by Patrick Alguire, MD, FACP
Director, Education and Career Development
Although it is not exactly clear how many internists work part-time, it is becoming a popular career option for many physicians. For example, in a survey of family physicians, 12% opted for part-time careers and nearly half did so for family reasons. In another study, 37% of women pediatricians reported working part-time at some point in their careers, and 21% were currently working part-time. Additionally, there is some evidence that part-time physicians have different work experiences. For instance, part-time women academic physicians are less likely to have research and administrative responsibilities and more likely to have teaching responsibilities as compared to their full-time peers.
Many practices and academic medical centers are receptive to the idea of part-time employment, especially if the position can be shared or if the working hours can be arranged to maximize utilization of office-space. Part-time physicians can lessen the office workload for practitioners with busy in-patient services, increase the capacity for work-in patients, and allow extended office hours.
While part-time careers allow the flexibility to pursue family and educational interests, it also raises important issues around compensation, call, and clinical duties. The part-time employee needs to be aware of these issues and carefully negotiate the employment contract, or risk entering a disastrous relationship. The following should be carefully considered before accepting a part-time position.
Income: Many models are available to determine compensation for part-time work. They may be based upon a percent of a full-time salary, generated revenue minus overhead, or a percent of the profits. Most physicians feel comfortable establishing the salary for a full-time equivalent, and allocating the appropriate percentage for the part-time work.
Benefits: There is great variability in part-time benefit packages, ranging from benefits prorated according to the percentage of effort to no benefits at all. Benefits may or may not be important depending upon whether a spouse is employed with full benefits. If this is the case, modification or reduction in the benefit package may possibly be negotiated for a higher income. Malpractice can be purchased from most companies prorated for the number of hours worked. This is particularly important if the insurance is the responsibility of the employee. Money and time for CME is becoming more difficult for even full-time physicians to negotiate, and the opportunities may be quite limited for the part-timers. However, a strong negotiating point is that licensure is dependent upon accruing the full allotment of CME credits by all physicians, whether they are part or full-time. This fact should be stressed when negotiating CME benefits with the employer.
Overhead: Some groups share all overhead expenses equally, regardless of the hours worked. Naturally, this puts the part-time physician at a financial disadvantage, since their consumption of resources that generate overhead is relatively small. In this regard, the part-time physician should try to negotiate an arrangement where the overhead is calculated by the hours worked in the office, the utilization of staff and space, and income generated.
Working Schedule: Careful attention should be paid to how the working hours are arranged. Working only part of a day soon leads to dissatisfaction as the four-hour commitment stretches to five or six hours. If at all possible, arrange to work full days to minimize "work creep," but at the same time remain flexible to the needs of the group to cover unexpected problems and unanticipated patient demand.
Call: Most part-time employees prefer not to do call, and this can usually be arranged with the practice. However, a no-call policy may translate into a lower salary for the effort, and is the expected price to pay for being free evenings and weekends. A part-time employee might consider offering to take telephone calls from home at night and on the weekends and delegate hospital admissions and in-patient calls to a back-up physician. This effort will be greatly appreciated by most groups.
Partnership: Most groups do not offer partnership to part-time employees, but a part-time status may be temporary. If group partnership is something to strive for, negotiate to receive credit for the service delivered as a part-time employee. This strategy will make the temporary employee eligible for partnership much sooner once full-time status has been assumed.
ACP Career Connection's
Job Search Advantage
Search for jobs that suit your internal medicine and/or specialty career path. Register as a Job Seeker for additional benefits.
- Build, edit and store your Job Seeker Profile
- Select Early Job Notifier to have job alerts e-mailed to you
New Video: Navigating the Maze of a Job Search
This presentation helps you determine your professional and personal interests, write a CV and cover letter, and prepare for an interview.
Resident/Fellow Member Benefits: ACP offers Resident/Fellow Membership for internal medicine residents and subspecialty fellows-in-training.
Join ACP: Take advantage of members only benefits by becoming a Resident/Fellow member of ACP today.
Connect with your peers
Join this ACP members-only virtual community to connect with other residents and fellows.
Find a Mentor
Find an experienced physician who can answer your questions about internal medicine.
What will you learn from your Annals Virtual Patient?
Annals Virtual Patients is a unique patient care simulator that mirrors real patient care decisions and consequences. CME Credit and MOC Points are available. Start off with a FREE sample case. Start your journey now.
Volunteer through ACP
ACP recognizes the importance of volunteerism and community service at both the national and local levels as part of its commitment to universal access to health care. View current volunteer opportunities and network with other ACP member volunteers today.
Products and Resources for Patients
ACP has developed easy- to-use materials designed to help educate your patients on self-management of a wide variety of common health conditions. Order yours today!