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  1. #1
    nonstopdoc1 is offline Junior Member
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    INTERNAL MEDICINE -- Hospitalists VS Private Practice.

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    As i am bit to new to american healthcare system, i was wondering what are the basic pros and cons of private practice as compared to a hospital job especially in the field of INTERNAL MEDICINE (assuming that the person doesn't/couldnt get a fellowship)

    I just want to ask all the residents here

    1) What proportion of residents (in an average IM prog) get fellowship opportunity straight after their residency ?

    2) what proportion of MDs after their residencies go into pvt. practice and after how many years ?

    3) What proportion sticks to the hospital for a considerable period of their career ?

    4) Do all IMs eventually go to pvt practice ?

    5) And what are the pros and cons of two (specially relating to status, income or lifestyle).

    6) and finally personally which one do u prefer to do ?

    Well its a big request considering the little time u all have for all the posts here, still any kind of feedback will be great.

    thanx
    you never know what you can become........

  2. #2
    USjobfinder is offline Newbie 510 points
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    I can help new Dr.'s get into their own practice

    Hello,
    New to this site, forgive me if I seem a little out of key here.
    But, I am a National Executive Recruiter, currently working with a client in the northern part of AR on the MO border who is looking for new Dr.s in Internal Medicine and Family Practice that would have an interest in opening their own practice.
    If you hear or know of anyone with and interest, please have them contact me.
    Thank you,
    Randy

  3. #3
    AmericanIMG's Avatar
    AmericanIMG is offline Ultimate Member
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    1) What proportion of residents (in an average IM prog) get fellowship opportunity straight after their residency ?
    - varies, according to fellowship applied for and program

    2) what proportion of MDs after their residencies go into pvt. practice and after how many years ?
    - again this is a very variable answer, depending largely on location

    3) What proportion sticks to the hospital for a considerable period of their career ?
    - see #2

    4) Do all IMs eventually go to pvt practice ?
    - no, many, many, many don't

    5) And what are the pros and cons of two (specially relating to status, income or lifestyle).
    - pros of pvt
    - you are your own boss
    - you can choose the patient types you want to see
    - higher ceiling of pay
    - you can choose your hours
    - cons
    - when your patient needs you, you have to come
    - you have to generate income by seeing lots of patients and doing lots of procedures, hard to get a patient base
    - you have to pay for your own overhead and malprac
    - you have to deal with insurance companies trying to screw you
    - pros of hospitalist
    - help w malprac
    - job security
    - established patient load
    - opportunity to rise in ranks
    - don't have to deal with insurance companies
    - cons
    - lower ceiling of pay
    - have to deal with lots of admin
    - being on call

    6) and finally personally which one do u prefer to do ?
    - for IM i personally would be private practice with hospital privileges at a teaching hospital.

    ---

    i am an MD, but not a resident in IM



    hope this helped! anyone please feel free to add or correct me
    but remember that, even when those who move you be kings or men of power, your soul is in your keeping alone. When you stand before God you cannot say "but I was told by others to do thus" or that "virtue was not convenient at the time." This will not suffice. Remember that.

  4. #4
    wcb22 is offline Elite Member
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    1) What proportion of residents (in an average IM prog) get fellowship opportunity straight after their residency ?
    some programs boast that 90% of their residents go onto competitive fellowships, while others the rate might be between 20-40% go to fellowship. there's a broad range of IM programs. with the advent of the hospitalist position, many are choosing this permanently, or as a temporary means of employment while they apply for fellowships.

    2) what proportion of MDs after their residencies go into pvt. practice and after how many years ?

    3) What proportion sticks to the hospital for a considerable period of their career ?
    the hospitalists i've talked to say that the 7 days on/ 7 days off schedule is a good one for burn-out. one hospitalist i know is very happy with what he does, and he's been doing it for 8 years now. great salary for IM.
    4) Do all IMs eventually go to pvt practice ?
    no, about 40-45% of residents completing an IM residency go on to fellowship. and even those sticking around in IM only, you don't have to go onto private practice.
    5) And what are the pros and cons of two (specially relating to status, income or lifestyle).

    6) and finally personally which one do u prefer to do ?

    when i finish IM, it's either infectious diseases fellowship (2 years more training, but no increase in pay, but a very interesting specialty), or hospitalist. they are starting hospitalists at around $200k these days in many places. not that money is everything, but at some point i want to start paying off these loans, and actually set aside money for my kids college. it's a question of how much would i enjoy the fellowship (ID), vs how much i'd still like just doing straight IM. i like both.
    M.D., PGY-3 Internal Medicine

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