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For J1 visa candidates, we recommend starting your search 1.5 years before you graduate. You will want to have your contract negotiated and paperwork for your visa ready to go by the opening day for J1 visa applications in the state you wish to practice. Those start around September 1st the year prior to your graduation.

For non-visa candidates, we recommend starting your search 9-12 months before your expected graduation and find that most candidates will have signed contracts by December the year before they graduate. (see our Timeline Guide for more detail)

Good is a subjective term and means different things to different people. You need to think about what is important to you and see if you can find a practice that aligns with that. That does not necessarily mean the highest compensation or the easiest call or the coolest town. For more help prioritizing your needs, you can find our blogs here. Generally speaking, “good” nephrology jobs will include:

• Base compensation in the $200K+ range
• Clearly defined call, partnership track and duties
• Opportunities for medical directorship responsibilities and revenue
• Bonuses based on productivity or certain quality measures
• Paid vacation and CME
• Health insurance
• 401K or retirement package
• Investment opportunities

Our recruitment team is also responsible for fellowship outreach. That means we frequently counsel nephrologists in any stage of their training on topics like:

• CV and cover letter preparation
• Compensation packages
• Visa concerns
• Understanding nephrology as a business
• Deciphering employment contracts

We can provide these resources to you one-on-one or with your entire fellowship program either in person or virtually at no cost.

Every practice has its own personality, and some will mesh better with others than with you. This is expected and one size definitely does not fit all. However, some common signs of trouble are:

• High turnover in front office or clinical staff
• Non-transparency when discussing partnership, additional revenue streams, overall health of the business or plans for the future
• Failure to disclose compensation range
• Overly restrictive non-compete clauses
• No self-termination option without penalty
• Lack of partners in a practice (all Worker bees and only one Queen)
• Offering productivity only in the first year

Absolutely, YES we can. In your training program you are learning so much about clinical things but there is very little, if any, time to learn about career options once you graduate. That is why we are here -to help give you a basic education about those options, learn how to secure a place for yourself in the kidney community and, if desired, connect you directly to some of those options.