Maryland – – how to get into american university

The arrival of october means less than 2 months until MACCS, our annual mid-atlantic regional ACC meeting held at heart house the weekend before thanksgiving (nov 17-18). The program committee, co-directed by maryland ACC treasurer garima sharma, has put together a terrific agenda with a wide range of clinical debates, discussions, and research presentations. Representatives from the british cardiovascular society will be in attendance and will contribute several speakers. Best universities in the uk it promises to be a great weekend of knowledge and networking. Register today!

On the subject of knowledge, I recently had a long conversation with stephen pollock, MD, FACC, a well-known cardiologist in the baltimore region now with st. Joseph’s cardiovascular associates in towson. He has made an avocation of learning about the business of cardiology in our state and passing on his knowledge to fellows and colleagues seeking to enter or change practice, or negotiate contracts.

These are things few of us learned in medical school or training, but in real life, they matter! Here are some of the insights that I gained from steve:

• approximately 70% of cardiologists in the state of maryland are employed by a hospital or health system. Many of us will be negotiating contracts with one of these large and powerful employers. Knowing as much as you can going into these negotiations can help you.

• range of compensation for practicing cardiologists in our state is about $40-$60 per RVU, with a median of $50/RVU. We are generally on the lower end of compensation scale for cardiologists nationally, due to low medicare reimbursement, attractiveness of the mid-atlantic region as a place to live, and the GBR. MGMA and sullivan-cotter publish annual surveys of physician compensation by specialty and region and these can provide more detailed information.

• non-compete clauses (“restrictive covenants”) appear to be enforceable in the state of maryland, as almost all non-competes have a statement saying the employee agrees that the non-compete is “reasonable”. Best universities law overly broad non-compete clauses have been raised as an issue by ACC members and we have been discussing this issue with medchi. Non-competes reduce physician negotiating leverage when contract renewals come up. More importantly, the non-compete may prevent patients from continuing their care with their physician. Non-competes vary in time from 2-4 years, and usually have a 10-20 mile radius. The american college of pediatricians think carefully about the effect a non-compete may have on you, your family, and your patients if you should leave the practice, and negotiate the shortest and least restrictive one that you can. A good compromise is one that lasts for the term of the contract.

• A relatively small issue such as vacation time can have a big impact. Consider negotiating the ability to roll-over unused vacation time, which would allow for use in circumstances of illness or injury. As CME becomes more expensive, reimbursement for this expense, as well as licensing, should be detailed in the contract.

There are many opportunities to learn more about the business of cardiology. Current ACC president C. Best universities scotland michael valentine, MD, FACC, is extremely well-versed in the business competencies of cardiology practice and has a series of podcasts on the subject entitled “practice makes perfect”. For those desiring a deeper dive into the subject, consider attending the ACC cardiovascular summit february 14-16, 2019 in orlando. This is an outstanding annual meeting that I have attended several times. And this year, we will feature a session on business competencies for fits at MACCS november 17-18, 2018 at heart house. Please join us!