Subscribe  |  Past Issues

The Standard Q4 2017

Choose which Standard you would like to view:






Industry Perspectives

Proactive Strategies Help Leaders Recognize the Signs of Physician Burnout

By Leland Roberts, Associate Director, Delta Locum Tenens

Physician burnout is a common story across facilities and specialties, impacting providers of all ages and tenure. While you may naturally conclude that burnout only happens after decades into a career, research from the Advisory Group’s Medical Group Strategy Council shows that 33.3 percent of physicians who have been on the job for less than a year say they experience stress and burnout. In its report, “Combating Physician Burnout,” the Medical Group Strategy Council surveyed U.S. physicians across primary and secondary care disciplines to conclude an unwelcome reality: physician burnout is increasing.
While we can’t eliminate burnout entirely, we can recognize the signs and take a proactive stance to mitigate the negative impact to providers, patients, and hospitals.

Five Steps to Progress 

By the time a physician expresses burnout, the damage is already done. At this point, he or she may already be ready to leave the facility, the profession, or be unmotivated to change. Because burnout is such a widespread issue, mitigating the impact is a high-level priority for 90 percent of the medical executives interviewed by the Advisory Group.

But how?

And after consulting with stakeholders in the field, the Medical Group Strategy Council outlined five insights that could help combat the problem: recognize it might not be who you think; listen (via group forums, one-on-one conversations, or executive rounding); give physicians a choice in operational initiatives (ask them to weigh in on organizational priorities or to help solve problems); balance negative and positive feedback (use quantitative and narrative data); and offer emotional support (via off-center retreats). These insights can be part of a proactive strategy designed to create awareness before burnout becomes a reality.

The Need For Time Off

While most providers begin their careers enthusiastic about the demands of the job, it’s imperative to understand that the reality of the work may prove more taxing than they expected. Identifying when a physician has accumulated an abundance of personal time off (PTO) hours can be a sign that they don’t feel they can take a vacation or spare time away from patients. In these instances, it’s incumbent upon hospital leaders to recognize the need for providers to take a break. And it’s where locum tenens providers can become invaluable.

Locum tenens providers can fill in for a day, week, month or longer. By providing a way for physicians to have PTO, locum tenens professionals help to combat physician burnout. In doing so, these providers not only fill a temporary need, but assist with the ongoing quest to provide excellence in patient 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 Fastest Days-to-Fill
Primary Care
Family Medicine $231,664 $24,516 $278,318 22 1
Family Medicine- Obstetrics $222,334 $52,000 $310,299 23 60
Internal Medicine $223,750 $20,000 $201,000 25 71
Obstetrics/Gynecology $302,500 $20,000 $329,167 33 13
Pediatrics $209,583 $20,909 $256,500 12 63
Psychiatry $238,586 $43,737 $268,500 25 8
Surgery
Orthopedic Surgery $553,680 $58,333 $681,447 27 116
General Surgery $408,333 $45,000 $435,556 33 24
Surgery- Cardiothoracic $460,000 $30,000 $700,000 15 163
Urology $422,500 $22,500 $530,000 10 65
Sub-Specialty
Critical Care Medicine $300,000 $25,000 $425,000 13 73
Neurology $422,500 $22,500 $530,000 10 65
Hospital-Based
Emergency Medicine  $333,878 $16,667 $381,150 22 5
Hospitalist $261,533 $21,000 $301,827 28 4
Pediatric Hospitalist $232,500 $26,000 $243,500 18 116

Data reflects averages from placements and interviews by Delta Physician Placement from January 2017 through December 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 January 2017 through December 2017.

Candidate Sources

Candidate Sources

 

Data indicates sources of candidates for placements and interviews from January 2017 through December 2017.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

Map represents searches initiated by Delta Physician Placement on behalf of healthcare facilities from January 2017 through December 2017.



Specialty Demand Comparison

  4th Quarter 2017 4th Quarter 2016
1. Family Medicine Family Medicine
2. Anesthesiology Internal Medicine
3. Internal Medicine Family Medicine - Obstetrics
4. Neurology Pediatrics
5. Psychiatry Surgery - General
6. Urology Obstetrics/Gynecology
7. Pediatrics Urology
8. Emergency Medicine Emergency Medicine
9. Family Medicine - Obstetrics Geriatric Medicine - IM
10. Hospitalist Otolaryngology
11. Cardiology - Interventional Psychiatry
12. Gastroenterology Allergy/Immunology
13.

Gynecology

Gastroenterology
14. Hematology/Oncology Hospitalist
15. Occupational Medicine

Medical Oncology

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

Search Distribution Specialty

Search Distribution Specialty

Data indicates the percentage of searches initiated by specialty grouping between January 2017 through December 2017.



Candidate Placements

  Top 5 States Providers Have
Taken New Opportunities
1. Wisconsin
2. Pennsylvania
3. Iowa
4. Arizona
5. Minnesota

Compares all states for the top 5 candidate placements as initiated by Delta Physician Placement from January 2017 through December 2017.

Locum Tenens

Days Requested - Top Specialties

Days Requested

Data indicates the top specialties by days requested from January 2017 through December 2017.

Nationwide Physician Distribution

Nationwide

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

4th Quarter 2017
January 2017 - December 2017

Industry Perspectives

The Rise of Telemedicine—and Why You Don’t Want to Be Left Behind

By Molly Mettauer, Marketer, Delta Healthcare Providers

Technology has made it possible for healthcare providers to successfully treat patients virtually, opening up a world that enables greater efficiency at a lower cost. Thanks to telemedicine—the use of telecommunications technology to diagnose and treat patients from remote locations—providers and patients now have an additional channel of communication to deliver and receive relevant, cost-effective medical care.

The Appeal of Virtual Visits

From a provider savings perspective, telemedicine often makes sense. According to Modern Healthcare, 71 percent of organizations adopted telemedicine last year (up from 54 percent in 2014), and 29 percent have seen 20+ percent in cost savings.

For patients, telemedicine can translate into savings of $126 for an acute care visit, according to American Well. And when you consider that a nonemergency in-person visit to a doctor’s office typically costs $100, or $160 at an urgent care clinic, as opposed to a $45 telehealth appointment, it’s easy to understand the appeal.

Less Time, More Efficiency

Across the nation, the acceptance of telemedicine is on the rise. American Well reports that after surveying 2,000 consumers, 64 percent approved of telemedicine. This is largely because of the convenience factor. Professionals with busy schedules, people who have difficulty traveling, parents with a sick child (ear infections, colds, and other conditions easily diagnosed), and those located in rural areas benefit from the convenience of telemedicine.

Providers also see the efficiency advantage, which helps to buoy a 57 percent acceptance rate, according to Becker Hospital Review. Because patient issues are resolved 83 percent of the time during an initial telehealth visit, for many (like stressed out parents or overwhelmed providers), the choice to leverage telemedicine rather than log minutes in person has great appeal.

Staffing For Telemedicine

As more patients and providers leverage telemedicine, the demand increases, particularly for the expertise of registered nurses (RN). Within just 26 days, Delta Healthcare Providers (DHP) successfully completed a telemedicine RN placement with a provider who has 20 years of skilled experience. The community she now works with has less than 30,000 people.

Approximately 7 million patients are expected to utilize telemedicine this year, and about 70 percent of employers said that telemedicine is or will be a part of their benefits package. As such, the demand for telemedicine providers is on the rise.

Telemedicine offers the opportunity for small or rural hospitals to connect to a greater number of patients and provide expanded services. Because of telemedicine, facilities have the potential to realize significant cost savings while continuing to focus on the delivery of high-quality 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 $85,750 $7,571 $30,000 $4,000 5 61 22
Physical Therapist $83,665 $10,667 $22,785 $4,691 10 68 2
Speech-Language Pathologist $83,704 $7,600 $15,000 $4,083 6 106 21
Physical Therapy Assistant $70,000 $2,500 - $2,500 3 74 1
Extenders
Nurse Practitioner $144,600 $18,984 $43,288 $9,515 11 73 1
Physician Assistant $111,000 $7,666 $28,000 $5,500 7 52 14
Allied/Other
Dentist $174,292 $20,667 $52,500 $9,500 11 91 1
Diagnostic Medical Sonographer $61,620 $37,500 $6,500 $6,250 4 59 148
Licensed Clinical Social Worker $71,914 $6,250 - $3,250 14 80 26
Nursing
CRNA $153,000 $48,750 $25,000 $4,500 31 319 255
Registered Nurse $79,497 $10,036 $17,714 $8,286 4 57 3
Director of Nursing $78,000 $2,000 - $5,000 2 121 121
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 January 2017 through December 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 January 2017 through December 2017 by the population of the search facility's metropolitan area.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

Map represents searches initiated by Delta Healthcare Providers on behalf of healthcare facilities from January 2017 through December 2017.



Candidate Placements

  Top 5 States Providers Have
Taken New Opportunities
1. Alaska
2. California
3. Wisconsin
4. Nebraska
5. Kansas

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

Specialty Demand Comparison

  4th Quarter 2017 4th Quarter 2016
1. Physical Therapist Registered Nurse
2. Registered Nurse

Physical Therapist

3. Nurse Practitioner Nurse Practitioner
4. Dentist Dentist
5. Occupational Therapist Medical Lab Technician

 


Candidate Sources

Candidate Sources


Data indicates sources of candidates for placements and interviews from January 2017 through December 2017.

Staffing

Facility Demographics

Facility Demographics Charts


Data is compiled from assignments placed by Delta Healthcare Providers from October 2017 through December 2017.



Years of Experience

Years of Experience

 

Data is compiled from assignments placed by Delta Healthcare Providers from October 2017 through December 2017