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2009 H1N1 Influenza Update

Author Healthcare Career Blogger | 04.05.2009 | Category 2009 H1N1 influenza, CRNA, Family Medicine, Healthcare Career Blog, Hospitals, Locum Tenens, Physicians, diseases, infectious diseases

Candidate Direct urges our clients and friends to closely monitor the evolving 2009 H1N1 influenza or “Swine Flu” outbreak in the United States. For those in the medical field, it is particularly important to stay informed. The following web sites offer Candidate Direct physicians and locum tenens additional updated information.

The CDC, infectious disease specialists and a multitude of health agencies are collecting data, monitoring and reporting on the latest developments with the H1N1 virus. As of today, they are urging healthcare professionals and the population at large to be prudent, but not to panic. Family medicine and emergency medicine physicians have been inundated with inquiries and visits from patients who are concerned about symptoms and learning how to avoid infection. Every inquiry must be evaluated on a case by case basis, and at this point one of the most important steps that anyone can take is to stay on top of the news. It is also imperative to follow these guidelines to avoid infection:

  • Physicians and Locum Tenens should monitor the constantly changing flu event by visiting the web sites listed above and/or watching the news
  • It goes without saying that medical professionals must follow the strictest hygiene practices while on duty. Just a reminder to also take personal responsibility for hygiene on your own time. Avoid unnecessary contact with obviously ill people, thoroughly covering your mouth and nose with disposable tissues or the inside of your elbow when sneezing or coughing and dispose of the tissue properly. Thorough and frequent hand washing is also key.
  • Physicians and Locum Tenens should carry alcohol-based hand sanitizer and use it frequently through out the day.
  • If you develop flu-like symptoms, contact your personal physician as soon as possible.
Candidate Direct provides locum tenens and CRNA’s news, information and resources to stay current and informed on healthcare issues and career development.

What is the Most Likely Reason Rural Communities have Physician Shortages?

Author Healthcare Career Blogger | 13.04.2009 | Category Hospitals, Locum Tenens, Medical doctor jobs, OB GYN jobs, Orthopedic Surgery, Physician Career Path, Physician Shortage, Physicians

If we were on the popular tv game show Family Feud (now hosted by John O’Hurley, of Seinfeld fame), the question might be put to us this way:

Name a reason that big cities tend to have more doctors than rural communities:

Would you name either of these two reasons?

  • Affluent areas pay higher salaries than rural areas
  • Physicians tend to settle down near the place they were trained

And the Survey Says …

Both! Affluent communities in and around big cities are where the majority of medical schools and teaching hospitals are located. As doctors leave school and move forward with their careers in physician residency jobs, they tend to settle near the large teaching hospitals where they trained.

For example, San Francisco and Washington DC are loaded with medical schools, as well as high-income residents:

  • San Francisco, California, had 117 primary care doctors per 100,000 residents.
  • Washington, D.C., had 102 primary care doctors per 100,000 residents

Whereas, in these more rural communities with fewer medical schools and lower household income:

  • McAllen, Texas, had just 45 primary care doctors per 100,000 residents
  • El Paso, Texas, had 47 primary care doctors per 100,000 residents

Who were the researchers that did the study?

The nonprofit group that conducted the survey was The Dartmouth Atlas, funded by The Robert Wood Johnson Foundation. The purpose of this group is to provide research, information and analysis about hospitals, doctors and healthcare markets.

For the research, the nonprofit group evaluated 306 regions nationwide, using data from the government, the American Medical Association, and the American Hospital Association.

The study also found that areas with more doctors tend to have a decreasing amount of hospital beds. But some rural areas have far more beds per capita than more heavily populated areas. For example:

  • San Francisco suburb of San Mateo had 1.45 hospital beds per 1,000 residents
  • While Mississippi’s Jackson and Gulfport both had 4.44 beds per 1,000 residents

What does this all mean for consumers and registered voters who are looking for healthcare reform?

Dr. David Goodman, a professor of pediatrics and community and family medicine at The Dartmouth Institute for Health Policy and Clinical Practice in New Hampshire, which publishes the Atlas had these suggestions:

  • Congress should require the federal Centers for Medicare and Medicaid Services to use its payment policies to try to limit hospital growth in regions that have too many beds.
  • National healthcare reform, should it be implemented, should set up a national commission to direct training dollars to high-need specialties such as primary care physicians

And what is the recommendation for communities that need to attract high quality physicians for staff openings? First, they start by attracting locum tenens in hopes that these physicians may choose to settle in their areas permanently. Once a physician has had a chance to live in a new place, and experienced the alternative to the fast-paced, busy metropolitan lifestyle, they may be more inclined to make the move a permanent one.

What else does it take? Great pay and benefits, less stressful work environments, and a desire to try something new are the top motivators to change for medical doctor jobs in specialties like OB/GYN and Orthopedic Surgery.

Interested in a Physician Job in a Community Hospital that is Ranked Among the Best in the U.S.?

Author Healthcare Career Blogger | 06.04.2009 | Category CRNA, Education, Healthcare Career Blog, Hospitals, Locum Tenens, Medical doctor jobs, Physicians, Pschyriatry Jobs, Travel Nurses, jobs


The Candidate Direct Healthcare Career Blog brings you this breaking news for professionals seeking opportunities in hospitals nationwide.

Given the severe shortage of physicians jobs and CRNAs, many current position postings for permanent and locum tenens are in often in urban and rural communities in a multitude of healthcare settings.

If you like the idea of working in a community hospital, this article is for you! It’s no coincidence that many of these places are also in choice locations for locum tenens who wish to combine work and leisure and visit places like Fort Lauderdale Florida, Colorado Springs, or Atlanta Georgia.

65 of the Best of the Good Community Hospitals

They have no medical school or residents, but they know what they’re doing, some are even ranked!

The following 10 hospitals are not academic medical centers, nor do they have physicians in training. But they are ranked—some of them in multiple specialties—in the latest edition of U.S. News & World Reports, America’s Best Hospitals.

Top 10 Community Hospitals

Hospital Specialty
Austen Riggs Center, Stockbridge, Massachusetts Psychiatry
Baylor Institute for Rehabilitation, Dallas, Texas Rehabilitation
Edward Hospital, Naperville, Illinois Gastrointestinal disorders
Holy Cross Hospital, Fort Lauderdale, Florida Orthopedics
Ingalls Memorial Hospital, Harvey, Illinois Neurology and neurosurgery
John Muir Medical Center, Walnut Creek, California Endocrinology; gastrointestinal disorders; geriatric care; orthopedics; respiratory disorders
Penrose-St. Francis Health Services, Colorado Springs, Colorado Gastrointestinal disorders; respiratory disorders
Shepherd Center, Atlanta, Georgia Rehabilitation
St. Francis Hospital, Roslyn, New York Gastrointestinal disorders; geriatric care; heart and heart surgery
Sutter Medical Center, Sacramento, California Neurology and neurosurgery

The 55 non-teaching hospitals below scored nearly high enough in America’s Best Hospitals to be ranked.

Hospital

Specialty

Baltimore Washington Medical Center Glen Burnie, Maryland Gastrointestinal disorders; neurology and neurosurgery
Baptist Hospital of Miami Miami, Florida Endocrinology
Bayhealth Medical Center Dover, Delaware Respiratory disorders
Beaumont Hospital Troy, Michigan Gastrointestinal disorders; neurology and neurosurgery
Bon Secours Cottage Health Services Grosse Pointe, Michigan Orthopedics
Bon Secours–St. Francis Hospital Charleston, South Carolina Gynecology
Bryan LGH Medical Center Lincoln, Nebraska Ear, nose and throat
Carolinas Hospital System Florence, South Carolina Neurology and neurosurgery
Carolinas Medical Center–NorthEast Concord, North Carolina Endocrinology; neurology and neurosurgery
Central Baptist Hospital Lexington, Kentucky Gynecology; heart and heart surgery; orthopedics
Christian Hospital St. Louis, Missouri Endocrinology
CHRISTUS Hospital–St. Elizabeth Beaumont, Texas Endocrinology
Clara Maass Medical Center Belleville, New Jersey Endocrinology
Columbia Medical City Dallas Hospital Dallas, Texas Endocrinology
Dupont Hospital Fort Wayne, Indiana Gynecology
Edward Hospital Naperville, Illinois Heart and heart surgery
Freeman Health System Joplin, Missouri Neurology and neurosurgery
Henry Ford Wyandotte Hospital Wyandotte, Michigan Neurology and neurosurgery
Hillcrest Hospital Cleveland, Ohio Gastrointestinal disorders
Hoag Memorial Hospital Presbyterian Newport Beach, California Gastrointestinal disorders; gynecology
Holmes Regional Medical Center Melbourne, Florida Endocrinology
Holy Cross Hospital Fort Lauderdale, Florida Geriatric care
Indiana Heart Hospital Indianapolis, Indiana Heart and heart surgery
Jeff Anderson Regional Medical Center Meridian, Mississippi Cancer
JFK Johnson Rehabilitation Institute Edison, New Jersey Rehabilitation
Kansas Surgery and Recovery Center Wichita, Kansas Orthopedics
Marymount Hospital Garfield Heights, Ohio Geriatric care; respiratory disorders
Memorial Health Care System Chattanooga, Tennessee Neurology and neurosurgery
Mercy Health Center Oklahoma City, Oklahoma Ear, nose and throat
Mercy Hospital Miami, Florida Ear, nose and throat; geriatric care; heart and heart surgery; respiratory disorders
Miller-Dwan Medical Center Duluth, Minnesota Gynecology
Mission Health and Hospitals Asheville, North Carolina Endocrinology; respiratory disorders
North Colorado Medical Center Greeley, Colorado Ear, nose and throat
North Kansas City Hospital North Kansas City, Missouri Ear, nose and throat; gastrointestinal disorders
Our Lady of Lourdes Medical Center Camden, New Jersey Geriatric care
Parkview Medical Center Pueblo, Colorado Ear, nose and throat
Penrose–St. Francis Health Services Colorado Springs, Colorado Endocrinology; gynecology
Poudre Valley Hospital Fort Collins, Colorado Endocrinology; gastrointestinal disorders; gynecology; orthopedics; respiratory disorders; urology
Providence Saint Joseph Center Burbank, California Gynecology
Rex Healthcare Raleigh, North Carolina Neurology and neurosurgery
Saint Joseph’s Hospital Atlanta, Georgia Orthopedics
Scottsdale Memorial Hospital–North Scottsdale, Arizona Gastrointestinal disorders; urology
Seton Medical Center Austin, Texas Ear, nose and throat; orthopedics
Sharp Memorial Hospital San Diego, California Urology
South Miami Hospital Miami, Florida Heart and heart surgery
Southeast Alabama Medical Center Dothan, Alabama Ear, nose and throat; neurology and neurosurgery; urology
Southwest General Health Center Middleburg Heights, Ohio Respiratory disorders
St. Anthony Medical Center St. Louis, Missouri Ear, nose and throat
St. Francis Hospital Roslyn, New York Neurology and neurosurgery
St. John’s Hospital Springfield, Missouri Gynecology
St. John’s Hospital St. Paul, Minnesota Urology
St. Joseph’s/Candler, Candler Hospital Savannah, Georgia Gynecology
St. Vincent Heart Center of Indiana Indianapolis, Indiana Heart and heart surgery
Sutter Medical Center Sacramento, California Gynecology
Women’s Hospital Newburgh, Indiana Gynecology

For additional insight on the shortage of CRNA’s see this blog posting, Nurse Anesthetist

Physician jobs that are also in great demand are:

Hospitals make Fortune list of best companies to work for Physician Locum Tenens Jobs

Author Healthcare Career Blogger | 03.03.2009 | Category Hospitals, Locum Tenens, Physical Therapist, Travel Nurses

Fortune magazine’s 2009 list of 100 Best Companies to Work For includes 13 hospitals and health systems across the country. Selection is based on an employee survey and the organization’s pay and benefits, hiring practices, internal communications, training, recognition and diversity efforts. Jobs for locum tenens, travel nurses, and travel therapists are available at many of these prominent organizations with a top locum tenens agency.

Top 2009 best hospitals list

Rank Company/Hospital Job Growth U.S. Employees
1 NetApp 12% 5,014
2 Edward Jones 9% 34,496
3 Boston Consulting Group 10% 1,680
4 Google 40% 12,580
5 Wegmans Food Markets 6% 37,195
6 Cisco Systems 7% 37,123
7 Genentech 5% 10,969
8 Methodist Hospital System 1% 10,535
9 Goldman Sachs 2% 14,088
10 Nugget Market 22% 1,536
11 Adobe Systems 9% 4,255
12 Recreational Equipment (REI) 11% 9,780
13 Devon Energy 11% 3,752
14 Robert W. Baird 4% 2,184
15 W. L. Gore & Associates 5% 5,481
16 Qualcomm 19% 11,932
17 Principal Financial Group -1% 13,343
18 Shared Technologies 12% 1,568
19 OhioHealth 7% 11,858
20 SAS 5% 5,381
21 Arnold & Porter 3% 1,296
22 Whole Foods Market 22% 51,967
23 Zappos.com 39% 1,655
24 Starbucks -6% 146,700
25 Johnson Financial Group 4% 1,300
26 Aflac 1% 4,493
27 QuikTrip 33% 10,159
28 PCL Construction Enterprises 24% 4,420
29 Quicken Loans -41% 2,890
30 Bingham McCutchen -2% 1,605
31 CarMax 14% 16,107
32 Container Store 4% 3,286
33 JM Family Enterprises -1% 4,577
34 Umpqua Bank -4% 1,707
35 Kimley-Horn & Associates -8% 2,190
36 Alston & Bird 7% 1,718
37 TDIndustries 7% 1,713
38 Microsoft 15% 55,237
39 Paychex 5% 12,207
40 EOG Resources 30% 1,803
41 Camden Property Trust -1% 1,849
42 Plante & Moran 4% 1,558
43 Rackspace Hosting 59% 1,992
44 NuStar Energy 23% 1,319
45 King’s Daughters Medical Cntr. 4% 3,041
46 American Fidelity Assurance 10% 1,509
47 DreamWorks Animation SKG 18% 1,614
48 Mattel N.A.% 5,552
49 Intuit 0% 7,637
50 Burns & McDonnell 16% 2,840
51 Ernst & Young 0% 26,090
52 Booz Allen Hamilton 9% 19,243
53 Stew Leonard’s -2% 2,219
54 Erickson Retirement Communities 18% 10,871
55 Salesforce.com 24% 1,958
56 KPMG 7% 24,442
57 Novo Nordisk 11% 3,053
58 PricewaterhouseCoopers -2% 29,144
59 Scripps Health 6% 10,374
60 Scottrade 25% 1,946
61 Deloitte 7% 38,903
62 Griffin Hospital -2% 1,143
63 Mayo Clinic 3% 41,955
64 Milliken -6% 8,150
65 Texas Instruments -4% 14,379
66 MITRE 6% 6,420
67 Children’s Healthcare of Atlanta 8% 5,850
68 Southern Ohio Medical Center 4% 2,188
69 National Instruments 8% 2,527
70 Stanley 65% 4,590
71 Men’s Wearhouse -1% 16,477
72 Nordstrom -8% 49,236
73 Chesapeake Energy 23% 6,850
74 Alcon Laboratories 5% 7,160
75 Atlantic Health 2% 6,968
76 Lehigh Valley Hospital & Health Network 6% 8,897
77 Northwest Community Hospital -3% 3,372
78 Marriott International 2% 124,247
79 Baptist Health South Florida 9% 10,641
80 Bright Horizons -1% 14,437
81 S.C. Johnson & Son -1% 3,368
82 Perkins Coie 3% 1,696
83 eBay 9% 9,089
84 Juniper Networks 15% 3,743
85 Arkansas Children’s Hospital 6% 3,527
86 CH2M HILL 14% 19,011
87 Orrick Herrington & Sutcliffe 8% 1,609
88 Publix Super Markets 3% 141,314
89 Herman Miller -7% 5,646
90 FedEx -1% 233,457
91 Gilbane 12% 2,169
92 Four Seasons Hotels 4% 13,401
93 Valero Energy -4% 16,881
94 Build-A-Bear Workshop 2% 4,886
95 Kimpton Hotels & Restaurants 4% 6,298
96 T-Mobile 12% 39,822
97 Accenture 7% 32,318
98 Vanderbilt University 5% 21,041
99 General Mills -1% 17,018
100 SRA International