2015 Year Over Year HEALTHCARE JOBS SNAPSHOT. A quarterly report produced by Health ecareers

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1 2015 Year Over Year HEALTHCARE JOBS SNAPSHOT A quarterly report produced by Health ecareers

2 TABLE of CONTENTS Executive Summary 3 Key Findings General Findings 4 Physicians/Surgeons 5 Nurses, Nurse Practitioners & Physician Assistants 6-7 Other Notable Growth Spots 8 Key Takeaways 9 Additional Resources YOY Healthcare Jobs Snapshot 2

3 Executive Summary Healthcare is a dynamic industry, and 2015 saw a continuation of growth and change that has become the norm. As of September 2015, 9.9 million Americans were enrolled in and paying for marketplace health insurance coverage. As a result, employers from hospitals and health systems to physician offices and specialty practices hired at a rapid pace. New healthcare positions accounted for 18 percent (or 475,000) of the 2.7 million jobs added to the U.S. economy in Hospital hiring was particularly robust, growing by 172,000 positions and accounting for 36 percent of total healthcare jobs created. On Health ecareers, 6,998 employers recruited healthcare professionals through 183,901 job postings in More than 50,000 positions were posted in the last quarter alone. Year over year, opportunities increased for physicians/surgeons, physician assistants and nurse practitioners. And quarter over quarter, opportunities for nurses increased significantly, with 1,516 more jobs posted for nurses in Q than in Q YOY Healthcare Jobs Snapshot 3

4 KEY FINDINGS 2015 Job Postings Breakdown Physician / Surgeon 100,279 Nursing 27,605 Nurse Practitioner 16,267 Physician Assistant 12,829 Administration / Executive 8,217 Allied Health 2,974 Counseling and Social Services 3,272 Therapy 2,479 Radiologic Technologist / Medical Imaging 1,933 Pharmacy 1,367 Healthcare IT 1,350 Academics / Research 1,271 Dietetics / Nutrition 1,067 General Findings Three healthcare areas experienced increases in the number of jobs posted on Health ecareers in 2015 when compared to the previous year. Employers posted over 100,000 physician/surgeon jobs, up 15 percent from Physician assistant and nurse practitioner opportunities also saw impressive growth, increasing 17 percent and 7 percent respectively. Top 4 Specialties by percentage of total job postings in % 15% 9% 7% Physician/Surgeon Nursing Nurse Practitioner Physician Assistant 10 TOP TEN STATES Based on Number of Postings 1. Texas 2. California 3. Pennsylvania 4. Florida 5. New York 5. Washington 6. Illinois 7. Virginia 9. Georgia 10. Ohio 2015 YOY Healthcare Jobs Snapshot 4

5 Physicians/Surgeons Physician and surgeon roles accounted for the greatest percentage of job postings on Health ecareers in ,270 postings 55% of total job postings on Health ecareers Medscape s Physician Lifestyle Report revealed that physician burnout is at a critical level. Over 15,800 physicians in 25 different specialties responded to the annual survey. More than 50 percent of the participating doctors specializing in critical care, urology, emergency medicine, family medicine, internal medicine, pediatrics, surgery, OB/GYN and neurology reported symptoms of burnout. The report authors noted that burnout rates increased over last year for all specialties. As in prior years, more female physicians (55 percent) reported symptoms of burnout than their male counterparts (46 percent). The top three causes also saw Specialties With The Most Growth From 2014 To 2015 Top 3 Physician Specialties 14% of postings 1. General Family Medicine 2. Internal Medicine 3. Emergency Medicine little change, with too many bureaucratic tasks, spending too many hours at work and increased computerization of practice again ranking at the head of the list. The American Medical Association (AMA) recently announced the top nine issues it expects to affect physicians in Among them were Medicare reform and its Merit-Based Incentive Payment system, the EHR meaningful use program, insurance mergers and health data security. Additionally, the AMA noted that critical funding for graduate medical education (GME) is in danger of being cut by Congress. The AMA encourages all physicians to get involved in the grassroots Save GME campaign that addresses this issue as well as simplifying the student loan application process and improving repayment rules under the Higher Education Reauthorization Act. General Psychiatry Hospitalist General Family Medicine 13% 36% 56% 2015 YOY Healthcare Jobs Snapshot 5

6 Top 10 Most In-Demand Non-Physician Positions in 2015 Family Medicine NP Psychiatric/Mental Health NP Emergency Medicine RN Psychiatric/Mental Health RN Family Medicine PA General Medical / Surgical RN Nursing Assistant / Certified Nursing Assistant 8 Emergency General NP 10 Medicine PA ICU RN 8 of the 10 are related to Nursing Nurses, Nurse Practitioners and Physician Assistants Together, nursing, nurse practitioner, and physician assistant positions accounted for 31 percent of all Health ecareers job openings in Employers posted 56,701 jobs within these roles. Nursing Opportunities: Breakdown of Job Postings 68% Registered Nursing 10% Nursing Support 56,701 postings 31% of total job postings on Health ecareers A recent Gallup poll found nursing is still America s most trusted profession. Eighty-five percent of the respondents viewed nurses favorably, followed by pharmacists (68 percent), medical doctors (67 percent) high school teachers (60 percent), and police officers (56 percent). Nurses have earned the highest honesty and ethics rating every year but one since they were added to the list in In 2001, firefighters beat them with a record-high 90 percent. 5% Advanced Practice Nurse 17% Nurse Management Top 10 Nursing Positions in Emergency Medicine RN 2. Psychiatric/Mental Health RN 3. General Medical/Surgical RN 4. Nursing Assistant/Certified Nursing Assistant 5. ICU RN 6. Operating Room RN 7. Labor and Delivery RN 8. Case Manager RN 9. Cardiac / Telemetry RN 10. Post-Anesthesia Care Unit RN 2015 YOY Healthcare Jobs Snapshot 6

7 Nursing Opportunities: Most Growth Year Over Year Trauma RN Psychiatric/ Mental Health RN 146% 136% 58% 42% 20% Emergency Room Clinical Nurse Specialist Psychiatric/Mental Health RN Certified Nurse Midwife The nursing industry has made progress towards the recommendations made in the 2010 Institute of Medicine Report The Future of Nursing, according to a study conducted by the National Academies of Sciences, Engineering and Medicine. Since the Institute of Medicine suggested the removal of scope-ofpractice barriers, eight more states have changed their laws to give NPs full practice and prescriptive authority. Additionally, the Centers for Medicare and Medicaid Services issued a final rule in 2012 broadening the concept of medical staff and permitting hospitals to allow advance practice registered nurses (APRNs), PAs and pharmacists to perform all of the functions within their scope of practice. Top NP Positions in 2015: 1. Family Medicine NP 2. Psychiatric/Mental Health NP 3. General NP 4. Emergency NP 5. Urgent Care NP Baccalaureate program enrollment has increased substantially in response to the 2010 report s recommendations. Entry-level enrollment in BA programs leapt from 147,935 in 2010 to 172,794 in Accelerated enrollment increased Top PA Positions in 2015: 1. Family Medicine PA 2. Emergency Medicine PA 3. Orthopaedic PA 4. General PA 5. Surgery PA from 13,605 to 16,935 over the same period. Registered nurses enrolling in BS in nursing completion programs swelled from 77,259 to 130,345 and the enrollment in doctor of nursing practice (DNP) programs has more than doubled. More nurses are getting their first jobs outside of the hospital according to data from the RN Work Project at New York University. The study found that about 76 percent of new nurses got jobs in U.S. hospitals in 2012 compared to 87 percent who did so in The researchers theorize that this could be due to new approaches in care that focus more on patient outcomes and improving quality of life than on patient volume and fee-for-service medicine. RNs may be finding case management and ambulatory care jobs in the community more desirable than traditional hospital opportunities. Increasing Demand in 2015: NP postings grew 7% PA postings grew 17% 2015 YOY Healthcare Jobs Snapshot 7

8 Other Notable Growth Spots The pharmacist s role in many healthcare settings is expanding. According to the Pharmacy Workforce Center s National Pharmacist Workforce Survey, pharmacists are performing more patient care activities and spending less time dispensing medications. In 2014, 60 percent of pharmacists provided medication therapy management and 53 percent performed immunizations. This was a dramatic increase from 13 percent and 15 percent in From 2009 to 2014, the percentage of time that fulltime pharmacists spent on services such as medication dispensing decreased from 55 percent to 49 percent. 31% increase in pharmacy jobs posted from Q3 to Q by Health ecareers An increasing number of college students are seeking help for mental health issues. According to a report released by the Center for Collegiate Mental Health at Penn State University, more students are reporting depression, anxiety and social anxiety. About 20 percent of the total student body is seeking treatment, and taking up about half of all campus counseling center appointments as a result. Data was collected from 100,736 students and 139 college and university counseling centers from and There may be too few psychiatrists to meet the growing need across the U.S. According to Lloyd Sederer, chief medical officer of the New York State Office of Mental Health and adjunct professor at Columbia University s Mailman School of Public Health, the number of doctors choosing psychiatry as a specialty has not kept pace with the growth of our nation s population. While total psychiatrists in the U.S. increased by 12 percent from 1995 to 2014, the population grew by 37 percent. Additionally, a 2010 survey found that 59 percent of psychiatrists were nearing retirement age. Increasing Demand for Psychiatric and Mental Health Practitioners 56% For Psychiatrists 58% For Psychiatric / Mental Health RNs 42% For Psychiatry - Director of Nursing 17% For Psychiatric / Mental Health NPs 2015 YOY Healthcare Jobs Snapshot 8

9 Key Takeaways Physicians/surgeons and nursing jobs continued to account for the largest percentages of opportunities advertised by employers on Health ecareers in General medicine physicians specifically family medicine, emergency medicine and internal medicine continued to be in demand on Health ecareers. Specialties showing significant growth year over year included general psychiatry, hospitalist, and general family medicine. Nursing positions continued to dominate the list of top ten most in-demand nonphysician positions as identified by Health ecareers employers, with eight of the 10 roles ranging from nursing assistant and general medical RN to emergency medicine RN and operating room RN. Additionally, the demand for nurse practitioners and physician assistants both increased year over year. Family Medicine NP 14% of postings Top Physician / Surgeon 100,279 Nursing 27,605 Nurse Practitioner 16,267 Physician Assistant 12,829 Administration / Executive 8,217 Allied Health 2,974 Counseling and Social Services 3,272 Therapy 2,479 Radiologic Technologist / Medical Imaging Pharmacy 1,367 Healthcare IT 1,350 Academics / Research 1,271 Dietetics / Nutrition 1, General Family Medicine 2. Emergency Medicine 3. Internal Medicine 10 Psychiatric/Mental Health NP Most In Non-Physicia General NP Emergency Medicine RN Emergency Medicine PA Medical / Hospit Social Worker 2015 YOY Healthcare Jobs Snapshot 9

10 About this Report Data was collected from the Health ecareers online database of job openings, which are placed by healthcare providers across the U.S. Data for this snapshot was collected from January 1 to December 31, 2015, and is comprised of 183,901 healthcare and medical job openings placed by 6,998 hospital and healthcare organizations. These organizations range from large health systems to single specialty practices, with an average hospital size of 300 beds. For more information or questions on breakdown by demographic, please Healthcare is all about connection, and Health ecareers is the healthcare industry s career hub for professionals, employers and associations. With a network of more than 2.3 million job seekers, thousands of healthcare employers and more than 100 exclusive association partners, Health ecareers is designed to match qualified healthcare professionals from physicians to non-clinical staff with medical providers looking for top talent. But Health ecareers is more than just a place to look for your next job it s a resource to help healthcare professionals advance their career at every stage. That s why Health ecareers also includes industry news and career advice targeted by healthcare specialty. For employers, Health ecareers offers innovative recruiting tools and services and healthcare hiring data that you won t find anywhere else. To learn more, visit healthecareers.com, check out our blog or follow us on Facebook and Twitter. Additional Resources 9.9 Million Still Enrolled and Paid Says September 2015 Report BLS Current Employment Statistics Highlights: December 2015 The Employment Situation: December 2015 Enrollments for 2016 and Beyond Medscape Lifestyle Report 2016: Burnout and Bias AMA: Top 9 Issues Affecting Physicians in 2016 Americans Faith in Honesty, Ethics of Police Rebounds Nursing Community on Path to Transformation Since IOM Future of Nursing Report Five Years Ago, Says New Report Nurse Jobs Shift From The Hospital To The Community Pharmacists Roles on the Healthcare Team Are Expanding, Study Shows The Number of College Students Seeking Mental Health Treatment is Growing Rapidly Doctors are Struggling to Meet the Growing Demand for Psychiatric Help Across the U.S YOY Healthcare Jobs Snapshot 10

11 THANK YOU!

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