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The Standard Q4 2012

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4th Quarter 2012 
January 2012 - December 2012

Industry Perspectives

Courting your new physician

Matt Robbins, Senior Director of Recruiting, Delta Physician Placement 

The orientation process is an extremely important time for new physicians. This period is used to bring new hires up to speed on facility policy, but also sets the tone of what a physician should expect during their tenure. While it is important for facility directors to ensure a proper orientation process is in place to explain all administrative and day-to-day responsibilities expected of a physician’s new role, it is also critical that this time be used to build essential relationships between the incoming provider and their new coworkers, neighbors, and potential patients.

As with the start of any new relationship, people want to make an impactful first impression. In recruiting, this typically occurs during the interview process as desirable providers are wined and dined by facility directors presenting options from both a financial and personally appealing level. Typically, this strategy is effective. However, as even the most inexperienced bachelor would tell you, successful courtship does not end after the first date. The following 90 days are essential to establishing a new physician’s role within the facility, and acclimating both the provider and the provider’s family into their community.

Over time, Delta Physician Placement representatives have been involved in many creative and successful techniques for welcoming new providers into their potential role. Some of the most memorable examples were also the most personal to the incoming provider. For example, during the interview process for an orthopedic surgeon in Ohio, the hospital’s CEO set out to ensure the physician’s wife felt included in her possible new home—and the facility’s Delta Physician Placement recruiter happened to know the physician’s wife was a major cycling enthusiast. As the surgeon interviewed for the position, the local cycling club reached out to the physician’s wife, asking for her measurements, and welcoming her to the community. When the physician accepted the position and the couple arrived to town, the entire cycling club welcomed the pair to their new home with a measured bike and cycling equipment for the physician’s wife.

Another physician was moved after the CEO of a hiring facility in Arkansas reached out to the incoming provider’s son. Both the physician and CEO had sons around the same age, so in order to make the physician’s young son feel included in his new surroundings, the CEO arranged a play date for the boys. The sons hit it off, and three hours later a family friendship was born.

Taking the initiative to ingrain a new provider into your staff is not only rewarding to your new hire, but can also provide lasting benefits to your facility. Increased involvement within the facility culture could be predictive of improved retention.

In a case study published by Mental Health Services Research, researchers examined the effects of culture and climate on workplace attitudes and the subsequent impact of work attitudes on staff turnover. Not surprisingly, the study supported the conclusion that workplace attitudes significantly predicted one-year staff turnover rates, which in turn impact staff morale, short-term and long-term productivity, and organizational effectiveness. This stands to reason that in order to promote collaborative interpersonal workplace relationships across a facility’s culture, the initial time spent facilitating these relationships with a new provider may be worth the investment.

Holding a 30-day, 60-day, and 90-day review could be a great way to ensure you are checking in with your new provider and continuing a successful courtship. Perhaps this would be a chance to arrange out-of-the-office dinners for staff members and their families, in order for the group and their spouses to bond. By planting the seed for staff cohesion, you are helping your providers to grow roots within the overall fluidity of your facility’s working dynamic.

Additionally, taking the time to intertwine a new provider and their family with key members of their new community could consequently prove to be a successful marketing strategy to target new patients. For example, Delta Physician Placement recently paired a facility in western Montana with a family practitioner who had a dual specialty in sports medicine. Following the placement, the facility’s director introduced the new physician to the local athletic director, who designated the physician as the primary provider for the town’s high school football, baseball, basketball, and other sports teams.

As patients in the community develop relationships with your provider and the provider’s family, they build a sense of trust that can carry over into patient care. In a study published by Oxford Journal, a Californian hospital examined the impact of patient’s trust on their perceived outcomes. It was found that patients with a low level of trust were less satisfied with their care, were less likely to intend to follow the doctor’s advice, and were less likely to report symptom improvement at two weeks. However, if a patient has already fostered a relationship with their provider or provider’s family, even outside of the realm of medicine, this trust could already be established prior to the patient’s visit.

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 $194,650 $21,196 $248,336 46 170 18
Internal Medicine $218,519 $26,339 $301,111 52 207 28
Pediatrics $195,288 $26,944 $219,877 38 113 64
Psychiatry $214,893 $23,125 $241,521 50 120 42
Obstetrics/Gynecology $275,353 $26,034 $359,846 23 169 68
Surgery
General Surgery $350,777 $31,660 $430,150 41 116 29
Orthopedic Surgery $500,980 $25,333 $651,222 238 137 100
Otolaryngology $397,941 $77,058 $510,300 54 238 108
Urology $440,428 $34,259 $560,620 115 223 155
Sub-Specialty
Cardiology $462,250 $20,000 $602,091 53 97 97
Oncology $399,980 $22,500 $592,500 71 213 138
Neurology $271,428 $22,500 $318,666 61 136 129
Pulmonary Critical Care $375,000 $38,928 $424,047 63 174 57
Gastroenterology $440,428 $36,250 $565,178 105 240 240
Hospital-Based
Anesthesiology $392,500 $20,000 $437,500 7 37 31
Radiology $502,000 $50,000 $700,000 79 100 100
Hospitalist $229,693 $23,125 $282,131 60 151 21
Emergency Medicine $245,578 $23,835 $295,251 27 133 30

Data reflects averages from placements and interviews by Delta Physician Placement from January 2012 through December 2012. “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 the percentage of placements made from January 2012 through December 2012 by the population of the search facility’s metropolitan area.

Candidate Sources

Candidate Sources

Data indicates sources of candidates for placements and interviews from January 2012 through December 2012.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

Map represents searches initiated by Delta Physician Placement on behalf of healthcare facilities from January 2012 through December 2012.



Specialty Demand Comparison

4th Quarter 2012 4th Quarter 2011
1. Family Medicine Family Medicine
2. Internal Medicine Internal Medicine
3. Emergency Medicine Psychiatry
4. Hospitalist Emergency Medicine
5. Psychiatry Hospitalist
6. Pediatrics General Surgery
7. Obstetrics and Gynecology Gastroenterology
8. General Surgery Neurology
9. Family Medicine/Obstetrics Urology
10. Orthopedic Surgery Orthopedic Surgery
11. Urology Obstetrics and Gynecology
12. Otolaryngology Pediatrics
13. Pulmonary Critical Care Cardiology
14. Gastroenterology PM&R
15. Urgent Care

Otolaryngology

Data compares the top 15 most requested searches initiated by Delta Physician Placement in the 4th Quarters of 2011 and 2012.

Search Specialty Distribution

Search Distribution by Specialty Group

Data indicates the percentage of searches initiated by specialty grouping between January 2012 through December 2012.



Candidate Placements

Top 5 States Providers Have
Taken New Opportunities
1. North Dakota
2. Texas
3. Nebraska
4. Colorado
5. Wisconsin

Data indicates sources of candidates for placements and interviews from January 2012 through December 2012.

Locum Tenens

Days Requested

Specialty Number of Days
1. Hospitalist 31,612
2. Family Medicine 14,939
3. Emergency Medicine 14,146
4. Nurse Practitioner 7,069
5. Psychiatry 5,120

Data indicates sources of candidates for placements and interviews from January 2012 through December 2012.

Nationwide Physician Distribution

Nationwide

Data indicates sources of candidates for placements and interviews from January 2012 through December 2012.

Privileging

Lowest Average
to Close Credentialing
Number of Days Lowest Average
to Close Credentialing
Number of Days
1. North Dakota 12 6. Michigan 25
2. New York 12 7. Montana 25
3. Iowa 16 8. California 25
4. Maryland 23 9. Arkansas 30
5. Arizona 24 10. West Virginia 32

Total Privileging
files Completed

658

Average days
to complete a file

47

Data indicates total number of days - highest and lowest for a state to close credentialling from January 2012 through December 2012. This data represents all states Delta Locum Tenens has done business in during the past 12 months.


4th Quarter 2012
 
January 2012 - December 2012

Industry Perspectives

Fixed testing dates: Planning ahead for 2013

Trinity Bruce, Licensing Team Lead, Delta Healthcare Providers 

The Federation of State Boards of Physical Therapy (FSBPT) has scheduled the national physical therapy examination (NPTE) to occur on four available dates for 2013, for both physical therapy and physical therapy assistant applicants. With the release of these dates, hiring facilities can plan accordingly to ensure providers complete their certification and processing without any delay to the hiring process within their facility.

Prior to 2012, the NPTE never factored into a provider’s start date because the test was offered on a continuous basis with no cap to how many times a provider registered or attempted the certification. However, now that the test is offered at a set four-times per year, a trend has developed in an influx of available applicants following each testing period.

“The biggest delay we have seen is in the processing time after a testing date,” said licensing coordinator Trinity Bruce. “The FSBPT is being hit with thousands of applicants after each date, which delays licensure. Before FSBPT made the switch to fixed testing dates, processing time may have taken a week to complete. Now, because of the sheer number of applicants available, the process could take up to three.”

Bruce suggested that hiring managers account for this delay by planning ahead.

“Facilities can plan to hire new graduates up to five months in advance,” said Bruce. “Credentialing varies by state—for example, some states will require fingerprinting for a background check, which can put you 6 weeks behind and under the gun for jurisdiction approval. As a hiring manager, you can ensure a timely start date for your provider by planning in advance for their processing.”

When a new graduate begins NPTE certification, the process takes about three months to complete. For example, to take the test in April, registration occurs in March, and test scores are reported to jurisdictions in May. Any delay or missed deadline would push the credentialing process back an entire quarter, as an applicant would have to wait for the next available testing date.

“Facilities can’t start scheduling patients if their provider’s certification is pushed back,” said Bruce. “As 2013 kicks off, facilities can look at their budget and time to ensure their preferred provider has a smooth credentialing and hiring process.”

PT NPTE PTA NPTE
January 29 January 8
April 30 April 8
July 24 July 10
October 30 October 9

Placements & Interviews

Placement Data by Specialty

This data represents average statistics of placements and interviews by Delta Healthcare 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 Student Loan Repayment Relocation Reimbursement From Interview to Placement Total Placements Fastest Days-to-Fill
Rehabilitation
Physical Therapy $82,510 $8,637 $38,993 $3,620 19 82 3
Occupational Therapy $75,057 $7,692 $19,600 $4,849 28 96 13
Speech Language Pathology $62,286 $5,667 $26,793 $2,947 18 101 66
Extenders
Nurse Practitioner $96,972 $7,825 $38,814 $6,940 36 95 8
Physician Assistant $103,485 $8,637 $38,993 $3,620 18 82 3
Allied/Other
Registered Nurse $71,205 $4,882 $10,857 $5,375 11 63 15
Pharmacy $102,905 $5,000 $2,000 $3,700 11 51 21
Medical Technology $58,613 $1,500 - $5,667 9 42 21

Data reflects averages from placements and interviews by Delta Physician Placement from January 2012 through December 2012. “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 the percentage of placements made from January 2012 through December 2012 by the population of the search facility’s metropolitan area.

Years of Experience

Years of Experience

Data is compiled from assignments placed by Delta Healthcare Providers from January 2012 through December 2012.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

Map represents searches initiated by Delta Healthcare Placement on behalf of healthcare facilities from January 2012 through December 2012.



Candidate Placements

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

Compares all states for the top 5 candidate placements as initiated by Delta Healthcare Placement from January 2012 through December 2012.

Specialty Demand Comparison

4th Quarter 2012 4th Quarter 2011
1. Physical Therapy Physical Therapy
2. Nurse Practitioner Occupational Therapy
3. Occupational Therapy Nurse Practitioner
4. Registered Nurse Registered Nurse
5. Physician Assistant Physician Assistant

Data compares the top 5 most requested searches initiated by Delta Healthcare Providers in the 4th Quarters of 2011 and 2012.


Staffing

Facility Demographics

Assignment Settings


Assignments by Specialty

Specialty Average Length Contract
to Start Date
Average Length
of Assignment
Physical Therapy 6 weeks 12 weeks
Physical Therapy Assistant 5 weeks 12 weeks
Occupational Therapy 6 weeks 12 weeks
COTA 2 weeks 12 weeks
Speech Language Pathology 6 weeks 12 weeks

Data is compiled from assignments placed by Delta Healthcare Providers from January 2012 through December 2012.


Top Licensure States

top_licensure_states

Map represents top licensure states by Delta Healthcare Providers on behalf of healthcare facilities from January 2012 through December 2012.

Years of Experience 

Years of Experience

Data is compiled from travel assignments placed by Delta Healthcare Providers from January 2012 through December 2012.


Licenses Per Quarter

Licenses Per Quarter

Data is compiled from assignments placed by Delta Healthcare Providers from January 2012 through December 2012.


Licensure Cost

Specialty Average Cost of License
Physical Therapy $241.67
Physical Therapy Assistant $159.41
Occupational Therapy $193.61
COTA $175.00

Data is compiled from assignments placed by Delta Healthcare Providers from January 2012 through December 2012.