The official online publication of the National Association of Physician Recruiters Spring 2012

Transcription

1 National Association of Physician Recruiters The PULSE The official online publication of the National Association of Physician Recruiters Spring 2012 NAPR & NALTO Convention Flourish During the Drought: Is Your Success a Mirage? April 11-13, 2012 DoubleTree Paradise Valley Resort Scottsdale, Arizona If you haven t already registered to attend the NAPR & NALTO 2012 Annual Convention, take a moment to review the great sessions and speakers scheduled for the meeting. The Convention Committee has put together a program that will help you Flourish During the Drought and ensure your success isn t a Mirage! Some of the keynote speakers and topics to be presented at the Convention are: Keynote speakers: John Hensing, MD, VP & COO, Banner Health The Future of Physicians Danny Cahill, According to Danny The Clarity Principles: Doing More of What Works, Letting Go of the Rest Joe Tye, America s Value Coach Honey & Glue Recruiting & Retaining the Best People Two sessions on Advanced Practice Providers (Mid-Levels) Education of Advanced Practice Providers What You Need to Know About Them and Advanced Practice Providers How to Recruit Them Sessions on how to prove your value to your organization The Wild Wild West of Physician Recruiter Success Prove Your Value for Search Firm Recruiters and How to Prove Your Value and ROI to the C-Suite for In-House Recruiters Another opportunity to ensure your success is the Social Media Skills Lab being offered Wednesday, April 11 (separate registration required). More physicians (especially the younger generation) are looking to social media for positions and this hands-on skills lab will give you the tools necessary for capturing this emerging market. As if the speakers and topics aren t enough to get you to want to register for the Convention, you don t want to miss visiting Scottsdale, Arizona, and all that it has to offer. For more information on the NAPR & NALTO 2012 Annual Convention, visit the NAPR website and click on the Convention link on the home page or Education page.

2 Editor s Message: Flourishing During the Drought By Susan Masterson, Vice President, Provider Recruitment, TeamHealth At this time in our economic history, arguably the healthcare industry is one of the safest sectors for employment. While it is true we have been affected less than other industries, there remains a significant impact on hospitals and physicians. What hasn t been affected is the increased demand for providers! As members of the NAPR, we don t need to be reminded of the DROUGHT when searching for qualified providers. Our annual convention this year once again will help in identifying solutions and options for our recruiters as they navigate the challenges of recruiting providers. You notice I m not using the word physicians in this article for a very good reason. All healthcare institutions will be required to expand their healthcare delivery systems by engaging and employing advanced practice providers NPs and PAs. One of the keynote speakers this year, Albert Simon, PA, will help us understand different practice delivery models and the qualifications and recruiting strategies for hiring physician extenders. Additionally, Danny Cahill will help our meeting attendees understand that stuff that worked for years in recruiting, that you hold near and dear, no longer works or matters! We have to constantly reinvent our recruitment strategies to better match today s challenges. We will also hear from Joe Tye, America s Value Coach, who in addition to identifying the honey it takes to attract and sign a candidate will address the glue needed to retain good providers once hired. The challenges presented by the current recession are going to stretch our resources and test our dedication as we strive to provide excellent medical care while trying to balance the medical needs of our customers and medical communities. I hope to see you in Scottsdale I know this year s speakers will add much value to your ability to survive today s drought Board of Directors PRESIDENT...Patrice Streicher VISTA Staffing Solutions, Inc x6554 PRESIDENT-ELECT... Anne Folger Banner Health VICE PRESIDENT...Jim Stone The Medicus Firm x225 SECRETARY/TREASURER... Craig Fowler Pinnacle Health Group IMMED. PAST PRES...Pat Doyle-Grace, CPC-PRC OTHER BOARD MEMBERS Cejka Search Pam Adams...Lehigh Valley Health Network Tammy Jamison...Lehigh Valley Health Network Susan Masterson...TeamHealth Martin H. Osinski... American Medical Consultants The challenges presented by the current recession are going to stretch our resources and test our dedication as we strive to provide excellent medical care while trying to balance the medical needs of our customers and medical communities. Wanda Parker... The HealthField Alliance NAPR SERVICES, INC... Brenda Lewis B.E.L. Associates, Inc INTERNET/WEBSITE...Jo-Ann M. Toldt, CPC-PRC TeamHealth ETHICS... Jane Born Born & Bicknell, Inc EDUCATION... Craig Fowler Pinnacle Health Group EXECUTIVE VICE PRESIDENT... Bill Kautter, CAE 222 S Westmonte Dr Ste 101 Altamonte Springs, FL Fax: bkautter@napr.org The Pulse Page 2 Spring 2012

3 President s Message: Is There Life After NAPR Presidency? By Patrice Streicher, VISTA Physician Search & Consulting Amazingly, a year has passed and to my chagrin so has my tenure as NAPR President. In preparation for passing off the gavel to the new President, Anne Folger, I wondered, Is there life after NAPR Presidency? Since the beginning, NAPR Presidents have come and gone on our association s Board, many of whom happily continue to contribute their talents on various committees and on the Board of Directors. As for me, I will follow in my predecessors footsteps and continue my committee work by volunteering as needed. And, while my plans for the days to follow are set, the true answer to my central question, I realized, would require soul searching through an honest review of myself. Such an exploration would seek answers through Socratic self talk, asking questions that lead me to even more questions. Questions like, In looking back over the last year, did I keep the promises made in my acceptance speech? Did I serve my association colleagues with the dignity and integrity that my post commands? In a review of my Presidency, how will I be remembered? Overwhelmed by the magnitude of responsibility, I did the one thing any self respecting individual would do, reach for the closest Hershey with Almonds and forge forward seeking a conclusion. In the euphoria of my chocolate induced elevated serotonin, the answers I sought came rushing into my mind like an epiphany. Life after NAPR Presidency is predicated on the manner that one serves whether altruistically or self-interestedly. Notably, by altering the position in the central question, the same holds true for each of us in roles we play as employees, recruiters, colleagues and association members. And in reply to readers who eagerly redirect me back toward the central question under discussion, Is there life after NAPR Presidency? seeking an answer the answer is, yes, with considerations. Thus, there is life after NAPR Presidency; however, the the quality of the life is determined by one s actions while serving in the role. In my acceptance speech, I pledged, supported by the efforts of our talented Board of Directors, to increase your success and profitability. Since last April, I am delighted to report the Board s achievements over the last year that include a new NAPR mentoring program (scheduled to begin in Q2 2012), newly added vendor discounts, new recruitment programs offerings and co-op/shared expensed resources, the addition of new vendor members (who will be attending our 2012 convention in Scottsdale), an updated Policy and Procedure BOD Manual, a Second Edition of the Physician Practice Search Guide and a 2012 budget that promises a brighter future for our association. As in all things good in life, the dedication and the collaboration of a collective resulted in success. As for me, I am sincerely grateful to each of you for allowing me the opportunity to work alongside some of the finest professionals and serve as your President. And so, in conclusion, is there life after NAPR Presidency? I would assert, yes there is life after NAPR Presidency, one filled with cherished memories and a heartfelt appreciation for an experience of a lifetime. The quarterly survey for your most needed specialties for NAPR candidate sourcing will be hitting your in the next week. Take five minutes to send your response. The specialties with the most demand will be chosen specialties for the the next quarter (April/May/June). The Pulse Page 3 Spring 2012

4 Ethics and You: NAPR Members Receive High Marks in National Association of Physician Recruiters Ethics for 2011 By Jane E. Born, CEO, Born & Bicknell, Inc., Chairperson, NAPR Ethics Committee Congratulations to the NAPR membership, for its professionalism and ethical business approach! In 2011, ethic violations decreased by nearly 50% and the downward trend has been steady since Last year, the NAPR Ethics Committee reviewed a total of four (4) cases down from seven (7) cases in 2010 and eleven (11) in From January 2011 through December 2011, a total of 4 cases were reviewed; 2 firms received the sanction of suspension, 1 firm received the sanction of reprimand, and 1 firm received the sanction of caution. Over my tenure as a committee member and as the acting Chair, is has been my observation that not only has the committee s caseload decreased along with the number of complaints filed requiring investigation but that our members hold ethical business practices as a priority. Over the last year, I have enjoyed and appreciated conversations with physicians, as well as firm and in-house recruiters fielding questions and addressing concerns about physician recruitment. In the last decade, we all have been witness to incredible business scandal nationwide. The erosion of ethics and basic moral tenets in business abound and many of these scandals have shaken our entire economy. From Enron, Worldcom, Tyco, Bernie Madoff, Fannie Mae and Freddie Mac just to name a few. A reputation founded on an ethical business approach builds trust, which is a critical component of successful relationships. As a member of the NAPR, your organization is recognized by those experienced in the industry, as an entity with professionals who hold advancement in cutting edge recruitment tactics, search strategies, education offerings, access to real time healthcare information from Capitol Hill and ethical business practices as paramount in being successful. The NAPR Code of Ethics is not just a set of lofty ideas with noble goals. It s a Code that has come define physician recruitment appropriateness and considerate business practices. Our members are fiercely proud of their high standards and continue to protect our good name through peer review. The role of the Ethics Committee is to review the adherence to its Code and assure that organizations/individuals are treated fairly. As noted in NAPR s Vision Statement, The NAPR Code of Ethics is based upon excellence, honesty, fairness, peer review and reasonable industry standards. The role of the Ethics Committee is to maintain these standards and the quality of our association through conversations with conscientious recruiters to provide them suggestions, advice and awareness. Our members have agreed to the Code of Ethics as a condition of membership. The Association encourages calls to NAPR Headquarters ( ) or to the Chair of Ethics ( ext. 203) for advice and/or consultation. The Code of Ethics may be found on the NAPR website. The Pulse Page 4 Spring 2012

5 WELCOME NEW NAPR MEMBERS ACTIVE MEMBERS Acute Care, Inc...Kathy Storm Ankeny, IA Find your physician with Holzer Clinic...Juan Alexander Gallipolis, OH Infinite Talent, LLC dba Talent Medical Staffing...Daphne, Browell Lewisville, TX KCMedNet... Barbara Keller Kansas City, MO Luke & Associates, Inc... Linda South Merritt Island, FL Moxie Search Group, LLC... Thomas Cornelison. Jasper, GA Physician Affiliate Group of New York, P.C... Doriane Gloria New York, NY INDIVIDUAL MEMBERS Washington Regional Medical Center...Melissa Williams Fayetteville, AR THE Society, THE Publications, THE Website for Internal Medicine. VENDOR MEMBERS DMD (Direct Medical Data)...Jim Ufheil Rosemont, IL Kloke Group... Kara Ishmael Richmond, VA MyBizPromos... Lori Scott Scottsdale, AZ For information, call: Margaret Gardner, (215) Maria Fitzgerald, (215) Marian Tison, (215) The Pulse Page 5 Spring 2012

6 The Washington Insider: By Dave Wenhold Lawmakers reach deal to extend payroll tax cut and deal with doc fix and update on Supreme Court and the Affordable Care Act On February 16, 2012, the House and Senate negotiators finalized a deal to extend the payroll tax cut, emergency unemployment benefits and the Medicare reimbursement rate for doctors. The announcement of the pact came after the momentum toward a deal had appeared to derail late the previous evening, with an impasse emerging over a provision that would have included cuts to federal pensions. But in the end, a compromise was reached that would mandate that new federal employees be forced to contribute more to their pension funds than workers already on the federal payroll. House Speaker John Boehner (R-Ohio) and Senate Majority Leader Harry Reid (D-Nev.) helped negotiate the final agreement. The plank of the deal that NAPR members might be interested in would be the provision to avert a 27 percent cut in the reimbursement rate for doc- tors under Medicare, which would be paid for with savings wrung from, among other places, the 2010 health care overhaul, Medicaid and Medicare. Democrats have noted that those health care savings do not include means testing for benefits or cuts to beneficiaries. A payment freeze will be in effect through the end of the year The agreement is part of a deal to extend a payroll tax cut and added unemployment benefits. Under Medicare s sustainable growth rate formula (SGR), the huge Medicare payment cut was scheduled to go into effect Jan. 1, but was averted by a last-minute extension in late December of current payment rates. American Medical Association President Peter Carmel, MD, feels that the House and Senate conference committee agreement averts a 27 percent cut on March 1, but it represents a serious missed opportunity to permanently replace the flawed Medicare physician payment formula and protect access to care for military families and seniors. People outside of Washington question the logic of spending nearly $20 billion to postpone one cut for a higher cut next year, while increasing the cost of a permanent solution by about another $25 billion. Congress had an opportunity to permanently end this problem, which is the sound, fiscally prudent policy choice. We appreciate efforts by members of Congress on both sides of the aisle who publicly supported a framework for a permanent end to this perennial problem. We are deeply disappointed that Congress chose to just do another patch kicking the can, growing the problem and missing a clear opportunity to protect access to care for patients. Shortly after the coming elections, access to care for seniors and military will again be threatened by an even larger cut, and members of Congress will need to take swift action to end the broken formula. Both Democrats and Republicans take credit for passing the complex payroll tax legislation with the doc fix included but both parties are not happy about all aspects. The doc fix is a short-term fix that will allow legislators to get past the election before they have to make long-term fix. Congress and the White House will also be monitoring the Supreme Court oral arguments on President Obama s Affordable Care Act. Oral arguments will go through March and the Supreme Court should have its opinion by June. This ruling will have a tremendous impact on the future of healthcare in the country and NAPR will be monitoring this closely. The Pulse Page 6 Spring 2012

7 World Job Bank $439,000,000 Our doctors represent $439 million in placement fees. (24,400 doctors x $18,000 placement fee = $439 million) Is one of our doctors your next placement? View how one World Job Bank subscriber made 29 placements in 31 months: Call or us at napr@napr.org to subscribe.

8 AMA News: Improving Medical Education Learning Environment Key AMA Focus By Fred Donini-Lenhoff, American Medical Association The American Medical Association (AMA), through its Center for Transforming Medical Education, continues to respond to ongoing changes in the health care environment that have profound effects on physician education. These activities are critical to ensuring the quality of the medical education process, the competency and skill of new physicians, and the quality and safety of patient care. In 2011, key AMA activities in medical education focused on measuring and improving the medical school learning environment, eliminating medical student mistreatment, and encouraging new strategies for graduate medical education funding, among other key activities. In addition, visits to medical schools, requests for funding, and collaborative outreach to key organizations helped the AMA strive for the following goals: Improving the medical education learning environment: In 2011, the AMA-sponsored medical education research collaborative, Innovative Strategies for Transforming the Education of Physicians (ISTEP), entered the second year of its multi-school longitudinal cohort study on the medical education learning environment. A total of 42 medical schools from the U.S., Canada and Israel are participating in the study, and data from approximately 6,000 medical students are being collected. Work is ongoing to identify factors in the learning environment that either inhibit or promote the acquisition of professional behaviors by medical students and resident physicians. In 2011, an update to the study was presented at the annual ISTEP meeting, and the study design and initial data were provided both nationally and internationally. Working to eliminate medical student mistreatment: Data from the annual Graduation Questionnaire of the Association of American Medical Colleges show that nearly one in five medical students report mistreatment. The AMA believes this is an important issue and is working with academic leaders to try to understand and address the issue at its roots and improve the medical education learning environment. During its June 2011 meeting, the AMA held an education program, Optimizing the Learning Environment: Exploring the Issue of Medical Student Mistreatment, that outlined the scope of the problem and suggested potential solutions. Cosponsored by the AMA Section on Medical Schools, Council on Medical Education, and Medical Student Section, the event brought together the perspectives of medical school deans, resident physicians, and medical students. In addition, the AMA held a conference in December with invited guests from a variety of stakeholder groups. The goal of the conference was to identify ways to isolate the sources and causes of mistreatment and to develop strategies to address the issue. Advancing AMA medical education policy and actions: AMA medical education staff work to ensure that the association s policy and activities reflect the needs of academic physicians as well as medical students, resident/fellow physicians, and patients. Some of the key topics covered in this work, during the AMA s annual and interim meetings, include: Exploring the feasibility of income-contingent loans for medical students, Ensuring the quality of international service learning opportunities, Passing a bill of rights for resident/fellow physicians, Easing the burdens of Maintenance of Certification and Maintenance of Licensure, Working to integrate international medical graduates into the US physician workforce, and Ensuring that new changes in the annual National Resident Matching Program promote fairness and flexibility. Ensuring an adequate physician workforce to meet patient needs: In May 2011, the AMA hosted a webinar on innovations in graduate medical education (GME) funding, and the November meeting of the AMA Section on Medical Schools included a well-attended education session on the need to expand GME to meet our nation s growing need for physicians. Innovative strategies to expand and distribute GME funds at the state and regional level were discussed by a spectrum of panelists. In addition, the AMA wrote a letter in support of the Resident Physician Shortage Reduction Act of 2011, introduced on Sept. 23 in the U.S. Senate, which would increase the number of Medicare-supported training positions for medical residents by 15 percent (approximately 15,000 slots) over five years. The AMA also signed a joint letter, along with 39 other medical organizations, which called on the Joint Select Committee on Deficit Reduction to protect Medicare beneficiary access to health care services by protecting existing Medicare financing for GME. Addressing suicide among medical students and resident/fellow physicians: With concern about physician burnout and stress growing, Medical Education partnered with AMA colleagues in the physician health division to hold a series of three free webinars addressing the issue of physician suicide. The second in the series examined some of the stressors in medical education that may contribute to a risk for suicide among medical students and resident physicians. Learn more! Subscribe to our free monthly e-newsletter AMA MedEd Update which features news, updates, and information from Medical School, Graduate Medical Education, Health Care Careers, and Continuing Physician Professional Development. One of the goals of the publication is to provide its 30,000 readers a more comprehensive picture of medical education and professionalism and to reinforce the need for interdisciplinary education and understanding. In addition, to encourage dialogue and advance ideas about transforming medical education, an AMA-hosted online discussion forum was launched in The online community has grown rapidly, with nearly 700 registered participants. Also, the AMA s medical education Twitter page continues to grow, with more than 1,100 followers by year-end. The Pulse Page 8 Spring 2012

9 (RECRUIT THE RIGHT PEOPLE.) Find family physicians at AAFP CareerLink. EASY. Your job posting will be: Available by free search to job seekers. ed directly to compatible candidates. Posted on Facebook and Twitter for added exposure. START RECRUITING TODAY. The Endocrine Society Can Help Your Recruiting Efforts Can t Find An Endocrinologist? HERE S WHERE TO LOOK WE OFFER: Classified Advertising Web Advertising Free CV Database Job Fair in June To learn more, visit placementservices or call We are at your service! The Pulse Page 9 Spring 2012

10 Physician Compensation How Much is Your Signature Worth? Doctors Average $20,000 Per Signature (on an employment contract) By Andrea C. Santiago, The Medicus Firm Physician Placement and Relocation Patterns Reveal Hospital Hiring and Recruiting Trends How much is your autograph worth? Unless you are a Hollywood celebrity or a famous athlete, probably not much. However, one group of professionals who are not entertainers or sports players are finding that their signature is becoming increasingly valuable. Celebrities are no longer the only people whose autograph is worth some serious cash. Physicians are often paid for their autograph when it s at the bottom of an employment contract. In 2011, 88 percent of physicians were paid to sign on the dotted line up from 73 percent in How much is a physician s John Hancock worth? The 2011 average signing bonus was more than $20,000, according to physician placement data from over 100 healthcare employers nationwide. The signing bonus is paid in addition to full reimbursement for the physician s relocation costs. The Medicus Firm, a national recruiting firm specializing in the recruiting and permanent placement of physicians, has compiled physician placement data from 103 healthcare systems, revealing several physician practice trends and recruiting trends on a national level and among a variety of employers including large national and regional systems, rural or community hospitals, academic centers, and a mix of for-profit and notfor-profit employers. Hospitals and physician employers are stepping up their game to remain competitive in the battle for top physician talent, states Jim Stone, president and co-founder of The Medicus Firm. As more hospitals compete to employ physicians, the stakes get higher and administrators are realizing that what used to be extraordinary is now average, or expected, when it comes to attracting physicians. More Physicians On the Move Although the housing market remains slow, the percentage of relocations increased in 2011, as compared to Of the physicians placed in 2011, 93% moved to a new community for their new career opportunity. Primary care remained the largest proportion of physician placements, but demand and placements in psychiatry and neurology increased dramatically. Additionally, placements in subspecialties of internal medicine grew from 12% to 18.6%. Hospitals are employing physicians much more often than in recent years. Among the physicians placed in 2011, 83% were employment agreements with the hospital, (as opposed to recruiting agreements consisting of a forgivable loan to start a physician-owned private practice) and less than 5% of physicians placed (about 4.2%) were placed in solo practices. The growing popularity of the employment model is dramatic, and is reminiscent of a similar trend in the 1990s, states Stone. He adds that the employment trend of the 1990s reversed itself when physicians rebelled against hospital control over their practices, and the hospitals tired of the hassles of managing physicians practices. This time, hospitals employment of physicians may have to succeed. Due to the economic environment and the state of healthcare today, hospitals and physicians are going to have to make the employment arrangement succeed financially, and qualitatively under the new health care reform laws. Other notable trends: The need for Psychiatrists and Neurology has risen rapidly. We expect those specialties to account for 15-20% of our placements in 2012 based on new searches we are being asked to represent, adds Jim Stone. Primary care placements remain the highest percentage of total placements, at 34%. Surgical specialties were the second highest percentage, at 20.9%. Signing bonuses were offered to 88% of physicians placed. (This is a 15% increase over the previous year.) Employers are doing what it takes to beat out their competing systems when vying for top physician talent. Relocation allowances increased in This is most likely attributable to the housing market crisis it takes longer to transition out of a home as they are sitting on the market longer before being sold or leased. Surprisingly, relocations increased in 2011, with 93% of all placements involving a relocation to a new community, compared to 81% the previous year. Female physicians are accounting for a much larger percentage of placements. We expect this trend to grow another 10-15% in 2012 based on the interviews occurring with clients, Stone states. The Pulse Page 10 Spring 2012

11 NAPR Services Direct Mail is Back! By Brenda Lewis, NAPR Services NAPR Services examined the number of addresses we had for the current group of 2013 residents and fellows. To our surprise and disappointment, we found that only 60 percent of the residents and fellows had provided addresses. This meant that we were losing access to a significant number of doctors who are vital to the success and efficiency of this key candidate sourcing program which many of our members rely on. BUT, we do have the mailing addresses of all the residents and fellows! As a result, and to seek to deliver the greatest number of responses to our participating members, we decided to return to direct mail. This year, beginning shortly, we will be sending attractive POSTCARDS to select medical/surgical specialties (see list to the right). This POSTCARD will direct the doctors to a special website where your jobs will be listed. Each job posting will contain your contact information in the form of an icon so the doctor can respond to you by , phone or text using his or her smart phone. You can modify your posted jobs as often as you wish. In these economic times, NAPR Services remains sensitive to your costs and is offering this mailing program for just $300 per month for four months. The program will be limited to 15 participants. Click here to sign up for this program. Internal Medicine Family Practice General Surgery Otolaryngology Orthopedic Surgery Urology Pulmonology Endocrinology Emergency Medicine Neurological Surgery Physical Medicine and Rehabilitation OB//GYN Rheumatology

12 Interested in Reducing Costs on your Candidate Sourcing? Have questions regarding the NAPR Services Candidate Sourcing Programs? Look for the Co-Op Sourcing table at the NAPR Convention!

13 The Online Physician Job Bank Empower your recruitment effort with PracticeLink s proven tools! "Great experience! It was so easy to find a job in the area I was looking for." Timothy Blain, M.D., Med-Peds Proud Supporters of With PracticeLink.com, recruiters and their job postings receive: 3 120,000+ visits and 750,000+ page views each month 3 1,500+ new registered candidates each month 3 Automatic notification of jobs to 15,000+ active candidates twice each week Try PracticeLink today! PracticeLink.com/Employers (800) ProTeam@PracticeLink.com We look forward to helping you meet your recruitment needs, and connecting with you on social media! Ken Allman, Founder and CEO LinkedIn.com/company/PracticeLink Facebook.com/PracticeLink Twitter.com/PracticeLink Physician recruitment is a challenge. Let PracticeLink make it easier! The Online Physician Job Bank & Magazine Celebrating 16 years of empowering physician recruiters

14 Extend your reach In building the best team, you want to place physicians who are productive in their current positions and are open to bigger challenges. Here, you ll reach a unique audience of active and passive job seekers. Tailor a recruiting solution to your specific needs and budget: JAMA Archives Journals Combo Buys Online Only For details, contact us or visit our Web site. Classified Advertising American Medical Association fax classifieds@ama-assn.org