PracticeLink Magazine

FALL 2017

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   FALL 2017 23 Fi nan c ial Fitn e s s • Allergy • Cardiology – Clinical – Interventional • Dermatology • Emergency Medicine • Endocrinology • Family Medicine • Gastroenterology Billings Clinic is nationally recognized for clinical excellence and is a proud member of the Mayo Clinic Care Network. Located in Billings, Montana – this friendly college community is a great place to raise a family near the majestic Rocky Mountains. Exciting outdoor recreation close to home. 300 days of sunshine! Work with terrific colleagues in state-of-the-art facilities, with the support of an integrated, multi-specialty organization that is the region's largest tertiary referral center. Physician-Led Medicine in Montana Physician Opportunities • Hospitalist • Hospitalist Faculty • Internal Medicine Faculty • Internal Medicine • Maternal-Fetal Medicine • Medical Oncology • Nephrology • Neurology • Neurohospitalist • Neurosurgery • Occupational Medicine • Ophthalmology- Retina Specialist • Pediatrics • Pediatric Gastroenterology • Physical Medicine & Rehabilitation • Psychiatry • Psych Hospitalist • Pulmonary Critical Care • SameDay Care • Radiology Contact: Rochelle Woods 1-888-554-5922 physicianrecruiter@billingsclinic.org billingsclinic.com Bonuses "When you come to a fork in the road, take it." –Yogi Berra Most physician bonuses are based upon some element of productivity. Productivity is often measured in cash. How much a physician personally produces will dictate the bonus threshold. An employer may state that a bonus can be achieved based on some multiple of your base salary, e.g. 1.5, 2 or 3 times. Some employers use wRVUs as the bonus threshold to avoid the variances from the payer's reimbursements. Understanding reasonable wRVU thresholds (how many wRVUs you must produce to earn the bonus) is essential to making sure the bonus is not illusory and out of reach. An employer may do a combination of your productivity versus overhead to determine if a bonus is earned. It is important in this scenario to understand how overhead is calculated. Is each physician responsible for the same overhead? Is it based on your actual expenses? In any cash-basis bonus, it is important to understand whether trailing collections for payments received after termination or expiration of your employment agreement are included as part of the bonus calculation. Loan repayment "It ain't over till it's over." –Yogi Berra An employer willing to pay some or all of your loans can be a wonderful perk, but you must understand the conditions for payment. Some employers require you to be employed and in good standing at the end of each contract year before the loan amount is paid. Others may provide loan repayment on a monthly basis. An employer may "cap" the amount of the loan to be paid over the life of the contract. Or, there may be other conditions, such as a certain amount of productivity or attending a certain percentage of committee meetings.

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