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The Standard Q2 2017

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Industry Perspectives

Combatting the National Physician Shortage with Locum Tenens

By Kevin Pegram, Marketing Associate Director, Delta Locum Tenens

From an opportunity outlook, there’s never been a better time to be a practicing physician. And from a temporary healthcare staffing standpoint, there’s never been a more urgent need for locum tenens providers.

The demand for physicians is on the rise and projected to dramatically outpace the supply, particularly in urban, suburban, and rural areas. As the population ages, and with more individuals covered by insurance through the Affordable Care Act (at least for now), the patient pool will continue to expand. According to “The Shortage of Physicians Across the Country: A National Study” conducted by 3d Health, inc., the number of practicing physicians will grow at a rate of 1 percent over the next 10 years, and 2 percent for the following decade. But the numbers still don’t add up.

Today, the shortage equates to about 87,000 physicians nationwide. In five years, that number jumps to 99,592, and in 10 years, it’ll hit 113,612. By 2036, the greatest physician shortages will be in family medicine (33,227), internal medicine (14,942), ophthalmology (8,761), cardiology (8,395), and general surgery (8,316).
The shortage affects every state in the nation. And also, every facility and patient.

The Gold Standard for Action

The state of Wisconsin is tackling the physician shortage problem with what Wisconsin Hospital Association (WHA) president and CEO Eric Borgerding calls the “86 percent equation.” This is the 86 percent likelihood that a student who grew up in Wisconsin, attends a medical school there, and completes an in-state residency, will stay in the state to practice.

WHA has outlined its state’s tactics in the report, “100 New Physicians a Year: An imperative for Wisconsin.” Solutions include: increasing the number of medical residency slots; increasing medical school class size and admitting more in-state students; and implementing a multi-disciplinary team approach for greater patient care.

With such a comprehensive effort, Wisconsin has become the gold standard for combatting the physician shortage.

DLT Fills the Gap

3D Health data reveals that by 2036, about 14 percent of the population will live in rural areas that comprise 40 percent of the physician deficit. Delta Locum Tenens will continue to focus on fulfilling staffing needs in rural medicine, especially in critical access markets, with qualified locum tenens providers. By providing temporary or short-term solutions, DLT is helping to alleviate the physician shortage for the people who need assistance the most.

 

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 $237,301 $25,909 $279,211 29 168 3
Family Medicine- Obstetrics $198,750 $23,333 $247,000 11 140 10
Internal Medicine $221,111 $22,778 $236,000 17 179 63
Obstetrics/Gynecology $316,875 $25,625 $351,875 14 111 13
Pediatrics $208,636 $20,545 $272,091 12 159 40
Psychiatry $233,037 $63,674 $258,000 18 194 24
Surgery
Orthopedic Surgery $498,680 $50,000 $614,781 42 225 148
General Surgery $377,727 $38,333 $412,273 26 132 24
Surgery- Vascular $350,000 - $800,000 47 80 80
Urology $425,000 $20,000 $489,000 8 172 155
Sub-Specialty
Gastroenterology $635,000 $55,000 $735,000 31 181 181
Neurology $325,000 $50,000 $275,000 48 344 344
Hospital-Based
Emergency Medicine  $317,484 $35,000 $404,400 12 184 5
Hospitalist $255,667 $19,111 $293,333 32 196 42
Pediatric Hospitalist $235,000 $70,000 $235,000 29 72 72

Data reflects averages from placements and interviews by Delta Physician Placement from July 2016 through June 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 July 2016 through June 2017.

Candidate Sources

Candidate Sources

 

Data indicates sources of candidates for placements and interviews from July 2016 through June 2017.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

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



Specialty Demand Comparison

  2nd Quarter 2017 2nd Quarter 2016
1. Family Medicine Family Medicine
2. Surgery - General Internal Medicine
3. Obstetrics/Gynecology Psychiatry
4. Pediatrics Family Medicine - Obstetrics
5. Emergency Medicine Neurology
6. Family Medicine - Obstetrics Surgery - General
7. Internal Medicine Pediatrics
8. Psychiatry Pulmonary Critical Care Medicine
9. Dermatology Gastroenterology
10. Endocrinology Obstetrics/Gynecology
11. Psychiatry-Child & Adolescent Otolaryngology
12. Pulmonary Critical Care Medicine Urgent Care
13.

Cardiology-Non-Invasive

Allergy
14. Hematology / Oncology Anesthesiology
15. Hospitalist

Cardiology-Electrophysiology

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

Search Distribution Specialty

Search Distribution Specialty

Data indicates the percentage of searches initiated by specialty grouping between July 2016 through June 2017.



Candidate Placements

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

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

Locum Tenens

Days Requested - Top Specialties

Days Requested

Data indicates the top specialties by days requested from July 2016 through June 2017.

Nationwide Physician Distribution

Nationwide

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

2nd Quarter 2017
July 2016 - June 2017

Industry Perspectives

Battling Back Pain with Expert Physical Therapists

By Molly Mettauer, Principle Marketer, Delta Healthcare Providers

Physical therapy plays a vital role in patient care, particularly for those suffering from lumbar spondylosis, also known as lower back pain. Surprisingly, approximately 80 percent of adults experience low back pain. Age, genetics, lifestyle, type of job, pregnancy, and excess weight all contribute to the condition. For some people, surgery is essential. For many, physical therapy is the recommended treatment—enabling patients to forego surgery altogether. Of course, symptoms and their severity influence the treatment of lumbar spondylosis. An increasing amount of research reveals that sticking to a physician-recommend therapy schedule can dramatically reduce pain and longer-term healthcare costs—without the need to go under the knife. The key to successful treatment is a dedicated patient…and working with the right physical therapist (PT).

No Symptoms, No Problem?

It might surprise you to know that even though so many people have lumbar spondylosis, nearly 37 percent won’t experience initial symptoms, such as localized pain, muscle spasms, or pain after sitting.  Instead, the pain will present in an intense manner, requiring immediate attention.

The Value of Physical Therapy

With the influx of back pain sufferers, there is a lot of discussion around the best course of treatment.  According to an article published by Harvard Medical School, based on a recent study from the Annals of Internal Medicine, physical therapy treatment for a particular kind of lower back pain—lumbar spinal stenosis—is just as effective as surgery.  As a result, the study recommends using surgery only after trying physical therapy for most cases.  In addition to being less invasive, physical therapy usually costs less than surgical procedures. This study, which centered on 753,450 patients who had visited a doctor for lower back pain, revealed that those who had received “early and adherent physical therapy had 60 percent lower” total lower back pain costs.

PT's Role

Of course, no physical therapy program is complete without the right PT. As the National Institute of Neurological Disorders and Stroke explains, physical therapy for lower back problems focuses on muscle strengthening to improve mobility and flexibility. Physical therapy also empowers patients to actively manage their care, which has been seen to lessen subsequent treatments such as imaging, surgery, injections, and the use of opioid medications. To ensure a successful physical therapy program, it is imperative to hire highly skilled therapists. These therapists will motivate patients to make the most of their treatment and are likely to see the best results. With the skyrocketing number of lower back pain sufferers, qualified PTs will continue to be in high demand. Delta Health Providers works with talented PTs across the nation who demonstrate a solid track record of providing excellent patient care.

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 $82,988 $8,950 $29,000 $3,722 6 78 1
Physical Therapist $85,192 $10,250 $21,969 $4,231 8 67 1
Speech-Language Pathologist $86,340 $7,667 $15,000 $3,625 23 72 1
Occupational Therapist $82,988 $8,950 $29,000 $3,722 6 78 1
Physical Therapy Assistant $65,047 $8,750 $25,000 $13,667 11 59 1
Extenders
Nurse Practitioner $134,858 $16,633 $41,250 $10,414 13 69 12
Physician Assistant $121,400 $12,667 $35,333 $6,500 8 74 14
Allied/Other
Dentist $164,850 $20,000 $50,000 $8,750 7 63 1
Diagnostic Medical Sonographer $66,520 $10,000          -  $8,333 14 75 48
Licensed Clinical Social Worker $63,622 $5,000 - $10,000 16 61 76
Nursing
CRNA $170,667 $25,000 $20,000 $9,000 36 170 45
Case Manager $81,500 - $20,000 $4,500 10 50 46
Registered Nurse $78,044 $8,564 $22,224 $6,228 - 115 9
Nurse Manager of Surgical Services $90,000 $4,500 - $2,000 4 40 40

Data reflects averages from placements and interviews by Delta Healthcare Providers from July 2016 through June 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 July 2016 through June 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 July 2016 through June 2017.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

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



Candidate Placements

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

Data is compiled from assignments placed by Delta Healthcare Providers from July 2016 through June 2017.

Specialty Demand Comparison

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

Nurse Practitioner

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

 


Candidate Sources

Candidate Sources


Data indicates sources of candidates for placements and interviews from July 2016 through June 2017.

Staffing

Facility Demographics

Facility Demographics Charts


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



Years of Experience

Years of Experience

 

Data is compiled from assignments placed by Delta Healthcare Providers from April 2017 through June 2017