Purpose of the Survey

Transcription

1 Matt Leiszler, MD

2 Purpose of the Survey Practice and salary data for physicians can be difficult to obtain MGMA (Medical Group Management Association) surveys and compiles information from over 50,000 physicians and 2,300 group practices in all specialties of medicine Looks at salaries, incentives, bonuses Members of MGMA 50 th percentile for FP-Sports: $238,000

3 Purpose of the Survey Fellowship Committee recognized lack of data for physicians Even more limited data for new physicians

4 Purpose of the Survey Fellowship Committee started this survey in order to help guide primary care sports medicine residents and fellows with: Board certification data Practice Setting options Distribution of clinical time

5 Purpose of the Survey Fellowship Committee started this survey in order to help guide primary care sports medicine residents and fellows with: Salary details Contract details Negotiation of contracts know the data!

6 The Survey Sent to all active AMSSM Members 26 Questions on SurveyMonkey Total of 528 Physicians Completed Survey In practice: 0-1 year: years: years: years: years: years: 44

7 The Survey

8 Primary Board Certification Physicians in practice less than 2 years (75 Responses): Family Medicine: 75% (56 responses) Pediatrics: 8% (6 responses) Physical Medicine & Rehab: 9% (7 responses) Internal Medicine: 5% (4 responses) Emergency Medicine: 3% (2 responses) Medicine-Pediatrics: 0% (0 responses)

9 Fellowship Training Physicians in practice less than 2 years who completed a sports medicine fellowship (88 Responses): Overall: 94% completed sports medicine fellowship Family Medicine: 93% Pediatrics: 100% Internal Medicine: 100% Physical Medicine & Rehab: 100% Emergency Medicine: 100%

10 Salary Data

11 Salary Data Overall Average (486 responses): $202,600 Physicians in practice 0-1 year (n=81): Average Salary: $183,300 Salary Range: $110,000 to $300, % of those surveyed reported salary <$200,000 60% between $150,000 and $200,000

12 Salary Data: 0-1 Years in Practice Annual Salary #

13 Salary Data Physicians in practice 2-3 years (n=114): Average Salary: $191,800 Note: 10 reported salary of $301K+ Physicians in practice 4-5 years (n=64): Average Salary: $205,500 Note: 9 with salary of $301K+

14 Salary Data: 2-3 Years in Practice Annual Salary (n=115) #

15 Salary Data: 4-5 Years in Practice Annual Salary (n=64) #

16 Is my salary affected by which region of the country in which I practice?

17 Regional Salary Data Less than 2 years in practice $158,300 (n=3) $193,800 (n=14) $165,000 (n=3) $180,200 (n=16) $199,300 (n=7) $171,600 (n=16) $183,000 (n=5) $186,700 (n=6) $192,700 (n=13) (n=0)

18 Regional Salary Data 0-3 years in practice $172,00 (n=10) $190,600 (n=26) $187,900 (n=7) $184,800 (n=43) $215,900 (n=13) $178,050 (n=40) $203,000 (n=16) $188,900 (n=21) $190,000 (n=16) (n=0)

19 What is your clinical practice setting? Physicians in practice less than 2 years (n=81) Private Practice Only 57% Mixed Private Practice / Academic Academic Only College Only Mixed Private Practice / College Mixed Academic / College Mixed Private, College, & Academic 10% 10% 7% 5% 6% 5% Percentage

20 Salary: Private Practice vs Academic vs College/University In Practice 0-1 Year $165,000 (8 responses) Academic (Medical Education) $186,300 (8 responses) $201,500 (4 responses) $157,000 (5 responses) Private Practice $184,700 (45 responses) $221,700 (4 responses) College/University $186,700 (6 responses)

21 What is your clinical practice setting? Physicians in practice 0-3 years (n=196) Private Practice Only 50% Mixed Private Practice / Academic Academic Only College Only 12% 12% 12% Mixed Private Practice / College Mixed Academic / College Mixed Private, College, & Academic 2% 5% 7% Percentage

22 Salary: Private Practice vs Academic vs College/University In Practice 0-3 Years $192,700 (23 responses) Academic (Medical Education) $196,200 (22 responses) $207,700 (12 responses) $168,300 (9 responses) Private Practice $191,800 (97 responses) $192,200 (5 responses) College/University $166,400 (22 responses)

23 Salary Based on Board Certification Average Salary for Physicians 0-1 year in practice based on Primary Board Certification: Physical Medicine & Rehabilitation (n=7): $219,300 Pediatrics (n=6): $206,700 Internal Medicine (n=4): $197,500 Family Medicine (n=56): $166,600 Emergency Medicine (n=2): $120,000

24 Salary Based on Board Certification Average Salary for Physicians 0-3 years in practice based on Primary Board Certification: Emergency Medicine (n=7): $228,700 Physical Medicine & Rehabilitation (n=11): $200,100 Family Medicine (n=143): $188,700 Pediatrics (n=15): $175,100 Internal Medicine (n=13): $175,000

25 How are you paid? Physicians less than two years into practice (n=80): Salary: 94% 48% of these physicians are only on Salary Incentive: 35% Contract/Hourly: 7% By Academic Rank: 2% Other Fee for Service: 2% Grant Support: 0% Professional Team Retainer: 0%

26 If you are paid by salary, how are you paid? Physicians less than two years into practice(n=78): Clinical Outpatient care: 97% Clinical Sideline event coverage: 27% Teaching Activities: 21% Clinical Training room: 21% Clinical Inpatient care: 15% Clinical Pre-participation exams: 18% Administrative Activities: 15% Academic writing and research activities: 8%

27 If you are paid by incentive, how are you paid? Physicians less than two years into practice(n=39): Clinical productivity with overhead deduction: 62% Clinical productivity without overhead deduction: 31% Academic production: 5% Work outside of billed patient care: 5% Group production bonus: 5% Production incentive based on supervision: 3%

28 What is your specific clinical practice setting type? Sports Medicine Clinic Family Medicine Clinic Athletic Coverage Orthopedic Clinic Urgent Care Medical Education Multi-Specialty Clinic Resident seeing patients Fellow seeing patients Student Health PM&R Clinic Emergency Department Pediatric Clinic Occupational Medicine Pediatric Ortho Surgery Clinic Federally Qualified Health Center Internal Medicine Clinic 9% 9% 8% 8% 6% 6% 5% 4% 4% 4% 1% 1% 0% 34% 32% 26% 64% 0% 10% 20% 30% 40% 50% 60% 70%

29 How many hours per week in these activities? hrs 3% hrs 7% hrs 1% All Activities (67 Responses) hrs 20% Over 50 hrs 29% hrs 26% hrs 14%

30 How many hours per week in these activities? hrs 4% hrs 6% hrs 1% 0 hrs 1% Over 50 hrs hrs 2% 6% hrs 7% Outpatient Care (83 responses) hrs 21% hrs 17% hrs 35%

31 How many hours per week in these activities? 50 hrs 1% hrs hrs 1% hrs 4% 1% hrs 3% 6-10 hrs 1% On-Call (83 responses) 1-5 hrs 13% 0 hrs 76%

32 How many hours per week in these activities? hrs 3% 6-10 hrs 10% Event Coverage (83 responses) 0 hrs 30% 1-5 hrs 57%

33 Private Practice: Ancillary Services In practice less than 2 years (13 Responses) Prolotherapy Sports Psychology Services Video Motion Analysis MRI Strength/Conditioning Services Clinical Nutrition Services Clinical Exercise Testing Massage Therapy Services Compartment Pressure Testing Urgent Care PRP Injections Physical Therapy Durable Medical Equipment Sales Musculoskeletal Ultrasound X-ray

34 Data from Prior Surveys Contracts Utilize 3 rd Party for reviewing contract? Yes: 36% last year (54% prior year) No: 64% (46%) When did you sign your contract? Before fellowship 0% last year (3% prior) First 6 months 7.7% (8%) Last 6 months 69.2% (61%) After fellowship 23.1% (28%)

35 Summary Most primary care sports medicine physicians are in multiple settings within their position Some regional variation in average salary Academic Salary < Private Practice Salary? Maybe not Not too late to find a job!

36 Questions? Matt Leiszler (918)