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Seven top physician job interview mistakes

Seven top physician job interview mistakes

All of us have or will encounter a job interview during our careers, either as the applicant or the employer.  How we fare in these stressful situations often correlates with the number of prior interviews we’ve participated in, but some of us seem to make the same mistakes no matter how many situations we’ve encountered.  We’re all capable of learning from experience, but unless you’re a professional job seeker (or interviewer) you don’t have that many opportunities to improve your interview game.

Sometimes you can be in over your head without knowing it!

Ironically the name of the game is to avoid having to go through so many interviews in our careers.  You want to find a job and hold onto it until you retire.  After all, with every new start comes additional stress, disruption of a routine, and financial strain.  Clinical medicine is different from the business administration realm where everyone is expected to move on after a few years.  
With the job hunt in mind, the following are some of the more common mistakes that we see with applicants:

Asking about income on the first interview — Even though income is the most obvious criterion for most people, discussing this appears to violate societal norms.  This formality applies to all other industries as well.  You don’t discuss salary until you get an offer.  Some recruitment personnel also seem to break with convention by asking applicants how much they are willing to accept—that’s also against convention.  Do not give a recruiter your income expectation if asked. Remember, any job is about the fit.  It is your job to assess all of the non-income aspects of the job during your interview.  There is a different and more appropriate time to discuss financials.  It is also a moot point to inquire about salary as it conveys to the employer that they would offer you the job even though they haven’t.

Asking questions to the wrong people — I often see applicants ask physicians details about the benefits or other questions more pertinent for human resources.  There is nothing wrong with doing so, but realize that the physician may not necessarily be attuned to all of the details.  Likewise, if you are interviewing with the CEO of a practice it’s important to realize what is a useful and appropriate question to ask.  

Not identifying what they can bring to the table — The interview provides an opportunity for the applicant to display her strengths that aren’t perceived on paper.  There is obviously a delicate balance so that you don’t appear to be a braggart.  How you can highlight your strengths is an art form, but this is an important aspect about the interview process especially if the position you are seeking is in a competitive market.

Accepting a contract as a final offer — Most physicians are going to have a contract reviewer or lawyer review the contract.  Many large institutions and hospitals, however, have boilerplate contracts that they would rather not pay their legal team to revise.  The take-home for the applicant is that everything is negotiable, but it has to be within reason.  You can’t just ask for minutiae changes just because you’d don’t like the wording.  If your employer really thinks that you’re a good fit, they will likely try to work with you.

Not willing to compromise — Just as how you shouldn’t settle on things that are dealbreakers, one of the most annoying things is to act like you’re doing a favor to a potential employer by letting them hire you.  It is important to know your value, but also realize that there are financial and logistical constraints to a new hire, no matter how valuable that person may be to the organization.  

Appearing to lack interest — We have all gone through interviews and know that being interested in the job goes a long way.  These interview days are often long, tiring, and repetitive.  Sometimes there’s simply nothing exciting about a potential job.  Even though you might not be interested, you should still pay attention out of courtesy.  All of the parties involved in your interview have volunteered their time.  An uninterested applicant simply conveys a lack of respect to others. Don’t make that mistake. 

Asking for feedback — We are all going to apply for jobs where we don’t receive offers for.  Rejection is never fun, and we want to improve so that we don’t make the same mistakes in the future.  I’ve seen advisors recommend applicants ask the employer for interview feedback. Don’t do this.  Only your closest friends are willing to tell you the truth.  A potential employer is not going to be able to tell you exactly why they decided not to make you an offer.  Don’t try to put them in an awkward situation.  This is why corporate folks simply say that an applicant “wasn’t a good fit”.  

Interviewees, please take notes of these scenarios and think about the last times you’ve gone in for a job and what instances could have been changed to improve the outcome for both parties.

What other interview mistakes have you seen?

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Why do young doctors hate medicine so much?

Why do young doctors hate medicine so much?

There is a perpetual mentality that generations after our own seem more entitled than we ever were ourselves.  Since when did a second grader ever need the latest cellphone?  Avocado toast, month-long honeymoons, extended vacations after residency, and baby moons are just some of the luxuries that prior generations were unlikely to have experienced.  Maybe society is simply more advanced, or maybe I’m just getting old.

In the medical world, more doctors are asking for more time off, shorter workweeks, less call, and more pay. No way would younger doctors willingly sign onto a job with a call schedule of every other day. Is quality of life that much more important to us even though many recent graduates have upwards of a quarter million dollars of educational debt? I once had a senior partner who opted to take more hospital call when he was in his thirties so that he’d earn more to support his family.  What happened to good work ethic?

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I see this trend in doctors not only in generations after my own, but also in a few years my junior. They seem to be working less, wanting more, but all seem to hate medicine. Some of these gals are doing amazing things, like resuscitating dead people, putting in new heart valves, and curing cancer. What is there not to like?

What gives?

Medicine offers a lot to be disgruntled about.

If you remove the aspects of patient care, healing, and all of the reasons why we became doctors, there really isn’t much left over to praise. Prior authorizations, meaningful[less] use, patient satisfaction scores, inordinate amounts of charting, useless meetings, and reimbursement cuts are just some of the recent inventions in medicine that erode the enjoyment out of medicine.  Autonomy frequently gets replaced by mandates. How sad.

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The irony about these unfavorable healthcare mandates is that most of our administrators tell us that with a little more hard work, we can accomplish all of the expected tasks. Most doctors are not opposed to working hard—we did go through a decade of servitude in order to master our specialties—but the problem with the ancillary tasks associated with medicine is that there is little perceived return in our effort.

The intention of these time consuming tasks associated with medicine is primarily to improve safety and cut costs in the healthcare system. There are so many layers in the bureaucracy that it is essentially impossible to determine whether working doctors harder is going to pare down the cost of healthcare.

Follow the Benjamins and you will realize why doctors are unhappy 

Capitalism.  I love it. If it works well, there is a direct correlation between hard work and return.  Unfortunately, capitalism doesn’t always work if you’re an employed physician.  The reward for completing more charts and seeing more patients doesn’t always translate into direct financial gain.  In fact, if you save the healthcare system more money you might actually benefit the guy in the C-suite or the company’s stockholders first.

Young Padawan with $300k in debt has a lot to learn from the elders

Several weeks ago, I was in a meeting where one of the administrators in my organization (who holds a pseudo-degree from an online for-profit institution) alluded that one of the trauma surgeons ought to be working harder given that the group was paying him $X. That amount was about a third of what a normal trauma surgeon ought to be earning.  I was blown away that this trauma surgeon was even willing to work for a fraction of what he is worth.  I was even more shocked to hear that the administrator thought that the surgeon was overpaid.

These instances reflect that people holding the power in healthcare still believe that doctor salaries play a role in cutting down the cost of healthcare.  One hospital that employed 60 doctors reported a deficit of $87 million.  There is a problem when you think that cutting your neurosurgeon’s salary is going to solve that problem.

Do doctors who aren’t considered young have the same sentiment?

In general, we all do. The difference is that doctors who have been working twenty or thirty years are in a different point their careers.  Most of their children who are out of the house and even self-sufficient.  Some of them even practiced medicine in the heyday and hopefully invested their earning appropriately. Maybe some of them are financially independent.  They are no longer in the earning phase in their careers, so many of the burdens that we endure do not necessarily impact their long term career plans. If the hospital mandates too many EHR clicks or an excessive number of patients per day, they can just hang up their hats and ride off into the sunset.

What can younger doctors do in this situation? You already know the answer if you’ve read this far. Make it so that you, too, can ride off into the sunset if you have to.