Transcript PRACTICE MODELS How to determine what is the best fit for you

Preparing for the Job
Search
Presented by:
Suzanne Anderson
Stacey Armistead
Medical Staff Recruitment
Duke Medicine
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Today’s Focus
 Search
Preparation
 Interview
Tips
 Contract
Review
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How to Love your J - O - B
The Career Equation …..
……it’s more than a paycheck
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The Career Equation
Examine Yourself:
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When it comes to work, what do I naturally
enjoy doing?
What am I naturally good at?
What energizes me?
What stresses me?
What motivates me?
What annoys me?
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The Career Equation
Examine the Big Picture
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Do I want to be part of a small group or big group?
Do I want a rural location, the suburbs, or the city?
What type of patients do I want to work with: wealthy, middle
class,, or those in financial need?
Do I want to see high volume of patients in shorter bursts?
Or work with a smaller number of patients for a longer
duration?
What type of provider-patient culture do I want to be part of?
What type of peer culture do I want to be part of?
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The Career Equation
Do something where you can make a difference
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Use your natural talent and abilities
 Have passion for your job and your life
 Be happy at work and at home
 Be a living example for others
If you love what you do, you will make a
difference in the world.
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Before you begin…
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Establish Email account exclusively for job search
Check Cell phone/ Home answering machine
Facebook / Social Media
Contact preceptors / references
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CV review: Top mistakes
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Inconsistent formatting - fonts, dates
Action verbs/ incorrect tense
Unexplained breaks or frequent moves
Listing vague objectives
“My resume” attachment
Multiple email addresses
No phone number listed
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Example of Clarity
OBJECTIVE: Seeking a position in Family Medicine or Urgent Care
EXPERIENCE:
Registered Physician Assistant–Certified
2004–Present
Guthrie Clinic LTD, Erwin, NY
• Over five years of experience in out-patient primary care
• Experience with pediatric to geriatric medicine in a family practice setting
• Manage care of 20-25 patients daily
• Diagnose, formulate treatment plans, and prescribe appropriate medications
• ACLS certified
• Certified in BLS
• Worked cohesively in a department of 15 providers and additional support
staff
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Where to look for positions
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Friends/ Colleagues/ Preceptors
Websites/ Journal ads
Recruiters – in-house vs. firms
State and Local Professional Organizations
Major Health System Websites in your target
area
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Notes:
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Posting Your CV
Practicelink and HealtheCareers (AAPA)
 Key words, never pay to post
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Working with Agencies
 New geographic location
 No internal recruiters
 Ask if firm has a retained search
 Ask firm not to send CV anywhere without your ok
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Know the Market
Salaries affected by:
 Supply/demand
 Geographic area
 Clinical responsibilities
 Call requirements
NP Programs in NC
Duke
UNC
ECU
UNCC
UNCG
UNCW
Western Carolina
Winston-Salem University
PA Programs in NC
Duke
ECU
Methodist
Wake Forest
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Know the Market
Primary Care
PA
Non-Surg/Non-PC
PA
Surgical
PA
18+
$86,150
$84,791
$92,906
$94,251
$80,529
$89,776
$95,304
$98,191
$94,146
$95,542
$110,620
$116,121
National
Median
$90,001
$92,817
$100,463
Years in
Practice
1–2
3–7
8 – 17
2010 MGMA Report based on 2009 data
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Making Contact
Always
address correspondence directly to the contact
person
The
research you do to get the information will make you
stand out.
Add
a reference letter in your correspondence to
employer
Consider
combining Letter of Introduction, CV and a
current reference in a PDF
Follow
up with a phone call
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Interview Tips
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Look professional and do your homework
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Bring CV and list of key questions
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Ask right questions at the right time
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Cite your strengths
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Eye Contact and Hand shakes
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Follow up Appropriately
Contact within 3 - 5 days of meeting
 Restate your interest
 Highlight areas of mutual fit
 Confirm next steps
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 Ask for business cards for contact info
 Email is an acceptable alternative
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Remember….
First impressions are lasting Impressions
If you don’t feel comfortable or are concerned, you may want to consider
another position.
Best way to see a practice is to “shadow”
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Understand the Timeline
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Licensure
4 – 6 months
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Hospital Credentialing
3 – 4 months
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Insurance Credentialing
30 – 90 days
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Offer Letter vs. Contract
Offer Letter outlines key components of offer
such as compensation (by pay period), start
date, relocation, and can be terminated “at
will” by either party.
Contract is more specific and is binding for and
according to the terms of contract.
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Anatomy of a Contract
Terms and Termination
 Services to be Provided
 Credentials and Privileges
 Compensation
 Malpractice Insurance
 Fringe Benefits
 Sick Leave and Disability
 Partnership
 Restrictive Covenants
 Disputes
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Terms and Conditions
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Term or Length of contract
Start Date
Probationary period
Termination – With Cause or Without Cause
Renewal notice
Employee or Independent Contractor
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Services to be Provided
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Hour of Operation / Hours per week
Work Sites / Satellite locations
Practice Duties / Supervisory Responsibilities
Rounds
On-Call schedule / Responsibilities
Moonlighting
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Credentials and Privileges
Professional Credentials
 Licensure
 Hospital Privileges
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Compensation
Methods:
 Salary
 Hourly
 Percentage of billings or collections*
 Salary plus productivity*
*Should define method and frequency of
calculations and payment schedule
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Fringe Benefits
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Vacation and Holiday policy
CME Leave and $ Allowance
Professional Dues, Journals
Licensure, DEA and Certification Fees
Health Insurance
Life Insurance
Retirement
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Sick Leave and Disability
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Sick leave
Short-Term Disability
Long-Term Disability
Maternity/Paternity Policy
Family Leave Act
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Partnership
Usually separate Letter of Intent defines
amount and terms of buy-in
Buy into :
 Practice Only
 Practice and Real Estate
 Method of Valuation
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Restrictive Covenants
Also called Non-Compete Clause
Prevents practice within defined
geographic area
 With cause vs. Without cause
 Enforceable in most states
 Financial buy-out
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Disputes
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Mandatory arbitration vs. Court system
Lawyers fees and court costs
Access to patient medical records (if suit
brought after departure)
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Remember:
Always have an attorney review the contract
before you sign
Always obtain a fully executed contract for
your records
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Openings at Duke with MSR
Duke Primary Care:
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Family Medicine
Internal medicine
Geriatrics
Urgent Care
Specialty Openings:
Oncology (Duke Oncology Network)
 Duke Cardiology of Danville
 Duke Cardiovascular Surgery of Danville
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Recruitment Contact:
Stephen Spaulding
[email protected]
Websites:
www.medicalstaffrecruitment.duke.edu
www.hr.duke.edu
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