Professional Documents
Culture Documents
to Finding a Practice
T R A N S F O R M I N G H E A L T H C A R E C A R E E R S
Best Friend’s Guide to
Finding a Practice
Preface
This year marks the tenth edition of The Best Friend’s Guide to Finding a
Practice. Written by the consultants at CompHealth, this guide is designed
to help physicians in their search for a new opportunity. Together, the staff
and management of CompHealth bring to this publication several decades
of combined experience with assisting individuals in securing practice
opportunities that meet their professional and personal objectives.
If you have any comments or would like to further discuss new oppor-
tunities for professional growth, please contact Larry Stewart,
President, Physician Search Group, CompHealth, 25 Van Zant Street,
Norwalk, Connecticut 06855. Or call toll-free 800.365.8900.
www.comphealth.com
jobs@comphealth.com
“If your best friend were also the most knowledgeable
person in the world about finding the right practice, this
is the advice you would get.”
A successful user of
Best Friend’s Guide
Our fee is paid by the practice or hospital that hires you. Most inter-
viewing costs are also paid by our clients and there is no cost, risk or obli-
gation of any kind to you.
To help you get started, we’ve compiled this reference guide. It’s an excel-
lent informational tool for finding your dream job. From walking you
through the basic decision-making process to helping you draft your CV,
from uncovering the right opportunity, to signing a contract, the Best
Friend’s Guide to Finding a Practice will guide you every step of the way.
Although your individual experience may vary, the average time it takes
to find a practice is three to six months. In some cases, it can take up to
a year or more. While this may seem like a long time, you will find that
interviewing, negotiating, accepting an offer, credentialing, obtaining
licensure and arranging to move are likely to take much longer than you
might expect—especially when you must coordinate your busy schedule
with the schedules of others. In order to find the practice that’s right for
you, there are two primary considerations you must address:
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These may seem obvious, but are in fact, complex issues. The decisions
you make now affect your immediate and long-term future. Your first step
is to define the kind of practice you want. Do you want to work in a com-
munity or academic facility? Do you want to work in a single-specialty or
multi-specialty group? What do you require for compensation? Do you
want to be a partner, an employee or an independent contractor? How
busy should your chosen department or practice be? What are your short-
and long-term career goals? Once you have defined what you want to do,
you must give thought to where you want to practice. Climate, topogra-
phy or family and friends may be your primary criteria. The availability
of recreational activities that are important to you, cost of living, quality
of the local schools and the character of the social and economic envi-
ronment are also important considerations. These basic questions should
get your mind working. If you already have firm ideas about where you
want to live and what type of practice you want, you are ahead of the
game. This guide will address both of these areas more fully in the sec-
tions entitled The Community and The Opportunity.
On page 5 is an Action Checklist that outlines the next steps you should
take, as well as the order in which you should take them.
Of course, at any time during your search you are welcome to call a
CompHealth representative at any of our offices: Connecticut,
800.365.8900; Florida, 800.365.8901; Illinois, 800.365.8902; or Utah,
800.328.3666. You can also visit us online at www.comphealth.com.
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Why Use a Recruiting Firm?
Running your own job search requires a lot of time. Plus, selling yourself
can be difficult for some people. When you use a recruiting firm, some-
one is marketing you to potential employers without any cost or effort on
your part other than providing some basic information about your skills,
experience and preferences. A good recruiting firm can help you:
4
Action Checklist
Introduction
This section represents a real-world schedule for finding a practice that is
applicable to all job seekers, residents and practicing physicians alike.
Because each individual will move through the Action Checklist at a dif-
ferent pace, the activities are listed in order of priority but not in a spe-
cific timeline, so you can complete the tasks at your own pace. It is
important to allow yourself enough time to assure that it is done to the
best of your capabilities.
Starting early in your search for the right position is important because,
on average, the process can range from three months to more than a year,
which is why starting early is important. With an ample head start, your
odds of finding a practice that is right for you are high. Remember, that
time wasted could have been spent on searching and securing the ideal
opportunity.
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7. Tie up loose ends such as follow-up letters, references, licensure
applications, etc. and think about your decision.
8. Review the contract (your CompHealth consultant can help).
9. Make a decision and commit to a practice.
10. Complete credentialing, state licensure and DEA registration.
11. Find a residence. Negotiate a mortgage/lease.
12. Relax and get ready for your new career opportunity.
13. Start working!
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Curriculum Vitae
Your curriculum vitae (CV) is the document you will use to present your-
self to potential employers. It details who you are, where you’ve been,
what you’ve accomplished and what you can do. Most prospective
employers will see your CV before they see you. They will use your CV
to make judgments, so you will want to make your CV as effective as pos-
sible. There are two things to keep in mind:
• Present the facts about yourself in a way that will be the most attrac-
tive to your future employer. You may be the best candidate for a job, but
you may not get the chance to interview if your CV doesn’t communi-
cate that. Your CV is the place to emphasize your strengths, accomplish-
ments, skills and talents. A good CV will help a decision-maker decide
in your favor.
• Make your CV as easy on the eyes as possible. Try to use white space
generously to help draw the reader’s eye to important information. Use a
type face that is easy to read. If you have access to a computer (especial-
ly one with a laser printer), compose your CV so it looks as crisp and pro-
fessional as possible. Always use paper that looks good when photocopied
or faxed; i.e., white or light-colored paper.
On the following page is a CV guideline. You can use this format to draft
or update your CV. If you do not have access to a word processor or laser
printer, or are too busy to compose a CV, just complete the next page by
hand and send it to CompHealth. We’ll prepare one for you at no charge!
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Recommended CV Format
Name:_____________________________________________________
Home Address: Office/Hospital Address:
____________________________ _______________________________
____________________________ _______________________________
Home Telephone:____________________________________________
Home Fax:__________________________________________________
Office Telephone:____________________________________________
Office Fax:_________________________________________________
E-mail Address:_____________________________________________
Current Position(s): __________________________________________
Postgraduate Training: ________________________________________
Education: (List universities, degrees and dates in descending order,
most recent first.)
__________________________________________________________
__________________________________________________________
__________________________________________________________
Certifications and Licensure:___________________________________
__________________________________________________________
Professorial or Teaching Appointments: __________________________
__________________________________________________________
__________________________________________________________
Professorial Society Memberships:_______________________________
__________________________________________________________
__________________________________________________________
Awards and Honors:__________________________________________
__________________________________________________________
Bibliography: (Presentations/publications. List in descending order,
most recent first. List works in progress as well.)
______________________________________________________________
__________________________________________________________
__________________________________________________________
Personal and Professional References: (List three or four names,
addresses and phone numbers. Consider listing your program
director, department chair and a preceptor.)
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
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Sample CV
David M. Hill, M.D.
Address:
500 Main Avenue
Any Town, State Zip
Telephone:
Home: 313-555-7891 Office: 313-555-4567
E-mail:
davidhill@hotmail.com
Residency:
7/97-6/00 Primary Care Medicine
General Medical Center
Any Town, State
Medical School:
9/93-5/97 State University
Any Town, State
Degree MD
College:
8/89-5/93 University
Any Town, State
BS Biology
Certifications:
Board Eligible in Family Practice
Advanced Cardiac Life Support
Licensure Exams:
National Board of Medical Examiners 1996
Michigan—DEA
Memberships:
American Academy of Family Physicians
Honors:
Alpha Omega Alpha
Chief Resident
9
David M. Hill, MD—Page Two
Bibliography:
References:
1. Thomas McNeill, MD
Chairman, Department of Primary Care
General Medical Center
500 Main Avenue, Suite 300
Any Town, State Zip
313-555-1212 (home)
313-555-4496 (office)
2. W. Donald Heppes, DO
Program Director
General Medical Center
500 Main Avenue, Suite 420
Any Town, State Zip
313-555-3333 (office)
313-555-6864 (mobile)
3. Raymond A. Osborne, MD
Senior Faculty
General Medical Center
500 Main Avenue, Suite 202
Any Town, State Zip
313-555-1111 (mobile)
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The Community
Determining where you want to work
You know the areas of the country where you might want to live. Now it
is time to get specific and pick the town, city or type of town or city in
which you would most like to live. Following are some of the things you
should consider:
• Size of community
You probably have a pretty good idea of the kind of environment where
you feel most at home. Small towns appeal to some doctors, large cities
to others. Still for some, suburban areas combine the best of both worlds.
The size of the community does not necessarily correlate to the need
for physicians. Some rural facilities have strong needs and some city
hospitals have lesser needs. You should consider the kind of environ-
ment in which you will be most comfortable, productive and needed.
There are a lot of things to consider in this area. For example, consider
whether your parents or in-laws will need you nearby as they advance in
age. Discuss these things with family and friends before making a decision.
If your spouse has a career to consider, it is best to have frequent and open
conversations about this subject. There are always trade-offs and there is
a period of adjustment for both spouses, but happy compromises can be
worked out.
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• General economic and social structure
Do you want to live in a town with predominantly blue-collar or white-
collar workers or a mixture of both? Or perhaps you want to practice in a
resort, agricultural, academic, metropolitan or rural community
Where will you feel comfortable? The happiest doctors are those who
pick an area where they can feel at home.
• Quality of schools
If you are planning to have a family or have one already, this is something
to think about, even if your children are not yet old enough to go to
school.
The quality of schools varies dramatically from area to area. Plan to call
or visit schools in your areas of interest. Find out how students perform
on standardized tests. Schools often report how much money is spent per
student and what the student/teacher ratios are. These facts will help you
compare and contrast different school systems.
• Housing costs
Is being able to buy a home right away important to you, or do you plan
to wait awhile? In general, if you choose the Northeast or the metropol-
itan areas of California or Florida, housing costs will be higher. However,
resale values will also be higher. If you are looking at opportunities in
areas such as the deep South and the Midwest, you can expect more mod-
erate housing costs.
Housing costs and the availability of homes for sale can play a critical role
in evaluating an opportunity. This is one of the many reasons you will
want to start your job search early. An early start will give you time to
thoroughly evaluate the part housing may play in your decision.
Remember, if you’re not sure about an area, you can always rent.
• Recreational opportunities
Is it important for you to live in a town that has lots of movies and live
theaters, restaurants, golf courses, amusement parks, concerts, major-
league sports teams, etc.?
If the great outdoors is more to your liking, you may want to look for
opportunities away from large cities.
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• Area and patient demographics
Job satisfaction is vital. Consider the area’s total population, patient pop-
ulation and payor mix.
Is the area’s population able to support your presence in the practice you
would like to join? Is there a good patient/payor mix; i.e., a diversity in
patient population groups and in the payer categories?
Once you have narrowed your search down to a specific town or towns,
there are certain things you should research in the community. Good
sources for this kind of information are chamber of commerce web sites,
real estate agents, the town hall, and the local library. Here are the pri-
mary areas to investigate:
- Size
How many people live in the town and surrounding area? Is the area
gaining or losing population?
- Cultural/recreational offerings
Is there a museum nearby? A driving range? Major or minor league sports
team? A good theater? Ask around. Look in the yellow pages. Make sure
you have plenty of cultural and recreational options for your leisure time.
- Religious choices
Can your religious needs can be met in this area? Again, real estate agents
are an excellent source for answers to your questions.
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- Demand for specialty
Demand varies from one geographical area to another for any given spe-
cialty. Over time, the number of physicians graduating in certain spe-
cialties, combined with demographic shifts in the general population,
will dictate the number and kinds of positions available. This also affects
salaries, call schedules and the overall job market. Call CompHealth to
get the latest information about the geographical demand and compen-
sation ratios for your specialty.
14
The Opportunity
What kind of opportunity are you looking for?
Here are some questions to ask before and during the interview process.
While these questions are important and should be asked, remember that
what you observe can be more revealing than what you are told.
15
Employee, as the word implies, means that you are hired by a medical
facility to work for a specified salary. As the IRS tightens its private inure-
ment guidelines, employee status is becoming more popular.
16
• What is the hospital and practice setup?
Thoroughly evaluate the hospital or practice setup. Having spent a great
deal of time in hospitals, offices and clinics over the past several years,
your experience and what you like and dislike should help you compare
practices and facilities. Following are some aspects you should investigate:
- Where are patients transferred to/from
- Nursery level
- NICU/PICU availability
- Size of pediatric inpatient unit
- Delivery volume
- C-section attendance
- Pediatric/OB relationship
- Facility design
- Affiliation (public, private, academic)
- Occupancy rate
- Nursing support
- Availability/condition of equipment
- Admitting staff
- Who writes admitting orders
- Level of computerization
- X-ray and lab resources
- X-ray and lab turnaround time
- 24-hour ED availability
- Payor mix
- Ambulance services
- Pathology mix
- Acuity level
- Outreach programs/transport services
- Volume expectancy
There are many more questions you should consider. The key is to be pre-
pared and to not be afraid to ask.
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Compensation
The issue of compensation may play a key role in your decision-making
process. There are as many different types of compensation arrangements
as there are job offers. They range from flat salaries to a percentage of the
revenue you generate.
As with the legal contract you’ll be entering into, make sure you fully
understand your primary compensation arrangement. For example, Safe
Harbor Laws affect the way non-profit facilities are allowed to compen-
sate employees. In an income guarantee arrangement, be aware that you’ll
be responsible for paying back the full guaranteed amount at the end of
the contract period.
There are many things to consider besides salary. Look at the whole pic-
ture, especially the future potential, both financial and professional. The
number of patients you see per year and any additional responsibilities
should be reflected in your compensation package.
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Standard benefits generally have a value of 15 to 25 percent of the salary
component of the package. Moreover, salary and standard benefits are
not the only elements that contribute value to a compensation package.
Packages may include temporary housing, tuition reimbursement and
assistance with repaying student loans. Occasionally, packages also
include other elements such as interest-free loans, partnerships and
administrative stipends. Sign-on bonuses exist but are not very common.
In the end, you have to decide which package is the most advantageous
for you. Almost all the opportunities you evaluate will offer you mal-
practice coverage. Make sure you know whether it is an occurrence or
claims-made policy. If you are covered by a claims-made policy, who is
responsible for the tail policy? (The tail payment is the premium paid to
the insurer when the policy is canceled to cover claims that may be made
in the future.) Most private practices offer claims-made policies. Tail
payments are the exception, not the rule.
There is also the possibility that you will work at a facility that is self-
insured. If this is the case, how much coverage will you have? Will you
have the option of moonlighting at other facilities with this insurance
coverage?
Be sure you consider every element of the offer in-depth. We cover this
topic further in “Contract Negotiation.”
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The Interview
Scheduling an Interview/Phone Interview
The phone interview is your first contact with your prospective employ-
er; it is a key element in the “first impressions are everything” process.
The goal is for both parties to determine whether a face-to-face meeting
is desired. Make yourself available during the day, be prepared with your
CV and have times and dates that you would be able to meet. Choose a
time during business hours so you can meet the team and see them in
action. And, while you’ve got your prospective employer on the phone,
be sure to ask if you should bring your spouse, and address any other con-
cerns you may have.
Where possible, try to schedule more than one interview in a trip, this will save
you time and expense.
A good interview gives you the option to pursue the position if you wish.
If something in the interview does not sound as if it fits your requirements,
continue to listen to the offer and hold your questions until the end.
• Be prepared
Bring extra copies of your CV, prepared questions you might need
answered, turn off your cell phone and/or pager, bring something to write
on and something to write with and your references.
• Dress appropriately
Doctors are expected to dress in professional attire. Appropriate inter-
view apparel can create a positive image in the eyes of the interviewer.
The classic advice is:
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Men: Navy blue or gray suits, white shirts, conservative ties, matching
socks and polished shoes.
Women: A business suit, or coordinated skirt and blouse, stockings, and
good shoes.
• Be on time
If you are staying in a nearby hotel, drive to the interview location
beforehand so you are sure you know the way and how long it takes to get
there. If you are driving to an unfamiliar area, make sure you have
detailed directions and double-check them on a map. Always allow plen-
ty of time in case of traffic problems or bad weather. In any urban area,
assume that you will have to pay to park. In all cases, be sure you call the
day before to confirm your interview. Bring along contact information
including your CompHealth representative’s, in case you have addition-
al questions.
Remember. You cannot turn down an offer you do not get. At this point
you may also want to check to see if your expenses are reimbursable.
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• A list of possible questions
One way to accomplish your interview objectives is to be prepared for
the questions that you are likely to be asked such as:
- What is it about this practice or area that appeals to you?
- What are your personal short- and long-term goals?
- What level of compensation do you require?
- When will you be able to make your decision?
- What would your colleagues say about your character and abilities?
- What were the high and low points of your residency training?
- When do you plan on obtaining board certification?
- What kind of clinical responsibilities are you looking for?
- What kind of exposure have you had to managed care?
- What kind of administrative or academic responsibilities are you
looking for?
- How do you feel about teaching? About research?
- What are your interests besides medicine?
- How would you describe yourself as a person?
- How would you handle this specific medical case? (Your interviewers
will then describe a specific patient and set of medical circumstances
and as you what you would do.)
- Why are you looking for a change?
Use the following section as a guide for creating your own series of ques-
tions. Have a well-organized list in a format you will find easy to use dur-
ing the interview. Or, you can copy the following section and take it to
each of your interviews.
22
- What is the culture of the group?
23
Having a list of questions will impress interviewers and provide an easy-
to use script for exchanging information.
24
Practice Opportunity Evaluation
The following form will help you evaluate practice opportunities.
Complete this for each practice and compare and contrast the merits of
each situation. Score each practice from one (best) to ten (worst) in each
category.
Practice Opportunity
One Two Three
Professional
Caliber of practice ______ ______ ______
Caliber of support staff ______ ______ ______
Commitment of hospital
management ______ ______ ______
Philosophy of the group ______ ______ ______
Reputation of group
within the hospital ______ ______ ______
Working environment ______ ______ ______
Working atmosphere ______ ______ ______
Group dynamics ______ ______ ______
Work schedule ______ ______ ______
Managed care arrangements ______ ______ ______
Call schedule ______ ______ ______
Equipment/technology in place ______ ______ ______
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Economics
Income guarantee ______ ______ ______
Profit sharing ______ ______ ______
Financial stability of group ______ ______ ______
Privately insured patient mix ______ ______ ______
Government assistance
patient mix ______ ______ ______
Retirement plan ______ ______ ______
Incentive plan ______ ______ ______
Bonus plan ______ ______ ______
Timing for partnership ______ ______ ______
Malpractice coverage ______ ______ ______
Relocation allowance ______ ______ ______
Vacation time ______ ______ ______
CME time ______ ______ ______
Additional income opportunities ______ ______ ______
Competition in market ______ ______ ______
Service area population increasing ______ ______ ______
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Lifestyle
Housing ______ ______ ______
Access to hospital ______ ______ ______
Quality of schools ______ ______ ______
Community population ______ ______ ______
Proximity to major metro area(s) ______ ______ ______
Spouse’s career opportunities ______ ______ ______
Proximity to friends and family ______ ______ ______
Entertainment opportunities ______ ______ ______
Recreational opportunities ______ ______ ______
Distance to shopping ______ ______ ______
Distance to house of worship ______ ______ ______
SUBTOTALS
Professional ______ ______ ______
Economics ______ ______ ______
Lifestyle ______ ______ ______
GRAND TOTAL ______ ______ ______
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Negotiating Tips
There is one important thing to be aware of when you are accepting an
offer and signing a contract: You are in a negotiating situation. Negotiation
is not a “give me” situation. It is a two-way street of give and take.
Remember, you are in a position to negotiate any offer and make it the
best deal for yourself and the other party. The first thing to find out is
how much room there is for negotiation. Base salary, protected time, ben-
efits, incentives, vacation time, flexible hours, etc., are all elements of a
contract that can be negotiable to one degree or another. Find out how
much room there is for negotiation and review all points at one time.
At any rate, be mindful of deadlines and timelines for the contract that
is being negotiated. The faster you respond to the offer and get the ball
rolling, the more likely the group will be to negotiate terms with you.
Failure to respond in a timely manner can result in a loss of the position.
The flip side of the other party’s negotiating latitude is your negotiating
latitude. Determine a reasonable minimum for yourself in regard to salary,
benefits, obligations, etc. Research the area’s cost-of-living when deter-
mining these numbers. You can look up cost-of-living on the Internet.
Write down your negotiating limits and plan to stick to them. Remember
too, that the other party will probably prepare the contract. The prepar-
er, naturally, will write the contract to protect his or her organization’s
interests. Just make sure your requirements are met before you sign.
The best contracts are those that are based on a feeling of mutual trust.
If you have this feeling of trust for the other parties you are dealing with,
it is probably safe to go with your instincts and commit.
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2.A formal contract. These documents can be many pages in length. They can
be complex and confusing. Many physicians seek legal counsel to aid in
reviewing the contract before signing. Retaining legal counsel will
ensure that you understand exactly what you are committing to.
3. A letter of intent. These documents articulate the job offer and out-
line many of the elements that will be formalized later in a contract.
These documents can be legally binding. Make sure you know if it is
binding or just an outline for further negotiations before signing.
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A Physician’s Introduction to
Malpractice Insurance
Medical malpractice insurance is — to say the least — a complex and
confusing issue. The subject can be especially intimidating to new physi-
cians, those faced with purchasing a new policy, or anyone dealing with
an incident or claim for the first time. As the nation’s leading healthcare
staffing organization, CompHealth has been researching and purchasing
malpractice policies for our physicians since 1979. Our in-house quality
assurance and risk management experts have prepared this article to help
physicians gain a better understanding of common malpractice terms and
how policies work. Also included are answers to the questions we’re most
frequently asked by physicians.
Malpractice Terms
Malpractice Insurance
A generic term used to refer to physicians’ professional liability insurance
coverage. A malpractice policy provides protection against liability that
a physician may incur as a result of the rendering of — or the failure to
render — medical services. A typical malpractice policy will pay: (1) the
costs of investigating any claims against an insured physician; (2) the
costs of defending those claims; and (3) the indemnity cost of legal set-
tlements on behalf of, or court judgments against, the insured physician,
up to the policy limits. A physician’s professional liability policy may be
extended to include coverage for his or her corporation (P.C.), as well as
employees. Unless specifically endorsed, coverage is not extended to
include physician assistants, nurse practitioners, nurse midwives, or
CRNAs, and may not provide coverage for residents or locum tenens
physicians. Most policies are written on either a claims-made or occur-
rence basis.
Occurrence Coverage
Although highly uncommon, occurrence malpractice policies cover a
physician for incidents that occur while the policy is in effect, regardless
of when the incident is reported to the insurer.
Claims-Made Coverage
Claims-made policies cover a physician for incidents that occur after the
retroactive date and are reported to the insurer while the policy is in
force. Claims-made policies are predominantly used throughout the
industry.
30
Retroactive Date
In order for coverage under a claims-made policy to apply, the incident
or claim must have occurred after the retroactive date of the policy. For
most physicians the retroactive date is the first date they purchased
claims-made coverage. The retroactive date should remain the same
throughout the renewal process.
Tail
A tail is also known as an extended reporting period (ERP). An ERP may
need to be purchased if a physician ceases to practice due to retirement,
disability, death, or changes carriers and is unable to maintain the origi-
nal retroactive date. The ERP essentially extends coverage to all claims
that arise from care rendered during the policy period (and prior acts
period, if applicable), to include those made during the reporting period.
Umbrella Policy
In addition to a physician’s primary malpractice policy, some doctors also
purchase umbrella policies. The limits for an umbrella policy apply in
excess of the physician’s primary malpractice policy. For example, a pri-
mary policy may provide the physician with a limit of $1 million per
claim. The umbrella policy may provide an additional limit of $2 million.
If a claim of $2.5 million occurs, the $1 million policy will pay its full
limit of $1 million, and the umbrella policy will pay the remaining $1.5
million of the claim. Some umbrella policies have the same terms, con-
ditions and exclusions as the underlying primary policy. Other umbrella
policies have their own separate terms, conditions and exclusions.
31
What does a policy typically cover?
A malpractice policy usually provides coverage to the physician (and fre-
quently his or her corporation and employees) for damages resulting from
the rendering of or failure to render professional healthcare services.
Many policies do not specifically define the term “professional healthcare
services.”
Some policies only provide coverage to the physician for the direct med-
ical care of a patient. Such policies do not provide coverage for utiliza-
tion review and case management-type activities. Coverage for these
activities must be added to the policy by endorsement.
- Prior acts
- Sexual misconduct
- War
- Suspended, revoked, surrendered, or otherwise terminated license
- Anti-trust
- Pollution/nuclear energy
- Criminal or willful acts
- Under influence of drugs or alcohol
- Ownership/supervision of a hospital/clinic
- Bodily injury to employees
- Punitive damages
- Discrimination
- Liability assumed under a contract
The “liability assumed under a contract” exclusion has become a key lim-
itation under many physician policies. Managed care contracts frequent-
ly require physicians to hold the MCO harmless for the acts of the physi-
cian. Many physicians agree to do this, but do not recognize that their
policy excludes coverage for such contracts. Subject to a review of the
managed care contract, the underwriter may be willing to delete this
exclusion.
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Is the physician required to pay a deductible?
Most physician policies do not have a deductible. However, many larger
physician groups are beginning to consider policies that include a
deductible provision. The premium for a policy can frequently be reduced
by adding a deductible provision. A deductible is the amount the insured
physician is responsible for paying when there is a settlement or judg-
ment on a claim.
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How are carriers rated? Where can ratings be found?
Carriers are rated based on their financial condition. The most frequent-
ly cited rating resource for insurance carriers is A.M. Best. Best has a two-
tiered rating system consisting of quantitative analysis and qualitative
review.
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35
Managed-Care and Your Future
The nation’s healthcare system is experiencing its most dynamic period
of change. CompHealth, the leader in physician recruitment and place-
ment, is seeing and experiencing this change in the way physicians are
hired, the manner in which opportunities are chosen and how medicine
is practiced.
Managed-care is a reality, which in some way will affect your new prac-
tice. HMOs, PPOs, IPAs, IDNs, the alphabet soup of this health delivery
paradigm goes on and on. It is to your advantage to know the differences
between the diverse types of managed-care organizations and, in particu-
lar, the various health-maintenance organizations.
Never before in the history of our nation’s healthcare system have pay-
ment structure and practice organization been featured so prominently.
Hiring authorities are keenly aware of the business acumen of the physi-
cian candidates interviewed today. Although you may not want to be a
specialist in health economics, it can only help your candidacy to be
knowledgeable about the basics.
If you are uncomfortable with managed-care or do not agree with its fun-
damentals, you may want to reconsider opportunities in areas where
there is an advanced managed-care market penetration (more than 50
percent), such as California, Florida and Minnesota. Likewise, if you are
unclear as to the future of managed-care in the areas of your choice—i.e.:
if managed-care is in the early stages of penetration (less than 50 per-
cent)—you may want to find out more about these organizations that are
presenting themselves in that location. Do they fit your practice param-
eters? Will they assure you of the patient flow that you are looking for?
This is where a CompHealth physician recruiter can be invaluable, as our
recruiters are in regular communication with client hospitals and groups
who will have this information readily at hand.
36
In an industry where hiring procedures are often unclear, CompHealth is
the strategic information source for physicians exploring new opportuni-
ties in the age of managed care. Such sources save valuable and exhaus-
tive research time.
37
Locum Tenens
What is Locum Tenens and how can it benefit you?
Locum tenens, temporary physician staffing, is an alternative to a full-
time permanent practice that allows you to practice medicine on your
own terms. Locum tenens is an excellent option for physicians of any spe-
cialty at any point in their career. Whether you are just finishing your res-
idency and moving into practice, transitioning from one position to
another, or progressing from active practice to semi-retirement, locum
tenens can be a viable option for you.
38
Medical malpractice coverage.
Do they cover physicians under a comprehensive policy at no charge?
Does the policy cover any incident that occurs while working for them,
even after the assignment ends?
Licensing services.
Do they coordinate new licensure for you and pay all fees?
Risk management.
Do they have risk management professionals available to you?
Travel.
Do they coordinate all your travel expenses? What kind of housing do
they provide? Do they offer personal travel services as well?
Compensation.
How will you be paid—hourly, daily, weekly? Will you be paid extra for
overtime and call duties? Do they provide tax services including with-
holding and deferment? Will you be paid on a regular schedule, or only
after the firm receives payment from the client?
Credentialing.
Do they credential physicians to recognized national standards? Is their
credentialing service certified by a recognized agency?
Physician support.
Do they offer 24-hour support services? Can you reach someone on the
weekends if you have a problem?
Industry reputation.
How long has the firm been in business? Will they give you the names of
physicians in your specialty to contact?
Permanent option.
Does the firm offer you the option to convert a locum tenens job to per-
manent? Will they facilitate the placement for you?
Bonuses.
Do they offer bonuses for referrals and the length of service? What other
special bonuses or benefits do they offer?
39
Pre-work interview.
Will they coordinate a telephone interview with the client prior to your
locum tenens assignments so you can ask questions and make an
informed decision about whether or not to accept?
Just as when searching for a permanent job, it is best to ask a lot of ques-
tions when contacting locum tenens agencies to make sure you under-
stand all terms, services, and expectations up front. Choosing the right
agency can make all the difference in the experience you will have as a
locum tenens physician.
40
Resources
Strategies for follow-up letters.
After the interview, send a quick follow-up letter to thank the inter-
viewer for introducing the opportunity and to submit your travel expens-
es. The sooner you send this letter, the sooner you will be reimbursed.
The sample letters on the following pages will save you time. Sample let-
ters to accept and decline a practice opportunity are also included. Give
all interviewers the courtesy of a written reply. If you met with a panel
of interviewers, send the primary interviewer your main handwritten
response and all other interviewers either a handwritten or email note.
This will not only differentiate you from other candidates, it also shows
professionalism and overall courtesy.
The letters in this section can help you handle this chore as quickly and
professionally as possible.
41
Sample follow-up letter.
Date
Name
Title
Hospital
Address
City, State Zip
The expenses for my trip and copies of the receipts are enclosed.
Sincerely,
Your name
Enclosure:
42
Sample letter of acceptance.
Date
Name
Title
Practice
Address
City State Zip
Sincerely,
Your Name
43
Sample letter of declination.
Date
Name
Title
Practice
Address
City State Zip
Sincerely,
Your Name
44
Professional Organizations.
If you need assistance finding a number not listed, please call
CompHealth.
45
American Board of Emergency Medicine
3000 Coolidge Road
East Lansing, MI 48823-6319
517.332.4800
www.abem.org
46
American Board of Psychiatry and Neurology, Inc.
500 Lake Cook Road, Suite 335
Deerfield, IL 60015-5249
847.945.7900
www.abpn.com
47
American College of Osteopathic Obstetricians & Gynecologists
900 Auburn Road
Pontiac, MI 48342-3365
248.332.6360
www.acoog.com
48
American Society of Anesthesiologists
Headquarters Office
520 N Northwest Highway
Park Ridge, IL 60068-2573
847.825.5586
www.asahq.org
49
Radiological Society of North America, Inc.
820 Jorie Boulevard
Oak Brook, IL 60523-2251
630.571.2670
www.rsna.org
CompHealth
25 Van Zant Street
Norwalk, CT 06855
800.365.8900
www.comphealth.com
CompHealth
5352 Northwest 21st Terrace
Ft Lauderdale, FL 33309
800.365.8901
www.comphealth.com
CompHealth
9701 West Higgins Road, Suite 680
Rosemont, IL 60018
800.365.8902
www.comphealth.com
CompHealth
4021 South 700 East, Suite 300
Salt Lake City, UT 84107
800.328.3666
www.comphealth.com
50
State Boards of Medical Licensure.
Alabama State Board of Medical Examiners
PO Box 946
Montgomery, AL 36101-0946
Street address:
848 Washington Ave.
Montgomery, AL 36104
334.242.4116
www.albme.org
51
Osteopathic Medical Board of California
2720 Gateway Oaks Dr, Suite 350
Sacramento, CA 95833-3500
916.263.3100
www.dca.ca.gov/osteopathic
52
Georgia Composite State Board of Medical Examiners
2 Peachtree Street, NW, 6th Floor
Atlanta, GA 30303-3465
404.656.3913
www.medicalboard.state.ga.us
53
Kentucky Board of Medical Licensure
310 Whittington Parkway, Suite 1B
Louisville, KY 40222-4916
502.429.8046
www.state.ky.us/agencies/kbml
54
Board of Osteopathic Medicine and Surgery
PO Box 30670
Lansing, MI 48909-7518
517.373.6873
www.cis.state.mi.us/bhser
55
State Board of Osteopathic Medicine
2860 E Flamingo Rd, Suite G
Las Vegas, NV 89121
702.732.2147
56
North Dakota State Board of Medical Examiners
418 East Broadway, Suite 12
Bismarck, ND 58501
701.328.6500
www.ndbomex.com
57
Rhode Island State Board of Licensure and Discipline
Cannon Building, Room 205
Three Capitol Hill
Providence, RI 02908
401.222.3855
www.health.state.ri.us
58
Vermont Board of Medical Practice
108 Cherry Street
Burlington, VT 05402
802.657.4220
www.healthyvermonters.info/bmp/bmp.shtml
Board of Osteopathy
334 Penco Rd
Weirton, WV 26062
304.723.4638
Wisconsin Medical Examining Board
59
PO Box 8935
Madison, WI 53708-8935
608.266.2112
www.drl.state.wi.us
60
DEA Offices.
Atlanta Division Office
75 Spring Street Southwest, Room 740
Atlanta, GA 30303
404.331.4401
Serves Georgia, North Carolina, South Carolina and Tennessee
61
Houston Division Office
1433 West Loop South, Suite 600
Houston, TX 77027
713.693.3000
Serves Texas
62
Phoenix, AZ 85012
3010 North Second Street, Suite 301
602.664.5600
Serves Arizona
63
State Chambers of Commerce.
National U.S. Chamber of Commerce
Washington, DC 202.659.6000
64
Illinois Illinois State Chamber of Commerce
Chicago 312.983.7100
65
Nevada Nevada State Chamber of Commerce
Reno 702.686.3030
New York New York State Division of Tourism (No state chamber)
Albany 518.474.4116
66
Texas Texas Association of Business and Chambers of Commerce
Austin 512.477.6721
67
CompHealth Offices
Connecticut CompHealth
25 Van Zant Street
Norwalk, CT 06855
203.866.1144
Florida CompHealth
5352 NW 21st Terrace
Fort Lauderdale, FL 33309
954.771.2501
Illinois CompHealth
9701 W Higgins Rd
Rosemont, IL 60018
847.384.9500
Utah CompHealth
4021 S 700 E, Suite 300
Salt Lake City, UT 84107
801.284.6554
Web site:
www.comphealth.com
68
69
25 Van Zant Street
Norwalk, CT 06855
800.365.8900
www.comphealth.com