Clinic 1 to 1 and 1/2 days a week.
We model ourselves similar to Baptist. ie we have a larger radiology group that we are part of, but we function independently and are seen by the hospital administrators as an independent entity. The hospital spends a lot of resources on us, simply because of what we bring in.
We do have midlevels that help with some of the floor work and inpatient follow ups and discharges. But, we make certain that all of the IR are seen on the floor and have one IR physician per week who is in charge of all consults and works with the midlevels to get the floor work (consults, follow ups, discharges etc) done.
Competition for endovascular cases is fierce and my colleagues (vascular surgery and cardiology) are very good at what they do both clinically and technically. We all have different referral patterns and the key is to maintain good relationships and provide good service with your current referral docs and find any new doctors who are coming into the region and the more outreach to them you have the faster you can grow it.
Some of the key areas of practice development for PAD are the vascular lab, CTA, MRA etc. The legs for life campaign is of medium yield. But, you need to be patient to grow your patient referral base.
As you are developing your PAD practice it is critical to develop all other aspects of your practice (fibroids, veins, dvt work (lysis, filters), oncology, pain interventions (esi, facets, vertebro, kypho).
Follow all of your patients as much as feasible and bring them back to your office. This will generate a long time network of patients for you. Theses patients often need multiple repeat interventions (from veins, pain , pad and even fibroids). This is something that most IR do a poor job with.
Give lots and lots of talks (grand rounds,morning reports, tumor boards). Give talks to the local press and any community talks (women's groups etc). Marketing is key and advertising is important. Also company reps will provide dinners as you market to local hospitalists, podiatrists, FP, IM, PA/NPs etc.