Waiting for your #1 physiatry practice choice is frustrating and anxiety-provoking.  Oftentimes, you feel powerless as to what to do.  Many questions come to your mind.  What is taking so long for the practice/hospital to get back to you?  Has the practice/hospital made an offer to another physiatry candidate and is putting you on hold waiting for the outcome?

As Murphy’s Law would have it, sometimes all but your #1 choice for a new job has offered you a position.  I have advised physiatrists to set their own dateline to obtain a job offer to protect themselves from a prolonged, unproductive and unsuccessful practice search. Actually, you might want to set several deadlines along the way in the job search process such as how long to wait for a phone call, for an interview and for a contract.

What can you do when your #1 choice is delaying to respond to you?  I haven’t written on this topic before because much of what’s required is a perfect alignment of many factors.  There is no one right answer to this question.

However, you should hesitate to pressure your #1 choice.  It might cause you to not receive further consideration.  However, you should offer some motivation to your #1 choice.  One physiatrist that I was working with told his #1 practice choice, “I’m very interested in this practice opportunity and I feel confident that we would have a good working relationship.  That said, I’m considering other practice opportunities some of which have offered me positions.  Please let me know if I can provide any additional information to the end of a job offer from you.”  A final interview was quickly forthcoming and the physiatrist received the job offer

You’ve been invited for a job interview.  Wow, how wonderful!  Your work has just begun.  Let the games of hiring begin!  You should ask for an agenda for the interview and the names and positions of the people who will interview you.  Commit these names to memory so that you can speak to them with comfort and ease. This action will reduce the anxiety that naturally comes with an interview.

There are the obvious questions for which you can prepare answers (please visit my website, www.farrhealthcare.com and read the information under the Practice Search Tips button.)  However, there are certain questions you shouldn’t ask.  For example, don’t ask “How many doctors are you interviewing?”  This question makes you seem worried and not confident.  As is the case with alot of aspects of the practice search process, this question is something that the physician recruiter can find out for you.

Attitude is a big part of the interview process.  The practice search typically is very long and can take 6 months or longer.  It’s hard for anyone to keep an upbeat attitude during this long, demanding process.  If it’s been some time since your interview and you haven’t heard anything, don’t call the hiring practice/hospital and ask for example “Are there any other questions I can answer?”  This may sound desperate.  Again, if you’re using a recruiter, he/she can find out the status and lobby for you.  If you’re not using a recruiter, use the administrative assistant to garner information.  The administrative assistant is someone you should court from day one.

The medical field has been growing in recent years. Across the country, increasing enrollment in medical programs reflects the high demand for doctors. Between 2018 and 2019, the number of medical school applicants increased by 1.1%, or 53,371, a record. Medical school enrollment is now 52% higher than it was in 2002. There were 40,084 applicants for medical residencies in 2020, for a total of 37,256 positions. Between 2016 and 2020, most medical schools filled all the residency positions in physical medicine and rehabilitation.

The American Board of Physical Medicine and Rehabilitation (ABPMR) sets certification standards in physiatry and administers licensing exams. Data from the ABPMR reveal that the board has issued 13,476 certifications in physical medicine and rehabilitation. The board also oversees the exams for subspecialties, including sports medicine, pain medicine and brain injury medicine. It has issued hundreds of certifications to exam-takers in each of its subspecialties.

PM&R Career Outlook

The U.S. Bureau of Labor Statistics estimates that demand for physicians, including physicians in specialties such as physical medicine and rehabilitation, will increase by 4% between 2019 and 2029. An aging population is one factor behind the increase in demand for doctors. The development of new technologies that ease some physicians’ responsibilities, along with policy changes that allow nurses and physician assistants to take on some of the tasks doctors once exclusively performed, also affect the growth rate of employment opportunities for doctors.

The Association of American Medical Colleges (AAMC) predicts a physician shortage of up to 122,000 doctors by 2032. While the shortfall will mainly be in the field of primary care, the AAMC estimates that specialties, including physiatry, will see deficits between 1,900 and 12,100.

The need for physicians now and in the near future centers in specialty areas that primarily treat injuries and illnesses affecting an aging population. PM&R fits right into that need and is one specialty that could experience notable growth. Handling the pain and increasing the functionality of aging and surgically replaced joints is only one aspect of PM&R that is on the rise.

Physicians perform more than a million joint replacement surgeries in the U.S. each year. Experts project the number of replacement surgeries to climb to 4 million by 2030. For example, between 2000 and 2010, the number of people getting hip replacement surgery increased by more than 100%. The increase in the number of those surgeries for people 75 and older was 92%.

Innovation in joint replacement technology is one area contributing to the increased need for physiatrists. The aging population in the U.S. is also likely to add to the demand for physiatrists. The most recent data from the Centers for Disease Control and Prevention show there are 15,600 skilled nursing facilities in the U.S., with 1.3 million residents.

Disabled military veterans are also likely to need physical medicine and rehabilitation. Data from the Department of Veterans Affairs reveal that although the number of veterans has dropped since 1990, veterans with a service-connected disability have increased. In 2018, more than 4.5 million veterans reported having a service-connected disability.

Where Do Physiatrists Work?

Most physiatry fields are in demand. The request for PM&R doctors to provide work in subacute facilities continues to rise.

Physical medicine and rehabilitation physicians who prefer to work in an inpatient setting can find such work easily in most areas.  Many facilities are including internal medicine physicians as staff to reduce the workload demands on inpatient physiatrists.

There is a continued demand for physiatry subspecialists in traumatic brain injury, spinal cord injury and pediatric rehab. Interventional PM&R positions continue to be available, as so many different subspecialties include these services in their practice. More employers are providing affiliation as an employee to satisfy physiatrists’ interests.

PM&R Hiring Trends: Sports Medicine

Another area of growth for PM&R is in sports medicine. In the past five years, sports medicine has seen a 5.3% increase in jobs. Jobs for sports medicine physicians are on track to grow by 14.9% by 2024, much higher than the projected growth in other careers.

Recent years have seen an intense focus on all areas of sports medicine, especially from athletes of all ages and ability levels. PM&R can give competitors an edge with maximum functionality and fast recovery from injury.

Salary Outlook for Physiatry

The median annual salary for physiatrists ranges from $200,000 to $276,510. In 2019, the average annual salary for physiatrists was $306,000, placing physiatrists somewhere in the middle for earnings potential. Some medical specialists — like orthopedic and plastic surgeons — earn considerably more, while others — such as pediatricians and internists — earn markedly less.

Here is a sampling of state salary averages for physiatrists.

• California: $271,314
• Florida: $233,149
• Ohio: $257,570
• Massachusetts: $299,847
• Mississippi: $239,135
• New York: $302,709

The Economic Research Institute lists the following average salaries for physiatrists in large cities.

• Houston: $300,000
• Orlando: $274,000
• Los Angeles: $321,00
• Manhattan: $339,000
• Seattle: $310,000

Depending on where they work, physiatrists can make as much as $376,740 annually, with the ones who work for private companies earning the highest salaries. Some physiatrists receive an annual bonus between $5,014 and $35,608. While that is a broad range, the exact amount depends on the location and type of employer.

In addition to a salary, most practicing physiatrists also get medical and dental insurance, professional liability insurance and an employer-provided retirement plan. Physiatrist positions generally come with rather lucrative benefits packages that could include 401(k) and profit-sharing.

Location is a highly influential factor in physiatrist salaries. Here are the top five states for physiatrist salaries and the bottom five.

Top 5

• Hawaii: $287,981
• Massachusetts: $299,847
• New Hampshire: $291,822
• New York: $302,709
• Washington: $297,755

 Bottom 5

• Alabama: $241,580
• Florida: $233,149
• Mississippi: $239,135
• Missouri: $238,574
• North Carolina: $222,008

What Else Impacts a Physiatrist’s Earnings?

Other than their geographical location, factors affecting the salary a physiatrist earns include:

• Company size
• Level of education
• Years of experience

Two of the most influential factors in a physiatrist’s success are the years of experience and the specific set of skills you have acquired. With more years of experience and a more robust skill set within the field, you can command a salary that’s considerably higher than the average.

The employers who pay lower salaries for physiatrists are mostly government agencies, nonprofits, pharmaceutical facilities and educational institutions. Physiatrists working in the health care industry have more earning potential. Those working for privately owned companies or in private practice tend to be at the top end of the earnings scale.

PM&R Job Market

PM&R jobs are available in most states, although these jobs are less competitive outside major metropolitan areas. If you are willing to work in a low-income community or a sparsely populated region, you’ll likely find more job opportunities at higher salaries.

Board certification in PM&R will also help your chances of landing a high-paying position with a reputable practice or rehab center. The more focused your residency and experience are in the specific type of PM&R practice you are interested in, the better your chances of landing the job you want.

Once your credentials are in order, the next step is to contact Farr Healthcare. We place physiatrists all over the country in rewarding positions. Like you, we specialize in the nuances of PM&R, which makes us more knowledgeable about the field and potential employers. Working with us gives you an advantage over other job applicants. You can submit your physician application today.

Developing Better Medicine

The number of children born with debilitating conditions like spina bifida and cerebral palsy is not growing, but the number of interventions available to help them cope with these conditions is. Physiatrists continue to open up more job opportunities for themselves in pediatrics by developing innovative ways to improve functionality for disabled children.

The survival rates for children born with debilitating diseases continue to rise, increasing the need for physiatrists to treat and follow each patient through childhood or longer. So far, an equal supply of trained professionals has not met this growing demand for physiatrists. Given the limited number of graduate programs in PM&R, it’s unlikely we’ll make up this deficit in the next 10 years or more.

Discover the Farr Healthcare Difference

At Farr Healthcare, we understand physiatry hiring trends because we have worked in PM&R. Our experience has equipped us to describe your unique value to potential employers and find the position that fits you well. From entry-level to highly experienced positions, we can help you get into the job you want in PM&R.

PM&R is an exciting, rapidly growing field. As a medical specialty, it is not well-known, but it requires a unique combination of skills and knowledge. At Farr Healthcare, we respect how hard you had to work to get your PM&R certification, and we want to match you with an employer who values that, too.

We work to educate our clients who may be new to the field about the rigors of training to become a physiatrist. We help them understand what to look for in a candidate and what most candidates are looking for in an employer. From large rehab centers to private practices, Farr Healthcare gets to know the employers who list PM&R jobs with us.

We have various PM&R job listings in several states across the country. We also get new listings every week or so. When you are ready to begin your career in PM&R or if you are looking for a change, start by calling Farr Healthcare today at 888-362-7200.

Although it seems as if when you talk with someone about a new position, you should be able to start in short order! It seems as if the process should be simple and short. Unfortunately, that’s usually not the case. Just because you don’t hear back for a few weeks after submitting your cv is not usually a negative indication about their interest in you. It’s more a function of the variable of time available to the hiring entity.

Companies need an average of 23 days to screen and hire new employees, up from 13 days in 2010, says Andrew Chamberlain at the recruiting site Glassdoor. This statistic is for non-doctors and when you consider the attention to quality and credentialling involved with doctor recruitment the numbers are much greater. Sometimes, it’s a more protracted process when there are levels of administration through which your interest must be vetted. Patience is a virtue in the practice search process. Anticipate that several people will review your cv and the cv’s of other doctors, and then discuss them. This in and of itself can take a month or more depending on the entity’s size.

Usually the larger the hiring entity, the longer it might take. Staying in touch with the hiring entity is a good idea and you can do so through friendly email notes, thank you notes, etc. Feel free to ask at the outset what the timeframe will be (then add a few weeks to it.) The hiring entity will phone several doctors of interest and then bring them in for interviews. Trying to schedule these considering everyone’s busy schedule will probably take a few months. Then, there’s the contract negotiation process. This doesn’t even consider the time it takes for you to get a state license. Just remember – all’s well that end’s well!

A resident just asked me to describe Farr Healthcare, Inc. physiatry recruitment services.    In a nutshell, my father was a doctor and I’ve been doing physician recruitment since I finished graduate school.  I became involved in physiatry when I was hired as Director, Physician Recruitment for Continental Medical Systems, formerly the nation’s largest physical medicine and rehab provider where I recruited the Medical Directors for 60-bed rehab hospitals across the country.  I was employed by the company as opposed to being an independent contractor therefore both the company and the contracted doctors had to be happy in order for me to maintain my job.  I bring this same mentality to my physiatry recruitment firm.

The company was bought out by HealthSouth in the late 90’s at which time I started my own physiatry recruitment business.  All I do is recruit physiatrists, not any other specialties, and as I’ve been doing so for 20 years, I’m familiar with most of the PM&R doctors, facilities and companies.  I’ve been the only physician recruiter to speak at the annual AAPMR meeting for the past 4 years.

The physician recruitment service is free to you; the employer/facility I’m working with pays me.  Once you tell me what and where you’re interested in, then I’ll contact you with a comprehensive description of the physical medicine and rehabilitation openings that are a match.  I’ll request your cv if you’re interested which I then provide to the PM&R employer.  Some employers/facilities only work with me.  I’m able to provide details which you might not otherwise secure when applying for a physiatry job.  I’m also often able to tell you insider information about the rehab employer/facility. Once I provide your cv to an employer, you and the employer mostly work together directly.  If you have questions along the way, I can be helpful.  I will also work to make sure the process continues expeditiously.  If you’re pursuing multiple physiatry practice opportunities through me, your references only have to give one reference as I’ll share them with the practice opportunities.  I hope this explanation helps.  You can find out all about me and my services to include an audiovisual presentation on my home page, www.farrhealthcare.com.  Feel free to contact me with any questions.

OK, you’ve read all the questions that might be asked at an interview and have prepared all the answers, what’s left to do! Here are a few additional items to consider to make sure that you’ll ace that interview.

First, make sure that you have questions to ask the interviewer. Sure, you know all about PM&R and might have 20+ years of experience, but what specifics of the practice/company or the job don’t you know? I’ve known hospitals to not proceed with offering a doctor a contract because he/she didn’t ask any questions during the interview. It’s important to try to find out what the practice/company is most looking for in terms of work responsibilities so any questions along this line can help you with your answers as well.
Second, story-telling is so important to getting a job offer. Through story-telling, you can vividly portray to the interviewer how you made a professional accomplishment or verbalize one of your personal qualities that they are looking for in the new doctor.
Internalize why you’re looking. What are your primary motivators for looking for a new job? Having these personal thoughts in mind will enable you to best vocalize your enthusiasm and motivation for the job.

Many of you as seniors in residency are now thinking about getting a new job or perhaps you, too, are thinking of a new job. As seniors, starting now is a good time to start pursuing a job. There are several factors to consider.

What are your values? Do you want a job with a life/work balance? Then perhaps you want a salaried position at a 9 – 5 job. Are you seeking a position with significant financial promise? In that case, perhaps you want to pursue an independent contractor position or a position with an incentive plus a sign-on bonus plus other financial incentives and great benefits. Do you like to work independently? Then you might want to choose a position at a satellite center where you’re the only physiatrist. Just ask me and I can tell you which positions I’m representing that meet each of these or have other features that you’re seeking.

During the interview process, it’s not unusual to be asked how much you want to make. Should you show your cards or not? It’s best to not reveal your desired compensation. You might want to respond by saying something such as “Yes, compensation is important to me but more important is the practice opportunity. If you have an interest in me, I would like to entertain your strongest offer.? This way you don’t narrow yourself to a compensation amount. You should try to find out what the compensation range is so that you’re not wasting their time or your time with a practice opportunity that is out of your mutual range. I can help you obtain this information if it’s a practice opportunity that I’m representing.

Add Your Employer Contact Info Fill Out an Application Check Out All Our Job Openings

Values play an integral part in life and in choosing a new position. Everyone has values but often your values are different from your friends so you can’t ultimately consult them for what’s best for you. Then again sometimes your friends can see better what is of interest to you.
Some people are independent and then should choose a position with autonomy, be it a private practice position or an independent contractor. Other people value their family highly and should choose a position that is 9 AM – 5 PM, such as a hospital employee. Take time to consider what is important to you.