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The Standard Q1 2011

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1st Quarter 2011
April 2010 - March 2011

Market Trends

Market Demand

Matt Robbins, Senior Director of Marketing, Delta Physician Placement

Of the 16 physician specialties listed on the Standard, 14 have seen total annual compensation increases quarter-over-quarter. Healthcare entities hiring have consistently increased starting salaries and sign-on bonuses,  included relocation packages and now student loan forgiveness. There was also an increase from 66% last quarter to 83% this quarter in placements with populations under 50,000. Rural facilities that have seen success the quickest  predominately have more lucrative compensation packages and have the ability to offer multiple year income guarantees with production bonuses. Doctors are expressing more and more that with the uncertainty in healthcare reform, this option is often the more appealing  approach to practicing medicine.

Locum Tenens

David Schumann Director, Delta Locum Tenens

While attending the 2011 National Association of Locum Tenens Conference in Chicago, great dialogue centered on the introduction of Managed Services Providers (MSP) into the locum tenens industry.  For many hospitals and practice groups, labor costs represent a significant part of operating costs.  In an effort to more intelligently manage labor costs and leverage relationships with suppliers, organizations are searching for ways to accurately assess their temporary spend. The cost savings from MSP programs seems inviting – immediate reductions to the bottom line and possibly a reduction in the number of intrusive sales calls from vendors.  However, the reality is often something quite different.  The MSP programs often treat people as a commodity – the lowest hourly bidder of temporary providers gets the job.  This creates a number of problems that are difficult to quantify.  Most agencies will be forced to use very junior recruiters in order to meet the cost guidelines, with no qualifying of the talent supplied.

If the MSP system is administered by a temporary staffing agency, the complications increase exponentially.

  • The temporary staffing agency will often charge the sub-contracting agency a percentage of the profits, making it impractical for the subs to continue providing services.
  • It can evolve into a situation where the prime temporary staffing agency is the sole supplier to the client, with a few small groups working out of their basements with no expenses and no services other than providing CVs.
  • The prime temporary staffing agency will also hold the job description for several weeks, hoping to fill the position themselves.

The sub providers therefore know that they are only getting the “extremely difficult” job orders to work on and delay the privileging and credentialing process.  Ultimately, missing the start date.

Placements & Interviews

Placement Data by Specialty

This data represents average statistics of placements and interviews by Delta Physician Placement over the twelve-month survey period. Since these averages only include placements and interviews, the compensation information presented indicates the rate at which candidates are choosing to interview or sign. Average days information can be used to forecast a probable timeline for a recruitment effort in a particular specialty.

Average Compensation Average Days
Starting Compensation Sign-on Bonus Total Annual Compensation From Interview to Placement Total Placements Fastest Days-to-Fill
Primary Care
Family Medicine $186,778 $21,412 $270,323 53 151 19
Internal Medicine $192,228 $27,685 $252,928 58 148 39
Pediatrics $182,507 $19,050 $232,857 26 114 28
Psychiatry $214,738 $22,592 $237,187 47 127 40
Obstetrics/Gynecology $276,295 $22,945 $325,517 56 104 41
Surgery
General Surgery $399,667 $41,389 $543,055 42 112 35
Orthopedic Surgery $512,650 $48,970 $594,150 29 151 74
Otolaryngology $387,520 $27,000 $521,000 34 88 63
Urology $396,875 $25,000 $516,562 56 137 28
Sub-Specialty
Cardiology $477,500 $50,000 $690,000 41 181 131
Neurology $263,333 $28,500 $296,700 75 133 40
Oncology $387,520 $27,000 $521,000 34 88 63
Gastroenterology $583,333 $48,333 $633,000 26 112 67
Hospital-Based
Radiology $525,000 $37,500 $577,500 10 92 42
Hospitalist $219,000 $17,500 $274,333 56 69 10
Emergency Medicine $252,666 $31,600 $325,000 64 74 52

Data reflects averages from placements and interviews by Delta Physician Placement from April 2010 through March 2011. “Total Annual Compensation” data reflects average yearly compensation at full production excluding benefits. “Average Days” data does not include off-contract placements. “Average Days Total Placement” data is calculated from profile to placement.


Placements by Population

Data indicates the percentage of placements made from April 2010 through March 2011 by the population of the search facility’s metropolitan area.

Candidate Sources

Data indicates sources of candidates for placements and interviews from April 2010 through March 2011 along with professional consultation.

Placement Statistics by Specialty Grouping

Primary Care Sugery Sub-Specialty Hospital Based
Second Interview Required 19% 27% 37% 14%
Currently In-Practice 66% 88% 79% 80%
Offered Salary (no guarantee) 90% 82% 84.2% 85%

Data is based on placements made from April 2010 through March 2011.

Market Demand

Nationwide Search Distribution

Map represents searches initiated by Delta Physician Placement on behalf of healthcare facilities from April 2010 through March 2011.

Search Specialty Distribution

Data indicates the percentage of searches initiated by specialty grouping between April 2010 through March 2011.

Specialty Demand Comparison

1st Quarter 2011 1st Quarter 2010
1. Family Medicine
Family Medicine
2. Internal Medicine Emergency Medicine
3. Orthopedic Surgery General Surgery
4. General Surgery Internal Medicine
5. Psychiatry Orthopedic Surgery
6. Emergency Medicine ENT
7. Pediatrics Psychiatry
8. Urology Pediatrics
9. Neurology Urology
10. Cardiology Obstetrics/Gynecology
11. Obstetrics/Gynecology Hospitalist
12. Gastroenterology Gastroenterology
13. Pulmonary Critical Care Cardiology
14. Hospitalist Neurology
15. ENT Pulmonary Critical Care

Data compares the top 15 most requested searches initiated by Delta Physician Placement, comparing the 1st quarters of 2010 and 2011.

Locum Tenens

Days Requested

Specialty Number of Days
1. Hospitalist 39,794
2. Emergency Medicine 17,189
3. Family Medicine 12,824
4. Psychiatry 9,675
5. Pediatrics 5,194

Data indicates the top five specialties by days requested from April 2010 through March 2011.

Assignments by Specialty

Map represents the percentage of licensed physicians by region working with Delta Locum Tenens.

1st Quarter 2011
April 2010 - March 2011

Market Trends

Market Demand

Greg McCullough, Marketing Consultant, Delta Healthcare Placement

The first quarter of 2011 saw an increase in the placements of nurse practitioners. This is a trend that will continue not only because of the shortage of doctors, but also because of the increased amount of population that will be insured under new healthcare reform. A surprise increase in the demand for medical technologists was also observed. The main reason for this could be the lack of qualified education programs for this specialty. In the U.S., approximately 4,000 people are graduating from medical technologist programs while 12,000 jobs are being generated. One last trend that was noticed is that more hospitals are hiring candidates with less than 2 years experience. This can be directly correlated to a continued increase in demand and lack of supply of healthcare specialties across the board.

Permanent Placement

Gleason Daniel, Senior Recruiting Consultant, Delta Healthcare Placement

During the first quarter of 2011, there was an increase in placements for mid-level and lab related searches throughout the country. Physician extenders are becoming more specialized and generating more revenue for facilities thus increasing their value to hospitals and clinics. Various facilities have communicated that their lab departments are experiencing the highest overall vacancies in years. In addition to the successful placements for the previously mentioned specialties, Rehab Services positions have also been trending in a positive direction. Although the competition for the recruitment of experienced candidates remain, many facilities have opened up parameters to include candidates with less than 2 years of work experience. Many clients prefer to hire candidates with less experience so that they can train the individuals towards the cultures of their organization. These candidates bring a certain level of enthusiasm and energy to an organization that a more tenured candidate might not be able to provide. The period of waiting for more experienced candidates can be used in training which will in turn meet the needs of your patients sooner.

Travelers

Kevin Faust, Principal Marketing Consultant, Delta Flex Travelers

In the first quarter of 2011 there was significant changes in the market for all Physical Rehab modalities. For example, a major shift in contract needs from smaller facilities in terms of number of beds to larger facilities. This is in direct correlation with the number of assignments that were booked in an acute setting with the number of outpatient assignments decreasing dramatically. Larger facilities with larger rehab units saw an increase in patient stays in their hospitals which required the addition of therapist to provide care to those patients. A decrease in the length of each assignment booked can be attributed to a couple of factors. First, when extending a current traveler on assignment, facilities asked for a shorter time frame than the normal thirteen weeks due largely to securing a permanent therapist. Second, many of the assignments were for vacation coverage or a medical leave with those time frames being shorter than the normal three months.

Finally the length of time from booking a therapist to actual start date increased. This is in large part due to facilities staying ahead of the game and making sure they have adequate coverage. Clients are booking contract help way in advance of the actual time they need someone so they are ensured coverage. They also understand that the need for therapists continues to grow and if they wait too long, they run the risk of not having coverage at all and losing revenue.

Placements & Interviews

Placement Data by Specialty

This data represents average statistics of placements and interviews by Delta Physician Placement over the twelve-month survey period. Since these averages only include placements and interviews, the compensation information presented indicates the rate at which candidates are choosing to interview or sign. Average days information can be used to forecast a probable timeline for a recruitment effort in a particular specialty.

Average Compensation Average Days
Starting Compensation Sign-on Bonus Total Annual Compensation From Interview to Placement Total Placements Fastest Days-to-Fill
Rehabilitation
Physical Therapy $83,615 $10,461 $212,704 25 75 6
Occupational Therapy $74,958 $9,250 $90,526 31 105 7
Respiratory Therapy $60,798 $4,000 $76,000 20 15 11
Speech Language Pathology $67,500 $2,500 $67,500 7 66 6
Extenders
Nurse Practitioner $97,470 $10,000 $147,220 39 155 25
Physician Assistant $87,305 $12,916 $157,221 38 94 16
Allied/Other
Registered Nurse $70,266 $7,428 $85,527 24 71 29
Pharmacy $124,880 $7,000 $138,880 27 39 27
Medical Technology $44,408 $5,000 $53,158 58 112 7

Data reflects averages from placements and interviews by Delta Healthcare Placement from April 2010 to March 2011. “Total Annual Compensation” data reflects average yearly compensation at full production excluding benefits. “Average Days” data does not include off-contract placements. “Average Days Total Placement” data is calculated from profile to placement.


Years of Experience

Data indicates the average years experience of candidates for placements and interviews from April 2010 through March 2011.

Placements by Population

Data indicates the percentage of placements made from April 2010 through March 2011 by the population of the search facility’s metropolitan area.

Market Demand

Specialty Demand Comparison

1st Quarter 2011 1st Quarter 2010
1. Physical Therapy Physical Therapy
2. Occupational Therapy Occupational Therapy
3. Nurse Practitioner Nurse Practitioner
4. Director/Executive Physician Assistant
5. Physician Assistant  Director

Data compares the top 5 most requested searches initiated by Delta Healthcare Placement in the first quarters of 2010 and 2011.

Nationwide Search Distribution

Map represents searches initiated by Delta Healthcare Placement on behalf of healthcare facilities from April 2010 through March 2011.

Travelers

Assignments by Specialty

Specialty Average Length Contract to Start Date Average Length of Assignment
Physical Therapy 4.0 weeks 13.3 weeks
Physical Therapy Assistant 4.2 weeks 12.5 weeks
Occupational Therapy 4.1 weeks 12.3 weeks
COTA 4.5 weeks 9 weeks
Speech Language Pathology 3.3 weeks 10.8 weeks

All Travelers data is compiled from assignments placed by Delta Flex Travelers from April 2010 through March 2011.


Facility Demographics

Years of Experience