while trying to keep your head above water david chung, m.d. primary care breakout, november 2013
TRANSCRIPT
While trying to keep your head above water
David Chung, M.D.Primary Care Breakout, November 2013
About the presenterMedical degree Harvard Medical School
1997Graduate of BCRP 2000Pediatric Associates of Brockton August 2000
to presentCreated Beansprout Networks 1997 – an
Internet company the created free templatized websites for pediatricians to communicate with families
Interested in clinical research in obesity
About the presenter
How did you get here?
Looking for direction?
Where are you going?
Topics for conversationDeciding on an area of interestWriting a clear and concise CVWriting a cover letterHow to find potential employersHoning effective interview skillsUnderstanding practice structureEvaluating a contract
Deciding on an area of interest Primary care
Longitudinal relationships Median salary+bonus $199k, starting salary $125-145k (10/13) Autonomy = long hours
Hospitalist Shift work Medial salary+bonus $227k, lower LT salary potential Lack of autonomy
Specialty care 3+ years of indentured servitude Higher income potential Can be harder to find job
Industry High risk/high reward Corporate culture ≠ medical culture
Writing a CVContact InformationEducational BackgroundCertifications and Licensure ExperienceProfessional AffiliationsPublications, Presentations and AwardsReferencesPlease refer to written article for greater
detail
Good composition
Writing a cover letterOMG, I meant a cover emailTake your emails seriously
Write a draft or twoConsider having your first one proof-readDo not use emoticons or U will B :’ (
Think about your audienceRemember that emails can and will be
forwarded
How to find employersTo do list:
Check hourly labs and adjust K+ on DKA’erExamine tracheitis infant on hourly racemic epi
nebsTalk down father wanting to sign out anorexic
AMAGet a job
Network, network, networkDo not bite the hand that feeds youUse a recruiter at you own peril
Stand out from the flock
Honing interviewing skillsWhat the practices are looking for
Social competenceMedical competence
What you should be looking forTo be treated fairlyShort term versus long term considerations
Questions to be askedTell me about yourselfTell me about the practice
Practice structureStaff model (Atrius – aka Harvard Vanguard)Ownership model
Partnership opportunityPart-time/full-time
Evaluating a contractBenefits
Malpractice – occurrence versus claims-made + tail
Profit-sharingDisability and life insurance
Buy-ins/buy-outsBonus structure – refer to article 7 for nitty-
gritty
Trust your instinct
This is the most important slideHow do you determine if you will be treated
fairly?Spend time at the practiceTalk to as many of the docs at different phases
in their careerAsk the following questions:
How long is the buy-in process for partnership? How many docs are full partners, and how many are
in the buy in process? How many docs have left the practice in the last five
years?
Fairness mathThe average career length is approximately 30
yearsDivide the years of buy in by 30 yearsThis is the percentage of docs that should be
buying inThe remainder is the percentage of docs who are
full partnersIf there is a greater proportion of
partners:associates, then you will not be treated fairly
Long buy-in versus short buy-in pros/cons
