can't comment on Doug Richie since I wasn't a part of that conversation. Obviously none of us should tolerate personal insults. But if anyone wants to come forward with a dissenting view, they're obligated to back their position up. This reflects on the sad state of online discourse today (not just SDN), where people are so sensitive that the sheer fact that you've been disagreed with is a traumatic experience. If that describes anyone lurking here, I have news for you: far greater challenges await you in this life
This is true. People do fellowship then go on to do mobile podiatry lol. The job prospects out there are tough. Just talking to colleagues and former co-residents it's pretty sad that more often than not people are unhappy in their current position. Whether it's hours, pay, benefits, or location. Lot's of people taking jobs just to be a practice owners resident with slightly better pay. A bit demoralizing honestly.
You’ve drank the SDN Kool-aid on Fellowships. I’d defer to Dr. Rogers advice.
Have you searched for jobs recently? Look at the available openings on LinkedIn, Indeed, PracticeLink, etc.
what kool aid? i personally haven’t made a decision yet as to whether I would like to do a fellowship or not as i am still looking into it but ive looked for jobs in the area I would like to work in and it does not look good.
If you are looking at a fellowship, look at the previous graduates first and see where they are working. Also see how many people they have on staff, more people means more networking opportunities.
239 jobs for 500+ grads and not including current working pods that are also job hunting. The math does not add up. You are reinforcing what us regular posters have been saying for a very long time. Thank you.
Slightly more than 40% the amount of pod residents graduating in a given year. Was this meant as a good statistic?
There are not many good jobs at all. Lots of mobile podiatry and typical associate jobs. Fellows and practicing podiatrists are also applying, not just 3rd year residents.
I would say LinkedIn is the worst... I think the search algorithm is just plain dumb, because when you search “podiatrist” you’ll get jobs for CRNAs/OB docs/etc. and not much DPMs.
Haven’t you heard? We are “Foot and Ankle Surgeons” now, bro! 😂
Those jobs are just plain gone.
I'm a resident, but I think a fellowship is a good opportunity to become better at limb salvage, if you really have passion for it. I think because we all do these surgical residencies now, we are really becoming known to all for wounds, amps and recons. With that, you'd have to work for a hospital, and a lot of time spent with no guarantee. You would make good money, and I'm finding those jobs are only going to come with luck or at least with 5 years of experience. You could base your practice around recons, wounds, arthrodesis, I'm sure you'd be plenty busy, but from what I am hearing the reimbursement just doesn't make it worthwhile.... could be wrong about that though.
I met an excellent fellowship trained podiatrist out on externship. Scrubbed a charcot recon with him and it was just so refreshing to be with someone that good. He went to a very good high volume fellowship where he did like 400 various recons that year. Today, he's part of a University hospital, teaches a lecture every now and then. He really enjoys the academics which you'll find is common among successful fellows. He's like 15 years out. He probably makes about 400k. He really loves what he does though and is easily one of the brightest podiatrists I have ever met...... yet he only makes about 400k, his value should be double that... Also, he had to relocate his entire family for his job, literally across the country, which he had to fight tooth and nail for after he was screwed out of the same position by his fellow colleagues in his home town. I really can't make this stuff up. His hometown had a University hospital too where he did the same.
I wouldn't do fellowship solely for ankle fracture/tar or ortho group in mind unless you know you have a spot waiting for you.... the majority of common folk are just always going to associate broken bones, or elective bone surgeries with ortho. They're just not going to sit there on their phone debating what a podiatrist can and can't do, especially while they're in pain. When I was a kid I broke my toe and went to an Ortho, I literally had no idea what a podiatrist was lol. It's why people label themselves as "the foot and ankle group" or surgeon or whatever. Look up the "the bunion king" you really gotta sift through that website deep to find the letters DPM haha. I don't know personally if it's good or bad for the field to ditch 'podiatrist'. Just feels dishonest, and you always should be honest when it comes to someone's health.... Again I'm just a resident, but this is how i personally feel.
We do have a thing going for us with the bunions, since a lot of people for some reason don't understand it's a bone problem or associate it with 'ewwww' lol
Podiatry really would be a hidden gem if the cost and time put into it were a little less. It's not that bad. The nails are the worst part ehh big deal, life could be worse. Actually a retired orthopedic surgeon came into our clinic the other day for nail care, and he was so appreciative of the service he received. Just remember you went to PODIATRY school, people actually love an excellent 'podiatrist' even if you don't.
It all really goes back to the schools, they're the ones increasing the cost and the time, because they think they should be getting paid what MD professors get... They're the ones trying to increase the prestige of the word 'podiatrist' with the extra training, yet more than half of the field ditches the label for F/A surgeon, and the extra time, training and money have had no impact on salary for the majority of the profession... I guess the stigma of the dumb premed kids going to podiatry school must be true cause the ones who went 30 years ago are really effing up the field....
yeah I forgot to mention the trauma and rearfoot as part of the first part. good point. Anything that you'd imagine being called in for while on the pus bus haha.
No, man... no. Limb salvage is a joke in difficulty terms... definitely don't need fellowships for it. You get plenty at any decent DPM residency. Wounds / amps / Charcot / etc DM surgery is honestly the easiest thing in podiatry scope (aside from maybe derm/nail office stuff). It is definitely the easiest of the three core F&A surgery types, and you are plenty competent in wound/amp after first and 2nd year at most programs.
This is getting very old.
O yeah believe me I've seen multiple fail already just as a student. I don't agree with it personally, I think its torture to put an ex fix on someone have them follow up for months, maybe years, see them break down again while they try and comply. I would never actually do that myself. I actually read an article not too long ago that even about 70% of TMAs will breakdown and need more proximal amp. I mean for sure there are patient's out there who want to be given the chance to keep their foot even if it's a very low chance and their foot is not really functional. Seen it first hand with a guy who's talus was completely gone from charcot, half the calc was gone, his foot flopped. The patient refused BKA over and over again. The doc did recon with femoral head allograft and Ex fix, patient was really happy when it was all said and done, I actually watched him take his first step in clinic.... BKA a year later... I literally just happened to be in the right place, right time every time that patient came. I really felt terrible for him, to go through all of that. There's docs out there who honestly want to give them the chance, theres docs who hear the cash register "cha ching" and theres docs out there who really don't want to do it have the training and get begged.
I guess I meant it more in a way as If you wanted to try to base a practice around it and be ethical, but yeah you're right. You shouldn't need the fellowship for it. My overall point though was that we are getting well known for that discipline. I mean when you look at the big picture things are better for pods, but like everyone has said... the saturation is real.
Yes, this is the bottom line.
