
 
		The Medical  
 School Graduate:   
 How to launch your  
 new career by Tom Ellis III 
 B 
 It’s on the horizon: You’re about to graduate from medical school. Resident or Fellow, years of  
 dedication, hard work, and study are about to be rewarded. You’ve qualified yourself to take on  
 one of the most valuable and interpersonal roles in society: That of caring for patients’ health and  
 well-being. It’s been said that only a maternal or paternal relationship with a child is closer.  
 Congratulations are in order. 
 ut are you ready for the  
 other side of medicine— 
 the business side that  
 will impact you almost  
 every day as you start a  
 new career? 
 Before we even get to that topic,  
 let’s look at some of the realities of the  
 job market for physicians. 
 According to a 2018 report from a  
 leading recruitment firm, more than  
 50% of graduating residents will field  
 more than 50 job offers. Additionally,  
 the recruitment cost for a physician  
 employer is more than $40K. New hire  
 signing bonuses average more than  
 $33K, and relocation bonuses average  
 just more than $9K. All of that bodes  
 well for you. 
 And with significant physician  
 shortages predicted over the next  
 decade, you have more negotiating  
 leverage than ever before.  
 At this time in your career it’s time  
 you use it.  
 My experience has been that most  
 med school grads are a bit like the  
 proverbial “deer in headlights” when  
 they start fielding the interest of and  
 offers from recruiters. They want to  
 know about the money, the clinical  
 environment, and often act as if they  
 aren’t in the driver’s seat when it  
 comes to negotiating a new job. They  
 have no entrance strategy which is a  
 major mistake (see my article in the  
 January 2018 Dallas Medical Journal  
 for more on this). You’ll find many  
 matching offers when it comes to cash  
 up front. The bigger question is how  
 to analyze and evaluate these offers  
 and your prospective employers to  
 find the one that provides you with  
 the kind of business fit that enhances  
 your chances for success in your first  
 practice/job?  
 Obviously, the clinical fit has to  
 come before anything. But it’s been my  
 18  Dallas Medical Journal    June 2019