September 1st, 2022

Job Choices in the Kidney Community

As you start to prioritize your needs and prepare for your job search, how do you decide what career path is best for you? The American Society of Nephrology surveys nephrology fellows every year so you can see what your colleagues are electing to do. Their most recent survey shows fellows are choosing private practice 2 to 1 over academic medicine and roughly 15% of survey respondents opted to do additional fellowships – primarily interventional nephrology, critical care and transplant. Here are some thoughts on some common job choices to help get you thinking about what you want for yourself.

1. Academia
   • Similar working environment to fellowship
   • Employee status
   • Health Benefits might be better
   • Potential for visa sponsorship
   • Salaries tend to be lower
   • Less opportunities for additional revenue
2. Hospitalist
   • Employee status
   • Work schedule
   • High initial compensation but plateaus quickly
   • Potential for visa sponsorship
   • Less opportunities for additional revenue
   • Less patient continuity
   • Burnout
3. Private Practice
   • Run your own business
   • Choose who you work with and how hard you work
   • Predictable workday
     • Hospital rounding 40% of your time = 35% revenue
     • Office visits 40% of your time = 20% revenue
     • Dialysis rounding 20% of your time = 45% revenue
   • Multiple opportunities for outside revenue
     • Medical directorships
     • Joint Ventures
     • Real Estate
     • Vascular Access
     • Research
     • Procedures
     • Partnership
   • Continuum of care
   • Value Based Care

If you’re curious about additional options or details about job choices in the kidney community as you begin your search, our team is here to help.

To view the ASN survey visit: https://data.asn-online.org/posts/2022_fellow_survey/