Survey: 10% of Hospitalists Work as Locum Tenens

A new national survey of Hospitalists shows one in ten working as locum tenens and doing so, for the most part, in addition to full-time employment.

The findings come from a first-ever survey of Hospitalists regarding their locum tenens work patterns. The survey was conducted for Locum Leaders, a national locum tenens company specializing in hospitalist jobs, in conjunction with Today’s Hospitalist magazine.

The survey found that 10% of respondents worked as locum tenens in the past 12 months. Of those Hospitalist locum tenens, 82% said they were employed full-time and also working as a locum. 11% said they were self-employed?working exclusively as a locum tenens hospitalist, while 7% said they were employed part-time and also working locum tenens assignments.

It is common for locum tenens physicians to be drawn from the ranks of salaried doctors. But employed hospitalists, even more than other specialists, may be more inclined to take on locum work, according to Robert Harrington, MD, SFHM, Chief Medical Officer of Locum Leaders.

“Hospital Medicine shift patterns are the biggest reason,” said Dr. Harrington. “Since most hospitalist programs rely on a 7-on, 7-off schedule, you end up with a large population of doctors who have a lot of time-off. They want to use that time productively and so they come to agencies, like Locum Leaders, for additional work.”

Age and financial goals may also play a role, according to Dr. Harrington. As a relatively new specialty, Hospital Medicine skews toward younger practitioners. Because younger doctors have a larger student debt burden, they are more likely to seek supplemental income sources.

The survey supports Dr. Harrington’s contention. Of the Hospitalists who had worked as a locum within the past year, 77% cited “compensation” as a primary motivation.

Hospital Medicine is the nation’s fastest growing medical specialty, and Hospitalists are the number one locum tenens hiring need at U.S. hospitals. A total of 750 Hospitalists responded to the survey.

Click here to download complete survey results.

Hospitalists Offer Best Guess at Patient Costs

It’s often difficult for patients to know how much they’ll pay for procedures, tests and services in a hospital, but the same seems true for their doctors.  In a recent study in the Journal of Hospital Medicine, hospitalists fared poorly in a survey assessing their knowledge of patient costs.

As reported by Karen Cheung for HealthLeaders Media, researchers “asked hospitalists how much a hypothetical unadjusted self-paying patient would be billed for commonly used services, procedures, tests, and physician charges. Out of the 26 completed hospitalist surveys, researchers found that only a tenth of them were within a 10% accuracy rate.”

For example, when asked to price an overnight stay in an ICU bed, hospitalists guessed anywhere from $750 to $6,000. Researchers put the true cost for a night in the ICU at the hospitals in their study at $1,107.

“Their guesses were not very close, in general, to the so-called ‘true price’,” says Jeremy D. Graham, MA, DO, internal medicine residency Spokane faculty, clinical assistant professor of medicine at the University of Washington School of Medicine, and lead author of the study.

Physicians are not generally trained on price awareness and the authors point out that true patient costs are challenging to ascertain because of cost adjustments between hospitals and insurers.

Hospitalist Salaries Continue to Climb

Hospitalist Salary ChartNew survey data from the Society of Hospital Medicine (SHM) and the Medical Group Management Association (MGMA) show that hospitalist salaries continue to climb.  The mean annual salary for a hospitalist, according to the report, is now $225,344.  The figure is inclusive of base pay plus benefits and incentive compensation, such as quality bonuses.

Writing about the data in the July issue of The Hospitalist, John Nelson, MD, cites several factors for the continued climb in compensation.  Increased productivity and inflation, says Nelson, are two factors.  But “the principal reason for the rising trend in our pay is ‘market forces,’ primarily demand for hospitalists that has exceeded the supply.”

The survey excludes pediatric hospitalists.  Academic hospitalists, who had been represented in previous SHM salary surveys, were also left out of the 2010 SHM-MGMA survey, according to Nelson.  SHM plans a separate survey on academic hospitalist compensation.

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