Optometrists - What To Know Before You Accept an Associate Position

Finding a new associate position can be a daunting process for both new and experienced optometrists.  While making a good impression on an interview is important, it is equally important to learn as much as possible about the practice. Here is a compilation of questions from job seekers who I have worked with over the years. I hope that this list will make the decision process less intimidating.

Relationship
-Employee or Independent Contractor?
-Employee at will?
-Is the doctor open to restrictive covenant in case of future ownership?
-Is the doctor open to a transition period, if needed? (After purchase)

 Type of Practice 
-What type of practice is it (full scope, pediatric, etc.)?
-Age of the practice?
-When/what do you refer out?
-How many treatment lanes?
-How many opticians?
-How many technicians?
-How much is the practice overhead?
-How long has each employee been there?
-What does the practice do to market itself?
-How many FT and PT staff?

Patients
-What is the patient pool like?
-Have the number of active patient records been reviewed?
-Is the practice growing or declining in number of patients seen, new patients attracted, and young patients?
-Average number of cancellations per week?
-Average number of patients seen by associate per day?
-How far ahead is the doctor book filled?
-How far ahead is the associate book filled?
-Discounts/Bartering/payment plans?
-PPO type of insurance? Insurances: accept all kinds or just selected ones?
-How much is the discounted price of the PPO compared to the fee schedule?
-Medicare or Medicaid acceptance?
-What percent is FFS, cash and discounted PPO?
-When was the last fee increase?
-Are the fees low, high or average for the immediate area?
-Do you offer patients credit?

Schedule 
-Days, hours, on call, etc.
-How many office hours and days per week is the office open?

Duties
-Job description (separate document) or general description

-Is the doctor responsible for pre-testing?
-What were the most of the cases being done by the associate?

Facilities
-Supplies, equipment, support, etc.?
-Is the practice EMR compliant? If so, what system is being used?
-What is the square footage of the office? Can it be expanded?
-Average age of equipment?
-Do you have a confirmation system for appointments?
-How do you deal with NO Show?

Term of contract
-How long?
-What is the required notice period should either party wish to terminate the relationship?

Compensation
-Is there a guaranteed salary, draw, daily rate or hourly rate?
-Is commission determined from collections or production?
-If collections, what is the collections rate in the practice?
-What percentage of production/collections is used to calculate income?
-Is there a chance to increase compensation in the future?
-Taxes withheld?
-How will the associate be paid? (Weekly/bi-weekly/monthly)
-How much on average was the last associate making?
-What was the average associate production per day?
-Can I get a fee schedule of the practice?

Benefits
-Medical Insurance: health and dental?
-Malpractice insurance?
-Disabilities insurance?
-Required CE courses? How much and for how many hours a year? Are they paid for/reimbursed? Is there a stipend?
-Retirement?
-Sick days…….. # allow per yr…..
-Personal days/vacations…..# per yr allow……
-Holidays?
-What benefits are given to the staff?

Expenses
-Define, list, when paid, etc…..
-Will the practice support the acquisition loan (in case of future ownership), pay the overhead expenses and afford a reasonable income?

Other Questions and Notes
-What is your practice Philosophy and Goals? For the Practice and with new patients?
-Have you had associate before? How many? How long did they stay? What was the reason for the associate resignation?
-How do you advertise?
-Who determines how long I have to spend with new patients/initial exam and record?
-Is there a particular doctor in the area who is your main competitor?
-Who sees the patient first (technician or optometrist)?
-Why was the partnership offer turned down by an associate (if applicable)?
-Will I be able to visit the office during regular working hours?

Partnership/Buy-in/Sale
-Discussion/Formula/Price
-What will be the time frame for an associate position before we can talk about partnership/buy-in/buy-out?
-Is there an option for future ownership? Are you considering a move out of state?

Restrictive Covenant
-Define

Chante Smith is the Western U.S. Account Executive and Recruiter for ETS Vision. She can be reached at csmith@etsvision.com or 540-491-9105. ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Vision Staff throughout the United States. www.etsvision.com