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Prepping for Primary Care. While trying to keep your head above water David Chung, M.D. Primary Care Breakout, November 2013. About the presenter. Medical degree Harvard Medical School 1997 Graduate of BCRP 2000 Pediatric Associates of Brockton August 2000 to present

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Prepping for Primary Care

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Prepping for primary care

Prepping for Primary Care

While trying to keep your head above water

David Chung, M.D.

Primary Care Breakout, November 2013

About the presenter

About the presenter

  • Medical degree Harvard Medical School 1997

  • Graduate of BCRP 2000

  • Pediatric Associates of Brockton August 2000 to present

  • Created Beansprout Networks 1997 – an Internet company the created free templatized websites for pediatricians to communicate with families

  • Interested in clinical research in obesity

About the presenter1

About the presenter

How did you get here

How did you get here?

Looking for direction

Looking for direction?

Where are you going

Where are you going?

Topics for conversation

Topics for conversation

  • Deciding on an area of interest

  • Writing a clear and concise CV

  • Writing a cover letter

  • How to find potential employers

  • Honing effective interview skills

  • Understanding practice structure

  • Evaluating a contract

Deciding on an area of interest

Deciding on an area of interest

  • Primary care

    • Longitudinal relationships

    • Median salary+bonus $199k, starting salary $125-145k (10/13)

    • Autonomy = long hours

  • Hospitalist

    • Shift work

    • Medial salary+bonus $227k, lower LT salary potential

    • Lack of autonomy

  • Specialty care

    • 3+ years of indentured servitude

    • Higher income potential

    • Can be harder to find job

  • Industry

    • High risk/high reward

    • Corporate culture ≠ medical culture

Writing a cv

Writing a CV

  • Contact Information

  • Educational Background

  • Certifications and Licensure

  • Experience

  • Professional Affiliations

  • Publications, Presentations and Awards

  • References

  • Please refer to written article for greater detail

Good composition

Good composition

Writing a cover letter

Writing a cover letter

  • OMG, I meant a cover email

  • Take your emails seriously

    • Write a draft or two

    • Consider having your first one proof-read

    • Do not use emoticons or U will B :’ (

  • Think about your audience

  • Remember that emails can and will be forwarded

How to find employers

How to find employers

  • To do list:

    • Check hourly labs and adjust K+ on DKA’er

    • Examine tracheitis infant on hourly racemic epi nebs

    • Talk down father wanting to sign out anorexic AMA

    • Get a job

  • Network, network, network

  • Do not bite the hand that feeds you

  • Use a recruiter at you own peril

Stand out from the flock

Stand out from the flock

Honing interviewing skills

Honing interviewing skills

  • What the practices are looking for

    • Social competence

    • Medical competence

  • What you should be looking for

    • To be treated fairly

    • Short term versus long term considerations

  • Questions to be asked

    • Tell me about yourself

    • Tell me about the practice

Practice structure

Practice structure

  • Staff model (Atrius – aka Harvard Vanguard)

  • Ownership model

    • Partnership opportunity

    • Part-time/full-time

Evaluating a contract

Evaluating a contract

  • Benefits

    • Malpractice – occurrence versus claims-made + tail

    • Profit-sharing

    • Disability and life insurance

  • Buy-ins/buy-outs

  • Bonus structure – refer to article 7 for nitty-gritty

Trust your instinct

Trust your instinct

This is the most important slide

This is the most important slide

  • How do you determine if you will be treated fairly?

    • Spend time at the practice

    • Talk to as many of the docs at different phases in their career

    • Ask the following questions:

      • How long is the buy-in process for partnership?

      • How many docs are full partners, and how many are in the buy in process?

      • How many docs have left the practice in the last five years?

Fairness math

Fairness math

  • The average career length is approximately 30 years

  • Divide the years of buy in by 30 years

  • This is the percentage of docs that should be buying in

  • The remainder is the percentage of docs who are full partners

  • If there is a greater proportion of partners:associates, then you will not be treated fairly

  • Long buy-in versus short buy-in pros/cons

Contact info

Contact Info

  • David Chung, M.D.

    Pediatric Associates of Brockton

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