- Joined
- Dec 13, 2004
- Messages
- 9
- Reaction score
- 4
I wanted to put this out there into the interwebs, feel free to comment. I recently started looking for jobs in the NE (5+ years out from fellowship). Things have changed a bit from when I last looked.
Far less solo practitioners, maybe they all got bought out, or closed due to covid.
Many multi specialty groups; pcp/cards/gi that make their own physical network and keep expanding by buying more practices. Interesting model, the guys at the top that started it usually get the most profit. However they seem to incentivize newer people with ASC shares at the very least.
Hospital paid groups, some inpatient work, mostly outpatient, salaried by the hospital. Have to deal with the inefficiencies of the hospital, this seems like an okay way to go. Like an easy 8-5.
Academics
And lastly, quickly becoming the most pervasive and least liked in my opinion...the private equity owned groups. PE comes in and buys parts or whole practices with promises of taking care of the "business" aspect of GI. So doctors and just be doctors. Meh, personally the thought of some business bro making financial, and consequently medical decisions for me doesn't sit well. Unfortunately, they found a cash cow in GI/Heme/cards and these guys are popping up everywhere.
I find myself looking at 3 types of practices right now. Small group private with partial ASC shares they co-own, hospital group in a well known well run hospital system, and a growing multi specialty (started by cards, but gi in the infancy). If there are any seasoned GIs on the board, I would love to chat with you and get your opinion on some of the above.
Far less solo practitioners, maybe they all got bought out, or closed due to covid.
Many multi specialty groups; pcp/cards/gi that make their own physical network and keep expanding by buying more practices. Interesting model, the guys at the top that started it usually get the most profit. However they seem to incentivize newer people with ASC shares at the very least.
Hospital paid groups, some inpatient work, mostly outpatient, salaried by the hospital. Have to deal with the inefficiencies of the hospital, this seems like an okay way to go. Like an easy 8-5.
Academics
And lastly, quickly becoming the most pervasive and least liked in my opinion...the private equity owned groups. PE comes in and buys parts or whole practices with promises of taking care of the "business" aspect of GI. So doctors and just be doctors. Meh, personally the thought of some business bro making financial, and consequently medical decisions for me doesn't sit well. Unfortunately, they found a cash cow in GI/Heme/cards and these guys are popping up everywhere.
I find myself looking at 3 types of practices right now. Small group private with partial ASC shares they co-own, hospital group in a well known well run hospital system, and a growing multi specialty (started by cards, but gi in the infancy). If there are any seasoned GIs on the board, I would love to chat with you and get your opinion on some of the above.