Until recently, I refused to list compensation in an physician job ad, and I was disappointed when a candidate asked how much a job paid during the first 5 minutes of our initial phone interview. Then a few years ago, after 15 years in physician practice leadership I became a little disillusioned by how many times I'd gotten my hopes up and thought we'd made an excellent match between the goals of the hospital and those of the doc, only to hear from the physician, "I'm sorry, I've just accepted a position at a dfferent practice. Their starting salary and bonus are higher, high enough that it makes (the longer commute/higher call burdent/smaller OR) worth it." I even wrote a blog post about how I'd really rather you not waste my time and we just got the compensation conversation out of the way up front.Read More
Tags: Physician Compensation
Do we need foreign-born physicians?
I am convinced that our physician shortage is slightly more of a distribution problem than a production problem. Having worked in hospital administration for a decade in a midsize university town 3 hours from New York, I was frustrated by this daily. Physicians are begging for jobs in NYC and accepting positions that make it nearly impossible for them to manage their debt, even with a roomate. The Graham Center for Policy in Family Medicine and Primary Care found that the United States has about 80 primary care physicians per 100,000 people, which includes an average of 68 primary care physicians for every 100,000 residents in rural areas and 84 primary care physicians per 100,000 residents in urban areas. This unequal distribution "implies that many areas have relative primary care shortages, especially rural communities and areas of measurable social deprivation."Read More
Tags: Physicians with Visas
Before I became a full-time physician recruiter in 20
12, I was in hospital management for 12 years as a medical group director, Hospitalist program manager and Medical Staff Development/Physician Services Director, a role in which I was responsible for over 60+ hospitals and practices across 7 counties in Central New York. I've interviewed, made offers to, negotiated with and hired over 100 employed and private practice physicians in my career. Most of those have been fantastic, long-term relationships where the providers and my organization have had shared goals and values, where we had established real trust.
My personal style is very candid and tactfully direct. Nothing makes someone more untrustworthy than discovering the real or complete story surreptitiously, especially when that story puts a very different spin on things you had previously agreed upon. So, in my experience, it's better to get honest motivations out on the table sooner rather than later.Read More
Age and the "Ideal" Physician
I get frustrated when my clients tell me that they are looking exclusively for physicians under the age of 50. First of all, because that is a much smaller pool of practicing docs and it makes my job exponentially harder (only 1/3 of the 830,000 practicing physicians in the US are in their 40s, and they aren't at their most mobile, as these are prime family-rearing years); but mostly it's disappointing because the stance perpetuates the fallacy that physicians are at their intellectual peak in their 40s, that somehow the quality of their care drops off precipitously once they hit 50. I am not a physician, but I am firmly in my 40s and vehemently protest this notion.
It never seemed strange to me to instruct residents on how to successfully negotiate their employment contracts, even tough I though I new that I'd probably be negotiating with a few of them directly in a year or so; some of them we'd probably want to hire permanently after they finished.
Tags: Contract Negotiation
I usually write about the physician job market, but these tips work for anyone who has been accused of coming on too strong.
Tags: Physician Job Search
This blog entry is about why it is difficult to find breast surgeons outside metro areas and is not meant to help patients navigate the cancer care system in their community.
Tags: physician Shortage
Most physicians with whom I work get anxious about the contracting process. Particularly with new physicians, there is concern that the contract they sign must be all-inclusive, that it must anticipate everything they will need for their entire tenure with the organization.