Residency Program Reputation and the Job Market

A resident asks if the relative prestige of the training program matters when looking for a job.

If you’re looking for a job at a prestigious academic institution, or in a very competitive area such as New York City or are competing for a fellowship spot, I think that it is worthwhile to be at a top-rated residency program. Otherwise, I rarely have employers asking me for graduates from the top-rated residency programs. Most employers such as hospitals and rehab companies don’t even know which residency programs are ranked best.
Private practices typically don’t have a preference for residents from top-rated residencies. I don’t see more job offers to graduates of top-rated residencies. I also don’t see graduates from top-ranked residency programs commanding higher compensation. I more often hear of a preference for a resident because he/she came from the same residency program as the employer.
Employers most often prefer residents who have a connection with their area. It can be through family, the residency program being in the same state, hobbies that match the area’s features, etc. Employers want a doctor who will stay for the long-term and doctors who are familiar with the area tend to stay longer.

Interview Tip – Practice the questions, not just the answers!

Here is some advice to consider when being interviewed.   Listen to the questions being asked.  Relax as much as possible so that you can understand the questions being asked.  It’s not good to provide an answer that doesn’t address the question.  This happens when we’re not listening well.    I’m not talking about not understanding the question in which case you should ask for it to be rephrased.  I’m talking about the unconscious situation when you don’t realize that you didn’t hear the question.   So you might want to not only practice answers to questions but to practice repeating the question if you’re working with a someone who’s posing sample questions to you.  They can then tell you whether you listened and have stated the question correctly.

Steps to Recruiting A New Physician – Part 2

11.  Make the doctor candidate feel like they’re the only one.

12.  Discussion during the first visit – discuss any start-up support, how attractive the job is, present the salary and/or guarantee and/or stipend range, benefits

13.  The interview process should be no more than 2 trips otherwise you may seem indecisive.  The more people in the interview process, the more confusing it is to the doctor candidate.  Do not include someone in the second interview that wasn’t in the first interview if at all possible.

14.  Give a deadline to contract signature.  Phone the doctor candidate during this time to stay in touch.  A drop-dead date of 2 weeks from the contract presentation is reasonable.

15.  Once the contract is signed, send a congratulatory gift, invite the physician and spouse for a getaway weekend to get to know the medical staff and community.   Send announcements to department heads, community doctors, healthcare/political organizations, order stationery and business cards, purchase a subscription to the local newspaper for the doctor and plan a welcome reception.

TO BE CONTINUED

Steps to Recruiting a New Physician

STEPS TO BRINGING ON A NEW PHYSICIAN

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; Monday and Friday visits allow the weekend for this activity

3.  Make the travel arrangements or reimburse the candidate 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.

Which is better-Private Practice or Hospital Affiiliation?

A physiatrist recently asked me whether it’s better to affiliate with a private practice or a hospital.  I think there are inherent advantages and disadvantages with each type affiliation.  Here are some of my thoughts:
Private Practice:
*  Smaller so is able to be more flexible and adaptable to health care changes
*  Better chance to have a more rewarding compensation with the potential of partnership
*  Smaller so it doesn’t have the capacity to provide a health care continuum to fit possible payor’s needs
Hospital:
*  Larger so may have a better handle on changing health care environment
*  Better benefits
*  The doctor may have less leverage as it’s doctor versus administration

Charging a New Doctor Who Leaves Before the Contract Term

I was recently asked by a practice who is looking for a doctor if it is common for the practice to have a financial penalty should the doctor leave before the end of the contract term.    This is the case usually when the new doctor was paid an income guarantee, an advance, a relocation allowance, etc.    If not, then a financial penalty is not usually the case.    I obtained this information from Physiatry Reimbursement Specialists, Inc.,  a national billing and practice management company serving Physiatrists all over the U.S. for 20 years, 1-800-324-4777, www.Prsinc.com

Cover Letters

Usually, I don’t recommend a cover letter.    Most of the individuals who review curricula vitae do not have the time to review more than the curricula vitae.  The only time I would recommend a cover letter is if you have something to feature about yourself which isn’t in your curriculum vitae.

I can’t provide you with a sample cover letter as it has to be specific to you but what follows is a sample of a cover letter minus your specifics.  It might be helpful to include your philosophy of practice and goals, if you know enough about the practice that you’re sure they’re a match with it.

Date

Name and Address to whom you are sending the letter

Dear ____________:

I would very much like to learn more about your practice opportunity, to include your needs and the goals of the opportunity.   I am certain I have the background and commitment to fill this position.

Body of the letter specific to your skills, experience, training, etc.

Thank you for your kind consideration.  I look forward to hearing from you.

Sincerely,

Contract and billings

Question from a Physiatrist Today:Is it a new and perhaps now ongoing item in contracts that if monies are due back for Medicare that the doctor employee will be responsible for his/her share?

Answer: No, the physician employee should not be responsible for anything after or during termination for this issue. This is a billing issue, that is unrelated and beyond his/her control. However, there would be one exception – if the physician is audited, and his/her documentation does not support the level of billing, and is then asking for a refund – then it could be on him/her. It depends on how the contract is written.
Answer contributed by Liz Lee, PRS, Inc., 817-284-9850, 1-800-324-4777, 817-907-0370 Mobile, Website: PRSinc.com

Personality Interview Questions

More and more entities are asking behavioral-type questions during the interview. I even had one practice require that candidates talk with an employment psychologist. These questions require more thought than the standard questions so you should prepare your answers. They delve into your personality. Here are some behavioral questions:

1. Describe your approach with patients? Show empathy and compassion in your response. Note items such as attention to listening, interest in patient education, and engaging the patient in conversation when responding to this question.
2. Tell me about a specific patient who came to you unhappy with the care they received elsewhere. How did you handle it? Once again, show compassion and empathy when answering this question. Your answer will inform they how you deal with worried patients. The same attitude should be displayed in your answers to the following questions too.
3. Please describe a difficult patient, family member or colleague with whom you had to work and how you handled the situation.
4. Please describe a difficult patient, family member or colleague with who you had to work and how you handled the situation.
5. Tell me about a specific patient who came to you unhappy with the care they received elsewhere. How did you handle it?
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Reference questions

Perhaps you wonder what kind of questions might be asked about you when a reference is done. Some of the typical questions follow. It’s best to prepare your reference before your reference receives the call. Tell your reference who will be calling and their position. Coach your reference on the qualifications the practice opportunity is seeking and how you match/exceed the qualifications.

How does he/she rank with other you have worked with?
How would you describe his/her clinical judgment?
How well does he/she know her limitations?
What type of practice would best suit him/her?
How would you describe her abilities as a team player?
What number of patients can he/she see per day?
What will a patient’s first impression be upon meeting her?
How curent is he/she with specialty knowledge, CME and/or reading?