the SOURCE: careers in nephrology

Employment as a Nephrologist

As you navigate your career path and the choices ahead of you, you may be seeing opportunities in private practice, multi-specialty practices, hospitals…but what about opportunities in an employed setting? The Veterans Administration (VA), national multi-specialty groups like Kaiser and private practices with employed-only positions are all options to consider. As with every employment type, being employed has its pros and cons. Let’s take a look at some of the pros for each of these options:

Veterans Administration1:

  • Benefits include:
    • Time off – 49 days annual paid time off
    • Federal employees are protected in cases of alleged malpractice or negligence
    • Two types of retirement systems
  • Ability to focus more on practicing medicine rather than managing a business
  • Already established patient base
  • License is valid in all 50 states
  • Research, teaching and leadership opportunities
  • More predictable work schedule
  • Access to state-of-the art technology


  • Comprehensive benefits package. They have a 14 page benefit guide! The number one benefit, according to numerous physicians we have spoken to, is the post-retirement health care eligibility
  • Ability to focus more on practicing medicine rather than managing a business
  • Structured corporate setting – policies and procedures clearly defined
  • Massive reach and name recognition across the country
  • More predictable work schedule
  • In-house patient referral system
  • Access to state-of-the art technology

Employment in a Private Practice:

  • Ability to focus more on patient care rather than managing a business
  • Structured environment and governance
  • Skilled support team
  • More predictable work schedule
  • Opportunities for income growth through medical directorships
  • Typically above average employee benefits
  • Most similar to traditional private practice


There are a lot of good reasons to consider these options but there are some reasons these options might not be right for you. Here are a few questions to ask yourself when choosing whether or not to work in an employed setting:

  • Do you want to be a business owner?
  • Do you want to have access to medical directorships and investment opportunities?
  • Do you want the autonomy to practice medicine how you want?
  • Do you prefer not to have a cap on your earning potential?
  • If you are interested in working for Kaiser or the VA keep in mind that they often have few openings for nephrology and are highly competitive.

As always, we are here to help in whatever capacity we can in helping you determine what the best career path for you is. If you have further questions about employment or the job search, please take a look at our other blog posts or feel free to email us at