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  • Why use Farr Healthcare?

    Physician recruiting is a unique, often challenging process.  There is a shortage in most physiatry subspecialties and physiatrists tend to favor urban locations.   Farr Healthcare provides the following services which exceed the typical hiring entity’s talents and time abilities:

    • Presents your position, given knowledge about the current market, such that its qualifications, compensation and features are described to best market the job competitively
    • Advises you on changes or improvements to the screening process given our broad and vast experience in this regard
    • Screens candidates and provides insightful information based on our decades of experience and network to identify the best candidates

    FARR HEALTHCARE DATABASE – 2015

    13,000+physiatrists with practice and area preferences for most of them

    • 4,400+ email addresses

    STATISTICS

    Total number of Board Certified physiatrists in 2017: 12,155

    Physiatry residency programs as of 2017:  83

    Total number of residents in 2017: 1,325

    Number of residents going into fellowships:  107

    Male versus female: Residents – 60% male, 40% female

    Ages 31 to 35 years – 61% male, 39% female (10/2012)

    Fellowship programs as of 10/2012:  The 2 fellowship programs in which the highest percentage of physiatrists have completed training are pain medicine (29%) and interventional spine (26%).  Other programs in which physiatrists have completed training include sports medicine (18%), spinal cord injury (12%), pediatric rehab (10%), brain injury (8%), neuromuscular medicine (5%), and hospice and palliative medicine (1%).  As of 10/12

    COMPENSATION

     From Farr Healthcare, Inc. experience, the numbers vary from area to area:

    New Graduates:    $175,000 plus incentive

    Medical Director: $250,000 plus incentive

    From the AAPMR 2012 PM&R Compensation Survey Report with their permission.   The full report may be ordered from them:

    *   Practice setting classification has shifted by 6% since 2002. Classification between salaried employees and private practice is now almost 50/50.
    *   The average gross income/W2 wage has increased 30% since 2001, with full-time, board certified physiatrists earning 50% more than physiatrists who are not board certified. Plus, Academy members earn $37,737 more in gross income/W2 wage than non-members.
    *   To be expected, mean gross income/W2 wages increases with experience; full-time physiatrists in practice for 21-25 years earn 94% more than those in practice one year or less.
    *   Mean and median gross income/W2 wages were highest among full-time physiatrists in the Southeast region and lowest in the Mid-Atlantic region.

    *   Physiatrists derived the highest percentage of their gross income/W2 wages in 2011 from their outpatient practice.
    * On average, physiatrists derive 87% of their gross income/W2 wages from direct clinical work and 13% from non-clinical work.
    * The number of medical directors serving in the specialty is down by 6% in comparison to 2002 findings, with the majority serving in a rehab unit.
    *   A large percentage of physiatrists received benefits from their employer or practice plan in 2011. The majority of physiatrists received medical insurance, reimbursement for CME activities, professional liability/malpractice insurance, a retirement plan, and dental insurance.

    From salary.com – 2013:     $206,358 -median, $185,614 –  25th percentile, $231,732 – 75th percentile

    From http://work.chron.com/salary-physiatrists-5278.html

    The median annual salary for clinical physiatrists — those directly assisting patients — is $224,000, according to the American Association of Medical Colleges. The median salary of physiatrists working full time in academia, such as professors in medical schools, is $210,000, the association reports.

     Starting Salaries

    After completing medical school and a four-year hospital residency program in general clinical training and physical medicine and rehabilitation, starting salaries for available physiatrists range from $90,000 to $200,000 a year, according to the Association of Academic Physiatrists. The lower end of the scale represents salaries for those going full time into academia.

    Academic Salaries

    Median compensation for assistant professors is $180,000. Associate and full professors earn median salaries of $210,000, the American Association of Medical Colleges reports.

     Locations

    An Economic Research Institute survey of available physiatrists’ salaries in a sampling of cities shows that in New York-Manhattan, physiatrists earn an average annual salary of $259,173. In Los Angeles, they earn $254,079 a year; Houston, $239,832; Miami, $234,091; Charlotte, N.C., $233,469; Atlanta, $226,839; and Phoenix, $221,418.

    BOARD CERTIFICATION PROCESS

     Part 1

    The written exam is administered annually in August.  It can only be taken post-residency.  Applications must be received by the preceding January.  405 senior residents took the exam in 2012.  90% successfully pass the examination the first time.

    Part II

    The oral examination may be taken only after one year of clinical practice fellowship, research, or a combination of these activities in PM&R is completed following residency.  The exam can be taken in May; the deadline for registration is the preceding November 15th.  399 first year graduates took the exam in 2013.  84% successfully pass the examination the first time.

    Pain Certification

    The pain exam is administered by the American Board of Physical Medicine and Rehabilitation is in September.  The pain examination deadline is the preceding February.  78 physiatrists took the American Board of Physical Medicine and Rehabilitation’s pain boards in 2012.  Approximately 90% passed.

    Candidates must satisfactorily pass both the written exam and the oral exam in order to be certified by the American Board of Physical Medicine and Rehabilitation.  A physiatrist must be recertified every 10 years.

    CURRENT TRENDS – 2013

    Compensation can be 15% – 20% lower in major metro areas due to the oversupply created by many residency programs and attractive lifestyle of the metro areas.

    Interventional/pain management is the favored subspecialty of new graduates with most residents going into such a fellowship.  Once they finish their fellowship, they usually only want to do procedures.

    • It’s getting harder and harder to find physiatrists who want to do inpatient work.

    PLANS OF 2008 GRADUATES – No update available as of 9/13

    From the Physiatry’s Academy, Spring, 2009

    Above information also from the Physiatry’s Academy and Board:

    • 62% of senior physiatry residents applied for a fellowship.
    • For those who did not accept a fellowship, their plans were split between heading into private practice and accepting an available physiatrist’s position at an institution.
    • Over half of the residents responded that they would be moving away from the area where they worked as a resident.
    • There is a decline in residents entering certain subspecialties.  Pain saw the greatest loss with 52% respondents interested in it last year and 19% this year.
    • Musculoskeletal medicine saw gains.
    • Rehab, neurorehab, cancer rehab and general rehab saw an increase with 19% of available physiatrists claiming an interest in these subspecialties.  Spine maintains a similar level of interest.

    Permission to use must be authorized by Farr Healthcare, Inc.

    Testimonials about Farr Healthcare, Inc.:

    “Thank you for your fine work and great referrals.  It has been a pleasure working with you.”

    Nancy Roberts,RN, Director of Physician Services, Providence Medford Medical Center, Medford, OR

    “Recently we hired a physiatrist for the Albuquerque market using an excellent recruiter. Her name is Linda Farr.  She has been recruiting only physiatrists for many years, so she knows these specialists all over the country.  She will first create a job description with your input and then starts sending you resumes.  She will conduct the preliminary interview and send you a copy immediately, which I found extremely valuable in helping to decide who to bring out for a formal interview.  She will continue to send people your way until you have someone under contract.  She is the best recruiter I have ever worked with.”

    David Lyman, M.D., M.P.H., Regional Medical Director, Concentra

    “We would like to express our gratitude to you for helping us to successfully recruit our new physiatrist.  After almost two years of recruiting efforts, we turned to her.  Within just a very few months, we have a new physician who appears to be the perfect fit for our group.”

    Dr. Jeff Hecht and Staff

    Here’s a list of questions to ask physiatrists you are interviewing for a position with you:

    1.   Give me an example of your leadership skills.( If your job qualifications involve leadership.)

    2.   Give me an example of your problem-solving skills.

    3.   Wht is your secret to handling difficult patients?

    4.   For experienced candidates:   How have you contributed to the growth of your medical group’s practice?

    5.   For experienced candidates:   What would you change about your current situation?

    6.   What are you most proud of regarding your professional accomplishments?

    7.   How does this opportunity compare with others that you are considering?

    8.   What do you think of our community and its amenties?

    9.   If an offer were extended, what would you be looking for in terms of a compensation package?

    10.   What attracts you about our opportunity?

    11.   Where are you considering practice opportunities?

    12.   What are you seeking in your new position?

    Why Recruiting Fees are Non-Refundable

    A toaster oven, I can understand.

    If it breaks, you simply return it to whoever sold it to you and get a full refund. The same is true with a flat-screen TV or a weed whacker. Satisfaction guaranteed or your money back.

    So why should the placement of a candidate be any different when working with a physiatry recruitment company? If the available physiatrist doesn’t live up to expectations after being hired, shouldn’t the employer be able to return the candidate to the recruiter and get his placement fee back?

    The answer is no—for three very good reasons.

    First of all, a candidate is a person, not a piece of merchandise. And the last time I checked, it was illegal to buy and sell other human beings. You can own a weed whacker. You can’t own a person.

    When an employer agrees to hire a qualified candidate as a result of a referral by my physiatry recruitment company, it’s not as though the candidate is changing hands from one owner to another. The candidate and the employer are simply agreeing to work together, exchanging the employer’s money for the candidate’s time and services.

    Besides, the two principals have had the opportunity to interview each other and engage in due diligence prior to making a decision of their own free will. To compare a candidate to a weed whacker is like comparing an apple to an orange.

    Secondly, there’s a limit to what I can guarantee.

    For example, I can guarantee that the available physiatrists I refer meet the employer’s requirements, with respect to their background and ability. I can guarantee that I’m complying with employment law. But I can’t guarantee the future performance of other people or how effectively they work together. If I had that sort of power, I would have arranged for world peace a long time ago.

    When it comes to physiatry recruitment companies, I can be enthusiastic about putting a deal together—assuming there’s a match. But the actual decision to hire or accept employment is beyond my control. And I can’t guarantee that which I can’t control.

    Finally, a major part of my decision to accept a search assignment is based on my prediction of the outcome. Whatever my pricing model, the last thing I want is to spend time on a project that’s problematic or is doomed to fail. And if the fee for my services is contingent upon making a placement, I’m going to make darned sure I can fill the job before I spend 20, 40 or 100 hours of my time working on it.

    The most compelling reason not to return my fee is that the professional activities that take place in physiatry recruitment companies —the sourcing, screening, qualifying, appointment-setting, closing, interview prepping, debriefing, offer negotiation and counteroffer-defense—all take time. Lots of time. And the time I spend on behalf of my client’s employment and hiring needs cannot be recovered. That time is gone forever.

    Negotiating your terms and conditions

    When an employer asks about your guarantee, simply explain that if the candidate leaves for any reason other than lack of work, you’ll do everything in your power to find a suitable replacement within a reasonable period of time; and that doing so represents not so much your obligation, but rather a good-faith act of courtesy, dedication and loyalty to the client.

    I’ve found that most employers understand that in a contingency arrangement, the recruiter assumes all the risk, and can’t recover his costs associated with a placement that turns sour. Like everyone else, recruiters have bills to pay.

    In either case, the risk is shared, with both parties having made an investment in a successful conclusion.

    If I’m going to climb onto a high wire, it’s only common sense to insist on a net.

    – Adapted from an article by Bill Radin

    Bill Radin is a top-producing recruiter whose innovative books, tapes and training seminars have helped thousands of recruiting professionals and search consultants achieve peak performance and career satisfaction.

    STEPS TO BRINGING ON A NEW AVAILABLE PHYSIATRIST

    1.  Prepare an itinerary for the candidate’s visit to include names and titles of the people the candidate will be meeting.  Provide this itinerary to the candidate before the visit.

    2.   Allow for time for the candidate and significant other to see the community; Mondays and Friday visit allow the weekend for this activity

    3.  Make the travel arrangements or reimburse the available physiatrist quickly for travel receipts presented

    4.  Have a basket of local goodies in the hotel room upon the candidate’s arrival.

    5.  Fill their hands with paraphernalia, e.g. brochures on the area, local newspaper, housing, etc.

    6.  Ask if a babysitter will be needed

    7.  Remember that this person must be sold on the facility, your physicians and the community and made to feel they will be proud to associate with them!

    8.  Make sure there are no mixed signals during the interview process.  Prepare staff to avoid this if necessary.  Make sure all involved on the agenda will be saying the same things re:the job, area, medical community, policatial and/or third party culture, etc.

    9.  Don’t allow the candidate to meet with a potentially hostile practice representative.

    10.  Be on time for dinner.

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