Physical Medicine and Rehabilitation Jobs

Finding your Way in Physiatry-man with arrows pointing

Physical medicine and rehabilitation jobs are plentiful!  Without an increase in physiatry residency positions, the current national shortfall of physiatrists is projected to persist. According to a study published in the American Journal of Physical Medicine and Rehabilitation on September 1, 2021, without an increase in physiatry residency positions, the current national shortfall of physiatrists is projected to persist. Although a projected increase in physiatrists’ use of advanced practice providers may help preserve access to comprehensive physiatry care, it is not expected to eliminate the shortfall.

Be adventurous and consider a general outpatient opening with EMG’s in OR in the North American wind sports epicenter with world-class skiing, windsurfing, kite-boarding, mountain-biking, and hiking minutes from the practice. Or consider a sports with regenerative medicine physical medicine and rehabilitation job in CO with a practice has it all – it’s busy, growing, well-established AND has great professional collegiality.  There are patients there waiting for you; there’s a 3 – 4 months appointment wait time.  And, the best as last, a 4-day work-week.

Maybe the beach is your preference.  If so, consider practice opportunities in DE to include interventional, outpatient or inpatient.  There are three different physical medicine and rehabilitation opportunities in DE.  Other locations with a beach are CA, CT, FL, NJ, and SC.

If it’s a metro life you’re after, consider NYC which has general outpatient and interventional openings.  Or, consider an inpatient position in Los Angeles (there’s also a pelvic rehab physical medicine and rehabilitation job there and in TN which provides training in pelvic rehab care).  Or interventional work in Chicago or Atlanta.  Or an inpatient/outpatient private practice opening a ½ hour outside of Chicago.

If you like the big city but want a little space and lower cost of living, consider an interventional position in CT.  The suburbs of Hartford are beautiful, the school system is top-notch, and they have easy access to so much…NYC, Boston, skiing, hiking, Vermont, and New Hampshire.  The income for the physiatrists in this practice is in the 99th percentile-plus.  You can enjoy full and equal partnership with the orthopods and physiatrists.  Enjoy autonomy over your schedule and very little chronic pain. Or consider an Associate Medical Director, Rehab physical medicine and rehabilitation job with NO CALL an hour N of NYC.

If you’re looking for career progression, consider Medical Director openings in MO, GA, MN and OH; a Chair position in WV; an Associate Medical Director opening in AZ with no weekday call and 1:4 weekend call

Or if a state with no state income tax is of interest, then consider physical medicine and rehabilitation jobs in WA, TX, TN, NV, FL and AK.

If you’d like to purchase a physiatry practice, there are openings in Las Vegas; San Diego; Queens, NY; southern Palm Beach County, FL; and AR,AL,TN (all EMG practices).

For more physical medicine and rehabilitation jobs, visit here.

 

 

Tips to Hire the Right Candidate For your Physiatry Job

How do you know if the physiatry candidate you’re talking with on the phone is the right doctor for your physiatry job?    Will this person who you are now interviewing be able to meet your organization’s goals?  One thing that is a given, is that there will be changes in your organization over time.  Will the interviewee be able to fill your goals as they change in the future?

These are tough questions which you might respond that there’s no way to make sure unless you have a crystal ball!  Rest assured, that if you have the right questions to ask the doctor about your physical medicine and rehabilitation job, you should be able to reasonably predict a candidate’s success.  The right questions are particular to your organization’s needs but the following questions will give you a heads-up on the type of questions you will want to ask.

  1. How does the physiatrist work in new and different situations?

Needless to say, you want someone who is light-footed in their responses and attitude to various situations at their physiatry job.  Therefore, you might want to ask them to give you an example of their adaptability at their current job.  Critical thinking skills and an even demeanor are necessary to good adaptability.

  1. Does the physiatry candidate ask insightful questions?

A good candidate will be an intentful listener.  The physician will be able to identify questions based on the information they process from your conversation, rather than just asking questions based on research they’ve done on your organization beforehand about your physical medicine and rehabilitation job.  The candidate who asks insightful questions will be the same person who will be able to assess your organization once the physician is there for awhile and offer helpful advice on changes for system improvement, new ways to address community needs and to maximize the organization’s economic efficiencies.

  1. Is the physiatrist voraciously curious?

Is the candidate excited about your physiatry job?  In a book about curiosity, Todd Kashdan notes that curiosity is about “appreciating and seeking out the new instead of desperately seeking certainty, it is about embracing uncertainty.  Being curious is key to high productivity and insightful thinking.

  1. Can the physiatrist see patterns in disparate information?

Mountain of data and an overabundance of information now overwhelm every work environment.  Does the physical medicine and rehabilitation job candidate demonstrate they can see patterns and sense important trends in information, workflows and organizational crises?  New work conditions demand the ability to proactively “see” what’s happening in the market synthetically, and to be able to communicate it to others.

  1. Is the physiatrist a team player?

Over at Netflix, where the corporate culture is all about freedom and responsibility to lead the market in innovation, they emphasize hiring and retention of stunning colleagues are superb collaborators.  The best doctor for your physiatry job is someone who gets along with doctors, staff and patients, someone who has good interpersonal and communications skills and is willing to be an ombudsman for your organization.  This means searching for the candidate who understands their thinking is improved by collaboration and diversity.

  1. Is the physiatrist a good resource manager?

When filling your physical medicine and rehabilitation job, the new candidate should be able to use the resources you provide in an efficient and effective manner.  This means using staff wisely, being good time managers and good record keepers.

  1. Is the physiatrist enthusiastic about people and relationships?

“Spirited workplaces” are filled with individuals who are creative communicators – who are affirming of others and attentive to how their interactions with others make them feel, says business consultant Glanz.  Enthusiastic people tend to generate positive feelings and productive energy at work because they are creative in connection and savvy about their impact on others.  You need this energy in your organization.  Do you feel it when you are talking to this candidate?

  1. Will the physiatrist admit to mistakes?

New research describes how adaptive learning requires mistake making – you can’t go forward without experimenting.  Really able learners make lots of mistakes and are able to glean important lessons from them.  Ask the candidate for your physiatry job to describe a situation they were in or a decision they made that was a failure.  If they are fairly quick in their response, it shows that they are adaptive learners.

  1. Does the physiatrist have strong interests outside of work?

Steve Leveen, CEO and founder of Levenger, says when he hires he looks for people who are collectors.  “It doesn’t actually matter what they collect,” he says.  “Just that they are really interested in something, that they have passions.”  If they have active interests in their personal life, they will bring this same enthusiasm to work.  Ask the physical medicine and rehabilitation job candidate about their hobbies, sports and other interests.  Are they excited when they talk about them?

  1. Is this the kind of person you want on your team?

No candidate has exactly the right skills for the job or is perfectly qualified.  Is the physiatrist you’re interviewing have the values and habits you respect?  Can you trust them to do the right thing?  Every employee is going to have to “learn into” any job they are hired for now.  Your instincts will help, but asking the right questions is also critical.

Source:  https://hiring.monster.com/resources/recruiting-strategies/talent-acquisition/hire-the-right-candidate/

 

 

 

 

Compensation . . . It’s More Than The Salary Amount

Physiatry jobs, they come in many shapes and sizes but one factor, cost of living, can make all the difference in the world.  I’ll never forget a physiatrist with an opening in Las Vegas, NV.  He told me that because of the lower cost of living in NV, that a doctor moving from CA to NV could buy a new car every year!

Unlike other professions, physiatrists often receive greater financial income in pm&r jobs in less metropolitan areas.  The basis for this is the law of supply and demand; more physiatrists want a practice opportunity in a metropolitan area so the physiatry supply is greater in metro areas.  The financial remuneration maybe be lower in metro areas yet physiatrists are willing to take these positions.

Physiatrists who are willing to consider physiatry jobs in less metropolitan areas are often rewarded financially. It’s helpful to know that you can earn 15% to 20% more by living in middle America according to “Where Doctors Can Find a Higher Pay & Lower Cost of Living” https://www.hcplive.com/view/often-overlooked-way-fund-your-roth-ira-has-many-advantages,

When you’re considering physical medicine and rehabilitation jobs, the website Doximetry has a salary map which shows nationwide salaries on a county-by-county basis.  According to Doximetry’s 2020 Physician Compensation Report – Physiatry is one of the top ten specialties with the largest increase in average annual compensation with $338,554 as the average compensation in 2019 versus $354,457 in 2020.

Some cost-of-living comparisons are as follows:

Moving from Los Angeles- to Phoenix, AZ with a salary in CA of $300,000.  You’ll only need $201,486 for the same standard of living in Phoenix- a savings of $98,514!

Moving from Chicago, IL to Rockford, IL with a salary in Chicago of $300,000.  You’ll only need $220,509 for the same standard of living in Rockford- a savings of $79,491!

Moving from Atlanta, GA to Florence, AL with a salary in Atlanta of $300,000.  You’ll only need $247,110 for the same standard of living in Florence-a savings of $52,890

Moving from NY, NY to Allentown, PA with a salary in NYC of $300,000.  You’ll only need $123,793 for the same standard of living in Allentown-a savings of $176,207!

These savings can provide monies to use as you wish such as travelling to the bigger cities in your spare time.  So there’s a lot to consider when taking a new physiatry job, least or most of which may be the cost of living.  To find great practice opportunities, click here.

 

PHYSICAL MEDICINE AND REHABILITATION JOBS FOR EXPERIENCED PHYSIATRISTS

Physiatrists are the team players of all the medical specialties.  They work with therapists, case managers, nurses, admissions and more.  PM&R doctors are the team leaders.  They must have great communications and interpersonal skills.

Physical medicine and rehabilitation physicians also are familiar with so many diagnoses like Brain Injury Medicine, Hospice and Palliative Medicine, Neuromuscular Medicine, Pain Medicine, Pediatric Rehabilitation Medicine, Spinal Cord Injury Medicine, and/or Sports Medicine.

PM&R doctors may do many procedures depending on the injury, illness, or disabling condition.  Physical medicine and rehabilitation jobs are available with the focus of these procedures: EMG/Nerve Conduction Studies, Ultrasound guided procedures, Fluoroscopy guided procedures, Injections of spine, Discography, Disc Decompression and Vertebroplasy/Kyphoplasty, nerve Stimulators, Blocks and Ablation procedures—Peripheral and Spinal, Injections of joints, Prolotherapy, Spasticity Treatment (Phenol and Botulinum toxin injections, intrathecal baclofen pump trial and implants), Nerve and Muscle Biopsy, Manual Medicine/Osteopathic Treatment,  Prosthetics and Orthotics,  Complementary-alternative medicine (i.e. acupuncture, etc.),  Disability/impairment assessment, and Medicolegal consulting.

If you’re an experienced physiatrist and looking for a new physical medicine and rehabilitation job, you probably know what to look for in a new position and what’s not of interest to you.  You have the advantage of experience that has informed you of what you truly like and dislike.  Some physiatrists even try locum tenens before their first permanent job to identify what practice type is of most interest to them.  It is a financially-rewarding way see different practice types and learn what works best for them.

With the advantage of experience, there are so many factors that may drive your next physical medicine and rehabilitation job search.  You may be in a situation where the billing system isn’t good so you know to make sure to inquire about it this time around.  Or, maybe the camaraderie in the group you’re with is lacking so now you know to talk with each of the associates carefully in the new groups with whom you’ll be interviewing.  The list goes on and on, e.g., your relationship with administration is not good, you might prefer a hospital employee position instead of being with a private practice, you may not be being paid enough, or you may be working 24/7.

Experienced physiatrists are much savvier therefore about their practice searches.  As is the case whenever you’re doing a physical medicine and rehabilitation job search, it is best to identify your strong likes and dislikes.  These can be used at the tail-end of your search when you can use these to weigh the pro’s and con’s of openings.

Employers often favor experienced physiatrists for the very same reason because they know what they want and don’t want.  For this reason, they are more likely to stay with their second and on physical medicine and rehabilitation jobs.  Job longevity is very important to the hiring entity.  Also, experienced physiatrists can transition into a new entity quickly and efficiently.

Some of the former con’s of physical medicine and rehabilitation jobs have been eliminated over the course of time.  For example, with the inclusion of hospitalists in many settings, physiatrists no longer have to take care of the patients’ medical issues.  Also, hospitalists have lessened the call demands on physiatrists.

Now, many hiring entities employ physiatrists so that you have the security of a salary and benefits.  On the other hand, one physiatrist’s job pro may be another physiatrist’s con.  Some physiatrists prefer an independent contractor affiliation as they favor direct, full reimbursement.

Here are some physiatry jobs exclusively for experienced physiatrists:

AL – Birmingham, Residency Program Director, SCI opening also available

  • Golden opportunity in academic leadership
  • Growing and successful PM&R program
  • Super-collaborative group
  • Rated top large employer in the nation
  • A known TBI and SCI model system site
  • Birmingham has the Lakeshore Foundation which is the home of para-Olympic training
  • Recently succeeded from an advanced program to a categorical program
  • Level I trauma center
  • The SCI Model System has been continuously funded since 1998
  • Academics, clinical and research; can just do academics and research if desired

AZ – Phoenix Mostly Inpatient, Similar openings nationwide

  • Reap the benefits of well-trained outreach teams to maximize the patient load
  • Associate with a national leader in rehab which has a great ability to market and represent rehab on all fronts
  • High income potential
  • Work with two nationwide companies, experts in hospitals and in rehab
  • Salary plus incentive
  • Must be Board Certified

CO – Denver Interventional, Similar openings in Atlanta, Las Vegas, Chicago, Nashville, Kansas City

 

  • No narcotics or chronic pain
  • No Medicare or Medicaid
  • This large network gives you the first-choice ability to move to another city
  • Lifestyle-friendly practice environment with a rapidly growing, thriving organization
  • Procedure suites in the office
  • Nurse practitioners in every office
  • Equal distribution of new patients
  • Monthly incentive bonuses typically range from $5,000 – $15,000

DE– Georgetown & Dover – Mostly inpatient, Similar openings in LA -New Orleans, ND-Fargo, TX-Houston

  • 10 minutes to the beach; Dover is the state capitol
  • 2019, 2020 Dover Rehab Hospital was the company’s rehab hospital of the year and #1 in quality outcomes ranking for all company rehab hospitals in 2021
  • The Dover hospital has a full census so it’s expanding
  • The Georgetown, DE rehab hospital is under construction with a Spring, 2022 start date
  • 1:4 call and only when admissions
  • Internal medicine support and 43 different specialists
  • DE has a great rehab need as there are only 125 rehab beds for 1M state residents
  • Internists are on call on the weekends

FL – Tallahassee, Medical Director, Rehab – Similar openings in Ocala, Pensacola and Panama City

  • Help build a brand-new program
  • Strong support system
  • In 2019, Southern Living Magazine recognized Tallahassee as “One of the South’s Best Cities”
  • 266-bed acute care hospital; named one of America’s 100 Best Hospitals for Orthopaedic Surgery
  • $23M, 20-bed rehab center opening in 2022
  • State Capitol

 ME – Near Portland – Interventional

  • Growing, expanding successful multidisciplinary practice
  • In-house injection suite
  • PT’s, athletic trainers, personal trainers and more
  • Attached to a 10,000 square foot indoor sports performance center
  • Work with a NP
  • 4 days/week, great benefits
  • In-office injection suite
  • Partnership potential
  • Opportunity to buy into the office building as well; potential ASC affiliation
  • Near Portland, the largest city in ME, among the top US cities for restaurants and bars per capita; Arts District, Foods Festivals; 105 miles to Boston

WA – Spokane – Outpatient Spasticity Management Practice Purchase

  • One of the area’s leaders in spasticity rehab
  • Long-standing reputation with 24 years in operation
  • An ideal practice for someone that wants to reduce their hours.  No weekend work, very little over-night call, easy billing, but still have the opportunity to interact with patients.
  • This practice is almost all procedures.
  • Located in the heart of downtown Spokane, WA near many medical centers

For more openings, visit here

PHYSICAL MEDICINE AND REHABILITATION JOBS

PHYSICAL MEDICINE AND REHABILITATION JOBS

How do you choose a PM&R job?  It’s often geography, family, compensation or a combination of these items and more.   This blog will help you to identify among the myriad of physical medicine and rehabilitation jobs which might be the best for you.  It will include information about geography, compensation and other aspects such as the job responsibilities, call, acute versus chronic pain, etc. so you can best determine what fits your needs.

NEW ENGLAND

INTERVENTIONAL

MA – BOSTON

This physical medicine and rehabilitation job offers the potential for ownership in the ASC and, if interested, practice ownership!  This is a well-established, successful pain practice that has been in operation 20 years.  There is huge growth potential at this 2-person doctor practice with a PA and a NP.  Do interventional procedures 2 – 3 days/week to include cervical epidurals, stimulator trials and implants-temporary and permanent, discography, morphine pumps.  Ideally some knowledge of stem cells would be ideal.  Most procedures are by fluoroscopy.  The surgery center is across the hallway from the office.  Do a few EMG’s and NCV’s.  70% – 80% of the patients are on medications but not long-term and are low dose opioids

 

INPATIENT, CONSULTS AND OUTPATIENT – Permanent or locum tenens

NH – MANCHESTER OR NASHUA

 

This is a very well-regarded rehab hospital system.  Their physician retention rate is high.  They are focused on high quality of care.  Hospitalists provide the primary care.  The system has been operational since 1984, and is Joint Commission- and CARF-accredited with specialty certification in stroke and brain.  The network has 4 rehab hospitals, 20 outpatient centers, 2 interventional pain centers, a home care service and school-based sports medicine programs.  Join a dynamic group of employed physicians that currently include 9 Internists, 6 PAs, and 8 Physiatrists.  There is the potential for an academic appointment with this physical medicine and rehabilitation job.

 

 

THE NORTHEAST

LEADER, RESTORATIVE CARE PROGRAM

PA – YORK

 

This new physical medicine and rehabilitation job is exciting as you will be the lead physician within a newly-developing, world-class multidisciplinary pain team (behavioral health care coordinators, acupuncturists, massage therapists, nutritionists and more).  I often hear of dysfunction, disorganization and lack of continuity from physiatrists about their work.  This opening allows you to be part of the first Transdisciplinary Pain Program within an integrated health system in the nation.  It has comprehensive, trauma-informed, team-delivered care where multiple disciplines provide care at one location based on a single treatment.  It is conveniently situated within a short drive of major cities like Philadelphia, Baltimore and Washington, D.C.

 

INTERVENTIONAL OR GENERAL OUTPATIENT – Permanent or locum tenens

NJ – TEANECK, Similar openings in NYC

 

This physiatry practice is well-connected as it works with a large management services companyIt’s only 19 miles from NYC!  With its flexibility in affiliation type, you can choose to work on a permanent or locum tenens basis.  This position requires a current NJ license.  As an interventionalist, you would provide pain procedures and do your own EMG’s/NCV’s.  There is no medication management. If a general outpatient physiatrist, you will provide EMG/NCV’s and do about 20-25 evals/day at this physical medicine and rehabilitation job.

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THE SOUTH

INPATIENT

FL OCALA, PENSACOLA AND TALLAHASSEEMedical Director openings in Jacksonville and St. Augustine and other southern states

                                               

If you enjoy being part of one of the largest national healthcare systems, this position is for you.  Great benefits, great opportunity for career progression, guaranteed referral sources and great system stability all come with this practice opportunity.  The Tallahassee opening offers the opportunity to grow a new rehab hospital program.   Some of these physical medicine and rehabilitation job opportunities are in areas without other rehab competition.

 

INTERVENTIONAL PRACTICE PURCHASE

NC – SOUTH CENTRAL

 

A physiatrist with a long-standing reputation with 21 years in practice plans to retire.  All the physiatrists in town do very well.   The city has received the All-America City Award from the National Civic League three times.  If you so choose, you can also do inpatient.  Beautiful 3,000 square foot office building with a large PT area, 2 doctor’s offices, 3 exam rooms, staff break room, supply storage room and a parking lot.  The building is available for purchase.  It has solar panels which generate income   The physiatrist will introduce you to good referral sources.  When doing inpatient plus outpatient the practice grossed $1.2M a year.  $900,000 OBO

 

THE MIDWEST

 

MEDICAL DIRECTOR, REHAB AND STAFF POSITIONS

IA – IOWA CITY

If you like academics, growing programs and rehab, this is your ideal physical medicine and rehabilitation job!  You’re in good hands because your affiliation is with a rehab leader and a university leader.  Enjoy working with very engaged faculty team.  Play an integral role in the growth and development of PM&R at the university.  Hospitalists serve as the primary care physician and do most of the call.  Enjoy flexibility in services you can provide.  Significant transition payout, commonly known as a sign-on bonus.  Terrific benefits!

 

INPATIENT/OUTPATIENT STAFF

MN – DULUTH

Duluth was named Best Outside City by Outside magazine – Fish, hike, ski, sail, canoe, kayak, bike and mountain bike, golf, tennis ice skate, hockey, rock climb. Enjoy professional collegiality with 6 physiatrists and excellent working relationships with a full continuum of neuromusculoskeletal specialists.  $20,000 sign-on bonus and $270,000 for a new graduate, more if you have experience.

 

MEDICAL DIRECTOR, REHAB

ND – FARGO; Similar openings in DE, LA and TX

 

Outstanding physical medicine and rehabilitation job to make a name for yourself at this 1-year-old rehab hospital.  Help grow and further develop the rehab programs.  Act as the consultant; hospitalists provide primary care days, nights and weekends.  Strong internal medicine and a full array of consulting specialties.  Per a local doctor, it’s a great place with good schools, a good airport, hunting, skiing, college sports and theatre, a low crime rate, and more.

 

GENERAL OUTPATIENT OR INTERVENTIONAL

OH – DAYTON

 

Dayton is close to the metro area of Cincinnati as it’s only an hour away.  If you want the stability of a hospital system which is the largest in the area, this physical medicine and rehabilitation job is for you.  Plus, it’s an area where you can enjoy a good lifestyle as it has a low cost of living.  Dayton is rated as “Top 100 Best Places to Live and Retire”.   The work is approximately 80% outpatient musculoskeletal medicine and 20% inpatient.  The focus is on Spine Pain and non-operative treatment.  The inpatient work is inpatient consults and inpatient coverage when other staff on vacation.  If doing spinal injections, they will be done in the hospital outpatient department.  The physiatry office is connected to the hospital.  No travel.  Enjoy great benefits and a sign-on bonus is negotiable.

 

THE SOUTHWEST

 

ASSOCIATE MEDICAL DIRECTOR, REHAB

AZ – 2 HOURS FROM PHOENIX – Similar opening in Evansville, IN

 

This is a growing hospital next to a Level I trauma hospital.  Enjoy the autonomy and income advantages of being an independent contractor.  Flexibility with days and hours and good work/life balance.  Marketing is done for you and there is help with setting up your practice.

 

TBI, GENERAL OUTPATIENT, INTERVENTIONAL, or EMG

NM – ALBUQUERQUE

These physical medicine and rehabilitation jobs are due to the growth of a fairly new PM&R residency program in beautiful, sunny Albuquerque with sun and snow.  Live in modern downtown, Old Town with shops or the suburbs.  Get in on the ground floor of this opportunity with huge growth potential.  Each of the positions is flexible so that you can include your practice preferences and develop clinics around your areas of interest; do program development and residency education and can be an academic (to include research) or clinical track.

THE WEST

INTERVENTIONAL

CA – SAN FRANCISCO

Join a diversely-talented and excellent team at a world-class practice.  Built-in referral base so your schedule will fill quickly.  There is a great opportunity to further grow this already sizeable practice.

SPASTICITY MANAGEMENT PRACTICE PURCHASE

WA – SPOKANE

 

This is one of the area’s leaders in spasticity rehab.  This practice has a long-standing reputation with 24 years in operation.  It is located in the heart of downtown Spokane, WA near many medical centers.

These are but a few of the available practice opportunities.  For more click here.  There are more physical medicine and rehabilitation jobs than ever before!

 

 

 

 

 

 

 

 

What’s Wrong With These Curriculum Vitae? – A Primer On How To Prepare Your Curriculum Vitae

Writing your curriculum vitae can be challenging.  What should you include, how should you say it and more questions come to mind.  What font, what text, what order and so many more questions arise.

One of the most important aspects of your cv is the contact information.  It should be front and center on your cv and bold.  It should include your name with your M.D. or D.O. title, your cell phone, your email address and your address.

There is a typical format to follow which you can find at click here.  If you are a resident, you should list your Education first, if you are a practicing physiatrist, you should list your Experience first.  To find our more about what you should and shouldn’t do on your curriculum vitae, please watch the following presentation I did at the 2021 American Academy of Physical Medicine and Rehabilitation virtual meeting.

For information about practice opportunities for which you’re writing your cv, click here.

 

Why You Should Use A Physician Recruiter

The other day a resident asked me how using a Farr Healthcare, Inc. for physiatry recruitment is different than pursuing positions on her own.

First, some employers use Farr Healthcare, Inc. exclusively for their physiatry recruitment.  You might be missing out on a practice opportunity unless you consider openings with Farr Healthcare.  Farr Healthcare has been in business for 30+ years so most physiatrists know us and reach out to us when they want to add a physiatrist.  This familiarity is fostered by Farr Healthcare’s reaching out to senior residents and fellows each year.

Saving time is important to everyone.  The list of physiatry practice opportunities on the Farr Healthcare website is one of the most comprehensive on the web so it can save you time in physiatry recruitment practice search.  It also has some of the most comprehensive information about each practice opportunity.  One of the goals of Farr Healthcare is to provide you with as comprehensive information upfront so you can identify the openings of most interest to you and not waste your time with openings that don’t turn out to be what’s of interest to you.  We typically provide information about the type of affiliation, the means of compensation and the compensation amount.

With its 30+ years of physiatry recruitment experience, Farr Healthcare, Inc. can help you identify which practice opportunities are the best match for your skills and interests.  We know the field of physiatry better than the vast majority of recruitment firms and this combined with the knowledge of the recruitment environment provides you with a wealth of advice be it your personal interests, your skills, your geographic preferences, your financial and affiliation interests, etc.  We want to know your career goals and will do our best to connect you with employers with similar interests during your physiatry recruitment experience.

A feature of the Farr Healthcare website is that you can subscribe to a service on the website that alerts you as soon as a new physiatry practice opportunity arises.  We post practice opportunities on our website as soon as they become available so checking it from time to time might also be of interest.

If you contact Farr Healthcare, we will ask you what states or areas of the country are of interest and what type of physiatry you want.  We will then keep you posted on practice opportunities that arise that are a match.  We are able to do this better than most anyone because we know the particulars of the physiatry specialty having recruited in it exclusively for so long.  We won’t contact you about just any practice opportunity, only the ones that match your interests.

If you’re not sure if your curriculum vitae is good or not, Farr Healthcare will be glad to review it and provide advice.  If you provide us with your curriculum vitae with interest in a practice opportunity, we review it and let you know if there’s a glaring error such as missing contact information, time gaps, typo’s, etc.  This alone can be the difference between you getting a job offer or not during your physiatry recruitment process.

One of the best advantages of working with Farr Healthcare is that we will make sure that the employer is aware of your interest and acts upon it.  Most practices are very busy so they don’t have much time to devote to physiatry recruitment.  They sometimes lag in follow-up. Farr Healthcare contacts the employers weekly if not more often about you.

Another advantage of working with Farr Healthcare is that we act as your cheerleader.  We tell employers about your positive features.  We know the employer well enough to also let them know how your plus’s match the candidate profile they’re seeking in their physiatry recruitment.  Especially during these Covid times when more interviews are by Zoom and it’s harder for you to show your personality, it is very helpful to have an aide like Farr Healthcare to promote you.

Another advantage is that we move the physiatry recruitment process along for you.  We often do so by interviewing you when you first express interest in an opening.  Rather than just having a curriculum vitae, this interview provides the employer with more information.  Given this additional information, the employer is more apt to contact you without hesitation.  Otherwise, your curriculum vitae can sit on an employer’s desk perhaps for weeks without review.

The same holds true for reference checking.  Even after an employer has seen your curriculum vitae and the interview results of you by Farr Healthcare, they may be busy and not act as promptly as you would think.  Farr Healthcare prompts employers to let us do reference checking as a means to giving them what hopefully be more positive information about you to the end of wanting to continue contact with you in their physiatry recruitment.

If requested, Farr Healthcare will provide you with helpful feedback on your interviewing skills.  We’re open to interviewing you and giving you advice on how your interview skills might be improved.  If we ask for an interview, you can use this experience as practice for your interviews with employers.

Farr Healthcare can help you during the negotiation process although we typically don’t act as the go-between. Instead, you can deal directly with the employer to minimize any miscommunications and maximize your relationship with the employer from day one.

With all these advantages, please also note that you’re not tied to just using Farr Healthcare for your practice search.  There is no commitment on your part to Farr Healthcare during the physiatry recruitment process.  Farr Healthcare has agreements with the employers to help with their recruitment.  Far Healthcare’s roots are working for a national rehab provider so our goals are to make the employer and YOU happy so that you will stay with the employer long-term.  We provide all these services without a cost to you.

Whether you’re a resident who’s not sure what questions to ask to secure your ideal position or you’re an experienced physiatrist who knows what you want, Farr Healthcare can provide you with guidance or provide information from the employer to make sure a position fits your interests and your physiatry recruitment practice search is efficient and effective.

Please check  out our website, www.farrhealthcare.com

Physiatry Job Openings

I received a call from a physiatrist asking what the compensation should be for a 20-bed rehab unit.  He was given a contract with a $139/hour stipend for 4 hours per week of administrative work.

An $80,000 – $100,000 stipend is the average annual stipend at large freestanding rehab hospitals for a PM&R doctor.  The average Physiatry Medical Director Stipend for rehab units varies from facility to facility. It depends on the unit’s size and what the unit’s needs and expectations are. The exact amount the Director receives is based on an hourly pre-determined fee for administrative costs only. The contract usually stipulates a mandatory 20 hours per week of administrative time. The facility typically generates a form for the Medical Director to use to document their time. The average hourly rate is from $100 to $150 per hour.

According to Bruno Stillo, CPA, MBA with Physiatry Billing Specialists, a physiatry billing company, $139/hour seems reasonable.  However, four hours of administrative work/week may be less than what may be needed.  He suggests that this doctor might want to negotiate more hours/week in order to increase the compensation.www.physiatrymedicalbilling.com

This PM&R doctor, perhaps like you, is not satisfied with this compensation and is now looking for a new job.   If you’re looking too, is it the location in the US, your lifestyle, your spouse or significant others’ interests, etc. that will determine where you look?  There’s no one opportunity that will have it all so rank order your interests.

Many physical medicine and rehabilitation doctors prefer a warm climate.  Consider this Medical Director, Rehab practice opportunity in St. Augustine, Florida.  This practice opportunity offers a Medical Director stipend PLUS a three-year $240,000/year income guarantee of your professional receipts PLUS relocation.  A sign-on bonus is negotiable.  This opening is at a rehab hospital that will open in February, 2022.

Consider this Medical Director, Rehab Unit practice opportunity in Tallahassee, Florida at a 20-bed rehab unit opening in April, 2022.  It is with a company that takes a different strategy to rehab.  It approaches a health system without rehab or wanting rehab expansion with the goal of providing full-spectrum and rehab continuum from acute rehab to day care.  They do the administration and leave the medical care to the physiatrist.

They have operations in Chicago, Daytona, St. Petersburg, FL and more.  The company is built on a strong foundation of visionary clinical leadership and industry relationships to provide best in-class care throughout the post-acute continuum.  They currently have 15 physiatrists nationwide.  This position requires the physiatrist to act as the primary care doctor.  On the contrary, more and more inpatient physiatry practice opportunities have hospitalists who provide the primary care for patients.  This physiatry job provides the option of being an employee or an independent contractor which is more flexible than most jobs.

TX is a physiatry-friendly state.  If you’re looking for a position that is 7 AM – 5 PM  Monday – Friday with no weekends, consider this Medical Director, Rehab position in Corpus Christ, TexasYou would act as the consultant at this hospital that is in the top 10% of outcomes in the company’s rehab hospital system.  The hospital exceeds all matrix, financial, patient satisfaction and employee retention statistics.  It is located in southern TX with beaches and loads of outdoor sports.  Picture yourself having lunch on the bay, enjoying the cultural events at the University, great fishing and living downtown with great views of the marina and walking distance to the hospital!  It offers a stipend plus a one-year income guarantee.  The Medical Director stipend is $140/hour.

There is Medical Director, Rehab physiatry position with the same company but located in Bloomington, Indiana, home of Indiana University, that does require call and you would be the primary doctor for the patients with consult service available.  This is a great opportunity to start a hospital from the ground up.  It includes a Medical Director stipend.  You can enjoy the autonomy and income advantages of being an independent contractor or be an employee.  It offers flexibility with days and hours.  You could make as much as $450,000 in this position, to include a one-year income guarantee and Medical Director stipend and your professional receipts if an independent contractor.

Interventional positions usually are more financially rewarding than inpatient positions.  There is a sports medicine PM&R position in the highly desirable DC/MD/VA area.  This is with a busy, well-established practice that uses the whole-body holistic approach and has ultrasound in every room.  The practice specializes in treating orthopedic sports medicine-related injuries and pain associated with the spine, joints, muscles, and nerves.  Other interventional positions are in AR, IA (regenerative), MA, MI, NC (practice purchases), NM, NY, OH, PA, and SC and can be found at https://farrhealthcare.com/openings/

Some physiatrists like the security of an employee position. Two inpatient positions, one in Georgetown and one in Dover, DE offer a base salary plus an incentive based on RVU’s.   The Dover, DE hospital won the 2019, 2020 Rehab hospital of the year and #1 in quality outcomes ranking for all of the nationwide company’s rehab hospitals in 2021 (YTD).  It has a full census so it’s expanding.  The Georgetown, DE rehab hospital is under construction with a Spring, 2022 start date.  The Dover facility has 1:4 call and only when admissions.  There is Internal medicine support and 43 different specialists.

States with no income tax are a favorite of many physical medicine and rehabilitation doctors due to their financial advantage.  As one physiatrist told me in NV, you could purchase a new car every year for the tax savings in NV compared to CA!  The tax is $10,000 for every $100,000 earned in CA for instance so for every $100,000 you earn, you make $10,000 more than you would in CA.  An inpatient opening in Las Vegas, NV offers an exciting practice opportunity with huge income potential with a highly competitive salary plus incentive.  There is also the possibility of a paid faculty position.

Cost of living is another consideration.  The NV position offers a lower cost of living than in CA, for instance.  If you make $212,000 in San Diego or Los Angeles, it’s equal to making $300,000 in Las Vegas.

For more openings, visit www.farrhealthcare.com/openings/

 

 

Interventional Physiatry Jobs

INTERVENTIONAL PHYSIATRY JOBS

Interventional physiatry jobs are more prevalent than other PM&R positions because there is a diverse array of specialties, in addition to hospitals, seeking their services, be they physiatrists, orthopods, neurosurgeons, anesthesiologists, etc.  This makes job hunting more challenging to try to find all the different positions.  Some of the positions are posted through the specialty’s resources while others are posted on society websites like ISIPP.  Farr Healthcare can help in this process as a number of different specialties seek recruitment assistance from us.

Sometimes entities seek services exclusively through Farr Healthcare.  Our website has a mechanism whereby you can submit your email and be advised of every new practice opportunity.  Check out the bottom left-hand corner of our home page, www.farrhealthcare.com.

Farr Healthcare can especially help ferret out practice opportunities from entities other than physiatry.  Because of the differences in specialties, nuances are possible.  We ask questions about compensation, affiliation terms and responsibilities to help you to determine what are the best practice opportunities for you.

Interventional physiatry jobs can be by ultrasound, fluoroscopy or both.  Therefore, it’s important to find out what the responsibilities are if they’re not outlined in the practice opportunity description.  Farr Healthcare makes a point of identifying the mode of service delivery so as to save you time and trouble.

Interventional positions are often available throughout the year as opposed to rehab positions which tend to be geared to the annual AAPMR meeting’s Job Fair in November.  For fellows, it doesn’t hurt to start looking for work around the time you start your fellowship.  For those on visa’s, it’s best to look 1 ½+ years before graduation.

Interventional positions are available throughout the country.  Certain areas seem to have a large supply of interventional physiatrists.  Unless there are factors driving your interest in a particular area, you should research the supply of interventional physiatrists in the area you’re thinking about before identifying what states or areas of the country are of interest to you.

Some PM&R practices offer a mix of inpatient with interventional and might be of interest to you if you are open to some inpatient.  Diversifying your revenue sources may be a worthwhile consideration.  Nowadays many inpatient positions have hospitalists so you serve as a consultant with limited inpatient responsibility.

Sometimes I’m asked about interventional practice opportunities that are willing to train the physiatrist.  These positions can be a win-win situation.  Other times, you may not learn the procedures in which you were promised to be trained.  And, other times you will receive a compensation much lower than would otherwise be the case.

Based on your interest in procedure frequency when considering a new job, it’s important to identify how many days are procedure days versus clinic days.  Some practice opportunities are looking for physiatrists who want to do procedures all day every day.  Likewise, some physiatrists prefer that while other physiatrists prefer a combination of the two.  If they want you to do procedures all day long, you should make sure that they have the demand for that in their area.  Again, Farr Healthcare can help to sift out this information for you in advance.

If you’re working with a physiatry group, compensation can be equally shared.  It becomes more difficult to determine the fairness of compensation when it is structured to consider other specialties.  The terms of the compensation structure should be clearly outlined in your doctor contract.

Don’t forget the tax implications of a compensation increase of a new job!  Some PM&R doctors seek jobs solely based on states without an income tax.  These states are Alaska, Florida, Nevada, New Hampshire, South Dakota, Tennessee, Texas, Washington and Wyoming.

Interventional physiatry jobs can be found through a web search.  The advantage of using Farr Healthcare, Inc. for your search is because we are specialists in physiatry recruitment.  We know the lingo of what differentiates the various interventional openings, e.g., sports, spine by flouroscopy or ultrasound, etc.  We obtain detailed information about the practice opportunities to save you time to research an opportunity to include the possibility of a visit to a place you discover you’re not interested in.  Farr Healthcare, Inc. can help you with the practice search process, https://farrhealthcare.com/openings/.  We will be your cheerleader with the employer.  We have direct contacts with the employer so there will be timely feedback as opposed to you submitting a cv and never hearing back.

Many physiatry residents complete interventional physiatry fellowships.  Some pain fellowships are accredited and some are not.  “All spine fellowships are not accredited.  What is taught differs between these programs.  There are also sports medicine fellowships.  There is also a spine regenerative fellowship through Centeno-Schulz but it requires some experience.

The advantage of doing a non-accredited fellowship is the ability to build upon and advance many of the skills you learned in rehab residency. You will continue to perform EMG/NCS and musculoskeletal medicine in addition to learning how to perform interventional procedures. The other advantage is that you would essentially do this year-round. An ACGME-accredited position has requirements such as a month of Psych, Anesthesia, Inpatient Coverage, etc.  In some of the non-ACGME fellowships you may end up performing more procedures depending on the practice setup. Some fellowships may include regenerative medicine, ultrasound and tenex procedures.

It’s extremely important to note that not all of the non-accredited fellowships are created equal. Read the forum reviews for the highly regarded fellowships and you could interview at some to get a feel. Most will be 2 day “interviews” where you just see what the day to day is like. Some fellowships may have a wider breadth of procedures than others. Some fellowships are not worth your time.

You need to decide if you want to practice Pain Medicine (with ACGME fellowship) and treat the wide ranging acute and chronic conditions that come with that including medical management, psych, etc. OR an interventional physiatrist who practices MSK med, does EMGs and performs interventional procedures for back and neck pain.”
Excerpted from https://forums.studentdoctor.net/threads/acgme-vs-unaccredited-fellowship.1367763/

Please visit https://farrhealthcare.com/openings/ for interventional physiatry jobs across the country.

What You, the Experienced Physiatrist, Should Consider When Searching For a New Job

Once you already have a position(s), it’s easier in some respects to identify a good new position according to the New England Journal of Medicine https://www.nejmcareercenter.org/article/how-to-find-your-second-physician-practice-position-/.  You know what you want in regards to the practice culture and setting, the responsibilities and compensation, what to look out for and how to find new practice opportunities.  In other respects, this knowledge can make a new practice search more difficult and time-consuming to find the right new job.

Given all your practice experience and knowledge, you should spend more time on the initial phone calls

You may be considering moving to another state because it’s closer to family, has a better quality of life, etc..  If it’s an area that you’re not familiar with the practice environment, a lot of research will be necessary.  Depending on the circumstance, I sometimes tell physiatrists in this situation that it might be better to not move as they know the health care dynamics best where they already are.

Most physicians look for a new job because of dissatisfaction with their present job, e.g., compensation, a difficult administration, admitting policies, etc.  It’s important to not make whatever has been the most disconcerting facet of your present job, the sole aspect you’re considering in your new job.  All practice factors should be weighed.

Please remember to look at the Practice Openings listed on our website!

Given that you know what you want in a new practice opportunity once you’ve had a job, working with Farr Healthcare is helpful because they have a good understanding of their practice opportunities and which ones best meet your interests.  As said by Ms. Parker, “It’s important to narrow the choice from the start, as much as possible.  She recommends that you talk in depth with dey individuals BEFORE choosing to visit the practice – talk with the in-house recruiter, one or two potential physician colleagues, and an organization leader.

Mr. Fowler says that in today’s data-driven health care services nvironment, you should expect the number to be available on practice revenues, procedure and encounter volumes and other key indicators or practice performance.  “It should be a red flag if any organization can’t or appears unwilling to provide these data.”

Ask on the phone about work hours, patient volumes and call schedule.  These discussions will give you an idea of what the entity is seeking.

Physicians seeking their second job should be thinking 10 – 15 years ahead, Ms. Parker advised, by finding out if there are leadership track and associated resources.  You should ask about concrete growth plans or new clinical directions that the hiring entity might pursue.  In particular, physicians should ask directly if there are any plans for it to be sold or merge with another organization.

TO BE CONTINUED