Best Friend’s Guide to Finding a Practice Career essentials Preface Best Friend’s Guide to Finding a Practice was written by the consultants at CompHealth as a guide 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. CompHealth is one of the nation’s largest providers of healthcare staffing services. Founded in 1979, the company provides temporary staffing and permanent placement services for healthcare professionals of all types. We are proud to be able to offer you this book and sincerely believe you will find it to be a valuable resource in your search. We welcome your comments and suggestions so that we can make this resource even more valuable for you. After all, it was for you, the Physician seeking a new opportunity, that we undertook the development of the Best Friend’s Guide in the first place. Salt Lake City, Utah (Headquarters) 6440 South Millrock Drive, Suite 175 Salt Lake City, UT 84121 800.453.3030 (toll-free) 801.930.3000 (local) Norwalk, Connecticut 10 Norden Place, Suite 200 Norwalk, CT 06855 800.365.8900 (toll-free) 203.642.5622 (local) Fort Lauderdale, Florida 6451 North Federal Highway, Suite 700 Fort Lauderdale, FL 33308 800.365.8901 (toll-free) If you have any comments or would like to further discuss new opportunities for professional growth, please contact CompHealth. 800.453.3030 | CompHealth.com 1 © CompHealth 2014/07 CPH-383 Career essentials Contents Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Why Use a Recruiting Firm? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Action Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Curriculum Vitae. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Recommended CV Format. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Sample CV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 The Community. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 The Opportunity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Compensation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 The Interview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Practice Opportunity Evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Negotiating Tips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 A Physician’s Introduction to Malpractice Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Managed Care and Your Future. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Locum Tenens. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Professional Organizations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 State Boards of Medical Licensure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 DEA Offices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 State Chambers of Commerce. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 800.453.3030 | CompHealth.com 2 © CompHealth 2014/07 CPH-383 Career essentials Introduction Whether you are fresh out of residency or a veteran Physician, you may have questions about finding the practice that is right for you. CompHealth offers answers to your questions and valuable services that enable you to locate your ideal practice opportunity. As one of the nation’s largest providers of healthcare staffing services, we provide employment opportunities in all 50 states for locum tenens and permanent placement Physicians of most medical specialties, as well as Nurse Practitioner, Physician Assistant, and allied healthcare professionals. We have more than 400 dedicated Recruiters who are experts in their field. Each Recruiter is focused on a specific specialty and is well versed in current salaries, market conditions, and industry trends. Our Recruiters can arrange interviews for you while maintaining your anonymity and help you negotiate the best offer possible. Our fee is paid by the practice or hospital that hires you. Most interviewing costs are also paid by our clients and there is no cost, risk, or obligation of any kind to you. To help you get started, we’ve compiled this reference guide. It’s an excellent 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, Best Friend’s Guide to Finding a Practice will guide you every step of the way. The Secret to Finding and Securing the Right Practice Is to Start as Early as Possible 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: > What you want to do > Where you want to do it 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 community 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, topography, 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 environment 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 sections 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. You can also visit us online at CompHealth.com. 800.453.3030 | CompHealth.com 3 © CompHealth 2014/07 CPH-383 Career essentials Why Use a Recruiting Firm? Running your own job search requires a lot of time. Not to mention the fact most people struggle when it comes to marketing themselves. When you use a recruiting firm, someone else is marketing you to potential employers. All you need to do is provide some basic information about your skills, experience, and preferences. CompHealth placement services cost you nothing but will save you time and help you find the job that’s right for you. A good recruiting firm can help you: > Find a job at no cost > Save time > Screen opportunities for you so you find the right job faster and easier > Protect your anonymity > Contact employers to find more opportunities for you > Locate opportunities that are never advertised and that you may never find on your own > Schedule interviews for you and make the necessary travel arrangements if necessary > Help you negotiate a higher salary and better benefits > Coordinate the licensing, credentialing, and hospital privilege process 800.453.3030 | CompHealth.com 4 © CompHealth 2014/07 CPH-383 Career essentials Action Checklist 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 different pace, the activities are listed in order of priority but not in a specific timeline, so you can complete the tasks at your own pace. It is important to allow yourself enough time to ensure 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. Check off when complete: Draft your CV and compile references. If necessary, schedule a second interview with your top choices. Make sure that you get all the information you need to make your final decision. Tie up loose ends such as follow-up letters, references, licensure applications, etc., and think about your decision. Review the contract (your CompHealth Recruiter can help). Make a decision and commit to a practice. Complete credentialing, state licensure and DEA registration with the help of the CompHealth Customer Service Specialist Team. Find a residence. Negotiate a mortgage/lease. Relax and get ready for your new career opportunity. Start working! Refine your CV. Decide upon the areas of the country and types of practices you want to explore. Research each state’s licensure requirements. Talk to a CompHealth Recruiter to identify the appropriate practices and/or hospitals for your interviews. Remember, all CompHealth services are free to you and in the majority of cases, your interviewing expenses are paid also. Set up interviews with practices interested in you. These opportunities should meet your objectives in terms of geography and type of practice. Make interview travel plans if necessary. Interview at desired locations. Be sure to inquire about both the practice and the community. 800.453.3030 | CompHealth.com 5 © CompHealth 2014/07 CPH-383 Career essentials Curriculum Vitae Your curriculum vitae (CV) is the document you will use to present yourself 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 possible. There are two things to keep in mind: > Present the facts about yourself in a way that will be the most attractive 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 communicate that. Your CV is the place to emphasize your strengths, accomplishments, 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 font that is easy to read. Compose your CV so it looks as crisp and professional as possible. If printing your CV, 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. Your CompHealth Recruiter can help you develop an impressive CV. 800.453.3030 | CompHealth.com 6 © CompHealth 2014/07 CPH-383 Career essentials Recommended CV Format Name Present Title Home Address Office/Hospital Address Telephone Email Address Education (List universities, degrees, and dates in descending order, most recent first.) Postgraduate Training 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.) 800.453.3030 | CompHealth.com 7 © CompHealth 2014/07 CPH-383 Career essentials 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: [email protected] 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 800.453.3030 | CompHealth.com 8 © CompHealth 2014/07 CPH-383 Career essentials David M. Hill, MD—Page Two Bibliography: Hill, David M.: Biological safety evaluation of a novel dentin bonding system. Abstract. Hill, David M., Smith, John S.: Study of Admission Procedures. Presented to the Florida Chapter of Family Practitioners, 1993. 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) 800.453.3030 | CompHealth.com 9 © CompHealth 2014/07 CPH-383 Career essentials 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 environment in which you will be most comfortable, productive, and needed. Proximity of friends and family > Do you have friends or family with whom you need to stay close? > What level of contact do you want to maintain? > What about your spouse’s family needs? > Is jumping on a plane for a visit at Thanksgiving acceptable to you and your spouse? There are a lot of things to consider in this area. For example, consider whether your parents or inlaws will need you nearby as they advance in age. Discuss these things with family and friends before making a decision. Employment opportunities for your spouse The question of whose career comes first is a difficult issue. The ideal move is one that benefits both careers. As a practical matter, however, this is not always possible. 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. General economic and social structure > Do you want to live in a town with predominantly blue- or white-collar workers or a mixture of both? > Do 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. We recommend keeping detailed notes on student/ teacher ratios, class sizes, tracking programs, special programs, etc. Your comparison of different school districts is likely to figure prominently in your planning. 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 metropolitan 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 moderate housing costs. 800.453.3030 | CompHealth.com 10 © CompHealth 2014/07 CPH-383 Career essentials 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. Area and patient demographics Job satisfaction is vital. Consider the area’s total population, patient population, 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/payer mix, i.e., diversity in patient population groups and in the payer categories? > Is there a particular demographic group that you would like to serve? • If you have a desire to perform community service, is there a local population in need of volunteer medical attention? Make sure that the people you want to serve are available to be served. 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 websites, real estate agents, the town hall, and the local library. Here are the primary areas to investigate: > Size • How many people live in the town and surrounding area? • Is the area gaining or losing population? > Economic background and stability No community is totally recession-proof, but you can help protect yourself. Is the area attracting new businesses or losing businesses? Look at statistics such as unemployment, growth rate, diversity of industries, average family income, housing sales and availability and absorption rates for office and industrial real estate. This information will give you a good picture of the economic vitality of the area. The economic health of a community may have an impact on the economic health of your practice. > 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. > Demand for specialty Demand varies from one geographical area to another for any given specialty. Over time, the number of Physicians graduating in certain specialties, 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 compensation ratios for your specialty. 800.453.3030 | CompHealth.com 11 © CompHealth 2014/07 CPH-383 Career essentials The Opportunity Here are some questions to ask before and during the interview process: What Is the Personality of the Hospital and Group? > What are their credentials? > What are they trained in? > How is the morale among department staff members? > What are the patients like and how are they treated by the Physicians on staff? > How many Physicians are there? > What is the typical rotation, the coverage, and call schedule? While these questions are important and should be asked, remember that what you observe can be more revealing than what you are told. business, but has a close, interdependent, and sometimes exclusive arrangement with the facility. The individual covers all of his or her own expenses, but also reaps all of his or her own profits. In these types of arrangements, you would enter the group as an associate for a period of one to five years. After the trial period, you may become eligible for a partnership. > Partnerships/PC/PA—In these circumstances, it is wise to review your initial contract and subsequent partnership agreement with your CompHealth Recruiter or legal counselor before signing. Corporations are legal entities with an executive board, stock, etc. Obtain legal counsel to make sure you clearly understand your status, obligations, and options within the corporate structure. > Employer/Employee—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 inurement guidelines, employee status is becoming more popular. Why is the hospital or group hiring? Does the practice offer a buy-in option? There are many scenarios that can factor in to the answer of this question. You could be replacing a Physician who has retired or who has moved to another position. Or, perhaps the volume of patients is increasing and the group needs an additional doctor to help with the increased patient load. Buy-in options vary from group to group. If this is something you are interested in, check with the practice to see if it’s available or might become available in the future. Who is in charge and how are decisions made? If the practice is a partnership, who are the key partners? How are decisions made? Will you be involved in the decision-making process? If so, when and under what circumstances can your participation begin? It is in your best interest to clarify who is in charge, how the decisions are made, and what your role in the partnership will be. What is the practice’s legal arrangement? What is the reputation of the group within the community/hospital? You would be surprised at what you can learn just by drawing aside nurses or staff members in the hospital and asking what they think about the group you are considering. A practice’s reputation is something that can have a major impact on your potential career path, yet it is something very difficult to evaluate as a stranger. It is to your advantage to ask around, consulting as many knowledgeable sources as you can find. The three major types of practice arrangements are: > Independent contractors—An independent contractor is an individual in an autonomous 800.453.3030 | CompHealth.com 12 © CompHealth 2014/07 CPH-383 Career essentials What is the turnover rate? This can be the most telling statistic about a group. If a group has maintained a very low turnover rate over a number of years, it tells you that the practice is stable and that its doctors are happily employed. However, should you find that the group has had some turnover, ask more questions. There may be acceptable reasons or unusual circumstances for less than perfect retention. This will help you clarify exactly the type of situation you are entering before making a commitment. Are the operational procedures what you would expect? As a new member of the group, it is beneficial to have a very clear understanding of how you will be expected to fit in and what kind of commitment is expected of you. > Where do the patients come from? > What is the primary service population? > How many referring Physicians are there and who are they? 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 > Who and where are the closest competitors? > Admitting staff > At which hospital(s) will you have admitting privileges? > Who writes admitting orders > What would your hours be? > X-ray and lab resources > How many nights will you be expected to work or to be on call? > X-ray and lab turnaround time > Does the practice have a rotating schedule? > How many patients will you see per day or month? Is There Enough Support Staff Available? Make sure there is adequate support, such as nurses, Physician assistants, lab and x-ray technicians, EMTs, and security. A good medical department manager or secretary who keeps the department running smoothly can be invaluable. > Level of computerization > 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 prepared and to not be afraid to ask. 800.453.3030 | CompHealth.com 13 © CompHealth 2014/07 CPH-383 Career essentials Compensation Compensation can play a key role in your decisionmaking process. Ranging from flat salaries to a percentage of the revenue you generate, there are as many different types of compensation arrangements as there are job offers. Make sure you fully understand your primary compensation arrangement. Although we strongly recommend that you avoid talking about compensation in your interview, you should have an idea of what is acceptable to you and what is competitive for the area. However, try not to quote an actual figure. Think about your needs now and the ultimate needs of your family in years to come. Number of CME days and number of holidays or personal days are important components you will have to be aware of. Standard benefits generally have a value of 15 to 25 percent of the salary component of the 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. Finally, don’t forget that you have the last word on compensation. Be sure you consider every element of the offer in-depth before signing on the dotted line. There are many things to consider besides salary. Look at the whole picture, 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. Is the Compensation Package Offered Competitive? > Base salary > Incentive/production bonus > Malpractice insurance > Health insurance > Dental insurance > Life insurance > Disability insurance > Pension plan > Tax shelter annuities > CME stipend > Relocation expenses > Number of vacation days 800.453.3030 | CompHealth.com 14 © CompHealth 2014/07 CPH-383 Career essentials The Interview The phone interview is your first contact with your prospective employer. It is a key element in the “first impressions are everything” process. If you are invited to attend an interview in person, choose a time during business hours so you can meet the team and see them in action. Wherever possible, try to schedule more than one interview on a trip to save time and expense. How Do You Want Others to See You? Few people are born with natural interviewing skills. Nonetheless, successful interviewing skills can be acquired. The better prepared you are, the better the impression you will make when interviewing. Your medical education and training will establish your qualifications for the job. But the personal style and character you present to your interviewers will establish, in their opinion, whether or not you will fit into their practice. Find out what you need to know to determine if the practice opportunity is right for you. Leave the interview with the option to pursue the position because you cannot turn down an offer you don’t get. At this point you may also want to check to see if your expenses are reimbursable. 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? Essential Factors to Remember for an Interview > When do you plan on obtaining board certification? Bring extra copies of your CV, prepared questions you might need answered, and turn off your cell phone and/or pager. Bring something to write on and something to write with and your references. > What kind of clinical responsibilities are you looking for? Physicians are expected to dress in professional attire. Appropriate interview apparel can create a positive image in the eyes of the interviewer. The classic advice is: 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. > What kind of administrative or academic responsibilities are you looking for? How do you feel about teaching and research? 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. > What kind of exposure have you had to managed care? > What are your interests besides medicine? > How would you describe yourself as a person? > How would you handle this specific medical case? (Your interviewers could describe a specific patient and set of medical circumstances and ask you what you would do.) > Why are you looking for a change? Do your homework on the area beforehand so you can spend your time asking important questions about the practice and hospital. 800.453.3030 | CompHealth.com 15 © CompHealth 2014/07 CPH-383 Career essentials Things to Remember Be comfortable and confident Have a well thought out answer for each of these questions and any other questions you’ve heard might be asked. Focus on positive experiences rather than negative ones, and be general on any negative questions you might be asked. It is important for you to look calm, confident, and in control. Look the interviewer in the eye. If you are well rehearsed, you will be able to relax and be yourself. Size up your prospective employer You want a practice that’s right for you. So while a prospective employer is evaluating you, you should evaluate the practice opportunity. Find out about the culture of the group, stability, patient mix, number and quality of procedures, turnover, and annual growth. Avoid these common mistakes > Asking questions about money, benefits, partnership, etc. Wait for the prospective employer to bring these up first, or wait until deep into the interview process. > Arriving late, leaving early, or declining to participate in a routine step of the interview. Have the courtesy to be prompt and complete the entire interview. > Being critical of administration, the practice or processes. Each practice or group will do things a little differently, so do not criticize or suggest changes on matters while you are interviewing. > Not getting enough information to make a decision during the interview. Again, take a list of questions you need to have answered in order to accept an offer if one is extended. How to end the interview Upon completing an interview, show your gratitude by shaking each person’s hand and asking for their business card. Show interest in the position by asking where they are in the hiring process, or what their next step will be. Make your intentions clear, but if it’s not the right position for you, let your CompHealth Recruiter end the process with the employer. > Asking too few questions about prospective opportunity during the interview. This can result in the interviewer feeling that you had little or no interest. Have a list of questions prepared beforehand. > Not being prepared with the proper information about the practice. > Not doing your homework and learning about the practice before you show up. > Not asking for the job if you are interested. If you feel comfortable with the interview and are interested in taking it to the next step, let them know why you would be a good fit for the position. 800.453.3030 | CompHealth.com 16 © CompHealth 2014/07 CPH-383 Career essentials 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 1: Practice 2: Practice 3: 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 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 800.453.3030 | CompHealth.com 17 © CompHealth 2014/07 CPH-383 Career essentials Competition in market Service area population increasing 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 TOTAL 800.453.3030 | CompHealth.com 18 © CompHealth 2014/07 CPH-383 Career essentials Negotiating Tips Don’t shy away from asking for what you need. The most important thing to be aware of when you are accepting an offer and signing a contract is remembering that you are in a negotiating situation. Negotiation is a two-way street of give and take. > The first thing to find out is how much room there is for negotiation. Base salary, protected time, benefits, 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. > There are four different forms that an offer may take: An appointment letter, a formal contract, letter of intent and verbal offers. Make sure you have something on paper. > Lastly, the subject of negotiation is an important part of the process of securing a practice. A CompHealth Recruiter is a trained negotiator and can give you many pointers to help guide you through the contract signing process. > 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. > Determine a reasonable minimum for yourself in regard to salary, benefits, obligations, etc. Research the area’s cost-of-living when determining these numbers. You can look up cost of living on the Internet. The other party will probably prepare the contract and will naturally write the contract to protect his or her organization’s interests. Just make sure your requirements are met before you sign. > The common time frame for the medical community to terminate a contract is generally 90 to 120 days. Many contracts may also include a non-compete clause. > 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. 800.453.3030 | CompHealth.com 19 © CompHealth 2014/07 CPH-383 Career essentials 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 Physicians, 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. Terms to Know 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: > The costs of investigating any claims against an insured Physician > The costs of defending those claims > The indemnity cost of legal settlements 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 occurrence 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. Claimsmade policies are predominantly used throughout the industry. 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 original 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. It is preferable to purchase an unlimited ERP. Some carriers may limit the ERP and only allow claims to be reported for a specific period (12 months, 36 months, etc.). The carrier will usually charge an additional premium for the ERP. In some cases, the carrier will provide a free tail to the Physician upon disability, death, or retirement. To obtain the free tail, the Physician generally needs to be insured by the same carrier for a minimum of five years and agree not to practice medicine in the future. 800.453.3030 | CompHealth.com 20 © CompHealth 2014/07 CPH-383 Career essentials 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 primary 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, conditions, and exclusions as the underlying primary policy. Other umbrella policies have their own separate terms, conditions, and exclusions. with such services and the postmortem handling of human bodies. In addition, most policies also provide coverage to the Physician for his or her activities as a member of a credentialing committee. Some policies only provide coverage to the Physician for the direct medical care of a patient. Such policies do not provide coverage for utilization review and case managementtype activities. Coverage for these activities must be added to the policy by endorsement. Are there limitations on coverage? Most policies include limitations or exclusions of coverage. The exclusion section of a policy describes the circumstances under which the Physician will not be covered. Common exclusions include: > Prior acts Common Policy Questions and Answers > Sexual misconduct What is the typical length of a policy period, and what do the limits refer to? >War Most malpractice policies have a 12-month policy period, however a few carriers offer six-month policy periods. All policies have limits of liability. This is the maximum amount an insurer will pay out under the terms of the policy. The limits are generally offered on a per-claim or per occurrence and annual aggregate basis. For example, a policy may have a $1 million per-claim limit with a $3 million annual aggregate limit. This is frequently stated as $1 million/$3 million. The most the policy will pay for any one claim is $1 million, and the most the policy will pay in any one year for all claims reported by that Physician is $3 million. What does a policy typically cover? A malpractice policy usually provides coverage to the Physician (and frequently 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.” Policies usually include any professional healthcare service immediately related to the care of patients including, but not limited to, the furnishing of food, beverages, medications, or appliances in connection > 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 limitation under many Physician policies. Managed care contracts frequently require Physicians to hold the MCO harmless for the acts of the Physician. 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. 800.453.3030 | CompHealth.com 21 © CompHealth 2014/07 CPH-383 Career essentials 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 judgment on a claim. What criteria should I use to select a malpractice carrier? If given the opportunity to choose your own malpractice carrier, you should consider the following important factors: > How long has the carrier been writing Physician malpractice coverage, and will they continue to write coverage in the long term? > How strong are the financials of the carrier? > What is the price of coverage? > Does the carrier offer claims-made or occurrence coverage, or both? > Is the carrier willing to offer the Physician his/her original retroactive date (if claims-made coverage)? > What is the definition of a claim under the policy? > What does the policy cover? > What is the intent of coverage? > Who does the policy cover—the Physician, corporation, and employees? > What and who does the policy exclude? > What territory does the policy cover? (Most policies provide coverage for services rendered anywhere in the U.S. However, some policies will only provide coverage for services provided in the state where the Physician is licensed.) > Does the policy offer any return premium for favorable loss experience? > Does the insurer offer any discounts if the Physician attends risk management programs? What programs are offered? > What is the insurance carrier’s claim-paying philosophy? Does the Physician have access to legal counsel? Can a settlement be approved without the insured’s consent? > What is the insurer’s procedure for reporting claims? > How are the costs of defending a claim covered by the policy? > Who is responsible for appeal bonds if an appeal is made? If an appeal bond is secured, are any of the Physician’s personal assets used as security? > Will the insurance carrier consider premium discounts if the Physician is new to practice, part-time, or if most activities relate to administrative duties? > Under which circumstances can the policy be terminated by either the insured or insurer? > Does the insurer extend coverage to Residents or locum tenens Physicians? > Will the insurer consider offering a free tail (ERP) upon retirement, disability, or death? How are carriers rated? Where can ratings be found? Carriers are rated based on their financial condition. The most frequently cited rating resource for insurance carriers is A.M. Best. Best has a two-tiered rating system consisting of quantitative analysis and qualitative review. Under quantitative analysis, each carrier’s financial performance for at least the past five years is examined and over 100 financial tests are performed. These tests primarily focus on: profitability, leverage/capitalization, and liquidity. Based on the ratios, Best assigns a value from A++ to F. It is preferable to purchase coverage from a carrier with at least an A rating. It is recommended that coverage not be purchased from an unrated carrier or one with a rating less than B+. 800.453.3030 | CompHealth.com 22 © CompHealth 2014/07 CPH-383 Career essentials Best’s qualitative review includes an evaluation of: the company’s spread of risk exposures, appropriateness of reinsurance, quality and diversification of assets, adequacy of loss reserves, adequacy of surplus, capital structure, management experience, market presence, and policyholders’ confidence. Based on these factors, Best assigns a class ranking of 1 to 15. It is recommended that coverage not be purchased from a carrier with a ranking less than 7. Remember, the climate of malpractice is different from state to state, and is specific according to specialty. For further discussion on malpractice insurance contact the professional society that is associated with your specialty. 800.453.3030 | CompHealth.com 23 © CompHealth 2014/07 CPH-383 Career essentials 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 placement, 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 practice. 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 particular, the various health-maintenance organizations. Never before in the history of our nation’s healthcare system have payment structure and practice organization been featured so prominently. Hiring authorities are keenly aware of the business acumen of the Physician 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. (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 percent), you may want to find out more about these organizations that are presenting themselves in that location. Do they fit your practice parameters? 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. In an industry where hiring procedures are often unclear, CompHealth is the strategic information source for Physicians exploring new opportunities in the age of managed care. Such sources save valuable and exhaustive research time. Preparation is a constant theme throughout this guide. Before pursuing any practice opportunity, try to find out what the managed-care market is like in the area where you are interviewing. There are two important points that you should take into consideration: 1. What is your philosophy regarding managed care? 2. What is your knowledge of managed care marketing strategies? If you are uncomfortable with managed care or do not agree with its fundamentals, you may want to reconsider opportunities in areas where there is an advanced managed-care market penetration 800.453.3030 | CompHealth.com 24 © CompHealth 2014/07 CPH-383 Career essentials Locum Tenens 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 specialty at any point in their career. Whether you are just finishing your residency and moving into practice, transitioning from one position to another, or progressing from active practice to semiretirement, locum tenens can be a viable option for you. Locum tenens allows you to: > Gain real-world experience and build your skills and CV > Experience a variety of practice settings > Get an insider’s view of practice management and economics without the pressure > Work as much or as little as you would like and take time off when you want > Fill in the gap between residency and fellowship > Make valuable contacts > Pay off medical school loans before making more financial commitments > Locate the perfect permanent opportunity by living and working in a community before committing > Ease into retirement What should you look for when considering locum tenens? If locum tenens interests you, your first step is to find a reputable firm to help you find opportunities and coordinate your work assignments. As you evaluate groups, be sure to ask questions about what they can offer you with regard to the following: Number and variety of opportunities have in your specialty? What kind and variety of work settings do they offer? How many Physicians are currently working with them? Who are their clients? Knowledge of your specialty Do they have a division dedicated to placing Physicians in your specialty? Do they understand specific requirements, certifications, etc., that apply to you? 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 withholding 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? Do they offer work in one area or all across the country? How many opportunities do they currently 800.453.3030 | CompHealth.com 25 © CompHealth 2014/07 CPH-383 Career essentials 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 permanent? 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? 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 questions when contacting locum tenens agencies to make sure you understand 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. 800.453.3030 | CompHealth.com 26 © CompHealth 2014/07 CPH-383 Career essentials Resources Strategies for Follow-Up Letters After the interview, send a quick follow-up letter to thank the interviewer for introducing the opportunity and to submit your travel expenses. The sooner you send this letter, the sooner you will be reimbursed. The sample letters on the following pages will save you time. Sample letters 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. 800.453.3030 | CompHealth.com 27 © CompHealth 2014/07 CPH-383 Career essentials Sample Follow-Up Letter Date Name Title Hospital Address City, State Zip Dear Dr.___________________________________ : Thank you for the opportunity to discuss my candidacy for a position with your practice. I appreciate the time you spent describing your plans for the future and how I might become a part of them. Particularly, I was impressed by________________________________________ . The expenses for my trip and copies of the receipts are enclosed. Again, thank you for your time. Sincerely, Your name Enclosure: (If you drive): (If you fly): Mileage:_____________ Airfare:______________ (Recommend $0.32/mile) Parking:_____________ Meals:_______________ Hotel:_______________ (Recommend $38 per day) Cab:________________ Hotel:_______________ Meals:_______________ Tolls:________________ Other:_______________ Parking:_____________ Total: $_____________ Other:_______________ Total: $_____________ 800.453.3030 | CompHealth.com 28 © CompHealth 2014/07 CPH-383 Career essentials Sample Letter of Acceptance Date Name Title Practice Address City, State Zip Dear Dr.___________________________________ : I am pleased to accept the offer to join your practice. After reviewing many opportunities and taking several interviews, I know that your practice affords me the greatest chance to achieve my professional and personal goals. I am excited about the challenges that face me and look forward to our next conversation. Sincerely, Your Name Remember: Attach original signed contacts for the client. Be sure to make copies for yourself and your CompHealth Recruiter. 800.453.3030 | CompHealth.com 29 © CompHealth 2014/07 CPH-383 Career essentials Sample Letter of Declination Date Name Title Practice Address City, State Zip Dear Dr.___________________________________ : I am writing to let you know that I have accepted an opportunity to practice in (location). My decision was difficult, but the opportunity to (specialize in, live near, work with, or blank) is more suited to my long-term goals. Thank you again for the time spent discussing your practice. I genuinely enjoyed meeting you and wish you well in the future. Sincerely, Your Name 800.453.3030 | CompHealth.com 30 © CompHealth 2014/07 CPH-383 Career essentials Professional Organizations American Academy of Child and Adolescent Psychiatry 3615 Wisconsin Avenue, NW Washington, DC 20016-3007 202.966.7300 www.aacap.org American Academy of Dermatology PO Box 4014 Schaumburg, IL 60168 866.503.7546 www.aad.org American Academy of Family Physicians 11400 Tomahawk Creek Parkway Leawood, KS 66211-2680 800.274.2237 www.aafp.org American Academy of Pediatrics 141 Northwest Point Boulevard Elk Grove Village, IL 60007-1098 800.433.9016 www.aap.org American Association of Orthopedic Surgeons 6300 North River Road Rosemont, IL 60018-4262 847.823.7186 www.aaos.org American Board of Anesthesiology 4208 Six Forks Road, Suite 1500 Raleigh, NC 27607-5765 866.999.7501 www.theaba.org American Board of Emergency Medicine 3000 Coolidge Road East Lansing, MI 48823-6319 517.332.4800 www.abem.org American Board of Family Medicine 1648 McGrathiana Parkway, Suite 550 Lexington, KY 40511-1247 859.269.5626 www.theabfm.org American Board of Internal Medicine 510 Walnut Street, Suite 1700 Philadelphia, PA 19106 800.441.2246 www.abim.org American Board of Obstetrics and Gynecology 2915 Vine Street Dallas, TX 75204 214.871.1619 www.abog.org American Board of Orthopedic Surgery 400 Silver Cedar Court Chapel Hill, NC 27514 919.929.7103 www.abos.org American Board of Pathology 4830 W. Kennedy Blvd, Suite 690 33609 PO Box 25915 Tampa, Florida 33622 813.286.2444 www.abpath.org American Board of Pediatrics 111 Silver Cedar Court Chapel Hill, NC 27514 919.929.0461 www.abp.org American Board of Psychiatry and Neurology, Inc. 2150 E Lake Cook Road, Suite 900 Buffalo Grove, IL 60089 847.299.6500 www.abpn.com 800.453.3030 | CompHealth.com 31 © CompHealth 2014/07 CPH-383 Career essentials American Board of Radiology 5441 East Williams Blvd, Suite 200 Tucson, AZ 85711 520.790.2900 www.theabr.org American College of Physicians 190 North Independence Mall West Philadelphia, PA 19106-1572 800.523.1546 www.acponline.org American Board of Surgery 1617 John F. Kennedy Blvd, Suite 860 Philadelphia, PA 19103 215.568.4000 www.absurgery.org American College of Surgeons 633 N Saint Clair Street Chicago, IL 60611-3211 800.621.4111 www.facs.org American College of Cardiology Heart House 2400 N Street NW Washington, CD 20037 800.253.4636 ext. 5603 www.acc.org American Medical Association 330 N Wabash Avenue Chicago, IL 60611-5885 800.621.8335 www.ama-assn.org American College of Emergency Physicians 1125 Executive Circle Irving, TX 75038-2522 800.798.1822 www.acep.org American College of Gastroenterology 6400 Goldsboro Road, Suite 200 Bethesda, MD 20817 301.263.9000 www.gi.org American Congress of OB/GYN 409 12th Street SW PO Box 70620 Washington, DC 20024 800.673.8444 www.acog.org American College of Osteopathic Obstetricians & Gynecologists 8851 Camp Bowie West, Suite 275 Fort Worth, TX 76116 817.377.0421 www.acoog.com American Osteopathic Association 142 East Ontario Street Chicago, IL 60611 800.621.1773 www.osteopathic.org American Osteopathic Board of Surgery 4764 Fishburg Road, Suite F Huber Heights, OH 45424 800.782.5355 www.aobs.org American Psychiatric Association 1000 Wilson Blvd, Suite 1825 Arlington, VA 22209 888.357.7924 www.psych.org American Society of Anesthesiologists Headquarters Office 1061 American Lane Schaumburg, IL 60173-4973 847.825.5586 www.asahq.org 800.453.3030 | CompHealth.com 32 © CompHealth 2014/07 CPH-383 Career essentials American Society of Clinical Oncology 2318 Mill Road, Suite 800 Alexandria, VA 22314 571.483.1300 www.asco.org American Society of Hematology 2021 L Street NW, Suite 900 Washington, DC 20036 202.776.0544 www.hematology.org American Society of Physicians/Internal Medicine 190 North Independence Mall West Philadelphia, PA 19106 800.523.1546 www.acponline.org College of American Pathologists 325 Waukegan Road Northfield, IL 60093 800.323.4040 www.cap.org National MedPeds Residents’ Association www.medpeds.org Radiological Society of North America, Inc. 820 Jorie Boulevard Oak Brook, IL 60523 630.571.2670 www.rsna.org Society of Academic Emergency Medicine 2340 S. River Road, Suite 208 Des Plaines, IL 60018 847.813.9823 www.saem.org United States and Canadian Academy of Pathology 404 Town Park Blvd., Suite 201 Evans, GA 30809 706.733.7550 www.uscap.org Emergency Medicine Residents’ Association 1125 Executive Circle Irving, TX 75038 972.550.0920 www.emra.org 800.453.3030 | CompHealth.com 33 © CompHealth 2014/07 CPH-383 Career essentials State Boards of Medical Licensure Alabama State Board of Medical Examiners 848 Washington Ave., Zip 36104 PO Box 946 Montgomery, AL 36101-0946 334.242.4116 www.albme.org Alaska State Medical Board 550 West 7th Avenue, Suite 1500 Anchorage, AK 99501 907.269.8163 http://commerce.alaska.gov/dnn/cbpl/ ProfessionalLicensing/StateMedicalBoard.aspx Arizona Medical Board 9545 E Doubletree Ranch Road Scottsdale, AZ 85258 480.551.2700 www.azmd.gov Arkansas State Medical Board 1401 West Capitol Avenue, Suite 340 Little Rock, AR 72201 501.296.1802 www.armedicalboard.org California Medical Board of California 2005 Evergreen Street, Suite 1200 Sacramento, CA 95815 800.633.2322 www.mbc.ca.gov Colorado Board of Medical Examiners 1560 Broadway, Suite 1350 Denver, CO 80202 303.894.7690 www.dora.state.co.us Connecticut Medical Examining Board PO Box 340308 Hartford, CT 06134 860.509.8000 www.dph.state.ct.us Delaware Board of Medical Practice Cannon Building 861 Silver Lave Blvd, Suite 203 Dover, DE 19904 302.739.4500 www.dpr.delaware.gov/boards/medicalpractice District of Columbia District of Board of Medicine 899 North Capitol Street, NE Washington, CD 20002 202.442.5955 www.dchealth.dc.gov Florida Board of Medicine 4052 Bald Cypress Way, Bin# A00 Tallahassee, FL 32399 850.245.4444 www.doh.state.fl.us/mqa Georgia State Board of Medical Examiners 2 Peachtree Street, NW, 36th Floor Atlanta, GA 30303-3465 404.656.3913 www.medicalboard.georgia.gov Hawaii Board of Medical Examiners 335 Merchant Street, Suite 301 Honolulu, HI 96813 808.586.3000 www.hawaii.gov 800.453.3030 | CompHealth.com 34 © CompHealth 2014/07 CPH-383 Career essentials Idaho State Board of Medicine 1755 N Westgate Drive, Zip 83704 PO Box 83720 Boise, ID 83720-0058 208.327.7000 www.bom.state.id.us Louisiana State Board of Medical Examiners 630 Camp Street, Zip 70130 PO Box 30250 New Orleans, LA 70190-0250 504.568.6820 www.lsbme.org Illinois Department of Professional Regulation 320 West Washington Street Springfield, IL 62786 217.785.0820 www.idfpr.com Maine Board of Licensure in Medicine 161 Capitol Street 137 State House Station Augusta, ME 04333 207.287.3601 www.docboard.org/me Indiana Medical Licensing Board of Indiana 402 W Washington Street, Room W072 Indianapolis, IN 46204 317.232.2960 www.in.gov/pla/medical.htm Iowa Board of Medicine 400 SW 8th Street, Suite C Des Moines, IA 50309-4686 515.281.6641 www.medicalboard.iowa.gov Kansas Board of Healing Arts 800 SW Jackson, Lower Level, Suite Topeka, KS 66612 888.886.7205 www.ksbha.org Kentucky Board of Medical Licensure 310 Whittington Parkway, Suite 1B Louisville, KY 40222 502.429.7150 www.kbml.ky.gov Maryland Board of Physicians 4201 Patterson Avenue Baltimore, MD 21215 410.764.4777 www.mbp.state.md.us Massachusetts Board of Registration in Medicine 200 Harvard Mill Square, Suite 330 Wakefield, MA 01880 781.876.8200 www.massmedboard.org Michigan Department of Licensing PO Box 30004 Lansing, MI 48909 517.373.1820 www.michigan.gov/lara/ Minnesota Board of Medical Practice 2829 University Avenue SE, Suite 500 Minneapolis, MN 55414-3246 612.617.2130 www.bmp.state.mn.us 800.453.3030 | CompHealth.com 35 © CompHealth 2014/07 CPH-383 Career essentials Mississippi State Board of Medical Licensure 1867 Crane Ridge Drive, Suite 200-B Jackson, MS 39216 601.987.3079 www.msbml.ms.gov Missouri State Board of Registration 3605 Missouri Blvd. PO Box 4 Jefferson City, MO 65102 573.751.0098 www.pr.mo.gov/healingarts New Jersey State Board of Medical Examiners 140 East Front Street, Zip 08608 PO Box 183 Trenton, NJ 08625 609.826-7100 www.state.nj.us/lps/ca/bme New Mexico State Board of Medical Examiners 2055 S. Pacheco Street, Building 400 Santa Fe, NM 87505 505.476-7200 www.nmmb.state.nm.us Montana Board of Medical Examiners 301 South Park, 4th Floor PO Box 200513 Helena, MT 59620-0513 406.841.2203 www.medicalboard.mt.gov New York State Board for Medicine (Licensure) Office of the Professions State Education Building, 2nd Floor Albany, NY 12234 518.474.3817 www.op.nysed.gov Nebraska State Board of Medical Examiners 301 Centennial Mall South PO Box 95026 Lincoln, NE 68509 402.471.3121 www.dhhs.ne.gov North Carolina Medical Board 1203 Front Street, Zip 27609 PO Box 20007 Raleigh, NC 27619 919.326-1100 www.ncmedboard.org Nevada State Board of Medical Examiners 1105 Terminal Way, Suite 301 Reno, NV 89502 775.688.2559 www.medboard.nv.gov North Dakota State Board of Medical Examiners 418 East Broadway, Suite 12 Bismarck, ND 58501 701.328.6500 www.ndbomex.com New Hampshire Board of Medicine Philbrook Building 121 South Fruit Street Concord, NH 03301 603.271.1203 www.nh.gov/medicine Ohio State Medical Board of Ohio 30 East Broad Street, 3rd Floor Columbus, OH 43215 614.466.3934 www.med.ohio.gov 800.453.3030 | CompHealth.com 36 © CompHealth 2014/07 CPH-383 Career essentials Oklahoma State Board of Medical Licensure 101 NE 51st Street, Zip 73105 PO Box 18256 Oklahoma City, OK 73154 405.962.1400 www.okmedicalboard.org Oregon Board of Medical Examiners 1500 SW 1st Ave., Suite 620 Portland, OR 97201 971.673.2700 www.oregon.gov/omb Pennsylvania State Board of Medicine PO Box 2649 Harrisburg, PA 17105-2649 717.783.1400 www.dos.state.pa.us/portal/server.pt/community/ state_board_of_medicine/12512 Rhode Island State Board of Licensure and Discipline 3 Capitol Hill Providence, RI 02908 401.222.5960 www.health.ri.gov South Carolina South Dakota Licensing Boards 600 E Capitol Avenue Pierre, SD 57501-2536 605.773.3361 www.doh.sd.gov/boards/ South Dakota Board of Medical and Osteopathic 101 North Main Avenue, Suite 301 Sioux Falls, SD 57104 605.367.7781 www.doh.sd.gov/boards/medicine Tennessee Board of Medical Examiners 665 Mainstream Drive, 2nd Floor Nashville, TN 37243 615.532.3202 www.health.state.tn.us/boards/Me Texas State Board of Medical Examiners 333 Guadalupe, Tower 3, Zip 78701 PO Box 2018 Austin, TX 78768 512.305.7010 www.tmb.state.tx.us Utah Occupational and Professional Licensing PO Box 146741 Salt Lake City, UT 84114-6741 801.530.6628 www.dopl.utah.gov/licensing Vermont Board of Medical Practice 108 Cherry Street Burlington, VT 05402 802.863.7200 www.healthvermont.gov Virginia Board of Medicine 9960 Maryland Drive, Suite 300 Henrico, VA 23233 804.367.4400 www.dhp.virginia.gov Washington Medical Quality Assurance Commission PO Box 1099 Olympia, WA 98504-1099 360.236.2570 www.doh.wa.gov 800.453.3030 | CompHealth.com 37 © CompHealth 2014/07 CPH-383 Career essentials West Virginia Board of Medicine 101 Dee Drive, Suite 103 Charleston, WV 25311 www.wvbom.wv.gov Wisconsin Department of Safety 1400 E Washington Avenue PO Box 8935 Madison, WI 53708 608.266.2112 www.dsps.wi.gov Wyoming Board of Medicine 320 W. 25th Street, Suite 200 Cheyenne, WY 82002 307.778.7053 http://wyomedboard.state.wy.us 800.453.3030 | CompHealth.com 38 © CompHealth 2014/07 CPH-383 Career essentials DEA Offices Atlanta Division Office 75 Spring Street SW, Room 800 Atlanta, GA 30303 404.893.7000 Serves Georgia, North Carolina, South Carolina, and Tennessee Chicago Division Office 230 South Dearborn Street, Suite 1200 Chicago, IL 60604 312.353.7875 Serves Illinois, Indiana, Minnesota, North Dakota, and Wisconsin Dallas Division Office 10160 Technology Boulevard East Dallas, TX 75220 214.366.6900 Serves Oklahoma and Texas Denver Division Office 12154 East Easter Avenue Centennial, CO 80112 720.895.4040 Serves Colorado, Montana, Utah, and Wyoming Detroit Division Office 431 Howard Street Detroit, MI 48226 313.234.4000 Serves Kentucky, Ohio and Michigan El Paso Division Office 660 Mesa Hills Drive, Suite 2000 El Paso, TX 79912 915.832.6000 Serves New Mexico and Texas Houston Division Office 1433 West Loop South, Suite 600 Houston, TX 77027 713.693.3000 Serves Texas Los Angeles Division Office 255 East Temple Street, 17th Floor Los Angeles, CA 90012 213.621.6700 Serves Los Angeles Area, Hawaii, Nevada, and Guam Miami Division Office 2100 North Commerce Parkway Weston, FL 33326 954.660.4500 Serves South Florida, Bahama Islands New England Division Office JFK Federal Building, Room E-400 15 Sudbury Street Boston, MA 02203 617.557.2100 Serves Connecticut, Maine, Rhode Island, Massachusetts, New Hampshire, Vermont New Jersey Division Office 80 Mulberry Street, 2nd Floor Newark, NJ 07102-4206 973.776.1100 Serves New Jersey New Orleans Division Office Three Lakeway Center 3838 North Causeway Boulevard, Suite 1800 Metairie, LA 70002 504.840.1100 Serves Alabama, Arkansas, Louisiana, and Mississippi New York Division Office 99 Tenth Avenue New York, NY 10011 212.337.3900 Serves Eastern New York Philadelphia Division Office 600 Arch Street, Room 10224 Philadelphia, PA 19106 215.861.3474 Serves Delaware and Pennsylvania 800.453.3030 | CompHealth.com 39 © CompHealth 2014/07 CPH-383 Career essentials Phoenix Division Office Phoenix, AZ 85012 3010 North Second Street, Suite 301 602.664.5600 Serves Arizona Seattle Division Office 300 5th Avenue, Suite 1300 Seattle, WA 98104 206.553.5443 Serves Alaska, Idaho, Oregon, and Washington San Diego Division Office 4560 Viewridge Avenue San Diego, CA 92123 858.616.4100 Serves Southern California St. Louis Division Office 317 South 16th Street St. Louis, MO 63105 314.538.4600 Serves Illinois, Iowa, Kansas, Missouri, Nebraska, and South Dakota San Francisco Division Office 450 Golden Gate Avenue, Box 36035 San Francisco, CA 94102 415.436.7900 Serves Northern California Washington, DC Division Office 800 K Street Northwest, Suite 500 Washington, DC 20001 202.305.8500 Serves District of Columbia, Maryland, Virginia, and West Virginia 800.453.3030 | CompHealth.com 40 © CompHealth 2014/07 CPH-383 Career essentials State Chambers of Commerce State Organization Location Phone Number US U.S. Chamber of Commerce Washington, D.C. 202.659.6000 AL Business Council of Alabama Montgomery 334.834.6000 AK Alaska State Chamber of Commerce Juneau 907.586.2323 AR Arkansas State Chamber of Commerce Little Rock 501.374.9225 AZ Arizona Chamber of Commerce Phoenix 602.248.9172 CA California Chamber of Commerce Sacramento 916.444.6670 CO Colorado Association of Commerce Denver 303.860.1439 CT Connecticut Business and Industry Assn. Hartford 860.244.1900 DE Delaware State Chamber of Commerce Wilmington 302.655.7221 DC Chamber of Commerce Columbia Washington, DC 202.347.7201 FL Florida Chamber of Commerce Tallahassee 850.425.1200 GA Georgia Chamber of Commerce Atlanta 404.223.2264 HI Chamber of Commerce of Hawaii Honolulu 808.545.4300 ID Boise Metro Chamber of Commerce Boise 208.344.5515 IL Illinois State Chamber of Commerce Chicago 312.983.7100 IN Indiana Chamber of Commerce Indianapolis 317.264.3110 IA Iowa Department of Economic Dev. Des Moines 515.242.4700 KS Kansas Chamber of Commerce Topeka 785.357.6321 KY Kentucky Chamber of Commerce Frankfort 502.695.4700 LA Louisiana Association of Business and Industry Baton Rouge 225.928.5388 ME Maine Chamber of Commerce Augusta 207.623.4568 MD Maryland Chamber of Commerce Annapolis 410.269.0642 MA Massachusetts Chamber of Commerce Boston 617.389.4900 MI Michigan Chamber of Commerce Lansing 517.371.2100 MN Minnesota State Chamber of Commerce St. Paul 651.292.4650 MS Mississippi Economic Council Jackson 601.969.0022 MO Missouri Chamber of Commerce Jefferson City 573.634.3511 MT Montana Chamber of Commerce Helena 406.442.2405 800.453.3030 | CompHealth.com 41 © CompHealth 2014/07 CPH-383 Career essentials State Organization Location Phone Number NE Nebraska Chamber of Commerce Lincoln 402.474.4422 NV Nevada State Chamber of Commerce Reno 702.686.3030 NH New Hampshire State Chamber of Commerce Concord 603.422.8824 NJ New Jersey Chamber of Commerce Trenton 609.989.7888 NM New Mexico Association of Commerce Albuquerque 505.842.0644 NY New York State Division of Tourism Albany 518.474.4116 NC North Carolina Citizens for Business and Industry Raleigh 919.836.1400 ND Greater North Dakota Association Fargo 701.222.0929 OH Ohio Chamber of Commerce Columbus 614.228.4201 OK Oklahoma Assn. of Business and Industry Oklahoma City 405.235.3669 OR Portland Metro Chamber of Commerce Portland 503.228.9411 PA Pennsylvania Chamber of Business Harrisburg 717.255.3252 RI Greater Providence Chamber of Commerce Providence 401.521.5000 SC South Carolina Chamber of Commerce Columbia 803.799.4601 TN Chamber of Commerce and Industry Nashville 615.256.5141 TX Texas Association of Business Austin 512.477.6721 UT Utah State Chamber of Commerce Salt Lake City 801.621.8300 VT Vermont State Chamber of Commerce Montpelier 802.223.3443 VA Virginia Chamber of Commerce Richmond 804.644.1607 WA Association of Washington Business Olympia 360.943.1600 WI Wisconsin Manufacturers and Commerce Madison 608.258.3400 WY Greater Cheyenne Chamber of Commerce Cheyenne 307.638.3388 800.453.3030 | CompHealth.com 42 © CompHealth 2014/07 CPH-383
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