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Medical Students Weigh in on Healthcare Reform

Author Healthcare Career Blogger | 03.08.2009 | Category Medical Students, Medical doctor jobs, Physician Career Path, Physician Shortage, Physicians, Pre-Med Students, Video, healthcare reform

Like the doctors they aspire to be, medical students are not in total agreement on an ideal healthcare reform proposal. Many worry about the effect that reform will have on their chosen profession, others feel skeptically optimistic about the current bill, while still others feel that President Obama’s proposal is not enough.

A major personal concern of many medical and pre-medical students stems from the astronomical cost of medical school. Over 75% of medical students graduate with well over $100,000 of debt. The only thing that makes this cost a valid investment for many students is the fact that physician jobs salary are high enough to allow for repayment of those loans, but medical students and physicians alike worry about the effect that national healthcare reform will have on doctors’ salaries. Not only will salary reduction affect individual physicians trying to pay back medical school debt, but it is also likely to discourage future would-be physicians from making such an investment in the first place, leading to an even greater shortage of physicians.

Still, many medical students are optimistic about healthcare reform – if it is done right. One current student addresses the public’s fear of socialized medicine by saying that these fears have, ironically enough, “been realized in our privatized system […], with insurance companies and HMO’s dictating the care that can be provided and who can provide it.”

Medical student supporters of healthcare reform, including the American Medical Student Association, have a number of criteria and suggestions for a successful healthcare proposal, including:

• Coverage for all must actually mean coverage for all.  In order for healthcare reform to work, all patients should have access to all doctors, and no discrimination should exist against the elderly or against those with pre-existing health conditions.
• Transparency and accountability are necessities.  Insurance companies must be held accountable for their increasing costs.  Beyond that, insurance companies must not be allowed to deny claims for provider-prescribed care.
• There must be a greater focus on preventative care and cost-effective health care maintenance.  Great Britain, for example, rewards primary care physicians who maintain the health of their patients and who effect positive health changes in their patients (quitting smoking, eating healthier, starting a workout regimen, etc.).
• Incentives should be developed to encourage medical students to pursue primary care, rather than a more specialized field.  With the influx of patients expected from increased health insurance coverage, PCP’s will be in high demand.  Scholarships and loan repayment programs for medical students intending to focus on primary care will lessen the need to go into a high paying sub-specialty in order to pay back debt.

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Locum Tenens ideal for retired physicians looking to rejoin the workforce

Author Healthcare Career Blogger | 10.07.2009 | Category Anesthesiology jobs, CRNA, Colorado Physician Jobs, Emergency jobs, Family Medicine, Healthcare Career Blog, Hospitalist physician, Internal Medicine, Locum Tenens, Medical doctor jobs, OB GYN jobs, OB/GYN physician jobs, Orthopedic Surgery, Physician Career Path, Physician Shortage, Physicians, Pschyriatry Jobs, Retired Physician, Surgery jobs, jobs

Coming out of retirement isn’t easy for anyone. Especially for doctors who haven’t practiced in a while.

Doctors looking to re-enter the workforce after a brief career solstice face a number of challenges. Depending on how many years you’ve been out, you may have to catch up on continuing education credits, learn new technologies and be flexible in your medical setting. Either way, the medical profession beckons your skills, even if just for two to three shifts a week.

What’s the solution for a doctor coming out of retirement?

First thing, says Dennis Urbanski, American Traveler Managing Director, is to find a locum tenens agency experienced in matching older physicians with the medical facilities that need them.

“With the physician shortage the way it is, putting a retired doctor back in the workforce is a godsend.”

Urbanski says locum tenens is ideal both for doctors in search of 20 or 30 hours of practice and for providers looking to supplement quality patient care. Top salaries are available, along with mal practice insurance, housing, paid travel and competitive locum tenens benefits.

Urbanski suggests that older, retired doctors make a realistic assessment of their current skill set prior to calling a locum tenens agency. This helps recruiters determine the most efficient course for re-entry and employment. Typically, physicians out of work for a year or less are easier to employ than those who haven’t practiced for two years and more. This, of course, depends on specialty, said Urbanski.

“Hospitalist jobs, for instance, are ideal for doctors coming out of retirement. For those who possess the needed proficiency in inpatient medicine – and who don’t mind working weekends or night shifts – there are hundreds if not thousands of available jobs.”

Once thing retired doctors must consider prior to re-entering the workforce, say experts, is that things will not be the same as when they left. A doctor may find physician jobs in rural areas easier to get than in big city hospitals and university settings. Conversely, high-need areas of the country, often associated with low-income households, are quicker to employ retired physicians because of needed skills and an increased demand for healthcare.

“There are plenty of jobs out there for doctors, retired or not,” said Urbanski. The challenge is; effectively marketing their skills among locations and medical settings in demand. Hospitalist jobs and primary care jobs are hot right now.”

Last month alone, 20,000 people searched Google for locum tenens and more than 27,000 searched for hospitalist jobs.

Find physician reentry resources

Rural Doctor Bill to Help Repay Medical Student Loans up to $160,000

Author Healthcare Career Blogger | 04.06.2009 | Category Education, Hospitals, Medical Student Loans, Physician Shortage, Physicians

The Texas House of Representatives passed a bill that will make it very attractive for a new medical school graduate to work in rural Texas or areas that are underserved.

HB 2154, initiated by Pampa Republican Warren Chisum who represents the largest number of rural counties in the House, will set up a fund to repay medical student loans of up to $160,000 to any medical school graduate who agrees to practice in a rural county in the state for at least four years. You ask, “Where will the money for this fund come from?” Mr. Chisum added into the bill that the money will come from a tax placed on smokeless tobacco products.

Adding to this exciting news, HB 3485 was also passed that will allow hospitals in counties with populations no greater than 50,000 to hire physicians as their employees. Texas is one of a few states where doctors are self employed, even if they only work at hospitals.

So not only will you get assistance to pay off your loans, you will have the security of knowing that you will have a paying job to go to without having to worry about paying office overhead. For a medical school graduate starting out, this is a wonderful opportunity to jump on!

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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.