Subscribe  |  Past Issues

The Standard Q2 2015

Choose which Standard you would like to view:






Industry Perspectives

According to studies throughout the industry, the utilization of locum tenens physicians is at an all time high, and is only projected to grow as a more popular practice in the coming years for physician recruitment. In a recent survey conducted by a national staffing firm, 91 percent of the 259 healthcare facility managers surveyed indicated they had used a locum tenens physician at least once in the last 12 months, 42 percent said they are currently looking for one or more locum tenens physicians, and 73 percent of respondents said they use at least one locum tenens physician in a typical month. As reported by this edition of The Standard, demand for hospitalists and primary care physicians make up almost half of requested searches, and demand remains relatively consistent across the nation. 

Although evidence supports a much greater adoption of locum tenens practices then say, that of five years ago, there is still hesitancy on the part of hospital and medical practice executives about making use of this valuable resource. Understandably, the most common argument to the implementation of a locums physician to a recruiting facility is the initial cost of the investment. When looking at the “bottom line,” utilization of a locums physician requiring a certain dollar amount per hour toward salary, plus travel and housing fees might seem like a hindrance instead of a lucrative investment. However, in most instances, locum tenens physicians more than pay for themselves in terms of professional service revenue (physician billing) and inpatient and outpatient revenue generated for their affiliate hospital. This was recently illustrated in a study conducted by the National Association of Locum Tenens Organizations, where the following information was reported: 

 

Specialty

Approximate cost for locum tenens physician per day

Approximate professional fee collections per day

Anesthesiology

$1,855

$2,425

Cardiology

$1,780

$2,970

Emergency Medicine

$2,450

$1,265

Family Medicine

$865

$1,535

Gastroenterology

$1,575

$3,225

General Surgery

$1,740

$2,325

Internal Medicine

$905

$1,500

OB/GYN

$1,825

$2,450

OrthopedicSurgery

$1,920

$2,450

Radiology

$2,490

$3,140

Other arguments against utilization of locum tenens physicians have included patient satisfaction ratings, referring physician satisfaction, and the argument against temporary employment itself on physician retention. In all, organizations that use locum tenens physicians have reported a positive impact toward their organization. In instances where high patient volume has increased wait times for patients to receive treatment, overall satisfaction rates plummet, as patients choose to seek healthcare elsewhere, or at a minimum share their woes with friends and relatives (or whatever digital channels at the disposal of their fingertips). Utilizing a locums physician to compensate high demand and decrease wait times for patients to see a doctor has an immediate effect on patient satisfaction. And, like patients, referring physicians expect full-service, high-quality care for their patients. They want their radiology reports delivered in a timely manner and they want the comfort of knowing that if they need a cardiology consult at 3:00 a.m. on a Sunday morning that they can get it. Locum tenens coverage creates access to such scenarios, eliminating tensions and increasing satisfaction of referring physicians. Also, in many cases the addition of a locum tenens physician to a team of overstretched full time physicians has actually seen a direct uptick in employment satisfaction and retention rates of full-time physicians. Full-time physicians seeking a work/life balance where they can avoid burnout appreciate the added help of a locums physician covering call twice per week or lessening patient demand by picking up a few additional shifts. 

Today, many talented and qualified individuals are choosing locum tenens as a long-term career choice, and this trend seems to be growing. With greater access to locum tenens physicians, healthcare facilities have the opportunity to take advantage of these resources to improve care and satisfaction rates at their organization. According to the Association of American Medical Colleges, by 2025, physician demand is expected to exceed supply by a range of 46,000 to 90,000, due to an aging population and full implementation of the Affordable Care Act. How healthcare facilities choose to handle this implication will involve creative staffing solutions and the adoption of new payment and delivery models. As a result, more organizations may be turning to locum tenens physicians as it becomes increasingly difficult to find physicians to fill full-time positions. 

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 $203,448 $40,423 $253,207 55 144 22
Internal Medicine $217,188 $19,286 $273,125 44 135 34
Obstetrics/Gynecology $328,000 $31,250 $398,750 18 84 55
Pediatrics $217,200 $20,000 $257,000 25 133 33
Psychiatry $228,200 $16,667 $276,500 13 134 19
Surgery
Orthopedic Surgery $573,333 $79,167 $791,667 32 134 40
Otolaryngology $487,500 $62,500 $550,000 53 141 93
General Surgery $373,750 $53,750 $416,250 45 181 63
Urology $515,000 $75,000 $625,000 108 173 118
Sub-Specialty
Physical Medicine/Rehab $357,500 $30,000 $375,000 34 174 96
Pulmonary Critical Care $322,500 $23,750 $487,500 24 131 73
Hospital-Based
Emergency Medicine  $400,000 $33,333 $466,667 9 129 94
Hospitalist  $261,188 $21,875 $267,063 39 173 1

Data reflects averages from placements and interviews by Delta Physician Placement from July 2014 to June 2015. “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 June 2014 through July 2015.

Candidate Sources

 

Candidate Sources

Data indicates sources of candidates for placements and interviews from June 2014 through July 2015.

Market Demand



Specialty Demand Comparison

  2nd Quarter 2015 2nd Quarter 2014
1. Family Medicine Family Medicine
2. Psychiatry Internal Medicine
3. Gastroenterology Pediatrics
4. Urology  Psychiatry
5. Pediatrics Urology
6. General Surgery Obstetrics and Gynecology
7. Orthopedic Surgery Physical Medicine & Rehab
8. Otolaryngology General Surgery 
9. Caridology

Surgery - Oral & Maxillofacial

10. Emergency Medicine Endocrinology
11. Family Medicine - Obstetrics  Family Medicine - Obstetrics 
12. Hospitalist Gastroenterology
13.

Internal Medicine 

Gastric Medicine - FP
14. Obstetrics and Gynecology Obstetrics and Gynecology
15. Podiatry

Hospitalist  

Data compares the top 15 most requested searches initiated by Delta Physician Placement, comparing the second quarters of 2014 and 2015.

Nationwide Search Distribution

 

Nationwide Search Distribution



Candidate Placements

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

Compares all states for the top 5 candidate placements as initiated by Delta Physician Placement from June 2014 through July 2015.

Locum Tenens

Days Requested - Top Specialties

 

Days Requested

Data indicates the top specialties by days requested from June 2014 through July 2015.

Nationwide Physician Distribution

Nationwide

Map represents searches initiated by Delta Physician Placement on behalf of healthcare facilities from June 2014 through July 2015.

2nd Quarter 2015 
June 2014 - July 2015

Industry Perspectives

Recently, allied licensing has seen an uptick in regulation of healthcare providers. As patient safety concerns grow, state licensing boards have begun to look at new ways to protect the public and ensure that allied professionals are qualified and eligible for licensure. 

Some states have instituted licensure for specialties that previously were unregulated. For instance, Hawaii and Colorado now licenses physical therapy assistants, occupational therapy assistants, and speech language pathologists. In states where licensure was already in effect, we have seen requirements for licensure become more stringent, with more and more states requiring criminal background checks as part of the licensing process. Additionally, the majority of states now require a Jurisprudence exam to ensure that Allied providers are knowledgeable of the rules, laws, and ethics for each specific state. 

Navigating the licensure process can seem daunting to many providers entering into the process, or hiring facilities looking to employ eligible talent. As new regulations come into effect, it is important to remain informed of eligibility standards, as they impact recruitment and potential employee start dates. Partnering with an agency knowledgeable of the evolving requirements necessary for allied licensure equips hiring facilities with an army of informed, experienced experts of the licensure field. These individuals are prepared to evaluate and administer all necessary requirements specific to any allied assignment. 

Overall frequency and cost of licensure has seen a slight uptick since last quarter. While licensure for physical therapy has remained consistent, occupational therapy and occupational therapy assistants have seen a significant increase licensure this quarter. 

Despite an influx in occupation therapy licensure this quarter, and increased regulation in the overall licensing process, Delta Healthcare Providers did not see an impact in required time per license. 

Why? A qualified licensing team is in constant communication with the allied state licensing boards to ensure that employees are current on the requirements for licensure for each specialty in each state. This ensures that any changes to the processes at the state level will not impact the time required for an allied provider to obtain a new license. Adopting this structure allows facilities and providers the peace of mind necessary to continue being all-stars in their field, and to focus on exceptional patient care, while the licensure process remains behind the scenes.

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
Physical Therapy $80,270 $10,543 $67,960 $6,250 6 66 1
Occupational Therapy $80,544 $9,872 $13,754 $4,125 8 82 2
Speech Language Pathology $74,120 $4,500 $18,000 $3,500 4 39 14
Extenders
Nurse Practitioner $110,027 $7,275 $54,063 $5,758 14 105 10
Physician Assistant $122,099 $7,167 $49,667 $6,444 13 125 15
Medical Technology $51,364 $4,500 - $2,500 3 43 20
Allied/Other
Dentist  $143,667 $9,750 $55,000 $6,143 6 94 8
Psychologist $86,705 $5,000 $27,500 $5,333 9 124 16
Nursing
Registered Nurse $67,448 $9,750 $55,000 $6,143 8 94 8
Dir. of Nursing  $87,705 $5,000 - $5,000 13 95 61
Dir. of Surgical Services  $85,009 - - $3,000 7 89 89
Home Healthcare Dir. $75,421 $30,000 - $5,000 5 134 85
Nurse Manager of ICU $95,000 $5,000 - $5,000 6 72 72
Nurse Manager of OB/GYN $85,000 $5,000 $5,000 $2,500 11 53 53
Nurse Manager of Surgical Services $79,000 $5,000 - $5,000 29 111 111

Data is compiled from assignments placed by Delta Healthcare Providers from June 2014 through July 2015.


Placements by Population

Placements by Population

Data indicates the percentage of placements made from June 2014 through July 2015 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 June 2014 through July 2015..

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

Map represents searches initiated by Delta Healthcare Providers on behalf of healthcare facilities from June 2014 through July 2015.



 Candidate Placements

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

Data is compiled from assignments placed by Delta Healthcare Providers from June 2014 through July 2015.

Specialty Demand Comparison

  2nd Quarter 2015 2nd Quarter 2014
1. Registered Nurse Physical Therapist
2.  Physical Therapist  Registered Nurse
3. Nurse Practitioner Nurse Practitioner
4. Occupational Therapist Occupational Therapist
5. Dentist Physician Assistant

Data compares the top 5 most requested searches initiated by Delta Healthcare Providers in the second Quarters of 2014 and 2015.


Candidate Sources

 

Candidate Sources

Data indicates sources of candidates for placements and interviews from June 2014 through July 2015.

Staffing

Facility Demographics

Facility Demographics Charts



Years of Experience 

Years of Experience

Data indicates the average years of experience of candidates for placements and interviews from June 2014 through July 2015.