Christian Physician Recruiter Vol 16 Is 2 by Professional Publishing, Inc

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The American Association of Colleges of Osteopathic Medicine Supports Bipartisan Legislation to Expand Medical Residency Positions The American Association of Colleges of Osteopathic Medicine (AACOM) announces its support of the Training Tomorrow’s Doctors Today Act, legislation introduced by U.S. Representatives Aaron Schock (R-IL) and Allyson Y. Schwartz (D-PA) to address the nation’s physician workforce shortage and expand medical residency training positions in programs across the country. "In the U.S. we are facing a significant physician shortage that will only increase in severity unless action is taken soon. Every eight seconds another Baby Boomer turns 65 so it’s incumbent upon us to ensure we have a prepared physician workforce in place to meet the growing health care demands on our country," said Representative Schock. "The primary way our country can address the physician shortage is by ensuring we increase the number of Graduate Medical Education slots. By doing so, we are increasing the number of

medical school graduates who will receive hands on training in a patient setting to gain the experience needed to become a practicing physician." The Training Tomorrow’s Doctors Today Act would increase the number of Medicarefunded graduate medical education (GME) positions by 3,000 each year, totaling 15,000 additional positions over the next five years. The legislation would give priority to hospitals in states with new medical schools and emphasize training in community-based settings. It would also require hospitals to train at least 30 percent of their residents in primary care and general surgery and require greater accountability and transparency by meeting specific performance measures. The Balanced Budget Act of 1997, which currently is still in effect, capped the number of Medicare-funded residency positions. As Continued on page 4

Physician Turnover Hits New High as Housing and Stock Markets Recover AMGA and Cejka Search also Report Rapid Increase in Demand for Primary Care Providers As stock prices and home sales rise, physician turnover reaches the highest rate since the first year data was collected in 2005, and exceeds pre-recession levels. Medical groups reported an average turnover rate of 6.8 percent in 2012, according to the 8th annual Physician Retention Survey from Cejka Search and the American Medical Group Association (AMGA). The survey also reported turnover of 11.5 percent among advanced practice clinicians (APCs), which includes physician assistants and nurse practitioners. This is essentially unchanged from 2011, the first year APC data was collected. The 6.8 percent physician turnover rate in 2012 rose from 6.5 percent in 2011. It was significantly higher than the lowest rate of 5.9 percent reported in 2009 at the depth of the recession, and exceeded 6.4 percent reported in 2005, the first year data was collected. This increased turnover tracks with improvements in the housing market and recovery in stock prices and marks a shift from physicians delaying relocation and retirement due to depressed home and invest-

ment portfolio values. Medical groups do not expect relief in turnover in the coming year. The newly released report indicates that competition to hire and retain top performing physicians will intensify as retirement accelerates among an aging physician workforce and health reform increases the demand for primary care. "The survey findings provide evidence that recruitment and retention continue to be major challenges for health systems," stated Donald W. Fisher , Ph.D., CAE, president and chief executive officer of AMGA. "To rise to these challenges, medical groups are demonstrating remarkable leadership by investing in new staffing and delivery models, building and nurturing their teams in a strategic way, and making accountable care work for their patients and their communities." "The implementation of health care reform and changing demographics make efficient recruitment and effective retention paramount for medical groups," stated Lori Continued on page 2

Employee Healthcare: More Firms Trading with Doctors, Dentists, Pharmacies Businesses in certain areas are trading with doctors, dentists, and pharmacies in exchange for medical services for their employees. In the past, individuals have been known to reach out to their providers to strike deals. Now, as group health plans become financially prohibitive, corporations are the ones striking the trade deals with the hundreds of medical professionals available. Corporate bartering for healthcare has become more organized and more popular. To get medical services for their employees, a business sets up the TIE Healthcare Program activating a barter arrangement with Trade International Exchange (TIE). Agreeing to buy and sell specific company goods and services, these commodities are exchanged for healthcare and other needs such as plumbers, electricians, painters, ad agencies, printers, etc. Upon a firm's request, TIE will pursue healthcare providers in areas that have no formal arrangements in place. Each firm determines a suitable method to involve their participating employees/ team members. Working an extra hour or so is one way to get involved. In return for his/ her cooperation, the employee agrees to place some hourly pay into their personal TIE Healthcare Program earning a stake in the firm's corporate TIE barter account. The new member's hourly pay is then enhanced at a rate equal to the reduced cost or sale price of the items the firm barters. Participants then exchange the credits in their Program for visits to participating doctors, dentists, and pharmacies. The medical/healthcare professionals involved can use those credits for goods or services such as airline tickets, hotel reservations, car rentals, restaurants, etc. www.tradeinternationalexchange.com It appears to be a win-win for all involved; the firm, the employees, and the healthcare pros. NOTE: Certain areas of the U.S. have poor representation between trade/barter groups and healthcare providers. Enterprising entrepreneurs are encouraged to inquire about this outstanding business opportunity. Contact info below. Trade International Exchange (TIE) Trade International Exchange (TIE) is a barter exchange network using TIE Dollars. Teamed up with over 100 Trade Companies worldwide, TIE’s Facebook page lists up-to-the minute offerings available. www.facebook. com/tradeinternationalexchange. Jerry Jennings 561-881-7318 jerry@emersongerard.com

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Great opportunity to join faith-based hospital-owned Urology practice in Calhoun, Georgia. Conveniently located 45 minutes south of Chattanooga, Tennessee and one hours north of Atlanta, Georgia, Calhoun offers many big city amenities, yet enables you to enjoy the abundant convenience of a relaxed southern lifestyle. Waiting patient population! * Competitive Salary (based on experience) * Sign-on bonus * Full beneﬁts; relocation and malpractice. For more information email tracy.farriba@ahss.org or call 800.264.8642.

Do you share this intent? 35+ year old practice devoted to these guiding principles. Low malpractice and cost of living, on-site surgery center, mission minded, vibrant community with a university, great schools, low crime rate, and many ways to make a difference. New surgical hospital opening in 2011. Won’t you contact us? Kearney Orthopedic & Sports Medicine, Kearney, NE; Contact; Administrator, Vicki Aten, at 308865-2512 or vaten@kearneyortho. com.

Busy Family Practice in Beautiful Lancaster County Pennsylvania seeks a mission minded “FP or IM or PEDS” doctor to join a group of 5 FPs, 1 PEDs and 1 MedPeds doc and 3 midlevels. Contact Chip Mershon @ cmershon@ dejazzd.com. IMMEDIATE OPENING

Faith based Family Practice in New Wilmington, PA seeking additional Family Physician CRNP, and or PA. FT/PT positions. Rapidly growing, currently 3 provider practice. Excellent salary and beneﬁts. Prayerfully consider. Contact Jim Gardner III, M.D. 724-946-3564 (Ask for Lynn) or Email:jamesgardner3@mac.com.

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Schutte , president of Cejka Search. "Delivering data and insight points the way toward best practices and drives our industry toward innovative solutions." Other Key Findings: Highest Turnover in Late and Early Years of Practice • More than one-third (36%) of reporting groups expect the pace of retirements to increase in the coming year, compared with 27 percent with that expectation two years ago. • Nearly three-quarters (74%) of groups with fewer than 50 physicians said they expect it to "stay the same." However this small group segment is already experiencing the highest rate of turnover among physicians over 64, at 19.4 percent, compared with an average 12.7 percent for physicians of this age in all groups.

• On the other end of the spectrum, physicians who have recently joined a practice are equally vulnerable to turnover. The average turnover rate for physicians in their second to third year of practice is 12.4 percent and small groups suffer from 20.8 percent turnover among physicians in those early years. Demand for Care Teams Intensifies • More than three-quarters (76%) of respondents plan to hire more primary care physicians in the next 12 months • Within that group, 22 percent said they will hire "significantly more" – more than twice the 9 percent reported in 2011. • Hiring plans for APCs will also accelerate: 67 percent plan to hire more nurse practitioners and 61 percent plan to hire more physician assistants. This compares with

49 percent and 48 percent (respectively) in 2011. Onboarding and Mentoring May Offer Opportunities to Improve Retention • A significant majority (85%) have an onboarding process for physicians, yet only one-third (33%) of these groups stated that their process is formalized through an onboarding committee or task force. • Groups who assign a mentor during onboarding reported a lower overall turnover rate of 6.0 percent compared with the 6.8 percent average turnover rate for all groups. • Extended onboarding correlates to higher retention of physicians in the early years with a practice. Groups that provide a year-long onboarding process reported a turnover rate of 10.5 percent compared

with the average 12.5 percent for physicians between two and three years with the practice, when turnover peaks. An electronic version of the 2012 survey is available to AMGA members for $100 and non-AMGA members for $200. For more information and a link to the AMGA e-commerce site for purchasing the survey visit: www.amga-retention.com. Methodology The Cejka Search and AMGA 2012 Physician Retention Survey was distributed electronically via e-mail to 2,174 medical organizations, representing both AMGA medical group members and non-members. Survey data was collected from October 2012 through January 2013. A total of 80 survey responses were compiled, representContinued on page 4

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WASHINGTON NORTHWEST PEDIATRIC CENTER

Located in beautiful Western Washington, is seeking a full time Board Certified/Board Eligible Pediatrician or Advanced Regis tered Nurse Practitioner for a growing Pediatric practice. Currently Northwest Pediatric Center consists of 4 offices, 7 Pediatricians, 1 Psychiatrist, and 5 ARNP’s. All of our facilities are certified Rural Health Clinics and we have several outreach clinics. Main location is Centralia, Washington which is situated halfway

between Seattle and Portland along the I-5 corridor. For more information please contact Lisa McKay. Phone: (360) 736 -6778, Fax: (360) 736-6522, Email: lmckay@nwpeds. com. Visit our website at www. nwpeds.com.

WEST VIRGINIA NORTHWEST PEDIATRIC CENTER

we have several outreach clinics. Main location is Centralia, Washington which is situated halfway between Seattle and Portland along the I-5 corridor. For more information please contact Lisa McKay. Phone: (360) 736 -6778, Fax: (360) 736-6522, Email: lmckay@nwpeds. com. Visit our website at www. nwpeds.com.

Federal Government Targets Small, Mid-sized Practices for Probes of Patient Privacy Violations UBM Medica US announces that the federal government has stepped up enforcement of healthcare privacy laws, creating difficulties for small and mid-sized medical practices that are trying to keep up with the regulations, according to Physicians Practice, America's Leading Business Journal for Physicians. Laws including the Health Insurance Portability and Accountability Act of 1996 (HIPAA) are designed to protect the privacy of patient information. Although the law has always covered all medical providers, its enforcement had long been directed mainly at hospitals and health systems. But when Congress passed incentives in 2009, as part of the economic stimulus program, to encourage adoption of electronic health records systems by medical practices, it included provisions that enhanced enforcement of privacy and security rules, and increased penalties. It also required the Department of Health and Human Services to periodically audit healthcare providers for potential HIPAA violations. A case in point: A five-physician practice in Arizona was fined $100,000 by the federal

government for using a publically accessible online scheduling system. "A typical independent medical practice with five physicians or fewer would usually have no more than 25 or 30 employees," said Bob Keaveney, Editorial Director of Physicians Practice. "That's a small business. They work hard to ensure that patient information is kept safe. But many of these practices lack the manpower, resources, and technical skill to keep up with the government's Byzantine regulations." In its March cover story, Physicians Practice's Aubrey Westgate dives deeply into the problem and offers guidance to practices on how best to respond. About UBM Medica US Addressing today' s healthcare information needs, UBM Medica US, delivers strategic, integrated communications solutions and comprehensive reach—online, in print, and via custom programs. Improving the effectiveness of healthcare through information and education, UBM Medica US provides unbiased clinical, practical, and business information for physicians, providers, payers, and patients

PRIVATE PRIMARY CARE PRACTICE BEAUTIFUL VIRGINIA MOUNTAINS Family Health Care Associates In The Heart Of Beautiful Southwest Virginia, a progressive, multi-specialty, primary care practice located in the beautiful highlands of Southwest Virginia is seeking qualified, Board Certified/Board Eligible Internal Medicine and Family Medicine physicians. Since 1980, the founding partner & practitioners have actively served the families of the county and surrounding area. FHCA consists of a board certified family and geriatric physician and two certified family nurse practitioners. FHCA features EMR, moderate complexity lab, digital radiology, and staff dedicated to treating patients both physically, spiritually and emotionally.

around the world. Through journals, magazines, websites, online communities, drug databases, digital events, and other valuable resources, UBM Medica US also delivers comprehensive communication solutions for the pharmaceutical and related industries. Websites include CancerNetwork.com, ConsultantLive.com, DiagnosticImaging.com, MusculoskeletalNetwork.com, OBGYN.net, PhysiciansPractice.com, Psychiatric Times.com and SearchMedica.com. UBM Medica US is part of UBM Connect – which provides marketing services across a number of communities,

the largest of which are healthcare, medical device design and advanced manufacturing. UBM Connect also includes UBM Studios, the global leader in interactive digital environments. UBM Connect is a UBM plc company. For more information, visit http:// www.UBMMedicaUS.com Jason J. Golden Content Marketing Manager 203-523-7040 jason.golden@ubm.com

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ing a 3.6 percent survey response rate. The 2012 physician turnover data was reported by 80 respondents who collectively employed 19, 596 physicians, and a subset of 72 groups who collectively employed 4,213 advanced practice clinicians.

The American

About Cejka Search Cejka Search is a nationally recognized physician, health care executive, advanced practice and allied health search firm providing services exclusively to the health care industry for more than 30 years. Cejka Search recruits top health care talent for organizations nationwide through our team of experienced professionals, award-winning recruitment technology and commitment to service excellence. Cejka Search is a Cross Country Healthcare, Inc. (Nasdaq: CCRN) company, a leading provider of health care staffing services in the United States. For more information, visit http://www. cejkasearch.com or http://www.cejkaexecuti vesearch.com.

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About American Medical Group Association (AMGA) The American Medical Group Association represents some of the nation's largest, most prestigious medical practices, independent practice associations, accountable care organizations, and integrated health care delivery systems. AMGA's mission is to support its members in enhancing population health and care for patients through integrated systems of care. More than 130,000 physicians practice in AMGA member organizations, providing healthcare services for 120 million patients (approximately one in three Americans). Headquartered in Alexandria, Virginia, AMGA is the strategic partner for these organizations, providing a comprehensive package of benefits, including political advocacy, educational and networking programs, publications,

benchmarking data services, and financial and operations assistance. For more information, visit http://www. amga.org.

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About AACOM AACOM represents the nation’s 29 colleges of osteopathic medicine at 37 locations in 28 states. Today, more than 21,000 students are enrolled in osteopathic medical schools. One in five U.S. medical students is training to become an osteopathic physician. AACOM was founded in 1898 to support and assist the nation's osteopathic medical schools, and to serve as a unifying voice for osteopathic medical education. AACOM’s mission is to promote excellence in osteopathic medical education, in research and in service, and to foster innovation and quality among osteopathic medical colleges to improve the health of the American public.

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osteopathic medical schools continue to graduate rising numbers of students, it is imperative to ensure that the number of medical residency positions increases simultaneously to continue training the nation's future physicians. "The physician workforce shortage facing our nation, particularly in primary care, is a national crisis that requires comprehensive and cost-effective solutions," said AACOM President and CEO Stephen C. Shannon, D.O., M.P.H. "AACOM is pleased to offer its strong support of this critical legislation, which works to increase the training of the future physician workforce across the country while expanding access to patient care. AACOM commends Representatives Schock and Schwartz for their unwavering leadership on this issue."

EDITORIAL Editor ..................................................................Andrea Coulter PRODUCTION & CIRCULATION Production Manager ...........................................Andrea Coulter Graphic Designer ..............................................Andrea Coulter Circulation ..........................................................Andrea Coulter Publisher .................................................................Will Johnson ADVERTISING SALES Director of Sales ...................................................Will Johnson HOW TO CONTACT CHRISTIAN RECRUITER Mail: Christian Recruiter, PO Box 30327 Portland, OR 97294-3327 Telephone: (503) 221-1260 Fax: (503) 221-1545 E-mail: cpr@propubinc.com Web site: www.cprclassifieds.com LETTERS TO THE EDITOR Please send your comments, questions or suggestions to the Editor. We reserve the right to edit all submissions; letters must include your name, address and daytime telephone number.

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