Recent content by agolden1

There are great HOPD/PP/ortho jobs and there are terrible HOPD/PP/ortho jobs. Sometimes it just feels like in our field there’s a few more of the terrible gigs out there, so finding a “great” or earning the money to develop your own takes more time.

This is an awesome setup. When a group is open to discussion and aware of the differences in reimbursement between locations, you can end up with really cool results like this. Several of the ortho practices I’ve spoken with were kind of negative towards their pain docs with a negative...

I'm presently in a job where I'm doing both in a priva-demic setting. In my general area (suburban northeast), I can think of four or five non-academic jobs that allow people to do both if they want and I've spoken with several of them at different times. Some sweeping generalities. Typically...

There are also lumbar and cervical specific courses where they have lectures then have cadaver sessions. This session is just sort of a free for all where they touch on anything you want to at each station.

There's a lot of good advice on this thread. OP, I felt somewhat uncomfortable with certain procedures coming out of fellowship two years ago as many of my attendings were biased against certain kinds of work. Similar to yours, they were uncomfortable with cervical RFA and relied heavily on...

Most patients I discuss stim with don’t want any part of an implantable device. They seem to prefer going down a pathway of injection, or failing that medication. I’ve revised my SCS pitch a couple times over and still most of my patient population wants nothing to do with them. That being...

Two things no one else has mentioned - Do you have strong ties to the area and want to live there for the rest of your life? -What does the rest of the market in the area look like for pain physician jobs? If this is where you'll be happy, and if the rest of the jobs in the area have nasty...

Call the main number for the hospital, get an operator on the phone and ask to speak to someone with physician recruitment. I was always able to speak or leave a message with someone. That being said, this technique also netted me 0 interviews. Often was just told the department was full.

And the patient probably ended up with 100% relief for two years afterwards. It always seems to be the wacky placements from some of my colleagues who gain extraordinary benefit.

I’ve noticed this too. Often seemed to be solved by walking just slightly anterior from center. I’ve considered just doing posterior approaches, but unilateral laterals do seem fairly efficient with a good X-ray tech.

Multiple cervical MBB threads discussing prone vs lateral and approach therein which I've seen over the years. A few questions for those doing lateral approach balancing safety and efficiency. Presently doing a one needle per level technique. So if doing C3-C5, will place one 25 Ga needle...

A couple hospitals I've worked at consider posting this kind of information without patient consent a HIPAA violation even if "deidentified". If ever traced back to me, would be all kinds of bad juju through admin. Just not a risk I'm comfortable taking. The image comparisons are phenomenal though.

Just wanted to thank everyone who has contributed to this thread as well as similar threads. RFA training in fellowship sucked (straight AP placement on point, not parallel to needle). Reviewing these threads, studying Furman, and a bit of an SIS course has been an absolute game changer for...

Sometimes, I think the biggest problem with pain medicine is a jobs problem. If you follow the pain forum, there are some folks who have found some really great private practice/started their own practice/joined a hospital and are doing incredibly incredibly well for themselves controlling the...

There is one major difference I have noticed as far as which specialty to go into which I feel like hasn't been covered on this forum as much. A few years ago when pain was more competitive, it seemed like many more fellowships valued Anesthesia trained applicants over those from other...