Transition to Practice Guide

Build the clinical career you’ve dreamed of

Why Envision Physician Services?

Envision Physician Services is the largest employer of board-certified physicians in the country, employing more than 23,000 physicians and clinicians, at nearly 1,000 hospitals in 45 states. Our high retention rates stem from empowering clinicians to raise the standard for patient care and providing them with the professional development resources they need to grow, including leadership and mentoring opportunities.

„ Stable work environment, generous compensation, incentives and benefits, including a 401(k) plan

„ Operational and business support that relieves you of administrative responsibilities so you can focus on delivering high-quality patient care

„ Flexible opportunities and reasonable work schedules designed for personal, financial and professional success

Coast-to-Coast Opportunities

From major metropolitan areas to rural communities, and from academic medical centers to critical access hospitals, we have a place for you at some of the country’s most recognized hospitals and health systems. We can help you build the career you’ve dreamed of in the following specialties:

Shared Goals

The Envision Physician Services Difference

One of the country’s most-respected, physician-led practice management companies for hospital-based specialties, Envision Physician Services is making healthcare work better for clinicians. We provide the resources and support you need so you can focus on patient care. Our clinicians include nationally-recognized leaders in clinical care, officers within their medical specialty boards and those who routinely give back to their professions and communities in a variety of ways.

Competitive Compensation

You don’t just want a job. You want to make a difference. And you do, in the lives of countless individuals. This is why we believe you deserve to profit fully from your efforts — both financially and personally. We ensure you get the recognition, support and rewards you deserve.

We offer flexible employment models, such as managed group practices, employee model, independent contractor, moonlighting and travel team positions, while delivering competitive, performance-based compensation packages.

Practicing Medicine. Improving Lifestyle.

At Envision Physician Services, we work diligently to help you find the hospital that is right for you — professionally, geographically and emotionally. Where you practice medicine is almost as important as why you do it, and we believe you should practice where both your future and family can thrive.

Our team of seasoned professionals will help you find the facility that fits your career goals in a community that fits your lifestyle. We offer practice opportunities at nearly 1,000 hospital locations across the country, in cities of all sizes, with the list growing larger every day.

Envision Physician Services is an Equal Opportunity Employer.

Talk to an Envision Physician Services recruiter to discover the opportunity that’s right for you. Contact us at 855.367.3650 or Recruiting@EnvisionHealth.com View all opportunities at EnvisionPhysicianServices.com

The Steps to Starting Your Career

Final Year of Residency

Start Your Job Search Now

It is important to start your job search during the final year of your residency. Start early because employers look favorably on early searchers. A resident’s job search can be overwhelming and stressful, but it can also be equally rewarding. This document will assist you on your journey and help move you forward.

1. Start Your Job Search

12-15 Months Out – Determine Your Search Priorities

Practice Setting and Culture

„ Multispecialty group vs. single specialty group

„ Partnership vs. employed

„ Small group vs. large group

„ Academic affiliations

„ Hospital(s) - affiliations, location, coverage, culture, facilities and equipment

Investigate Your Options

„ Network with colleagues

„ Contact hospitals and groups

„ Attend conferences and job fairs

„ Search online job boards

„ Talk with residency directors/coordinators

„ Review journals’ job sections. Stay updated on emails and mailings

„ Update your LinkedIn, Doximity and other professional social media accounts

Apply for your state medical license before applying for positions. It can take six to nine months to receive your license, depending on the state.

CV Writing Tips

„ Use one font type and size that is easy to read

„ Line up dates, headings and bullet points

„ Use a simple and clean layout

„ Include your full name followed by your credentials

„ Include current licensure and certification

„ Use month/day/year format

„ Explain any gaps more than 30 days

„ Include publications and presentations

„ Include education and training (fellowship, residency, medical school, undergraduate), academic and teaching experience

„ Include employment and work experience (chronological). Include any military service and any hospital medical affiliations

„ Include certifications and licenses (with expiration dates)

„ Include professional memberships and affiliations

„ Visa status

2. Curriculum Vitae

Most prospective employers will see your CV before they see you. It is important to make your CV as effective as possible to stand out from the crowd. You will use it to present yourself to potential employers, to explain who you are, where you’ve been, what you’ve accomplished and what you can offer.

A CV Should:

„ Be consistent in format

„ Contain updated contact information

„ Be current and concise

A CV explains who you are, where you’ve been, what you’ve accomplished and what you can offer.

Sample Curriculum Vitae (CV)

First Name Last Name, MD

PERSONAL

Date of Birth

Place of Birth

Health Status

Marital Status/Children-ages

Languages Spoken other than English

RESIDENCY

University

Address

PGY I-IV Emergency Medicine Dates

EDUCATION

Medical School

Address

Degree, Date

CERTIFICATIONS

State License Number

Diplomat National Board Medical Examiners, #, etc.

ACLS Instructor, etc.

WORK EXPERIENCE

Hospital (e.g. moonlighting or additional specialty)

Address

Position, Dates, full or part-time

Job relevant to this career (RN, paramedic, teacher, etc. or one which you would want to discuss in an interview)

HONORS

PUBLICATIONS

Title

Journal Vol Page Date

PRESENTATIONS

Lecture Title

Location, Date

APPOINTMENTS

Committees, etc.

PROFESSIONAL AFFILIATIONS

ACEP

AMA, etc.

GENERAL INTERESTS

Hobbies

Essential Factors To Remember For

An Interview:

3. The Interview

The better prepared you are, the better the impression you will make when interviewing.

How you present yourself to your interviewers will influence their opinion of whether or not you would be a good fit at their practice.

Interview Tips

BE PREPARED

„ Prior to the interview, do your homework on both the area and the practice

„ Bring extra copies of your CV

„ Have questions prepared

„ Obtain the information you need to determine if the practice opportunity is right for you

„ Ask questions about the practice, hospital and area to determine your future lifestyle

„ Keep conversations about other facilities light and positive

„ Follow the lead of your recruiter when to have an alcoholic beverage at dinner. Just ensure you have designated driver

„ Personal questions about family, religion, marital status, etc should only be discussed if you want to discuss it

BE ON TIME

„ Make sure you know where you are going

„ Have detailed directions and double-check them

„ Allow plenty of time in case of issues with traffic or weather

„ Schedule interviews in succession to one another. Some offers have short deadlines – give yourself the time to explore your options

„ Return paperwork promptly! Be aware of deadlines as this could delay a potential start date

„ Understand the type of malpractice coverage you will have. For example, if you’ll need Tail Coverage in the future, it could be a big expense that your next employer may not cover

„ When comparing offers, make sure you evaluate the entire compensation package – not just the hourly rate

B E CONFIDENT

„ Think before you speak

„ Take a brief moment to contemplate each interview question before answering

Questions you may be asked:

„ Could you please tell us about yourself?

„ Why did you select your specialty?

„ What is your ideal practice situation in terms of your professional and personal needs?

„ What are your long-term and short-term goals?

„ Why are you interested in this opportunity?

„ What do you expect to gain from the practice?

„ What would you bring to the practice?

„ What kind of clinical responsibilities are you looking for?

„ What clinical skills do you possess?

„ What attracted you to our facility?

„ What can you add to our department?

„ Can you describe a recent hectic case or day?

„ Where do you see yourself in five years?

„ How would you handle a difficult patient or colleague?

„ Where else are you interviewing/seeking employment?

Questions you could ask:

„ How long have the providers been in the group?

„ How long have you been recruiting for this position?

„ For what reasons have providers previously left the position?

„ What are you looking for in an ideal candidate in terms of clinical skills and personality traits?

„ What are the provider’s expectations in this practice?

„ How are Advanced Practice Providers utilized?

4. Compensation & Benefits

Understand the Compensation Structure

„ Employee or independent contractor

„ Productivity formulas (RVU, GA, Patient Satisfaction)

„ Signing bonuses, loan forgiveness, relocation assistance

What Benefits are Provided by Group/Employer?

„ Medical

„ Retirement/pension options

„ Long-term disability/short-term disability

„ CME - reimbursement and time

„ Malpractice insurance

5. Malpractice Insurance Types

Claims Made

„ Coverage for malpractice during policy’s term

„ Premiums based on past and current experience

„ Policy premiums are relatively low for first few years

„ Requires tail coverage upon termination

Tail or Nose Coverage

„ Insures against claims reported after the end of the original policy period for incidents that occurred while that policy was in effect

„ Premiums based on a percentage of the insured’s prior year’s premium

Occurrence-Based

„ Insures for any incident that occurs while the policy is in effect, regardless of when a claim is fired

„ Premiums that take into account both current experience and future projections

„ Rates vary due to difficulty in projecting future claims expenses

„ No Tail or Nose Needed

POSTINTERVIEW TIPS

„ Be gracious and approachable at all times

„ Do not write anything in emails that might backfire on you in the future since written communication may be permanent

„ Use social media wisely – being angry, rude or political can give you a bad reputation

„ If you were referred to the company by someone in your network, keep that person updated on your interview process

„ If you’re easy to reach during the post-interview process, the hiring manager will feel confident about choosing you over someone who is hard to contact

6. After the Interview

The way you portray yourself in person, over the phone or through email should be consistent and positive. Treat every individual with kindness and be someone people enjoy meeting.

The Thank You Letter

After the interview, we recommend sending a follow up email to thank the interviewer for introducing the opportunity.

Travel Expenses

If you are being reimbursed for your trip, do not end your thank you letter with a bill. Instead, write a separate letter to the appropriate person with your travel expenses properly documented.

After the interview, keep your options open by communicating in a positive and professional manner.

7. Review All Offers

Stage 1:

Verbal Offer and/or Offer Letter

Job offer may initially be presented over the phone. Provides key information on salary, bonuses, relocation, etc.

Stage 2: Contract / Agreement

Legal contract providing all of the details of the agreement. Typically provides key information in writing that was discussed in the verbal offer.

Stage 3: Closing the Deal

„ Always accept or decline the offer verbally and follow up with an email

„ Do not accept an offer via voicemail. Ask for a return call

„ The agreement is not official until the contract is executed. Contracts should be signed by both parties with original signatures. Both parties should retain an original copy. Note the contract effective date vs. start date

„ Always communicate with your recruiter after the interview

8. Credentialing & Enrollment

You have chosen the best position for you and have signed the contract. Now you need to be credentialed at the hospital and complete enrollment before you can start working.

Credentialing

Credentialing will begin four to six months before your start date.

Receive and complete the hospital and financial credentialing paperwork — it can take up to 120 days to receive privileges after receiving your license.

Make sure you have the following documents ready:

„ Current CV, list of references (six to eight peers) with email addresses and phone numbers

„ Medical License for State of Service (must include expiration date)

„ Certificates & Diplomas (Medical School, Internship, Residency, Fellowship, Federal DEA, State Controlled Sub-stance Registration, ECFMG (if applicable), Board Certifications (if applicable)

„ National Provider Identification (NPI) or Unique Provider Identification Number (UPIN)

„ Driver’s License/Photo ID and/or Permanent Resident Card (if applicable), Social Security Card

„ Residency Procedure Log

„ Immunization Records

Enrollment

Enrollment permits insurance companies to reimburse your employer for the clinical work you’ve performed and takes two to four months to complete.

Receive and complete the enrollment billing packet. Please keep in mind these important points:

„ Ensure that you have sent all documents to Credentialing

„ Sign the billing packet in ink, preferably blue – payors will only accept ink signatures

„ Some documents require notarization – most hospitals usually have a notary. If yours does not, many banks offer free notary services

„ Return your signed and notarized billing packet as quickly as possible so the enrollment process may begin

To make future credentialing as easy as possible, save these documents on a flash drive or in a binder with color copies. If a credentialer contacts you for updates or questions or requests additional documentation, try to respond in a timely manner to avoid delays in the credentialing process.