thoughts on jobs/podiatry etc

[air bud]

I agree. If they have one, they know how profitable podiatry can be. So if need is there and 1 is good then they want another. Although often what happens is they go to the existing person and ask if there is someone they want to bring in


I broke new ground. Better to keep expectations low...

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[StressRisers]

What makes you think that was appropriate to do? Not breaking balls but I want to understand why you think it's appropriate to submit an application for a job that is not even available with a podiatrist already staffed at an MSG/hospital/ortho group/facility?

It wasn't meant to offend the podiatrist(s) who is already staffed at the facility, but sometimes those practices were already thinking about bringing on someone new and just hadn't made the jump or posted listing yet. Sometimes the podiatrist who is staffed at the practice is only non-surgical and perhaps the group can benefit from adding a different skill set. The ortho group that my buddy joined, as mentioned above, did already have a podiatrist on staff and they have a great working relationship. The incoming of a new podiatrist does not necessarily have to precipitate any discourse.

 

[RockyIV]

What makes you think that was appropriate to do? Not breaking balls but I want to understand why you think it's appropriate to submit an application for a job that is not even available with a podiatrist already staffed at an MSG/hospital/ortho group/facility?

This is one of the most Podiatry things I’ve read on here in awhile. Why does he/she thinks it’s appropriate to contact a facility or group where there is already a podiatrist? Seriously? Um, how about because that’s how you get a job not working for another podiatrist?

Of course the hospital employed guy on here doesn’t want you calling his facility to see if they would be interested in adding another DPM. Talk about insecurities. You afraid your facility is going to replace you? Leave it to a podiatrist to make it harder on other podiatrists to gain employment

 

[BioPod]

What makes you think that was appropriate to do? Not breaking balls but I want to understand why you think it's appropriate to submit an application for a job that is not even available with a podiatrist already staffed at an MSG/hospital/ortho group/facility?

How do you know that there is no job available? There is no way to know if that podiatrist has submitted a resignation or if they are retiring soon. Perhaps that ortho/MSG/Hospital was looking to hire a second podiatrist to deal with high volume or to help with outreach locations? Why wouldn't it be okay to submit an application to an Ortho/MSG group that already has a pod?

 

[CutsWithFury]

This is one of the most Podiatry things I’ve read on here in awhile. Why does he/she thinks it’s appropriate to contact a facility or group where there is already a podiatrist? Seriously? Um, how about because that’s how you get a job not working for another podiatrist?

Of course the hospital employed guy on here doesn’t want you calling his facility to see if they would be interested in adding another DPM. Talk about insecurities. You afraid your facility is going to replace you? Leave it to a podiatrist to make it harder on other podiatrists to gain employment

Way to jump all over the post.

Medicine is business. Hospitals are a business. Leave it to podiatry to apply for jobs that are not there trying to replace the current DPM. Willing to work for an even lower salary than the profession deserves. That is what my point was. This profession is so desperate for work that new resident graduates would work for half my salary that I am making currently making...which would be double what most resident grads are offered from private practice podiatrists. Do the math.

The above scenario is the most podiatry thing EVER. Podiatrists climbing over each other trying to fight for compensation that is not even fair in the first place. Lowering the bar for the profession.

You don't see MD/DO holding a beggar's cup applying for jobs that are not there trying to replace the current MD/DO in the same specialty already working there. They can literally GO ANYWHERE and gain employment. There is an abundance of jobs in every MD/DO specialty all over the USA. That's the difference.

"But but but but I'm a special podiatrist resident graduate". I graduated from "xyz" residency program which is not even a real hospital (in reality) that MD/DO would even recognize under "xyz" attending DPM FACFAS (who nobody has ever heard of in the MD/DO world)

Different skill set? Pleeeeeaaase. You can be the next upcoming podiometric fellowship trained ACFAS podium lecture d-bag that posts constantly on instagram about all the cases they are doing and how many lectures they are doing (when they literally have no practice experience)....

If you get hired by the hospital because you replaced the "non surgical podiatrist" or the "podiatrist who is not fellowship trained" that was there before you because you were willing to work for half the salary then guess what? You are still going to cut toenails.

Write it down. Take a picture of it. I don't give a crap.

 

[de Ribas]

I don't get why we generalize MD/DO when we are talking about jobs. Yes, most specialties can find jobs pretty much anywhere, but it is not true for specialties such as CT surgeons, neurosurgeons, FA Orthos, Heme/Onc, and others. In a town that I know the hospital that serves up to 60k population there is only 1 ortho on staff that is there only couple days per week and serves towns on other days that are like 70 miles away. Similar with Hem/Onc and others. Only 2 Peds in town. One Ped doc was fired from the hospital, because hospital decided that they dont need Ped docs. Why these specialists are ok with being limited where they can work and DPMs are not ok that they wouldn't be able to find a job everywhere.

 

[RockyIV]

Leave it to podiatry to apply for jobs that are not there trying to replace the current DPM. Willing to work for an even lower salary than the profession deserves. That is what my point was.

And herein lies the problem. Go back through all of the posts in this thread. Find me anyone who mentioned calling facilities with DPMs already in place, and asking if the facility would like someone to take said DPMs job for a smaller salary. Bueller? Bueller?

This is what really happened in this thread...
1) someone talks about calling potential employers, some who already have DPMs (which we all know is smart because it means the facility is cool with podiatrists), and some who do not
2) the angry guy asks who could possibly have the audacity to call a facility who already employs podiatrists. It turns out this is because he or she is insecure and automatically equates the above to “calling to take someone’s job.”
3) multiple posters, who apparently have better reading comprehension skills, call out the angry podiatrist
4) angry podiatrist doubles down and rants about people offering to take his or her job at a lower salary. Even though still, nobody has brought that up other than angry podiatrist

And here we are. BTW, nobody calls a hospital, offers to do the same work for less money, and gets the hospital to fire their current DPM to bring in someone new. They value continuity more than most of you think. The angry podiatrists points are very similar to those who get privileges at a facility and start making it harder for other DPMs to come in and do certain procedures. It reeks of Podiatric insecurity. Luckily, it appears, that everyone else here sees your posts for what they are. Ok, back to lurking. I’ve had enough Podiatry for one day.

 

[GreenHousePub]

Openly lol'd at this. It's like the seagulls from that pixar movie. "MINE. MINE.MINE.MINE" or those sealions from Finding Nemo "OFF OFF OFF"

 

[ldsrmdude]

Well, this thread isn’t headed anywhere positive. Keep the name-calling out of it and we can continue this discussion in a respectful manner. Please

 

[DYK343]

I applied to MSG/Ortho/hospitals with podiatrists on staff. I had an interview with one but didnt get the position. Another called me back 12 months later and asked if I would be interested in taking over for the doc who was retiring since they had my application on file. By that time I already had my own thing... who also had a podiatrist on staff when I applied.

I actually make more than that person (starting). My starting salary is higher as that person is by choice forefoot only and they wanted me to do the more complex stuff. The previous doc is all for the Lis Franc/Pilons/calc fractures and rearfoot fusions to go my way. My associate get to sleep at night while Im working!

I see nothing wrong with applying to a group with existing podiatrists.

 

[heybrother]

Sooo.. Had a few conversations with people in the hunt. Private practice continues to be a mine field. Previously described in this forum, the Great Corsicana Collections Con. A podiatry associate works in an office and ultimately learns collections assigned to his name are zero because services were "assigned" to another provider (perhaps through some sort of story in which the associate is told he's not technically on insurance panels and therefore the services go to the supervising provider who is).

Some of my friends seem to be hearing similar variations.. To the best of my knowledge I'm not on any insurance panels yet in my own right - in fact my office manager informed me yesterday that Medicare had finally acknowledged that day that with 1 more signature I would be done. I'm pretty sure we started this process in May/June. Clearly a time consuming process. Our EHR assigns encounters both a rendering and supervising provider so my services have been accounted for to my name (thank god). Perhaps we are perpetuating some sort of fraud (along with every associate who starts work in August), but I've had colleagues who were told either that they couldn't start work until they were officially on all insurance panels (thereby greatly pushing start date) or were told that they could show up for work but nothing would count until they were officially on panels. Hello, I'm Dr. Worksforfree and I'll be taking care of you today.

I've also been told variations of expenses being presented to associates as bills they would be expected to pay (not talking DME, in office pharma). In short, the associate receives a discussion concerning an idea of what their collections might be which is then modified by expenses and what not ultimately to be multiplied by a podiatry collections rate ie. 25-35% (PCR for the rest of this discussion). A few thoughts on that. Should you as the associate be concerned about the expenses of the practice and how things are paid for - yes. However, if you are being paid a PCR - you are already grossly paying in towards those expenses. Unless you are requesting something that is strangely beyond the norm I do not see a contribution coming out of an associates collections being normal ie. malpractice, staff, supplies. An experienced doc perhaps could come up with something , but the things I'm being told are just part of the business. You can't practice without malpractice. Whatever you are told, your staff/assistant is not yours. When you are canned after working for free they may or may not be kept. You have no say how money is spent or how your boss spends money on his CME-Vacation or what he pays his wife the office manager. So any sort of variation where your collections are modified by office expenses (that can be modified at the boss's pleasure) is just an attempt to confuse you about how you'll be paid. They can easily create expenses which you can't control to try and reduce your pay. Your PCR is multiplied by your $-collections. Obviously, I'm writing this with the assumption your contract is some version of a straight $Collections x %. Do not sign a contract in which your collections is modified (reduced) and then multiplied by a percentage. They can pay those expenses out of the 65-75% they kept.

 

[PodWif]

Does anyone have a link or copy of current MGMA salaries for podiatry they are willing to post or PM? It’s contract renewal time and I’ve heard the numbers have increased significantly since we last signed.

 

[dtrack22]

$297,889 was Median compensation. Median wRVU production was 5,468

It’s fun looking at MGMA data when you work for another podiatrist...

the last one I worked for had a contract where you would have had to bring in $1.1 million in collections to make $297k before taxes

 

[PeaJay]

Is the 297k solely salary or is it income plus health, cme, etc

 

[CutsWithFury]

Is the 297k solely salary or is it income plus health, cme, etc

Hard to say without looking at the survey directly that these chosen podiatrists fill out. Most likely base salary + whatever they generate from RVU incentive work bonuses, quality care bonuses, etc.

The numbers will fluctuate greatly from year to year depending on how many hospital employed podiatrists fill out the surveys. I know that the 75% percentile for RVUs in my geographic region increased substantially this year. I was producing well above the 75% based on the numbers from years past but this year I am below the 75% percentile even though my RVUs per month continue to increase...very frustrating

 

[msuDPM]

Hard to say without looking at the survey directly that these chosen podiatrists fill out. Most likely base salary + whatever they generate from RVU incentive work bonuses, quality care bonuses, etc.

The numbers will fluctuate greatly from year to year depending on how many hospital employed podiatrists fill out the surveys. I know that the 75% percentile for RVUs in my geographic region increased substantially this year. I was producing well above the 75% based on the numbers from years past but this year I am below the 75% percentile even though my RVUs per month continue to increase...very frustrating

Correct. Supposed to reflect total salary+bonus compensation. No cme/insurance/pto included.

 

[msuDPM]

Sorry if the image quality sucks. I wasn't there, it was sent to me.

 

[PodWif]

Sorry if the image quality sucks. I wasn't there, it was sent to me.

Thank you, this gives me more of the details I was looking for with break downs.

 

[air bud]

Literally yes. Create a spreadsheet, target a state and don't leave any rock unturned. I have a buddy that just found a job doing this. 275k base, 20k a year for 5 years retention bonus. Job was not posted anywhere. Granted its a non-op job, but that is his decision. It was literally one of the first 5 places he called. It took him all of 2 days of calling (15 total calls). 1 month from first contacting them he has a contract after already interviewing. He is already board certified, but was working in a crappy private practice job. Instead now he will pay off his 300k in loans in 3 years, have plenty left over and then re-evaluate what he wants to do in 3 years. Literally that easy - pick up the phone and call. Thats how I found my job too.

Update - this non op job turned into an operative job after 1 year. He is killing it.

Update 2 - paid off loans, bought a house and is driving a TRX. Soon we will meet up and do some desert racing my raptor his TRX.