Q HEALTHCARE JOBS SNAPSHOT. A quarterly report produced by Health ecareers

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1 Q 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 Other Notable Growth Spots 8 Key Takeaways 9 Additional Resources 10 Q Healthcare Jobs Snapshot 2

3 Executive Summary Healthcare hiring was brisk during Q According to the Bureau of Labor Statistics (BLS), the healthcare industry added a total of 84,000 jobs between January and March, with employment trending up in physician offices, outpatient care centers, home healthcare services and hospitals. While nursing care facilities lost 6,000 jobs in March, the BLS noted that segment of the industry still had little net change over the last year. The Affordable Care Act (ACA) continued playing a role in driving demand across the board. According to data from ObamaCare Facts, an estimated 28.2 million Americans are now covered by health insurance through the Marketplace, Medicaid expansion, staying on their parents plans or other coverage options. This includes 11.7 million who enrolled or re-enrolled in ACA compliant plans during the most recent enrollment period. In April 2015, a Gallup Poll suggested that 90 percent of Americans now have healthcare coverage. Nearly 6,000 Health ecareers employers posted 40,443 jobs in Q1. Physician/surgeon and nursing roles (including nurse practitioners and physician assistants) once again accounted for the greatest percentages of jobs posted, with healthy year-over-year increases in demand for PA, NP and counseling and social services professionals. Q Healthcare Jobs Snapshot 3

4 KEY FINDINGS Q Job Postings Physician / Surgeon Physician Assistant Radiologic Technologist / Medical Imaging Therapy Academics / Research Administration / Executive Allied Health Counseling and Social Services Dietetics / Nutrition Healthcare IT Nurse Practitioner Nursing Pharmacy General Findings Year-over-year increases from Q to Q in the number of jobs posted by Health ecareers employers were seen in counseling and social services (37 percent), physician assistant (27 percent), nurse practitioner (18 percent), and physician/surgeon (2 percent). TOP TEN States based on Number of Job Postings 1. Texas 2. California 3. Pennsylvania 4. Florida 5. Washington 6. New York 7. Illinois 8. Massachusetts 9. Virginia 10. Georgia Q Healthcare Jobs Snapshot 4

5 Physicians/Surgeons Physician and surgeon roles accounted for the greatest percentage of job postings on Health ecareers in Q Employers advertised 21,623 physician and surgeon jobs during Q1 2015, equal to 53 percent of total postings. Physicians/Surgeons: Q Most In-Demand 14% of postings 1. General Family Medicine 2. Emergency Medicine 3. Internal Medicine Physicians/Surgeons: Q Job Postings 21,623 posting 53% of total Q job postings on Health ecareers In Q1 2015, 46.7 percent of the physician/surgeon jobs on Health ecareers were new postings, an 11 percent increase from Q With a higher percentage of new postings compared to renewals, it indicates employers may be finding it slightly easier to fill available physician/surgeon positions this year. Physicians/Surgeons: Most Growth from Q to Q Vascular Surgery Psychiatry Neurology Dermatology Hospitalist 9% 7% 7% 14% 21% Q Healthcare Jobs Snapshot 5

6 47% of the physician/surgeon jobs on Health ecareers were new postings. The Medscape 2015 Physician Compensation Report was, once again, full of interesting insight into this essential healthcare profession. More than 19,500 physicians covering 25 specialties completed the underlying survey. Among them, 63 percent were employed while only 32 percent were in private practice. Their average reported compensation was $284,000 for specialists and $195,000 for primary care physicians, a modest trend upward according to Medscape analysts. Physicians/Surgeons: Highest Annual Salaries $376,00 Cardiologists $421,00 Orthopedists $370,00 Gastroenterologists In terms of compensation for patient care, orthopedists ($421,000), cardiologists ($376,000) and gastroenterologists ($370,000) reported the highest annual salaries. The lowest paid doctors included pediatricians ($189,000), family physicians ($195,000) and internists ($196,000). Emergency medicine and women s health doctors fell somewhere in the middle at $306,000 and $249,000 respectively. Q Healthcare Jobs Snapshot 6

7 64% of physicians would choose medicine if given a do-over Only 47 percent of the primary care physicians and 50 percent of the specialists surveyed reported feeling fairly compensated for their services. However, 64 percent would still choose medicine if given a do-over. Additionally, 45 percent would select their own specialty again. However, only 24 percent would choose the same practice setting. Many physicians would like to see their patients take an active role in their own healthcare. Connected health technologies including telehealth applications, remote monitoring and web-based physician consultation services are poised to make it easier and more convenient for patients to do so. MedData Group, a market research company, recently surveyed a number of physicians across various specialties, ages and practice sizes to gather their views on the future of connected health. Sixty-seven percent of the doctors surveyed that are under the age of 40 reported believing the industry will achieve a fully integrated healthcare technology environment in the next one to five years. Sixty-one percent of the physicians over the age of 40 surveyed believe this achievement is more than five years away. Sixty-seven percent of the survey participants cited cost as the biggest obstacle. Fifty-four percent said providers resistance to changing practice styles would also be an issue. Other potential impediments included technological limitations (53%), privacy concerns (50%) and patient resistance (22%). 67% of doctors under 40 believe healthcare will achieve a fully integrated healthcare technology environment within 5 years Q Healthcare Jobs Snapshot 7

8 Top 10 Most In-Demand Non-Physician Positions in Q Family Psychiatric/Mental General NP Psychiatric/Mental Medicine NP Health NP Health RN Family Medicine PA Emergency Medicine RN Emergency Medicine PA Medical / Hospital 8 General PA 10 Social Worker Orthopaedic PA 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 Q Employers posted 12,595 jobs within these roles during the period. Nursing Opportunities: Breakdown of Job Postings 64% Nursing 10% Nursing Support Nurses, NPs & PAs: Q Job Postings 12,595 posting 31% of total Q1 job postings on Health ecareers 6% Advanced Practice Nurse 20% Nurse Management Q Healthcare Jobs Snapshot 8

9 The TOP 10 most in demand nursing positions in Q1 2015: 1. Psychiatric/Mental Health RN 2. Emergency Medicine RN 3. General Medical/Surgical RN 4. Nursing Assistant/Certified Nursing Assistant 5. Medical/Surgical LPN/LVN/RPN 6. ICU RN 7. Operating Room RN 8. Labor and Delivery RN 9. Case Manager RN 10. Cardiology/Telemetry RN The demand for physician assistants was up 10 percent from Q to Q1 2015, and up 27 percent year-over-year as indicated by the number of employer postings. Q1 Top 5 PA positions: 1. Family Medicine PA 2. Emergency Medicine PA 3. General PA 4. Orthopaedic PA 5. Surgery PA Psychiatric/mental health RN, general medical/surgical RN, medical/surgical LPN/ LVN/RPN and case manager RN were new additions to the list during the quarter. The demand for nurse practitioners was down 8 percent from Q to Q1 2015; however, year-over-year demand was up 18 percent as indicated by the number of employer postings to Health ecareers. Q1 Top 5 NP positions: 1. Family Medicine NP 2. Psychiatric/Mental Health NP 3. General NP 4. Emergency NP 5. Urgent Care NP In Q1 2015, 53 percent of the nurse practitioner jobs on Health ecareers were new postings. This is a 5% decrease from Q1 2014, indicating a higher posting renewal rate and that employers are finding it slightly more challenging to fill nurse practitioner positions. A similar trend was seen for physician assistants (3 percent increase in renewals). Nursing in general saw a 3 percent increase in renewals over the same period. Injury rates are high for nurses and nursing assistants. According to data from the Occupational Health Safety Network (OHSN), from 2012 to 2014, healthcare workers sustained a reported 4,674 injuries related to patient handling and movement, 3,972 injuries related to slips, trips and falls, and 2,034 injuries related to workplace violence injuries. Fifty-seven percent of these incidents involved nurses or nursing assistants. Q Healthcare Jobs Snapshot 9

10 Nurses and nursing assistants sustained the highest number of injuries related to patient handling and workplace violence according to the data. The incidence of injury related to workplace violence was particularly high for nurses (nearly double that of nursing assistants). In contrast, physicians, interns and residents had very low reported injury rates. The OHSN report writers noted, Injury prevention interventions mitigating high-risk aspects of nurse and nurse assistant duties are needed. Their suggestions included mandatory use of lifting equipment, safe patient handling training, elimination of fall hazards, and better identification of patients at risk for committing violent acts or exhibiting violent behavior. A recent study found the gender pay gap is prevalent in nursing. One might think that in a female-dominated profession such as nursing, equal pay regardless of sex would be a given. Unfortunately, that does not appear to be the case. According to data collected in a recent study, Salary Differences Between Male and Female Registered Nurses in the United States, the gap averages about $5,148 per year when adjusted for education and experience and the gap hasn t narrowed in at least 25 years. The study, published in March s JAMA, found that female RNs earn less than male RNs even when the researchers accounted for work setting, specialty area, job position, hours worked and other factors. The data sat included salaries collected from 1988 to 2013 for more than 290,000 RNs. The gap was $7,678 for ambulatory care and $3,873 for RNs employed in hospital settings. Female RNs earn an average of $5,148 less per year than male RNs. The researchers theorize that the gap may exist because male RNs are able to work longer hours and take on additional shifts, thereby gaining more experience over time. However, they encourage healthcare executives to do what they can to correct the disparity. This should start with examining their organization to determine whether pay differences exist between the sexes and then determining whether those differences are justified and making appropriate adjustments. Open-pay policies can help with transparency, as well. Q Healthcare Jobs Snapshot 10

11 Other Notable Growth Spots Jobs posted for healthcare workers in counseling and social services increased 37 percent year-over-year in Q The demand for healthcare workers specializing in counseling and social services increased significantly among Health ecareers employers. Jobs within these disciplines include social workers, clinical social workers, community service managers, mental health counselors, rehabilitation counselors, family counselors, psychiatric aides and assistants and psychologists many of which are expected to see greater than average employment growth in the next decade. For example, according to the BLS, positions for substance abuse and behavioral disorder counselors will increase 31 percent from 2012 to 2022, driven by coverage availability under the ACA and a cultural switch to treatment rather than jail time. They expect the demand for mental health counselors and family therapists to increase 29 percent during the same period. Social worker employment should increase 19 percent over the timeframe though healthcare social worker jobs are expected to grow at a greater rate (27 percent) as the Baby Boomers age and require more assistance navigating care options. 37% increased posted in counseling and social services Counseling and social services professionals are projected to see greater than average employment growth. Q Healthcare Jobs Snapshot 11

12 Key Takeaways The most in demand healthcare jobs in Q1 2015, as indicated by Health ecareers job openings, were physician/surgeon, nursing, nurse practitioner, physician assistant and administrative/ executive. General physician disciplines namely, family medicine, emergency medicine and internal medicine continued to be the most in demand by Health ecareers employers as measured by number of job openings. Physician specialties with significant growth quarter-over-quarter included vascular surgery, psychiatry and neurology. 14% of postings Physician / Surgeon Physician Assistant Radiologic Technologist / Medical Im Therapy Academics / Research Administration / Executive Allied Health Counseling and Social Services Dietetics / Nutrition Healthcare IT Nurse Practitioner Nursing Pharmacy 1. General Family Medicine 2. Emergency Medicine 3. Internal Medicine Nursing roles dominated the list of top 10 most in-demand non-physician positions as identified by Health ecareers employers in Q From RNs to NPs and PAs, nurses claimed nine of the spots on the list. Family Medicine NP Top 10 Psychiatric/Mental Health NP Most In Non-Physicia General NP Emergency Medicine RN Emergency Medicine PA Medical / Hospit Social Worker Q Healthcare Jobs Snapshot 12

13 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 March 31, 2015 and is comprised of 40,443 healthcare and medical job openings placed by 5,866 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 Stephanie.Gilbert@healthecareers.com. Healthcare is all about connection, and Health ecareers is the healthcare industry s career hub for professionals, providers and associations. With a network of more than 1.7 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 you advance your career at every stage. That s why Health ecareers also includes industry news and career advice targeted to your 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 Current Employment Statistics Highlights: January Current Employment Statistics Highlights: February Current Employment Statistics Highlights: March ObamaCare Enrollment Numbers Nearly 90 percent of Americans have health coverage Medscape Physician Compensation Report 2015 Infographic: Physician s Perspectives and Predictions for Connected Health in 2015 Healthcare Workplace Violence Injuries Up From Workplace violence is on the rise and nursing staff are in particular danger Gender Pay Gap Persists in Nursing Exploring Careers in Social Work, Counseling, and Psychology Occupational Outlook Handbook: Social Workers Occupational Outlook Handbook: Mental Health Counselors and Marriage and Family Therapists Occupational Outlook Handbook: Substance Abuse and Behavioral Disorder Counselors Q Healthcare Jobs Snapshot 13

14 THANK YOU!