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Karie -> Re: Career Advice (August 18, 2006 3:41:00 PM)
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ysumpt2006
2 red flags for me that stand out in the two remaining places you are considering concerns the doctor owned clinic....you said scheduling is central and followup is ? PT if possible. When you are newly out in the field you need to be able to work with your patients with some continuity to use your skills, otherwise you just become an evaluation therapist and that doesn't help you to improve your skills and develop experience with different treatment approaches to see what works for yourself.
The other item is that it appears it is owned by maybe one doctor, or only a few, you didn't really say. A physician owned clinic, in my experience, has a greater chance of being in violation of the Stark Law than larger multi-groups, could be wrong on this. But, the smaller the group, the more micromanaging can be done by them.
When I was a new grad this was a brand new topic, POPTS, and my undergraduate studies never addressed this situation. While on my last internship, I took a job at a "large" clinic which had 10 therapists and no PTA's. It was a great environment, had access to all the records, docs were in an out of our department when needed or looking for advice from us on how to manage various patient situations. It was a very "adult" non-ego driven group. Patients were not required or coerced to seek Physical Therapy in the clinic from the physicians there. In fact many patients travelled long distances to see the physicians and we routinely were finding therapy locations closer to their home. Anyways, it was a unique situation, not all were or are like that. In spite of this, all the therapists, including me and another new grad had to testify before the WI State Legislature and explain our ethics for working in this situation. I became experienced fast concerning the POPT implications. So be careful of that situation as SJBird55 speaks to as well.
Your 60 mile drive sounds like the best career move. But you have to way all the variables, family is important, doesn't do any good to have a great job and not have your family happy.
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