dimanche 14 février 2016

How to find a job after residency?

Well, here is my 2 cents, for what it is worth, I borrowed some from the ortho guys, but I think it works for us as well.

There are 3 things to consider, Location, practice type and salary.

You should be able to get 2 out of 3. If you get 3 of 3, you struck the lottery.

For example, you might find a hospital where you want to live that pays you good money. But you are working for a hospital, someone else runs your life and schedule.
OR you may find a private practice were you like to live, but you won't START at the same level of pay as the hospital, but you will have more freedom from 'the man'
etc, etc.

My piece of advice, is to CALL the podiatrists in the area you want to live and talk to them on the phone. It is a lot easier to ignore a letter with a resume, etc, and it gets the ball moving a lot sooner. The guys in the class before me graduated last year, none of them had a job buy late fall, and 2 started a practice and 1 joined a practice with a verbal contract (which CAN be a good thing, then again, it may not be)

Salary runs a huge amount of variation. I got low balled pretty hard at first, and I countered with a number much higher. I was bummed because I didn't expect a number that low, and I had been talking for a while. But we worked some things out, and my bonus kicks in a LOT lower than a lot of the other places I have seen. The standard formula is:

Base wage
Bonus kicks in once you hit 3x your base wage (collected, or gross receipts)

Bonus should be 30% or more, and may graduate higher as you bring in more money.

Areas where you can get better terms:

Bonus kicks in at 2x your base,
Bonus starts at 35% or higher,
Or higher base. A LOT of people get hung up on the base, not realizing how much money you can make on your bonuses. Although bonuses are withheld at a higher tax %, at the end of the year, you get taxed on them the same as regular income. (so you may get a big tax return).

Intensives:
Health insurance is a big one, vaca, CME time and money, mileage to outlying clinics, malpractice (don't forget tail coverage), no non-compete( this one gets overlooked a lot), you name it.

Insurance panels: you have to apply. If they have their quota of DPMs, you may not get on. Medicare is easier to get on, make sure to apply to it as well so you can have some steady work if you are just starting up.

Starting your own practice is a ton of work, and hopefully you have a bunch of capital laying around, or no family, or whatever, because a lot of banks are hesitant to loan to a new doc. Bof A (I hate them generally, but that is another story) does have a practice solutions branch you can contact to get funding. I met some of their people, and they are pretty good with getting you set up as well. They want you to succeed.

Anyway, I hope that is helpful.

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How to find a job after residency?

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