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in a resident when they are looking to hire someone for their group?

For fellowships, it seems that it's mostly about good letters, research, etc.

What kinds of things are key if you want to get in a great private practice of pediatricians?

Thanks for your help. I hope y'all are enjoying the month of July- it's almost over!
 

TexasRose

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in a resident when they are looking to hire someone for their group?

For fellowships, it seems that it's mostly about good letters, research, etc.

What kinds of things are key if you want to get in a great private practice of pediatricians?

Thanks for your help. I hope y'all are enjoying the month of July- it's almost over!
Having a connection to someone in the practice you want to join is very helpful, even if it's just through your residency office.

Having just spent the last year interviewing at quite a few practices (I was very picky about where I landed), I would say that the biggest factors are whether or not they think you will fit in with their practice personality and whether your goals as a pediatrician are in line with the philosophy of the practice. Physicians who work together in a practice and share call responsibilities want to know that you will be pleasant to work with, that their patients will be happy to see you, and that the style of medicine you practice is complementary to their own. A lot of the interview is just about getting to know you and you getting to know the practice.
 

oldbearprofessor

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your goals as a pediatrician are in line with the philosophy of the practice.
Out of curiosity, what does this really mean? Presumably everyone's goals for pediatric quality care are about the same. But, do they ask questions like "Would you refuse to see a patient whose family did not vaccinate on the AAP schedule?" If your answer is different than the one most common (or on the website?) of the group, is that a problem?

Other than that issue, since everyone is pro-breast-feeding, what other issues come up. Just curious.
 
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J-Rad

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Use of antibiotics and other medications would probably be a huge issue. As much as we would like to believe that judicious use of indicated antibiotics is a priority, the truth is a ton of primary docs of all stripes (IM, FM, Peds) Rx them because it's convenient and is what the patients want. You may believe that this causes more harm than good, but no matter how hard or well you explain that to the parents who want an Rx for their kid's cold, your partners are probably going to resent you when your patients are rescheduling with them because you didn't practice in a manner consistent with the longstanding patterns of the practice and the parents were not happy with your (perfectly reasonable) care. While the antibiotics are probably a more "global" issue, it goes just as much for simethecone, cough syrup, liquid albuterol, and probably a good few other useless medications that are routinely prescribed.

Likewise, if you work in a practice that likes to do major portions of their own workups before sending to the subspecialist and you feel more comfortable punting early (or vice versa, which I'm sure is getting more common these days), that could also be problematic.

Do you feel comfortable managing complex kiddos or would you rather bounce those kids the group at TBCH if reasonably nearby? I can tell you the names of the best pediatricians and groups on my side of the state and I can tell you the names of a few that...well, aren't. Groups of people comfortable with the complex kids probably congregate together and appreciate their immediate colleagues' ability to handle the same.
 

oldbearprofessor

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Use of antibiotics and other medications would probably be a huge issue.
Can you figure that out from a brief interview? Who is going to say "Yeah, temp of 99.2 and to heck with any published criteria, I give 'em all a shot of cefo[fill-in] and the most expensive, non-generic antibiotic that [insert name of pharm company you hold the most stock in] makes.:D
 
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