PracticeLink Magazine

Spring 2018

The career development quarterly for physicians of all specialties, PracticeLink Magazine provides readers with feature articles, compensation stats, helpful job search tips—as well as recruitment ads from organizations across the U.S.

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PracticeLink.com S PRIN g 2018 61 the J ob S earch issue of medicine at the University of Pennsylvania School of Medicine. Masters believes this diversity benefits physicians. "With several doctors within a group, a multispecialty practice offers built-in support and consultation. It's easier to send patients to other doctors or to consult with and get guidance yourself," he says. "Overall, the process is streamlined for patients and easier for the doctor." However, multispecialty groups don't always offer as much autonomy as smaller group practices. With more clinicians, these practices require more protocols for smooth operations. Those protocols may be developed by executive management, not physicians themselves. And as you'd expect, workplace dynamics can sometimes be difficult when multiple specialties are involved. When interviewing at either type of group practice, consider whether a hospital acquisition is likely and whether that affects your interest in the group. According to the Physicians Advocacy Institute, hospital ownership of group practices increased 86 percent from 2012 to 2015 — representing a 50 percent increase in the number of physicians employed by hospitals. Hospitals Hospitals remain a popular work setting for physicians. According to Physicians Advocacy Institute, hospital employment of physicians steadily increased between 2012 to 2015, with regional growth rates ranging from 33 to 59 percent across the nation. Most hospitals offer a complete spectrum of medical and surgical procedures on both inpatient and outpatient bases. But beyond that, hospitals vary greatly in terms of size, affiliation, specialty, patient population, levels of emergency and trauma care, for-profit or nonprofit status and more. As an employer, a hospital offers physicians some of the same advantages as a large multispecialty group practice. You're among a large, diverse medical population, and the environment is usually intellectually stimulating and modern. "Having many different specialists, as well as fellows, available at all times is a benefit of working in a large institution," says Shoshana Ungerleider, M.D., an internal medicine physician at California Pacific Medical Center in San Francisco. "There are also numerous monthly opportunities for continued learning through lectures, grand rounds, events and conferences." With round-the-clock, year-round staffing needs, hospital employment allows physicians to choose shifts that suit their lifestyles. "From early in my residency training, I enjoyed working the night shift. Now as an Which setting is right for you? Some physicians may have always dreamed of a specific setting, while others aren't exactly sure. Here are a few tips to hone in on a good fit. A solo practice may be right for you if... • You like wearing many hats and being involved in business decisions, such as technology and staffing • You like getting know your patients and interacting with them directly • You want to be in control of your caseload and schedule • You prefer to avoid office politics A large multispecialty group may be right for you if... • You want easy access to a mix of other specialists and primary care physicians • You don't mind letting management or executive committees set policies and protocols • You enjoy having an established network for referrals • You want stable hours, salary and expectations A single-specialty group may be right for you if... • You're eager to learn from other physicians who are highly trained in your specialty • You're more comfortable in a smaller work environment • You don't mind networking and seeking connections to build your patient base • You thrive when you have the opportunity to do research, attend industry conferences, and embrace current breakthroughs and treatments A hospital environment may be right for you if... • You prefer working with a variety of physicians and medical personnel • You're able to adapt quickly to changing circumstances • You're flexible about your schedule and don't mind — or may even prefer — unconventional hours • You've considered teaching

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