Guest guest Posted December 23, 2008 Report Share Posted December 23, 2008 Hello all, sorry if this post is slightly off-topic in that IMP is just one career option I am considering. I've been in internal medicine practice now for 4.5 yrs total (first 2 in a larger 6 doc group, last 2.5 in a smaller 3 doc group). I just left the last group after the older doc wanted a ridiculous amount of money to buy him out. I've looked around for other practice opportunities but in the last few months I've only found 2 others which primarily consist of inpatient/nursing home work without much outpatient/office. I like the outpatient work for the continuity of relationships, but don't like nursing home work as much for the amount of phone calls it generates. So I feel like I am at a crossroads now. Should I try to wait it out until an opportunity that has more outpatient work comes along? This would entail then some period of unemployment which I can handle financially but might look bad to future employers(?) Or should I take one of the present positions with the thinking that it would just be temporary for the next 1-2 years until the economy improves and/or we get some health care reform after which I might start my own practice. The idea of starting my own practice is attractive for the independence aspect, avoiding the feeling that you are on a hamster wheel trying to keep as productive as everyone else in the group (particularly in groups where revenue is divided evenly). Also, I don't mind the business aspect even though I'm sure there would be a lot to learn. On the other hand, starting my own practice would be risky in that I live in Northern NJ which might be considered a dead zone that is saturated with PMD's already. (I currently don't have the option to move due to my wife's job.) In addition, I've come to realize that I don't exactly have the magnetic personality that draws patients in droves (in addition to the disadvantage of being male). The low overhead model of practice would be attractive in that I might not necessarily need to see 20 or more patients a day to make a living. So...I'm not sure what to do at this point. If anyone has any thoughts, suggestions or words of advice it would be greatly appreciated. - Quote Link to comment Share on other sites More sharing options...
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