How does the process of joining a group practice work? Especially the salary part.
Does the new doctor buy into part of the practice or are they payed by patient? Do all the doctors split the cost of nurses and the secretaries? How is on call duty and vacation time scheduled?
Answer:
WWD is correct - group pratice arrangements vary and a lawyer's review would be wise before signing a contract.
That being said:
When a "new" doctor joins a group he/she doesn't probably bring a patient base along. At least in my experience, the group pays a salary to the doctor (for a while) until his/her practice builds up. If the new doctor is just out of training it can take months before they are recognized by various insurers.
Groups are radically different in how they divide overhead costs of staff. Some split the total evenly between each doctor (even a "new" doc uses the same resources) and others may share equally the costs for common staff (e.g. front desk staff) and assign costs for a secretary or nurse to a specific doctor (if each doc has his/her own).
Generally call is divided equally as soon as the new doctor is credentialed and on staff of everywhere the group covers.
Hope that helps
Each contract is different, so get a good lawyer and go over it all carefully before signing a contract.
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