Becoming a Private Practitioner

Ask yourself:

  • What do I want and need from my job?
  • Do I prefer to work solo, in a small group, or in a large group?
  • Do I want to practice at a single site, or am I willing to travel to satellite clinics?
  • Do I only want to practice hematology, or both hematology and oncology?
  • Do I want to participate in research?
  • How much internal medicine do I wish to do?
  • How much night/weekend call am I willing to take?
  • Do I want or need to be in a particular area of the country?
  • Will my personal responsibilities or my spouse’s professional needs set limits to my search?

Learning what is out there:

  • Job announcement letters sent to your department and program director
  • Announcements (print and online) in journals (e.g., Blood, Journal of Clinical Oncology)
  • Employment bulletins and the ASH Job Bank 
  • Informal sources (e.g., former fellows)
  • Contact major groups in your region to see if they are planning to enlarge their practice group

Narrow your search by finding out about:

  • The group’s mission, values, political and social climate, and reputation
  • Research activity and participation in cooperative groups
  • Parameters and expectations of the position

The job application:

  • First impressions are important. Follow the application instructions and make sure your application is concise and free of factual, grammatical, and spelling errors.
  • Prepare a cover letter
    • Brief self-introduction
    • Specify the position for which you are applying
    • Brief description of your clinical and teaching experience
    • Any special circumstances you believe the committee should know about up front (e.g., your spouse is also looking for a private practice opportunity)
     
  • Update your curriculum vitae
  • Obtain letters of recommendations
  • The interview
    • Organize the logistics of the trip (e.g., plane tickets and hotel accommodations)
    • Learn as much as possible about the institution and the surrounding area
    • Meet with as many members of the private practice as possible
    • Conclude your visit and follow-up
      • Ask when a decision will be reached
      • As soon as you return home, write a formal letter addressed to the chair of the committee, thanking everyone for their hospitality, and reiterating your interest in the position
       
     

Negotiate your position:

  • Obtain the details of the appointment (e.g., job title, length of the initial contract, terms under which the contract will be renewed)
  • Salary
  • Potential and details of partnership, ownership of practice
  • Other forms of compensation (e.g., health coverage, life insurance, moving expenses, housing subsidy)
  • Protect yourself by formalizing all of the accepted details of the negotiations in a written contract. Strongly consider reviewing the contract with an experienced advisor or attorney before accepting an offer.

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