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The Standard Q1 2017

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Industry Perspectives

5 Reasons Clients Are Frustrated with Locums Agencies

By Stasi Crump, Marketing Consultant, Delta Locum Tenens

What makes one locums agency more successful than another? What do in-house recruiters look for in a staffing firm? If you want to endear your firm to clients, learning from mistakes is a great place to start. From slow credentialing to big paychecks, here are five reasons why clients grow frustrated with locum agencies.

Failure to Commit

Steve Jacobs, a physician recruiter with WellSpan Health, said he’s frustrated, “When somebody commits and then doesn’t commit… or doesn’t show up.” Candidates who ghost an assignment, or leave before the work is done, force the hospital or medical facility into a tough spot. Since locum agencies are the thread between employer and provider, it’s our job to ensure the right candidate is placed in the right job.

Shortage of Candidates/Inaccurate Advertising

A shortage of qualified candidates is an industry-wide challenge, particularly for specialties like urology, neurology, and family medicine. However, agencies should only promote candidates they truly represent—and put in the hours to see results.  “It’s a right place, right time business,” said Don Price, physician recruiter for Fischer Titus Medical Center. “You have to do the work—you have to make the calls.”

Slow Credentialing

It can take months to get credentials for a locums provider, and this leaves many last-minute needs for providers unfilled. Even worse, Jacobs says, by the time the credentialing is complete, the provider has taken a job somewhere else. Clients and staffing firms have called for a national credentialing system, and time will tell if it will happen.

Deficient Documentation

Most locum providers deliver excellence in patient care. What clients say is missing is the attention to detail necessary for paperwork and documentation. Because locums providers aren’t invested in the hospital, they often aren’t plugged into the protocol and may lack the training to provide proper documentation. This gap can lead to paperwork mistakes that hurt the hospital’s bottom line.

Big Paychecks

Locums providers tend to receive a higher rate of pay than permanent providers. This can rankle the staff, particularly if the locums doctor is seen as an outsider who isn’t personally invested in the hospital.

The DLT Advantage

Delta Locum Tenans (DLT) prescreens all providers to ensure they have robust training on their electronic medical records, and we put a 30-day out contingent on any candidate to ensure stability. We also have three separate groups dedicated to qualifying candidates: one focused on credentialing, one focused on privileges, and the third handles logistics. This approach speeds up the process and gets locums providers in the door faster.

DLT understands the hurdles present in healthcare staffing, and focuses on solving issues so clients and candidates can provide the best care.

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 Potential Compensation From Interview to Placement Total Placement Fastest Days-to-Fill
Primary Care
Family Medicine $233,060 $24,838 $270,244 36 156 6
Family Medicine- Obstetrics  $198,750 $23,333 $247,000 11 140 10
Internal Medicine $219,444 $23,571 $226,000 10 160 32
Obstetrics/Gynecology $316,875 $26,250 $351,875 11 96 13
Pediatrics $223,125 $22,000 $294,750 15 149 40
Psychiatry $240,431 $50,562 $267,273 18 183 46
Surgery
Orthopedic Surgery $487,500 $25,000 $550,000 42 264 250
General Surgery $373,000 $30,625 $408,500 24 73 24
Surgery- Vascular $350,000 - $800,000 47 80 80
Urology $512,500 $35,000 $582,500 13 120 51
Sub-Specialty
Gastroenterology $567,500 $37,500 $667,500 36 127 72
Neurology $325,000 $50,000 $275,000 48 344 344
Hospital-Based
Emergency Medicine  $315,600 $40,000 $418,000 14 229 135
Hospitalist $237,500 $15,000 $270,000 27 214 200
Pediatric Hospitalist $227,500 $45,000 $237,500 28 140 72

Data reflects averages from placements and interviews by Delta Physician Placement from April 2016 through March 2017. “Potential 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

Placements by Population

Data indicates sources of candidates for placements and interviews from April 2016 through March 2017.

Candidate Sources

Candidate Sources

 

Data indicates sources of candidates for placements and interviews from April 2016 through March 2017.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

Map represents searches initiated by Delta Physician Placement on behalf of healthcare facilities from April 2016 through March 2017.



Specialty Demand Comparison

  1st Quarter 2017 1st Quarter 2016
1. Family Medicine Family Medicine
2. Psychiatry Psychiatry
3. Obstetrics/Gynecology Family Medicine - Obstetrics
4. Hospitalist Hospitalist
5. Internal Medicine Internal Medicine
6. Emergency Medicine Orthopedic Surgery
7. Family Medicine - Obstetrics Pediatrics
8. Pediatric Critical Care Medicine Ophthalmology
9. Pulmonary Critical Care Medicine Otolaryngology
10. Surgery - General Emergency Medicine
11. Urology Gastroenterology
12. Neurology Neonatal-Perinatal Medicine
13.

Pediatric Hospitalist

Surgery - General
14. Pediatric Pulmonology Anesthesiology
15. Medical Oncology

Cardiology-Invasive

Data compares the top 15 most requested searches initiated by Delta Physician Placement, comparing the first quarters of 2016 and 2017.

Search Distribution Specialty

Search Distribution Specialty

Data indicates the percentage of searches initiated by specialty grouping between April 2016 through March 2017.



Candidate Placements

  Top 5 States Providers Have
Taken New Opportunities
1. Texas
2. Iowa
3. Ohio
4. Pennsylvania
5. Colorado

Compares all states for the top 5 candidate placements as initiated by Delta Physician Placement from April 2016 through March 2017.

Locum Tenens

Days Requested - Top Specialties

Days Requested

Data indicates the top specialties by days requested from April 2016 through March 2017.

Nationwide Physician Distribution

Nationwide

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

1st Quarter 2017
April 2016 - March 2017

Industry Perspectives

No Time to Wait: 3 Reasons Why You Need to Recruit Now

By Mark Montague, Marketing Consultant, Delta Physician Placement

Experts predict between 22 percent and  about 40 percent of employees across industries are planning to leave their jobs within a year. And in the healthcare sector, there is a forecasted shortage of up to 104,900 doctors by 2030. Mitigating the expected shortages in providers with a forward-looking plan. As such, here are the top three reasons why you shouldn’t wait to recruit healthcare providers.

Battling Against Burnout

Fifty-one percent of physicians have reported feelings of burnout, according to Medscape’s “Lifestyle Report 2017, Race and Ethnicity, Bias and Burnout,” which is a staggering 25 percent increase over the last four years. Contributing to this mindset are bureaucratic tasks, a lack of work-life balance, and difficult patients. The five practices with the greatest percentage of burnout, according to Medscape, are emergency medicine (59%), OB/Gyn (56%), family medicine (55%), internal medicine (55%), and infectious disease (55%).

Physicians who experience burnout are less likely to have job satisfaction, and are inclined to look for other work, adding to staffing turnover. Because burnout is a serious and pervasive issue, hospitals and medical facilities must think about the future—and recruit accordingly.

Slowed H1-B Visa Process

The processing procedures for securing temporary visas for skilled workers, known as H-1B visas, have changed. Approving an H-1B visa takes months, and now employers no longer have the option to pay a premium processing fee to get approval in a couple of weeks. Employers who often rely on physicians who aren’t American born (about 25 percent of all physicians) or American trained will have to wait much longer for staffing solutions. In addition, foreign medical students who rely on U.S. facilities to train and complete their residencies are also impacted.

Larger Compensation Packages

The cost to hire providers increases every year, from salaries to overall compensation packages. In the past five years, there has been a 10 percent increase in signing bonuses, with non-physician providers reporting a median $5,000 signing bonus and physicians reporting a $20,000 median signing bonus.  The longer employers wait to recruit, the more expensive staffing becomes.

Hospitals and medical facilities are facing an uphill battle to meet the demand for providers, and Delta Physician Placement is here to assist with permanent healthcare staffing solutions. As our population ages and lives longer, and as more physicians retire and are replaced by younger providers who define job satisfaction by fewer hours and less on-the-job stress, proactive recruiting of qualified candidates will be key to success.

Placements & Interviews

Placement Data by Specialty

This data represents average statistics of placements and interviews by Delta Healthcare Providers 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 Student Loan Repayment Relocation Reimbursement From Interview to Placement Total Placements Fastest Days-to-Fill
Rehabilitation
Occupational Therapist $82,879 $9,658 $25,625 $4,567 5 79 1
Physical Therapist $82,651 $11,932 $18,068 $4,146 8 63 1
Speech-Language Pathologist $78,265 $6,600 $11,550 $3,600 19 59 1
Occupational Therapy Assistant $75,000 $15,000 - $5,000 6 38 38
Physical Therapy Assistant $68,481 $10,833 $25,000 $12,071 11 68 26
Extenders
Nurse Practitioner $120,649 $13,447 $36,711 $10,396 15 67 12
Physician Assistant $117,000 $10,750 $35,333 $5,833 8 92 14
Allied/Other
Dentist $160,880 $15,000 $50,000 $7,000 16 77 8
Licensed Clinical Social Worker $65,000 $5,000  -  $14,000 14 86 76
Diagnostic Medical Sonographer $66,520 $10,000          -  $8,333 14 64 48
Audiologist $80,000 - - $5,000 7 35 35
Nursing
Director of Emergency Dept. $105,000 $3,000 - $4,000 7 76 76
CRNA $170,667 $25,000 $20,000 $9,000 36 78 45
Case Manager $81,500 - $20,000 $4,500 10 50 46
Registered Nurse $78,789 $8,315 $25,030 $6,787 94 81 9

Data reflects averages from placements and interviews by Delta Healthcare Providers from April 2016 through March 2017. “Average Compensation” data reflects average yearly compensation for each position listed above. “Average Days” data does not include off-contract placements.


Placements by Population

Placements by Population

Data indicates the percentage of placements made from April 2016 through March 2017 by the population of the search facility's metropolitan area.

Years of Experience

Years of Experience

 

Data indicates the average years of experience of candidates for placements and interviews from April 2016 through March 2017.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

Map represents searches initiated by Delta Healthcare Providers on behalf of healthcare facilities from April 2016 through March 2017.



Candidate Placements

  Top 5 States Providers Have
Taken New Opportunities
1. California
2. Alaska
3. Oregon
4. Texas
5. New Mexico


Data is compiled from assignments placed by Delta Healthcare Providers from April 2016 through March 2017.

Specialty Demand Comparison

  1st Quarter 2017 1st Quarter 2016
1. Registered Nurse Physical Therapist
2. Physical Therapist

Registered Nurse

3. Nurse Practitioner Occupational Therapist
4. Dentist Nurse Practitioner
5. Licensed Clinical Social Worker Dentist

 


Candidate Sources

Candidate Sources


Data indicates sources of candidates for placements and interviews from April 2016 through March 2017.

Staffing

Facility Demographics

Facility Demographics Charts


Data is compiled from assignments placed by Delta Healthcare Providers from January 2017 through March 2017.



Years of Experience

Years of Experience

 

Data is compiled from assignments placed by Delta Healthcare Providers from January 2017 through March 2017