Associate Agreement and Employment Contract: Is it in Line With What I Should Expect, and Is it Reasonable?

This time of year is prime time for employment changes across the eye care industry.  May through August is always the busy time.  Optometrists and Ophthalmologists are completing residency programs, students are graduating, and they are all going to be reviewing employment agreements now or very soon.

Here are a few things to consider:

1)      What is the commitment?  1 year; 3 years; can you give reasonable notice if you are unhappy or dissatisfied in the practice

a.       Most are 1 year

b.      If you receive a sign-on bonus or relocation incentive expect to commit to 2+ years.  Typically, if you leave before your commitment you will need to pay back any bonus money you receive

c.       Notice periods across the nation have grown beyond the normal 2 week courtesy.  Many agreements now require 30, 60, or 90 day of resignation notice

2)      Want to associate and eventually own a practice in your home town?  Be cautious of non-competes and restrictive covenants that would cause significant headaches in the future.  Especially if your hometown is a small town. 

3)      Are you an Employee (W-2) or an Independent Contractor (1099)?  Associate positions throughout the eye care industry vary greatly.  W-2 employment is most likely what you truly are. That means the employer takes your tax withholding and takes responsibility of the daily operations of the practice.  1099 contractors are simply paid for services rendered.  If this is your status, you are required to fulfill the entire tax obligation of your income. 

·         Resource: IRS website: Employee versus Independent Contractor

4)      Production versus collections-based compensation:  You need to understand which way you are getting paid, when it is calculated, and what is included and not included

a.       Is it calculated daily, weekly, bi-weekly, monthly, and quarterly? Many optometrists and ophthalmologists don’t know when we ask them

b.      Lab Expenses:  are you responsible for all, some, or none of the lab expense?

5)      Base compensation questions:

a.       Is it permanent or does it sunset after x number of months?

b.      Is it a draw on future commission or is it a salary?

6)      Be Realistic!  Associate offerings on the East Coast are vastly different than those on the West Coast.  Make sure to understand the compensation trends and models that are common in your market.  Don’t compare offers to your friends, especially if you’re only talking % versus %.  That completely depends on the production potential based on a combination of what the practice can provide and the abilities of the associate

Other articles to explore:

·         Optometrists and Ophthalmologists - How to Find a Job After Graduation

·         Bits of Wisdom

ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Vision Staff throughout the United States. www.etsvision.com

The Recruiter's View: Candidates Continue to Drive the Growing Job Market and Retention is Equally Important as Recruitment

Over the past few years, recruiters in the executive and managerial space have been observing a shift from an employer-driven market to a largely candidate-driven market. As this trend continues, new data indicates that improved confidence in the labor market and the availability of more job opportunities are creating an environment where top performers are more willing to change companies to fill newly created roles and vacancies from resignations. While this may be encouraging to prospective employers, current employers will need to place equal emphasis on employee retention strategies as they do on their recruitment efforts. Recruiters who responded to the most recent MRINetwork Recruiter Sentiment Study provide advice to employers who seek to remain attractive to employees and potential new hires.

"The competition for leadership talent is brutal right now. There is tremendous pressure to attract new talent and hold on to those already employed," said a recruiter responding to the study. According to the report, in the first half of 2014, 81 percent of recruiters described the talent market as candidate-driven, up 25 percentage points from the first half of 2012.

The executive and managerial market continues to be candidate-driven, because of growing talent shortages due to skill gaps. Companies in most industries and geographic regions are now in growth mode, leaving top performers at a strong advantage, with multiple job offers to consider and the ability to reject less desirable work agreements. According to the study, 31 percent of recruiters say the top reason that great candidates continue to refuse job offers is because they are accepting offers with other companies. Disappointing compensation is on the rise, with 26 percent of recruiters listing this as the second most common reason that job offers are turned down.

MRINetwork recruiters provide the following insight about rejected job offers:

• More than ever, highly-skilled, top-performing candidates are in demand.
• Candidates have more options than they have had in years. Yet clients still want to give low-ball offers.
• Candidates are often turned off when companies do not keep the process moving, making the closing process all the more difficult if it gets to the offer stage.
• Counteroffers are still a common reason for offers being turned down, in which most candidates receive substantially more money and a promotion from their current employer.

With more top performers on the move, the candidate-driven market points to several things:

• Leveraging employer branding is not just about selling the company and the job opportunity, it is about the overall impression left by the entire recruitment process. "If a company appears to be disjointed in its branding, saying one thing but doing another, candidates will be turned off," says an MRINetwork recruiter.
• A streamlined hiring process is critical to avoid losing top candidates. One recruiter notes, "Time is the enemy when recruiting exceptional talent, because ... the longer the process goes on, the less likely the candidate will be around to take the offer."
• Salary and benefit packages need to be aggressive, not simply market-competitive, to entice "A" players who have several job options at their disposal.

While the study results demonstrate that hiring trends are highly favorable towards top performers in the executive and managerial space, recruitment and retention will continue to be ongoing challenges for overall hiring as the economy recovers and the job market expands.

Optometrists and Ophthalmologists - How to Find a Job After Graduation

Congratulations! Now it is time to start putting all that education to use, but finding a job is a lot different than applying to programs. Do you know how to get started?

What To Have

A Plan.
Do you know where you want to be in five years? Do you want your first job to put you on the path to partnership or ownership? Are you more concerned with gaining experience than paying down student loans? You need to know where you want to go before you can decide how to get there.

Obviously location is important, but don't waste the crucial first years of your career in order to live in the heart of the city. The best jobs are often outside the primary markets where there is less competition for patients.

If you are considering a cross-country move, you may want to consider the income potential offered in different regions. If you absolutely have to live and work in a saturated market, here are some strategies to help you land a job: Job Searching in a Saturated or Difficult Job Market.

Be sure to set realistic income expectations. The Bureau of Labor Statistics publishes an annual survey for Optometrists each year. The 2013 version can be viewed here.


A CV and Cover Letter.
Most applicants do not get an interview. Your CV and Cover Letter may be your only platform to distinguish yourself from the competition. It is hard to stand out from the crowd without experience but the way you highlight your strengths can set you apart. Did you take any electives or win any awards to recognition? Did you graduate in the top quarter of your class, attend CE outside of school, volunteer in a community clinical or on a mission trip? Be sure to highlight those experiences.

Here are some instructions on how to write a great cover letter: Electronic Cover Letters

The Right Clothes

It is better to overdress than underdress. Your future boss will want to know that you take your career seriously. Does your interview outfit make you look like a doctor? This is not the time to go for personality. That can come through later. If your clothes give the wrong first impression, it will take a major effort to regain credibility

What To Do

Finding Openings.
Networking has always been the most effective method for finding open positions, but it is not always practical to meet with every eye doc in the area and attend every eye care event. The internet can be a great tool for finding position. Your school and local association may have classifieds, but you will likely find that the listings are limited. Here are several comprehensive sources for vision jobs:

·         ETS Vision Job Listings

·         Indeed.com Job Listing Aggregator

Interviewing.

The Telephone Interview

• Return your phone messages and emails promptly. It speaks to your motivation, interest, and courtesy. Don't let returning phone calls or emails become an issue or an obstacle to getting an interview. Even if you don't think you will be interested in an opportunity, return the call. On more than one occasion we have seen a candidate get a call from Practice B when he was already talking with Practice A. The candidate puts off returning the call to Practice B. Two or three weeks later, the opportunity with Practice A does not work out and now Practice B will not consider the candidate because no calls have been returned.
• Your main goal in a telephone interview is to get a face-to-face interview.
• Ask for the interview. Take the initiative to set a time. Say something like, "From what you have told me, I would be very interested in meeting with you and coming to see your practice. When would be good for you?"
• Smile- even on the phone. You really can tell when someone is smiling.

·         Here is some additional reading on phone interviews: Tips for a Great Phone Interview.

The In-Person Interview:
Don't go in blindly. Be sure to prepare in advance. Look over this article the night before: Are You Ready for the Interview? .

• Treat the staff with courtesy and respect. A practice owner often feels like his or her staff is like a family and will listen to their opinions, especially if they are negative. On more than one occasion, we have seen excellent candidates not offered an opportunity because they treated a staff member poorly.
• Smile and show some enthusiasm. More candidates are hired because of their personalities and positive attitudes than because specific clinical skills. One high-end practice told us they had interviewed six different candidates. They hired the candidate who smiled and appeared to truly enjoy being an optometrist, passing on more experienced candidates with less personality and enthusiasm.
• Show sincere interest in the hiring doctor’s situation. Understand that the doctor needs to solve a problem. Maybe the practice just lost a key associate or partner. Maybe the practice is growing and cannot keep up with patient demand. Maybe the doctor needs someone to take over the practice when he or she retires. You need to get a clear understanding of the owner’s true motivation for adding an associate. Once you truly understand the needs of the hiring doctor, you can mutually determine if you are the solution.
• Send a thank you note after the meeting. Be sure to send the note within 24 hours of the interview. Thank the interviewer for the opportunity to visit with them and reinforce your interest in becoming a member of their practice with genuine sincerity.
  
  

Reviewing Contracts.
Do you have all the information you will need in order to make an informed decision? Here’s What to Know Before You Accept an Associate Position

Finding a job can be an intimidating process. I hope these resources will help make the process easier. Please feel free to call us should you have any questions. We are always happy to help. For more updates, tips, and helpful information, follow us on our Facebook fan page, Twitter, LinkedIn or on our blog.

ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Vision Staff throughout the United States. www.etsvision.com

Four Signs it’s Time for a New Job

With spring in the air and a long winter finally behind us, many find this time of year to be a season of fresh beginnings, new adventures, and personal growth. For some, however, the daily grind of traffic jams, long lines, and eight hours in a less-than-fulfilling workplace never seems to change.

Hopefully this doesn’t describe you or your current employment situation. If it does, though, there is something you can do about it – as a matter of fact, you’re the only one who can do something about it. Moving to another practice or starting a practice of your own is a serious decision that involves planning, strategy, and forethought, but the benefits of such a decision, as one might expect, can be life-changing.

If you’re thinking it might be time for a new job, consider these four warning signs and see how many apply to you:

1. You’re Always in a Bad Mood: While work may not be the most exciting highlight of your week, a day at the office should not leave you feeling disgruntled, defeated, or depressed. Having a negative emotional connection with your workplace can spill over into other areas of your personal life if you’re not careful, so it’s important to pay attention to how you’re feeling as you walk out of the office every evening.
2. You Do What You Do Out of Obligation: If you feel like your job is what you “ought to be doing” instead of what you “want to be doing,” you’re probably not going to enjoy going to work every day. Being in a practice environment that motivates you is the key to finding long-term career satisfaction.
3. You Don’t Feel Challenged: Too much stress at work, as most of us know, can be a bad thing. Too little stress can be just as bad, if not worse. If you feel like you’re not being challenged daily or that you’re capable of more, it might be time to start looking elsewhere.
4. Your Co-Workers Are Driving You Up a Wall: The people we work with play a larger role in our lives then we can imagine – after all, it’s likely you spend more time with them during the week than anyone else. If you’ve tried to resolve issues with your Vision team but still find yourself counting down the minutes until you can get away from them, consider looking for career opportunities elsewhere.

While most of the above issues can be addressed through alternative means, in some cases getting a new job could be the best option. The most challenging part of any job change, of course, is in the details.

Whether you’re looking to take on more responsibility, start your own practice, or relocate to an area that better suits your needs, ETS Vision is happy to help make that transition as smooth as possible. Feel free to give us a call and get started today!

ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Vision Staff throughout the United States. www.etsvision.com

Job Opening: Only Superstars Need Apply

When you Google, “How to hire great employees,” one of the first answers offered is to only hire superstars. It's great advice. If everyone in a company is the best in their field, the company will be unstoppable. Unfortunately it is a hiring strategy that most companies use—and it clearly doesn’t always result in superstar-only companies.


Organizations take great pains to find these impact players. They cast a wide net, eliminate people because of the slightest flaw, and put candidates through rigorous tests and interviews. Yet, no matter how logical these methods seem, they often skip over exactly the type of candidates they are meant to find. And these searches always seem to start with a resume.

In addition to helicopters, armored tanks, and scuba gear, Leonardo da Vinci is also recognized to have written the first known resume. In 1482, while trying to get a job with the Duke of Milan, da Vinci submitted a nine point summary of his skills and experience. By the early 1900’s resumes had become common place, though often consisted of little more than a handwritten career summary. In the middle of the century though, they had come into their own as resumes began to resemble what we know today; a single page typewritten summary of a life and career.

In today’s market, a wide net can quickly bring in hundreds if not thousands of resumes from the most active candidates. With that sea to wade through, resume screening quickly becomes perfunctory. Each resume at first pass can really only get seconds of attention and minor—non-superstar related attributes—become reasons to exclude people from consideration.

“The more dismissive you are of candidates, the less likely you are to actually find who you are looking for. As recruiters we obviously look at resumes, but that is just the first step. The evaluation doesn’t even start until we actually have conversations with potentially qualified candidates.”

To make the process simpler, employers and HR departments are frequently turning to technological solutions to parse resumes and automatically cull the herd. These solutions, though, are still constrained by the narrow manicured view provided by resumes. And people who advertise themselves as superstars, rarely are.

“It’s through a very inaccurate picture that most candidates are rejected. With limited information, the screening process isn’t about finding top candidates, but simply focuses on eliminating as many as possible. Impact players get skipped over every day because a critical skill wasn’t highlighted, the wrong word was used, or because of nothing more than unusual formatting.”

Most every attempt to shorten the screening process seems to do little more than handicap it. So how do you find a hay shaped needle in a haystack?

“Talking. Talk to the candidates, use video if possible or meet in person. Turn interviews into business conversations. Bring a candidate into a problem you are trying to solve and ask for their advice. You’ve got to dig for not just how they work, but how they think and approach problems. If you don’t have time to talk to every candidate who matches the basic requirements, look for reinforcements or use a recruiter. The hardest thing of all is to not eliminate candidates for reasons which don’t matter. At the end of a long search, the best candidate is often one that didn’t stand out on paper and if you’d been just a little more selective, you might have never considered them at all.”

ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Vision Staff throughout the United States. www.etsvision.com

How Well Do You Know Your Employees?

Winter storms may have caused employment to be a bit sluggish, but as we move into spring, job growth continues to accelerate. Staff retention is becoming a top priority in 2014 for employers, as confidence builds in the economy and job market, making companies more vulnerable to losing key talent. Organizations will have to ask themselves tough questions about how attractive they are to candidates and employees, and whether they are doing a good job of communicating career development opportunities that have the potential to mitigate costly staff turnover.

  Click to enlarge.

According to many recent surveys, employee turnover is projected to rise significantly as the job market improves. This means that employers will need to place greater emphasis on employee retention to complement their recruitment strategies.

"While companies can develop and deploy a host of retention strategies focused on engaging staff and strengthening employee morale, one simple thing they can do is assess their employees' perception and awareness of internal mobility or career-tracking programs," says Nancy Halverson, vice president of global operations for MRINetwork.

The recent LinkedIn Exit Survey reveals that there is a considerable disconnect between employer and staff awareness of employee mobility programs. According to the survey, HR and talent acquisition professionals overestimate employee awareness of their internal mobility programs by more than 2X. Further, respondents in the US, UK, Australia, Canada and India overwhelmingly say it is easier to locate an open position outside of their company, than to be promoted within.

Halverson provides the following tips for building awareness of internal mobility programs:

• Brainstorm how your organization can develop an internal mobility program, if one doesn’t already exist
• Begin discussing internal mobility programs during the onboarding process
• Leverage and publicize internal mobility programs through employee referral programs to raise visibility
• Communicate internal promotions through multiple internal and external channels to create stories about employee advancement within the company
• Routinely assess employee awareness of the organization’s internal mobility program and adjust communication channels accordingly

Employee mobility programs have always been a great tool to encourage staff retention. Now they are increasingly important as companies face growing talent shortages due to skill gaps, and more workers begin to feel confident about seeking other job opportunities. Halverson adds, "Ultimately, internal mobility programs should be built into the company culture and employer branding efforts. Current and future employees should not only have a clear understanding of the career opportunities available within the company, but also see that there are viable paths for advancement."

Bits of Wisdom

In speaking with Vision Practice Owners and Optometrists/Ophthalmologists who are seeking employment or other practice opportunities, we find ourselves, as recruiters and consultants, saying a lot of the same things.  ETS Vision’s team would like to share with you some top bits of advice.

For Vision Job-Seekers

• Don't compare your offer to your friend/colleague’s offer or contract. He or she will likely inflate or lie about it.
• Don't move to Southern California.
• 4 out of 5 practices pay on collections. It’s just a fact.  Don’t limit your options based on this factor alone.
• High compensation percentages are great, but always remember that 40% of zero = ZERO.
• When considering geographic location, think about what you're really looking for. Do you need to be in "x" (major city) everyday, or just have access to that major city?
• Never pay to find a job, unless you’re a professional athlete.
• Be responsive to potential employers when they reach out to you.
• Keep track of the practices, groups, and companies to which you apply.  It’s embarrassing when you’re called and you don’t know who you are talking to.
• The grass will always appear greener on the other side, but very often it is not the case.
• Don’t pretend to be a contract expert.  Get advice from experienced professionals when needed.
• Practices are not good or bad because they are “corporate” or “private.”  Individual office management is mostly the reason practices are good or bad places to work.
• Do you want to be a little fish in a big pond or a big fish in a little pond?
• What is more important to you? Location or opportunity?
  

For Hiring Practices/Practice Owners

• Don't hire an associate to allow yourself more time off or fewer days per week and expect to make the same (or more) money.
• Great associates or partners are not found or hired in a matter of days.  It takes at least a few months.
• Listen to your office staff when making new hires.  If your team can’t stand your prospective associate, it will not go well very quickly.
• Don’t pretend to be a contract expert.  Get advice from experienced professionals when needed.
• The best talent is not necessarily local talent.  Be open to out of town prospects.
• Old dogs can learn new tricks. It just happens differently.
• The hardest associate to hire and keep happy is your very first associate.
• Hire the best for your practice, not the first available.
• You get what you pay for.
• Personalities can't be changed, but clinical skills can be learned.

ETS Vision is a Vision Recruiting firm specializing in finding and placing Optometrists, Ophthalmologists, and Vision Staff throughout the United States. www.etsvision.com