New Sports Medicine Physician Survey 2011 Fellowship Forum. Eric D. Parks, MD Watauga Orthopaedics Kingsport, TN

Transcription

1 New Sports Medicine Physician Survey 2011 Fellowship Forum Eric D. Parks, MD Watauga Orthopaedics Kingsport, TN

2 Career Opportunities Several options exist upon graduation Remain in primary specialty with extra training Primary care sports medicine (PCSM) group Orthopaedic group Multi-specialty group University setting Urgent care Occupational medicine Academics

3 The New SM Physician Survey Purpose: Collect data from recent fellowship graduates ( ) regarding: Practice setting Breakdown of time in various clinics Financials- annual income, bonus/loan payoff Contract details Clarify some misconceptions regarding starting in your SM practice

4 Knowledge is Power Information helpful for you, the current and future fellows What s average for new graduates in our specialty? Assess various job options Well-informed entering into contract negotiations and review

5 22 Questions The Survey Sent out via the AMSSM Forum and private to 2009 Research Conference Attendees 72 responses Less response than last year because of listserv issues.

6 Clinical Practice Settings Check all that apply (2010 data in parentheses throughout) Private practice 61.8% (60%) Residency/fellowship 23.5% (32%) College/University 17.6% (18%) Academic/Private practice mix 13.2% (13%) Military 1.5% (0%) Training rooms/urgent care, etc. 8.8% (9%)

7 Specific Clinical Settings Check all that apply PCSM clinic 60.3% (50%) Ortho clinic 39.7% (46%) Family Med clinic 45.6% (42%) Pediatrics clinic 1.5% (2%) IM clinic 5.9% (3%) PM&R, multi-specialty, ED 5.9% (<5%) Training room 41.2% (45%) Student health 7.4% (12%) *Not analysis of proportion of time spent in each clinic

8 Proportion of Time in Each Respondents were asked to break down how much time they spend in each clinical setting Time % Days 1-25% % % >75% 3.5 5

9 % of respondents Percentage of Time Spent in Various Settings Percentage in the Following Settings? 70% 60% 50% 40% 30% 20% 10% 0% Private clinic (FM, IM, Peds, PM&R, ER) Residency clinic Private sports medicine clinic Sports medicine fellow ship clinic OrthopaedicUrgent care clinic clinic Other 1-25% 26-50% 51-75% %

10 PCSM Clinic 60.9% work in the PCSM more than 50% of the time Still significant time split: orthopedic clinics, residency clinics, urgent care, training rooms (1-2 days/wk), and fellowship clinic (2-3 days/wk) 69.4% (73%) funded by 1 group/hospital system Phone Call 26.3% For Primary Care 5.3% For Orthopaedics 10.5% for a residency/ fellowship program 60.5% No Phone Call Hospital Call 18.9% For Primary Care 0% For Orthopaedics 18.9% for a residency/ fellowship program 70.3% No Hospital Call

11 Orthopaedic Clinic 62.5% (55%) work in the orthopaedic clinic % of the time 48.1% (30%) work in a PCSM or FM clinic as well Majority only 2-3 half days per week 48.1% (45%) cover Training rooms ~25% of their time or less 79.2% funded by 1 practice/hospital Phone Call 18% For Primary Care 28% For Orthopaedics 60% No Phone Call Hospital Call 8.3% For Primary Care 8.3% For Orthopaedics 87.5% No Hospital Call

12 Practice location 40.9% (45%) within 100 miles of fellowship 36.4% (45%) within 100 miles of residency 28.8% (27%) within 100 miles of hometown 40.9% (33%) greater than 100 miles from training sites

13 Practice Region Northeast 15.2% Southeast 19.7% Midwest 39.4% West Coast 4.5% Mountain West 3.0% Southwest 12.1% Other 6.1%

14 Overall Call Responsibilities Hospital Call 13.8% for Primary Care group 3.1% for Orthopaedic group 13.8% for a residency/fellowship program 73.8% do not take call Phone Call 33.3% for Primary Care group 12.1% for Orthopaedic group 9.1% for a residency/fellowship program 47.0% do not take call

15 Respondents Let s talk $$ Salary (range) Bonus/Loan payoff (range) All respondents $167,992 ($167,375) 95% (100K - 275K) PCSM clinic $169,342 ($162,900) 95% (126K-225K) Ortho clinic $177,300 ($162,300) 95% (126K-225K) Private practice $173,062 ($164,500) 95% (126K-225K) Academics $155,625 ($149,800) 125K-200K $31,794 ($28,350) 5K-300K (Most ~20K) $41,862 ($32,500) 6K-300K (Most 10K-25K) $32,727 ($21,300) 10K-110K $40,961($24,900) 5K-300K $16,667 ($23,500) 10K-25K

16 2009 MGMA Data Family Practice: Sports Medicine 25th%ile = $159,994 Median = $202,356 75th%ile = $240,870 90th%ile = $353,717

17 40.0% 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% Salary Salary <$100, ,000-$125, ,000-$150, ,000-$175, ,000-$200, ,000-$225, ,000-$250,000 >$250,000 (Please specify)

18 Scheduled Hours Scheduled Hours 50.0% 45.0% 40.0% 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% < >80 (Please specify)

19 60.0% Hours of Work After Normal Hours Scheduled Hours 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% < >30 (Please specify)

20 No defined amount/per MD discretion 2 weeks 3 weeks 4 weeks 5-6 weeks 7-8 weeks >8 weeks (Please specify) Leave/Vacation Allowance 50.0% 45.0% 40.0% 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0%

21 More Financials. Signing bonus 53% (48%) Received a bonus/loan payoff $5000-$80000 Income guarantee 88% (83%) Had an income guarantee at their first job Duration: 6 12 months 25.4% (16%) months 4.8% (12%) months 27% (35%) > 24 months 30.2% (20%) Repayment period: None 75.8% (70%) 24.2% (30%) with repayment up to 3 years

22 Salary Funding One practice/hospital system 71.9% (77%) Multiple systems 9.4% (8%) College/University 10.9% (16%) Not on salary 14.1% (3%)

23 Outlook after guarantee period Annual salary 20.6% (18%) Annual salary + incentives 38.1% (37%) Production-based 41.3% (45%)

24 Option for Partnership? PCSM group Yes 16.7% (24%) No 10.0% (21%) Not applicable 73.3% (55%) Orthopaedic group Yes 50% (46%) No 50% (54%)

25 Closing the Deal Utilization of 3 rd party Yes 53.8% (53%) No 46.2% (47%) 5 comments saying they should have used a lawyer When did you sign your contract? Before fellowship 3.1% (6%) First 6 months 7.8% (8%) Last 6 months 60.9% (70%) After fellowship 28.1% (16%)

26 Summary It s hard to practice sports medicine all the time maybe May end up splitting time, so decide what goals are for day to day practice then focus your job search Connections, connections! Starting salary- as you d expect, lower than the MGMA data, but average $167,992 for all respondents with variability in settings; academics lower Partnership Don t panic if you don t have a job by December of your fellowship year, but be looking even in residency

27 Thanks! Contact Information: Eric D. Parks, MD Watauga Orthopaedics 117 W. Sevier St, Ste 200 Kingsport, TN