Would it be feasible for a doctor/plastic surgeon to split time between hospital & private practice?

[SterlingMaloryArcher]

Either because he wants to, or, if you just opened a practice in a new area (don't join one) you will likely start slow and need to augment your caseload somehow.

Do many surgeons (or other specialists do this?) I guess it would be like practicing two separate kinds of plastic surgery since private practice is often cosmetic and hospital is a gamet of other things.

Example:
Mondays: Consults/Follow-ups
Tuesdays: Minor Scheduled Procedures (Sedation, Under Local) in the morning, Consults/Follow-ups in the afternoon
Wednesdays: Full-Fledged Surgery Day
Thursdays: As needed depending on proportions of consults actually scheduling procedures, etc.
Fridays/a weekend day: Locums or on call at the hospital.

?

If you start a new practice how do you gain momentum? How long are you slow?

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[Catalystik]

1) Would it be feasible for a doctor/plastic surgeon to split time between hospital & private practice?
Either because he wants to, or, if you just opened a practice in a new area (don't join one) you will likely start slow and need to augment your caseload somehow.

Do many surgeons (or other specialists do this?) I guess it would be like practicing two separate kinds of plastic surgery since private practice is often cosmetic and hospital is a gamet of other things.

Example:
Mondays: Consults/Follow-ups
Tuesdays: Minor Scheduled Procedures (Sedation, Under Local) in the morning, Consults/Follow-ups in the afternoon
Wednesdays: Full-Fledged Surgery Day
Thursdays: As needed depending on proportions of consults actually scheduling procedures, etc.
Fridays/a weekend day: Locums or on call at the hospital.

?

2) If you start a new practice how do you gain momentum? How long are you slow?

1) It wouldn't be unusual for a hospital practice that hires you to ask you to sign a Restrictive Covenant, that doesn't allow you to practice within a 50 mile radius of your office until 2 years after leaving the position. This is to prevent you from poaching patients they provide to you. For this reason, I don't see this done in my area.

2) In my experience, about two years, provided you get referrals from local docs. If you open your doors in an area dominated by a large HMO, or have connections other docs find abhorrent, you may never get off the ground.

 

[SterlingMaloryArcher]

This may be a little bit of a new topic but don't want to post a new thread. Do Day Surgery Centers have a blood bank or any blood they can give if needed?

 

[mimelim]

Either because he wants to, or, if you just opened a practice in a new area (don't join one) you will likely start slow and need to augment your caseload somehow.

Do many surgeons (or other specialists do this?) I guess it would be like practicing two separate kinds of plastic surgery since private practice is often cosmetic and hospital is a gamet of other things.

Example:
Mondays: Consults/Follow-ups
Tuesdays: Minor Scheduled Procedures (Sedation, Under Local) in the morning, Consults/Follow-ups in the afternoon
Wednesdays: Full-Fledged Surgery Day
Thursdays: As needed depending on proportions of consults actually scheduling procedures, etc.
Fridays/a weekend day: Locums or on call at the hospital.

?

If you start a new practice how do you gain momentum? How long are you slow?

Most private plastics practices will take 2 years before they break even. Many hospitals will have call pools that you can be a part of that will pay you for simply being the 'available' whatever specialty. This can range from $200 a day to $1000+ per day. Many newer surgeons will simply try to take more call, a) to help with the balance sheet in their practice and b) to start picking up patients. While you can try to structure your weeks as you have laid out, in reality, you need to be flexible and available when you start out, regardless of specialty.

 

[JustaDO]

Do Day Surgery Centers have a blood bank or any blood they can give if needed?

This should be common sense.

 

[SterlingMaloryArcher]

This should be common sense.

?

 

[RTC19]

?

He means that, yes, day surgery centers have access to blood for transfusion just because the procedures they do are still surgery with the potential for blood transfusions to be needed.

 

[OrthoTraumaMD]

A career as a plastic surgeon is both rewarding and challenging. The road to becoming a surgeon is a long arduous endeavor and can bring significant challenges not only to the surgeon but their family. A study by the American College of Surgeons (ACS) suggested that over 40% of surgeons experience burnout and a recent survey of American Society of Plastic Surgeons (ASPS) showed that more than one-fourth of plastic surgeons have signs of professional burnout. Burnout is a state of physical and mental exhaustion. The three main components of burnout are emotional exhaustion, depersonalization, and reduced personal accomplishment. Exhaustion occurs as a result of emotional demands. Depersonalization refers to a cynical, negative or a detached response to patient care. The reduced accomplishment refers to a belief that one can no longer work effectively. There has been a recent explosion in the literature characterizing burnout within the surgical profession. Reports of burnout, burnout victims, and burnout syndrome are filling the medical literature, books, blogs, and social media across all different specialties. Burnout in a plastic surgeon has negative and potentially fatal repercussions to the surgeon, their family, their patients, their staff, colleagues, coworkers, and their organization. To date, there are a limited number of publications addressing burnout in the plastic surgery community. The goals of this paper are to review the symptoms of burnout, its effect on plastic surgeons, and discuss potential solutions for burnout prevention and physician wellness.

this doesn’t have anything to do with the original post.


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