doc
Summer 2014 • Kentucky
to a practice.” What many might at first view
as a negative, the lack of nearby specialists,
actually makes for a more challenging and
varied workload, allowing Karelis and others
like him to use much more of their medical
training: “You never really know what will
walk in the door in primary care. You have
to step up and take care of your patients
without a net sometimes. As in internist,
I can do as much or as little as I like. The
only reason I usually send patients to a gastroenterologist is for a scope of some sort.
The only reason I usually send a patient to a
cardiologist is for a heart cath. I do treadmill
stress tests in my office.”
For hospitals and medical practices seeking
to attract staff, headhunters offer the following advice:
I walked into a full
practice. I was seeing
30-40 office patients
a day plus 10-20
hospital patients a
day. Pretty busy. The
bucks were actually
better in Hazard than
Lexington for me.
—Dr. Thomas Karelis
• Play up the appeal of a rural practice.
Some physicians, like Karelis, want
somewhere that’s safe to raise a family,
while also offering an array of professional challenges. Others may be feeling burned out by being a part of a
large urban hospital and want to rediscover their roots, to get back to what
attracted them to medicine in the first
place. Still others are at a later stage in
their careers and looking to relocate
somewhere that will allow them to
slowly transition into retirement.
• Emphasize the value of the personal
touch and the close-knit community. In the February 2014 issue of
Kentucky Doc, I wrote a piece which
mentioned how many doctors felt
frustrated at their inability to take time
7
to develop relationships with patients.
In a smaller town, everyone knows the
local doctor, and he is expected to be
an active member of the community.
But remember that while some would
welcome this, others might find it suffocating.
• While playing up what makes a rural
community special, also the similarities
you share with larger facilities: commitment to patient care, dedication to
excellence, etc.
A career in a rural medical practice may not
be for everyone, but it can offer far greater
rewards, both personal and professional,
than many imagine.
Thinking
Thinking
about
about
Divorce?
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