The American Medical Association has issued a formal apology for more than a century of discriminatory policies that excluded blacks. The apology stems from AMA initiatives to reduce racial disparities in medicine. Ronald Davis, the group's immediate past president, said he hopes the apology "will hasten healing between the AMA and our African-American physician colleagues so that we can create a better future for our patients, our communities and the medical profession."
More than three in four emergency room patients do not fully understand the instructions that doctors give them after their visits, according to research published in the Annals of Emergency Medicine. In addition, researchers found that the vast majority of patients are also unaware that they have not fully understood what the doctor has told them.
Two psychiatrists at Massachusetts General Hospital are counseling colleagues on the lengths their patients may go to in order to dig up digital dirt on them. The psychiatrists advise doctors go through Google to see what's out there, then take control. They say physicians can fight back with a plain vanilla Web page containing a basic bio and contact information.
Physician blogger Dr. Val recently heard about FreeMD, an online tool that "conducts an interview, analyzes symptoms, and provides expert advice" to patients, and decided to test it out for herself. It completely missed the diagnosis of her fictional condition, and she concluded that "computers will replace physicians when robots replace spouses."
The Centers for Medicare & Medicaid Services has proposed new efforts to promote access to higher quality and more efficient healthcare delivered by the nation's physicians to people with Medicare under the 2009 Medicare Physician Fee Schedule, according to a CMS release. Among the changes are proposals to reimburse for telephone or e-mail encounters, and a rule to allow more gainsharing.
Who would have guessed that the drop in home sales would dramatically affect how hospitals and physician practices recruit physicians? It may not have seemed like an obvious connection when the first news of a real estate crisis broke, but facilities are quickly learning that the bad housing market is directly affecting physician recruitment efforts, and many are looking for ways to adapt.
In some cases, the facility may be unable to work around the problem and must be prepared to lose a candidate. But some have already found creative ways to convince physicians to move. Consider the following options:
Pay a physician's mortgage. Delta Physician Placement, a national healthcare staffing agency in Dallas, recently placed a female neonatologist from Northwestern Oregon—an area hit particularly hard by real estate problems—in a program in Appleton, WI. The physician wanted the job, accepted the offer, but then backed out because of concerns about selling her house. "She was deathly afraid of not being able to sell her house," says William Scott Hurst, MBA, director of consulting at Delta. "There were 12 houses on her street, and six were for sale."
The hospital convinced the physician to sign the contract by agreeing to pay her mortgage for nine months, with the intent that the physician could sell the house during that additional window of time. This was arranged in lieu of a traditional signing bonus, so the hospital didn't take a dramatic financial hit because of the incentive.
Buy a physician's home. Although it is rare, Hurst says at least one hospital he has worked with has purchased a physician's home in order to bring a physician into the community. This isn't feasible for routine searches, but it may be a last resort to bring in a high-value physician.
Partner with realtors. Many recruiters are working more closely with realtors to address physicians' housing concerns. "What we've seen is more local engagement with local realtors here to work with previous home area realtors for [a] coordinated effort to get a home sold," says Danilio Davila, employment manager at Parkland Health and Hospital System in Dallas.
In some cases, this involves paying realty fees or shouldering expenses related to relocation and selling the original home.
But professional recruiters are also taking simple steps to become more familiar with real estate markets in areas they're recruiting from early in the process and are reaching out to realtors in those areas.
Target searches. An ideal solution is to limit searches to local candidates who don't need to sell their home in order to switch practices.
However, that isn't always feasible because of regional shortages or noncompete clauses that prevent physicians from moving to a practice within the same area.
Facilities will likely have more success recruiting candidates from regions with relatively stable markets, but few recruiters have actually begun targeting searches in those areas. That may change if the housing problem intensifies.
This story was adapted from one that first appeared in the July edition of Physician Compensation & Recruitment, a monthly publication by HealthLeaders Media.