Overview

A common activity for a resident nearing completion of their postgraduate training is to seek a position with a group or managed care organization. Looking for an appointment is a challenging task. For what each individual seeks is not merely a position, but one that meets specific needs. This serious task has to be carried out at the same time one is fully preoccupied in meeting demanding professional and personal responsibilities.

A recent tactic employed by some hospital executives to secure attractive staff physicians is to recruit residents earlier in their postgraduate training. The information on the subject of securing a position found in this and subsequent chapters should prove quite useful in planning one's future.

Formulating an action plan

A key element in achieving success when starting to establish oneself in the practice of medicine is developing a well-thought-out action plan. In preparing such a plan, the type of practice setting being sought is a primary consideration. There are, however, many other issues that need to be considered, such as geographical location, salary considerations, and potential for professional growth. Each of these factors will now be discussed.

Practice setting. Thoughtful consideration needs to given to your work-style preference, at least in the initial phase of your career. This may be a solo or group practice, becoming a salaried hospital employee, or joining a physicians' organization (HMO, PPO).

Prior to the 1970s, physicians commonly maintained individual practices for the entire length of their careers.