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Top 10 Things I Wish I Knew Before My First Day of Practice

As I mentioned last week, I have surveyed a large audience of practicing podiatrists - some recent graduates and some seasoned practitioners. I received some great responses when I asked this panel to contribute their genuine thoughts on the question of pearls that they wish they had found out before opening their doors for practice.

We all know that most residencies prepare us well for the clinical environment, but few prepare us sufficiently for the business and logistics that make or break the practice environment. Even when joining a group practice or a multi-specialty group, there are many barriers to success if the task is not approached from the right perspective. Take a look at these 10 suggestions from currently practicing members of the profession:

10. Remember that you can never be too nice to the office staff. They really do make or break you.

9. Realize from day 1 that you will likely be sued and your records will likely be questioned.

8. Understand that it can take 6-8 months to get a state license, insurance numbers, and hospital staff privileges.

7. Pursue incorporating as a LLC or PA or PC prior to completing any business loan applications, etc.

6. Many hospitals in geographically underserved areas still are interested in "sponsoring" a new practitioner that may want to join their community. Contact local hospital CEO's in the area you are thinking to practice in and investigate this option.

5. Keep detailed surgical logs to facilitate completion of your Board Certification applications.

4. There is no ONE good treatment for anything. Rather, there are many good treatments for many things.

3. Never tell a patient you can cure something or make it normal. Rather, tell them you hope to improve something significantly.

2. Suggest to complex, difficult, and confrontational patients that you require them to seek a second opinion prior to performing an elective surgical procedure. The opinion will usually agree with your plan and will help diffuse litigation before it even starts.

1. Learn WHEN and on WHOM to 'Just Say No' to surgery. Listen to your instinct and to your office staff when you have a patient that you think might not be a good candidate for surgery...

This list could go on and on. I hope you find these helpful. I received some other great ones which I didn't have room for, but perhaps we will consider publication of another list at a later date...

If you have something you would like to suggest for the Top 10 List, please email it to me at jsteinberg@podiatry.com



John S. Steinberg, DPM
Editor, PRESENT

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