In this episode of the PNC Podcast, John describes how to overcome damaging National Practitioner Databank reports that can interfere with a job search. 

This topic is based on a question from a listener. The physician was concerned that NPDB entries were limiting his ability to land a new clinical position. And he was looking for strategies to overcome this challenge.

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Understanding the Impact of NPDB Reports

John describes his analysis, based on an understanding of the requirements of the NPDB for reporting:

• potential employers that are required to query it,
• those that may or may not choose to do so, and
• those unlikely to do so.

He lists several employer types that may query the Databank, yet be more lenient when evaluating a potential candidate. He then lists situations in which a databank query would be unlikely.

Minimizing Damaging National Practitioner Databank Reports

With these considerations in mind, he suggests several possible options to pursue as an employee and several practice options that would require starting a practice. The least costly of the practice start-ups would most likely be a cash-based business.

A Direct Primary Care Practice, Weight Loss Clinic, Med Spa, or similar business, in which the need to bill health insurers is eliminated, generally requires fewer staff and no expensive billing software, and eliminates NPDB inquiries from insurers. 

Summary

Physicians facing credentialing barriers can explore several alternative clinical career paths. If the physician has addressed the issues that led to the reports, there are several clinical practice options to consider as an employee or as a business owner if the physician prefers not to leave clinical medicine. If that is no longer a viable option, then a shift to a nonclinical position may be warranted.

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