sogh 2016 hospitalist employment & salary survey 2016 salary... · sogh 2016 hospitalist...

SOGH | Society of OB/GYN Hospitalists | Enhancing the Safety and Quality of OB/GYN Hospital MedicineSOGH | Society of OB/GYN Hospitalists | Enhancing the Safety and Quality of OB/GYN Hospital Medicine

SOGH 2016 Hospitalist Employment & Salary Survey

Resale or redistribution of this survey is prohibited without the written consent of SOGH

SOGH | Society of OB/GYN Hospitalists | Enhancing the Safety and Quality of OB/GYN Hospital Medicine


SOGH 2016 Salary & Employment Survey

• Survey Director: Catherine S. Stika, MD

• Contributors:

• Brendan Carroll, MD

• Rob Olson, MD

• William Rayburn, MD

• Jennifer Tesmer-Tuck, MD



2016 SOGH Salary & Employment Survey

Total Responses

Northwestern University IRB review: exempt status

Survey was emailed to all registrants of the SOGH website: ~2400 email addresses

Initial email blast: July 31. 2016Reminder letters were sent out 6 timesSurvey was closed on December 4, 2016

322



In the February 2016 issue of Obstetrics & Gynecology (Vol 127(2), February 2016,p 393–397), the SOGH Board of Directors authored a “Current Commentary”, defining the roles of Ob-Gyn hospitalists, as follows:

What is an Ob/Gyn Hospitalist? How is our job different than that of a generalist?

• A hospitalist is a physician who specializes in the practice of hospital medicine.

• An obstetric hospitalist is an ob-gyn who specializes in the practice of hospital obstetrics. This may include (but is not limited to) the obstetric triage unit, labor and delivery, the antepartum unit, and the postpartum unit. An obstetric hospitalist has no gynecologic or gynecologic surgery responsibilities.



What is an Ob/Gyn Hospitalist? How is our job different than an a generalist?

• An obstetric and gynecologic hospitalist is an ob-gyn who specializes in the practice of hospital obstetric and gynecologic care. This may include (but is not limited to) the obstetric triage unit, labor and delivery, the antepartum unit, the postpartum unit, the emergency department, emergent gynecologic surgery, inpatient medical and critical care units, and consultative inpatient obstetric and gynecologic services.

• An obstetric or obstetric and gynecologic hospital medicine practice is a practice that uses hospitalists to provide patient care and minimizes the use of non-hospitalist ob-gyns.



How would you best describe yourself?Answered: 322

Job DescriptionRespondent

Number

Ob or Ob/Gyn Hospitalist 278

General Ob/Gyn with some hospital work 20

General Ob/Gyn private practice 13

CNM 4

Hospital Administrator 3

Hospitalist Staffing Administrator 4

Total 322

44


Basic Demographics




What is our gender?Answered: 273

156 57.14%

117 42.86%

Gender

Female Male

Female156 57.14%

Male117 42.86%



How old are we?Answered: 273 Age (y) Number %

30 – 39 29 10.6

40 – 49 81 29.7

50 – 59 90 32.97

60 - 69 62 22.7

> 70 11 4.0

Total 273

29

81

90

62

11

0

10

20

30

40

50

60

70

80

90

100

30 - 39 40 - 49 50 - 59 60 - 69 >70

YEARS

Years



How many years after completion of our residency did we begin our work as a hospitalist?Answered: 269 Years post-

residencyNumber %

0 – 1 10 3.72

1 – 5 33 12.27

6 – 10 44 16.36

11 – 20 83 30.86

21 - 30 77 28.62

31 - 40 18 6.69

≥ 41 4 1.49

Total Number 2690

10

20

30

40

50

60

70

80

90

0 - 1 1 - 5 6 - 10 11 - 20 21 - 30 31 - 40 ≥ 41

Years



How many years after completion of our residency did we begin our work as a hospitalist? 2016 compared to 2014 results

Years post-residency

2016Number

2016N=269

%

2014N=306

%

0 – 1 10 3.72 0

1 – 5 33 12.27 8

6 – 10 44 16.36 16

11 – 20 83 30.86 28.4

21 - 30 77 28.62 30.7

31 - 40 18 6.69 15

≥ 41 4 1.49 1

Total Number 269

More of us are becoming hospitalists earlier in our careers.



How many years have we been working exclusively as an Ob/Gynhospitalist?Answered: 270

0

2

4

6

8

10

12

14

16

18

20

< 1 1 - < 2 2 - < 3 3 - < 4 4 - < 5 5 - < 6 6 - <10 >10

Percent

*

Years Worked

Although the largest percentage of physicians responding to this survey belong in the first wave of Hospitalist pioneers, there has been a steady increase in our numbers within the recent 4 years: our numbers are growing!



Where do we live?Answered: 272

0

2

10

33

2

1

2

9

6

3

11

Guam: 1

3

6

413

10

9

8

6

1

3

1

3

4

14

5

10

5

8

14

26

4

2

19

10

4



Where do we live? Only 15 States were not representedAnswered: 272

0

2

10

33

2

1

2

9

6

3

11

Guam: 1

3

6

413

10

9

8

6

1

3

1

3

4

14

5

10

5

8

14

26

4

2

19

10

4 Delaware

Rhode Island

Hawaii

1


Our Hospitals




At how many hospitals do each of us work? Answered: 267

Number of HospitalsNumber of

Respondents%

1 208 77.9

2 43 16.2

3 14 5.2

≥ 4 2 <1

%

1 2 3 ≥4

2

1

3



How long is our commute from home to our primary hospital?Answered: 250

< 30 minutes 30 - 60 minutes

1 - 2 hours > 2 hours

58%24.4%

11.2%

6.4%



Which of the following best describes our hospitalist practice locations and patient composition?

Answered: 270

Hospital Number %

Urban, Inner City, Indigent

31 11.5

Urban, mixedcomposition

142 52.6

Suburban 82 30.4

Rural 15 5.6

%

Urban, Inner City Urban, Mixed Suburban Rural



On average, how many deliveries are performed at our PRIMARY hospital each year?

Answered: 271Annual Deliveries Number %

< 1000 23 8.5

1000 – 1999 58 21.4

2000 – 2999 44 16.2

3000 - 3999 51 18.8

4000 – 4999 42 15.5

5000 – 10,000 41 15.1

> 10,000 12 4.40

10

20

30

40

50

60

70

<1000 1000 - 1999 2000 - 2999 3000 - 3999 4000 - 4999 5000 -10,000

>10,000



Has the size of the L&D suites which employ hospitalists changed over the past two years?

Annual Deliveries2016 2014

Number % Number %

< 1000 23 8.5 41 13

1000 – 1999 58 21 70 24

2000 – 2999 44 16 66 23

3000 - 3999 51 19 42 14

> 4000 96 35 68 23

Total Number 271 291

Its not just small hospitals that are employing Ob hospitalists;

In 2016, more of us are working at hospitals with larger delivery numbers.


Resale or redistribution of this survey is prohibited without the consent of SOGH

2012 to 2016 Comparison: Annual Deliveries2016: More Hospitals with Larger Delivery Numbers are Utilizing Hospitalists

Annual Deliveries

2016 2014 2012

Number % Number % Number %

< 1000 23

45.5

41

60

18

58.91000 – 1999 58 70 26

2000 – 2999 44 66 45

3000 - 3999 51 19 42 14 24 15.9

> 4000 96 35 68 23 38 25.2

Total Number 271 291 151



Do we consider our PRIMARY hospital practice to be at an academicor teaching hospital (with medical students, residents or fellows)?Answered: 273

46.153.8

2016

Non-teaching Teaching



Compared to 2014, more of us are working at teaching hospitals

70

30

2014


46.153.8

2016




Who do we teach?Answered: 267

Trainees Number %

None 83 31.1

Medical Students 134 50.1

Family Medicine Residents 109 40.8

Ob/Gyn Residents 86 32.2

Nursing Students 39 14.6

ED Residents 37 13.9

CNM/CNM Students 32 11.9

Physician Assistant Students 28 10.4

Ob/Gyn Hospitalists Fellows 4 1.5

Family Medicine Ob Fellows 4 1.5

MFM Fellows 1 <1

Other residents 1 <1

Other APN students 1 <1

EMT students 1 <1



Which best describes us?

Employment Type Number %Hospital employee 119 48.2

Employee of a staffing group 67 27.1

Independent contractor 16 6.5

Independent contractor working for a staffing group 6 2.4

Employee or partner of a private Ob/Gyn group 11 4.5

Employee or partner of a private MFM group 4 1.6

Fulltime academic faculty 13 5.3

Government employed physician 3 1.2

Large multispecialty group, e.g. Kaiser 8 3.2

Answered: 247


What do we do?




What do we do?Broadly, our PRIMARY hospitalist practice includes: (Check all that apply)Answered: 255

Practice Number %

Obstetrics – Labor & Delivery 249 97.7

Ob Triage – Emergency Care for Pregnant Women 241 94.5

Ob – postpartum, Emergency Care 232 91.0

Ob – postpartum, Routine Care 210 82.4

Main ED – Ob consultations 195 76.5

Main ED – Gynecology consultations 166 65.1

Inpatient Gynecology consultations 156 61.2

Emergency gynecology surgery 144 56.5

Office sessions – Obstetrics and/or postpartum 33 12.9

Office sessions - Gynecology 16 6.3



We would like our Emergency Department Ob and/or Gyn responsibilities to: (Check all that apply)Answered: 255

Preference Number %

I do not perform ED Consultations 20 7.8

Stay the Same 144 56.5

Be Increased 11 4.3

Be decreased 80 31.4

Be decreased or eliminated – Its too difficult to cover both services

63 24.7

Be decreased or eliminated – I don’t think I am able to maintain my gynecologic ED expertise

17 6.7

Be decreased or eliminated – I just don’t like gynecologic ED care

25 9.8



We would like our Gyn surgery responsibilities to:(Check all that apply) Answered: 255

Preference Number %

I do not have Gyn surgery responsibilities 64 25.2

Stay the Same 74 29.1

Be Increased: I really like Gyn surgery & do not want to lose my skills

58 22.8

Be decreased 39 15.4

Be decreased or eliminated – Its too difficult to cover both services

34 13.4

Be decreased or eliminated – I don’t think I am able to maintain my gynecologic ED surgery skills

17 6.7

Be decreased or eliminated – I just don’t like gynecologic surgery

64 25.2



Activities included in our work as an Ob hospitalist:Answered: 247

Response – Part 1 %

See unassigned pregnant women that present to Ob Triage 91.1

Serve as backup physician for any emergency for any provider in L&D 89.8

Care for & deliver unassigned patients that present to our hospital 89.1

First assist in cesarean deliveries for other Obs in our hospital 68.8

Deliver and/or care for patients of other Obs when asked to cover for them 67.2

See women from other physician's practices who present to Ob Triage 66.6



Activities included in our work as an Ob/Gyn hospitalist:Answered: 247

Response – Part 2 %

Deliver patients for our MFMs as a physician extender 48.9

Consult for & perform operative vaginal deliveries & cesareans for CNMs 48.6

Consult for & perform operative vaginal deliveries & cesareans for Family Practice physicians

40.9

Deliver patients that see other physicians in our practice (I am the hospitalist/they are the office physician)

33.6

Deliver patients that see me or other Obs in our own practice 25.5



What is the role of Maternal Fetal Medicine at our primary hospital?Answered: 245

MFM are on staff & perform consultations, but they do not have their own patients & with rare exception, do not deliver patients

35.2%

MFM are on staff, perform consultations & cover their own Ob service, including deliveries, either all or most of the time

13.9%

MFM are on staff & perform consultations. They have their own patients; however, our hospitalist group delivers all or most of their patients

29.0%

MFM do not physically come to my hospital but are available by phone for consultations 22.0%

35.2%

13.88%

22.0%

29.0%



Who signs out to us to cover their patients?(Check all that apply)Answered: 246

Response %

Other Obstetricians/Gynecologists 70.7

Maternal Fetal Medicine physicians 35.4

Certified Nurse Midwives 26.4

Family Medicine Physicians 21.9

Lay Midwives 3.25

No one signs out to me 17.9



Does our job include additional patient office hours beyond our hospital shifts?Answered: 254

Additional Office Hours

No Yes

81%No

29%Yes



If we work additional office hours, how are we paid for them?Answered: 41

Payment OptionRespondent

NumberPercentage

It is included in my global salary 23 56.1%

I am paid a fixed amount for each clinic as a supplement to my salary

7 17.1%

I receive a percentage of either charges billed or collected 0 0

Other – I am paid hourly 5 6.6%

Other – it is part of my private practice 5 6.6%



If our unit becomes exceptionally busy, do we have an emergency back-up call system?Answered: 244

Yes No

Yes66.4%

No33.6%



If Yes, our back-up call system involves my calling in: (select the FIRST person we contact)Answered: 162

Back Up Call SystemRespondent

NumberPercentage

Designated other obstetrician 103 63.6

Designated fellow OB/GYN hospitalist 28 17.3

Any available obstetrician on L&D 15 9.3

On call MFM 11 6.8

Designated on-call CNM 4 2.5

Gynecology surgery back up only 1 0.6


How many hours do we work?




Based on our program’s definition, how do we describe our PRIMARY employment? Full-time or Part-time?

Answered: 254 Employment Status

Full-Time Part-Time

84.25%

15.75%



How long are our shifts?Answered: 252

24 12 Mixture 12 & 24 Irregular < 12

1.2%

24 hours42.5%

12 hours23.8%

12 & 24 h mix27.8%

4.7%



As the number of deliveries increase, the shift length shortens

0

10

20

30

40

50

60

70

80

<1000 1000 - 1999 3000 - 3999 5000 - 10000 >10000

Shift length by Numbers of Deliveries/Year

12-hour 24-hour 12 & 24 mix

N=11N=34N=49N=56N=19



If given a choice, would we prefer to work 12-hour shifts, 24-hour shifts or less than a 12-hour shift?

Answered: 248

12-hour 24-hour < 12-hour

12-hour44.8%24-hour

51.6%

3.6%



If we work 24-hour shifts, do our shifts ever start in the evening?Answered: 249

Yes No I do not work 24-hour shifts

No63.4%

Yes12.9%

23.7%



How are our shift times divided?Answered: 249

Response Number %

Combination of all shift times, including days, nights & weekends 195 78.3

Combination of weekday nights & weekend day & night shifts 28 11.2

Only NIGHTs, including weekday & weekend nights 8 3.2

Only DAYS, including weekday & weekend days 7 2.8

Only weekday days 4 1.6

Only weekday nights 4 1.6

Only weekends, including Friday nights, Saturday & Sunday shifts 3 1.2

10.5%



How are our shift times divided?Answered: 249

Response No. %

Combination of all shift times 195 78.3

Combination of weekday nights & weekends 28 11.2

Only NIGHTs, including weekday & weekend nights 8 3.2

Only DAYS, including weekday & weekend days 7 2.8

Only weekday days 4 1.6

Only weekday nights 4 1.6

Only weekends, including Friday nights, Saturday & Sunday shifts

3 1.2

78% of us are working in stand-alone programs, which provide 24/7 coverage

11% work in programs that cover the shifts the private physicians don’t want to cover

10.5% cover a mixture of odd shifts



Do we work extra shifts or additional hours above our required work hours?Answered: 249

ResponseNumber of

Respondents%

Yes, I can pick up additional shifts whenever I want 104 44.8

Yes, I have to work additional shifts to cover my partners’ time off

77 30.9

No, all shifts are covered by our available physicians 70 28.11

No, I choose not to work more than my required hours 33 13.3



Assuming our pay would reflect the number of hours that wework, would we like to work more or fewer hours than wecurrently do?Answered: 249

Percent

Increase Decrease Satisfied with hours

70.7%Satisfied with

18.9%

10.4%



Is there pressure from your employer/management to work more hours?

Answered: 249

Yes No

NO77.9%

YES22.1%



How is our work scheduled – by number of shifts or hours per week, month, or per year?

Answered: 252 Percent

week month year

week12.3year

19.44

month68.25



Comparison of hours worked when we all work different schedules

• Different time basis: week, month, year

• Different shift lengths: 12-h, 24-h, irregular hours plus combinations of these shifts

• Survey asked: • How many of each shift type respondent worked

• Calculated total hours/time basis

• Converted to aggregate hours/week-month-year

week month year

week12.3%year

19.44%

month68.25%



How much do we work? Number Hours: Range Hours: Mean ± S.D. Hours: Median Hours: Mode

Week 28 12 – 84 44.14 ± 15.64 40 36

Month 169 24 – 360 165.2 ± 49.16 168 168

Year 51 624 – 3648 1882.45 ± 463.24 1944 2184



How much do we work? All hospitalists converted to hours per year

Number Hours: Range Hours: Mean ± S.D. Hours: Median Hours: Mode

All Year 248 288 – 4368 1997.2 ± 604.5 2016 1872

Expressed per Week 38.4 38.7 36

Expressed per Month 166.4 168 156



Number of Hours/Year Worked by Employment TypeEmployment Type Hours: Mean Hours: Range

Hospital employee 112 1953 288 – 3744

Employee of a staffing group 67 2089 288 – 4320

Independent contractor 16 1827 1008 – 3024

Independent working for a staffing group 6 2184 1584 – 2304

Employee of a private Ob/Gyn group 11 2054 1152 – 4368

Employee of a private MFM group 4 1908 1152 – 2448

Fulltime academic faculty 12 1987 1440 – 2880

Government employed physician 3 1504 624 – 2016

Large multispecialty group, e.g. Kaiser 8 2100 1032 – 3432


Our Salary: How & What We Are Paid




Which best describes us?

Employment Type Number %Hospital employee 119 48.2

Employee of a staffing group 67 27.1

Independent contractor 16 6.5

Independent contractor working for a staffing group 6 2.4

Employee or partner of a private Ob/Gyn group 11 4.5

Employee or partner of a private MFM group 2 0.8

Fulltime academic faculty 13 5.3

Government employed physician 3 1.2

Large multispecialty group, e.g. Kaiser 8 3.2

Answered: 247



How are we paid?

Answered: 247

Hourly Wage Salary

Hourly Wage51.8%

Salary48.2%



Does Payment Method vary by Employment Type?

Employment Type NumberSalary

%Hourly

%

Hospital employee 119 67.2 32.8

Employee of a staffing group 67 14.9 85.1

Independent contractor 16 - 100

Independent contractor working for a staffing group 6 - 100

Employee or partner of a private Ob/Gyn group 11 73.7 27.3

Employee or partner of a private MFM group 4 50 50

Fulltime academic faculty 13 100 -

Government employed physician 3 66.7 33.3

Large multispecialty group, e.g. Kaiser 8 62.5 37.5



Hourly Wage Breakdown

Response Number %

1 All of my shifts are paid the same 115 95%

2 Standard shift plus differential: holiday day, holiday night 4

3 Shift differential: weekday night, weekend all shifts 1

4 Shift differential: weekday, weekend day, holiday day 1

For the hourly wage calculation, the standard shift wage was used for Group 2, the weekday night wage for Group 3, and the average of the weekday & weekend night wage for Group 4.



Aggregate Salary & Hourly Wage

Payment Type Number Range Mean ± S.D. Median

Salary 118 $150,000 – 450,000 $258,180 ± 45,551 $252,500

Hourly Wage 121 $75 - $199 $113.60 ± 19.44 $110



Aggregate Salary


Salary 118 $150,000 – 450,000 $258,180 ± 45,551 $252,500



Aggregate Hourly Wage


Hourly Wage 121 $75 - $199 $113.60 ±19.44 $110



N=962014

N=662012

Salary Comparisons

N=1182016median $252,500



N=832012

N=1022014

Hourly Wage Comparisons

N=1212016median$110



Is there a difference in Full-Time & Part-Time Employment based on Employment Type?

Answered: 254 Employment Status

Full-Time Part-Time

84.25%

15.75%



Does Part Time Work vary by Work Status?

Payment Method by Work Status NumberFull time

%Part Time

%Aggregate 247 84.2 15.8

Hospital employee 119 82.4 17.6

Employee of a staffing group 67 92.5 7.5

Independent contractor 16 56.3 43.7

Independent contractor working for a staffing group 6 100 -

Employee or partner of a private Ob/Gyn group 11 81.8 18.2

Employee or partner of a private MFM group 4 75 25

Fulltime academic faculty 13 100 -

Government employed physician 3 66.7 33.3

Large multispecialty group, e.g. Kaiser 8 75 25



Is there a difference in Salary based on Work Status?Work Status N Range Mean ± S.D.

Aggregate 118 $150,000 – 450,000 $258,180 ± 45,551

Hospital employee 79 $178,000 – 450,000 $265,767 ± 42,994

Employee of a staffing group 10 $180,000 – 270,000 $225,050 ± 24,387

Independent contractor 0 - -

Ind contractor working for staffing group 0 - -

Employee/partner of a private Ob/Gyn group 7 $200,000 – 324,000 $240,249 ± 42,457

Employee/partner of a private MFM group 4 $211, 000 – 215,000 $213,000 ±2,828

Fulltime academic faculty 13 $150,000 - $350,000 $256,538 ± 64,109

Government employed physician 3 $170,000 – 240,000 $205,000 ± 49,497

Large multispecialty group, e.g. Kaiser 8 $235,000 – 290,000 $273,000 ± 22,528



Is there a difference in Hourly Wage based on Work Status?

Work Status N Range Mean ± S.D.

Aggregate 121 $75 - $199 $113.60 ±19.44

Hospital employee 37 $75 - 199 $117.44 ± 19.32

Employee of a staffing group 55 $80 - 139 $107.85 ± 8.35

Independent contractor 14 $82 - 180 $127.02 ± 32.59

Independent contractor for staffing group 6 $78 - 125 $110.37 ± 16.68

Employee/partner of a private Ob/Gyn group 3 $100 - 115 $105 ± 8.66

Employee/partner of a private MFM group 2 $105 - 120 $112.5 ± 10.6

Fulltime academic faculty 0 - -

Government employed physician 1 $100

Large multispecialty group, e.g. Kaiser 3 $105 - 162 $129.33 ± 29.39



Do salary and hourly wages vary by region?



Does salary vary by region?Region Number

Salary(range)

Salary(mean ± S.D.)

Salary(median)

Aggregate 118 $150,000 – 450,000 $258,180 ± 45,551 $252,500

New England 7 $250,000 – 336,000 $247,286 ± 68,580 $250,000

Mid-Atlantic 15 $190,000 – 350,000 $234,533 ± 38,790 $240,000

East North Central 21 $178,000 – 450,000 $265,238 ± 57,283 $255,000

West North Central 10 $215,000 – 350,000 $273,000 ± 40,291 $267,500

South Atlantic 10 $215,000 – 355,000 $252,750 ± 44,837 $228,750

East South Central 3 $240,000 – 335,000 $275,000 ± 52,201 $250,000

West South Central 11 $220,000 – 320,000 $273,636 ± 35,783 $275,000

Mountain 11 $170,000 – 290,000 $228,545 ± 39,833 $220,000

Pacific 30 $180,000 – 324,000 $267,999 ± 33,345 $274,500



Does hourly wage vary by region?Region Number

Hourly Wage(range)

Hourly Wage(mean ± S.D.)

Hourly Wage(median)

Aggregate 121 $75 – $199 $113.60 ±19.44 $110

New England 4 $110 – 125 $117.75 ± 6.60 $118

Mid-Atlantic 7 $96 – 166.66 $113.95 ± 25.24 $100

East North Central 11 $78 – 122 $108.09 ± 14.90 $114

West North Central 4 $80 – 105 $97.63 ± 11.80 $102.75

South Atlantic 24 $75 – 135 $107.24 ± 11.08 $110

East South Central 5 $100 – 139 $114.00 ± 15.98 $115

West South Central 21 $95 – 180 $114.55 ± 24.01 $107

Mountain 15 $100 – 125 $108.54 ± 7.02 $107

Pacific 29 $92 - 199 $125.52 ± 22.87 $120



Salary by Gender

Gender NumberSalary

(Range)Salary

(Mean ± S.D.)Salary

(Median)

Men 38 $180,000 – 450,000 $262,099 ± 49,944 $250,000

Women 80 $150,000 – 373,000 $256,318 ± 43,517 $255,000

MenWomen



Hourly Wage by Gender

Gender NumberHourly Wage

(Range)Hourly Wage (Mean ± S.D.)

Hourly Wage(Median)

Men 62 $80 – 199 $110.69 ± 20.52 $108

Women 59 $75 - $180 $116.66 ± 17.90 $114.25

Women Men



Salary in Comparison to Number of Deliveries

>10,0003000 - 3999

Mean

<1000



Does part of our pay include incentives and/or bonuses, including production-based compensation?Answered: 244

Yes No

No66.8%

Yes33.2%



For those of us that do receive incentives and/or bonuses, how are they structured? (Check all that apply)Answered: 82

Bonus/Incentive Number % of 244

Achieving pre-identified non-production based goals (attendance at meetings, innovation, satisfaction surveys, quality based goals, improvement projects)

60 24.6%

Production based – Collections 13 5.3%

Production based – Billings 7 2.9%

Production based – RVUs 8 3.3%



Incentives/Bonuses - Other

Bonus/IncentiveWorking additional shifts are paid extra 3

Discretion of medical director - yearly bonus 1

Bonus if the entire group is profitable 2

Quality metrics 2

We received a bonus one year, but the rationale/calculation was not communicated to us, and it is not annual/I have no idea 2


Medical Directors




Are you the medical director or administrator of your hospitalist unit?Answered: 247

Yes No

Yes: 6526.3 %

No: 18273.7%



As medical director or administrator of your hospitalist unit, do you receive a supplement stipend for these services?

Answered: 65

Yes No

Yes: 5787.7%

No: 812.3%

Stipend Number: 57

Mean ± S.D. $26,579.82 ± 24,277

Range $250 – 150,000

Median $24,000

Mode $25,000


Our Benefits




How do we pay for our professional liability coverage (malpractice insurance)?Answered: 246

1 2 3

1 95.12% Employer pays in full

2 3.25% I pay it independently

3 1.63%I pay it with pre-tax dollars from a program available from my employer



When we first became an OB/GYN hospitalist, how did wepay for our malpractice tail?

Answered: 230

Response Number Percent

No tail: I left an institution that was self-insured 113 48.1%

I had pay the tail myself 60 26%

My employer paid my tail as a signing bonus 32 13.9%

No tail: I started after my residency or fellowship 12 5.2%

My employer partially paid my tail as a signing bonus. 7 3.0%

My employer provided a loan to cover my tail. 6 2.6%



Do you get any type of paid time off/vacation/CME as part of your benefits?Answered: 246

Yes No

50%50%

Employment Type Yes %Hospital employee 60.2

Employee of a staffing group 26.9

Independent contractor 12.5

Independent contractor working for a staffing group 16.7

Employee or partner of a private Ob/Gyn group 75

Employee or partner of a private MFM group 63

Fulltime academic faculty 92.3

Government employed physician 100

Large multispecialty group, e.g. Kaiser 75



If yes, please indicate what it is for?Answered: 135

Vacation CME Vacation plus CME PTO

40%Vacation + CME

32.6%

7.4%20%



Do you receive additional funding for CME / personal expense account?Answered: 244

CME/Personal Expense Account No. %None 55 22.5

$1000 – 1999 52 21.3

$2000 – 2999 38 15.6

$3000 – 3999 55 22.5

$4000 – 4999 29 11.9

$5000 – 5999 9 3.7

Other: $6000, 6500, 6500, 7000 4 1.6

I do, but not sure of the amount 2 0.8



Coverage of Practice ExpensesAnswered: 245

Not covered, My expense

Paid out of my CME/personal account

Covered Paid by Employer

Number

Medical License Fees 33.5% 26.1% 40.4% 245

DEA licenses 33.6% 27.1% 39.3% 244

ACOG dues/Board Certification

30.8% 43.3% 26.8% 240

Information Resources & Books

43.2% 50.0% 6.8% 234

Computer 67.0% 12.7% 20.34% 236



Do we receive specific sick-days?Answered: 237

Response Percent Number

Yes 18.6% 44

No, same day cancellations are taken out of my vacation days 7.6% 18

No, I have to make up the shifts that I miss 51.9% 123

No, I have the option of taking them out of my vacation days or making up the shifts that I miss

21.9% 52



What additional benefits do we receive? (Check all that apply & how they are covered) Answered: 245

Not CoveredIncluded

Employer pays in full

Partially covered, I pay a supplement

Not covered, butavailable for

purchaseNumber

Retirement 19.7% 14.8% 39.8% 25.8% 244

Health Insurance 13.5% 16.3% 60.4% 9.0% 245

Dental Insurance 15.1% 14.3% 57.1% 13.5% 245

Life Insurance 21.8% 34.6% 31.3% 12.6% 243

DisabilityInsurance

21.8% 34.2% 32.5% 11.5% 236


How much do we like our work?




How satisfied are we with: Our Career as a HospitalistAnswered: 244

Very Satisfied Satisfied

Indifferent Not Satisfied

Very Unsatisfied

60.3%30.7%



How satisfied are we with: Our Variety of our WorkAnswered: 243



Very Unsatisfied

43%

42%



How satisfied are we with: Our ManagementAnswered: 241



Very Unsatisfied

32.0%

38.2%



How satisfied are we with: Recognition of our WorkAnswered: 244



Very Unsatisfied

30.7%

38.2%



How satisfied are we with: Our Professional RelationshipsAnswered: 242



Very Unsatisfied

45.5%

31.6%



How satisfied are we with: Our PayAnswered: 244



Very Unsatisfied

24.6%

44.7%



How satisfied are we with: Our BenefitsAnswered: 244



Very Unsatisfied

32.4%

37.3%



Why did we become an Ob/Gyn hospitalist? (Check as many as apply) Answered: 238

Response – Part 1Respondant

NumberPercent

I like working shifts that allow me to have protected personal time 202 84.9

Working hospital shifts is better for my family 150 63.0

I like the excitement & comradery of L & D 128 53.8

I prefer inpatient OB over inpatient & outpatient gynecology 121 50.8

I no longer wanted the time commitment required to run a practice 109 45.8

I wanted a new challenge 79 33.2

It became too expensive to run my office & cover malpractice insurance 53 22.3




Response – Part 2Respondant

NumberPercent

I was getting older in my career & wanted to cut back my hours 51 21.4

My hospital was setting up a hospitalist program & needed physicians for the program

44 18.5

I wanted to become more involved in my hospital's organization & program development

31 13.0

Working shifts allows me to be more productive in my academic time 16 6.7

I was moving to a new town & was unfamiliar with the local medical community

15 6.3

I was getting older in my career & felt I should stop doing gyne surgery 6 2.5

I needed a short-term position without a malpractice tail 5 2.1




Response – OtherRespondant

NumberPercent

I needed more time for my advocacy & international work 1

I just didn’t enjoy private practice anymore, burnt out 6 2.5

I was recruited by a staffing organization 1

Opportunity to teach 1

Option to do both: part-time hospitalist/part-time other job 3 1.3

Better for patient safety 1

Personal reasons: death in the family, work with my daughter 2


Suggestions for Future Surveys, Comments & Feedback




• Does your program include simulation courses to maintain emergency skills? ieshoulder dystocia, breech delivery, etc

• Have you developed/helped develop any safety initiatives for your facility? Do you keep patient care metrics for your service. Are these reported to hospital administration, to your employer, or both. Does your service have better, the same, worse safety data than the private attending pool at your facility. etc.

• Did not ask about the level of nursery at each hospital or if other specialists are available for emergencies

• Transition into leadership roles • Questions regarding leadership roles in safety and teaching • Hospital administrative support for the hospitalist • Limitations on credentialing because of decreased numbers of gynecologic or

obstetric procedures.

Is there anything important to you that has not been included in this survey? p1



• Work conditions, quality of unit & expected quantity of work/ stress • Perceived liability risk • Intensity and risk level of Ob patients (We cover a 12 person MFM group• Systems for improvement - if you are not satisfied with the team leadership or

another member• Acceptance by colleagues in the hospital and collegial atmosphere with the rest

of the staff • Lack of job security due to changing hospital needs and practices • How do OB hospitalists working 24 hour shifts cope with sleep deprivation • Effects of sleep deprivation with 12 vs 24 hr shifts, organizational resistance to

evidence-based changes in practice • Level of autonomy for hospitalist vs. private OB




• My annual work shifts include in hospital and backup shifts from home.• Regional pay medians/ suburban vs urban pay medians and number of shifts/pay

for closed units (i.e. Mayo or Kaiser) verses open units• You should have asked about salary vs hourly for extra shifts worked. My salary

covers the base number of shifts. I get an hourly rate for all shifts worked over my base number.

• You should also ask if the current position includes a tail for when you leave it (you asked above covering tail from the job before this one)

• Questions about flexibility of schedule, say so about shifts worked • Would like basic data about overall job satisfaction- pay, hours, lifestayle,

opportunity in aggregate • Full time employment plus "moonlighting" a small private practice on the side




• Ask Obs who have recently completed their residency if they do it because of discomfort doing major GYN surgery

• A discussion on the fact that Gyn skills get weaker over time due to infrequent use. Although I am expected to cover the ER for Gyn services...if someone needed a hysterectomy...well, I have not do one in 7 years.

• Concerns of not having performing some of the common Gyn cases, hysteroscopy, hysterectomy, laparoscopy, and not having the opportunity to assist other physicians on those. How other Hospitalist feel about this? Will this be an issue if I apply to be a Hospitalist in another hospital?

• Ask about any malpractice suits an a hospitalist • Questions assume only work is as Hospitalist. • Backup plan response is erratic • What about practitioners that still have private practice and use hospitalist

position as supplement of income?




• We have retirement plan, but no employer match even though nurses have a match.

• We need better benefits- paid time off and retirement • We used to get holiday pay and food, but it was revoked. Do others get holiday

pay, food and drink, parking? • Full time employment plus "moonlighting" a small private practice on the side • You are too limiting in your definition. I work 30 hours a week as a hospitalist by

your definitions and 22 hours a week in clinic as do almost all the people I share call with at two facilities

• Expected salary. Hospitals don't realize what we do and the liability we carry. They just want to pay for an employee. We are Doctors let us not forget that.

• It would be great if you could recognize that CNMs play an important role in the hospitalist phenomenon. We are members of your organization and we attend your annual meeting. We feel ignored.




• I recently changed from OBHG to Team Health. OBHG has drastically reduced pay since the owner partially sold out to a corporation. Their new hires get paid $30/hour less than the original staff and are forced to be employees, thereby losing the tax benefits of being an independent contractor. They are using the Ob Hospitalist workers to earn the money to pay for more and more "administrative personnel". I had to relocate to another state to get away from them.

• I am retiring this month before I planned for several reasons. Primarily, the work load of covering L&D, ED, floors, and phone calls for over 30 private Obs is overwhelming and unsafe, plus the pay is not adequate, plus the private Obs are famous become so comfortable that they admit inductions such that we will deliver them at nights or weekends.

• How many Ob/Gyn's feel that M.D.'s have given up their power and have become puppets for the aggressive corporate insurance cartel and corporate hospital chain entities?




• The questions I left blank did not have an appropriate answer. Perhaps you need more "other" answers.

• Thank you for the work you do for Ob/Gyn hospitalists. • I feel like a Resident all over again • Great idea and great information collected • I work 15 hr per week in gyn private practice. In a group of 5. 2 of us are gyn only

plus ob-gyn Hospitalist. It give the hospital experienced full service ob-gyn coverage. Privates have no emerg Dept exposure. No walk in responsibilities. No Consultations on walk in service. We have 4 major Hospitalists and some part timers. Works well for everybody.

• We recently added Gyn specific hospitalists to cover the more complicated Gyncases that we see and this has been incredibly beneficial to patients as well as the team of Ob/Gyn Hospitalistis. These physicians also see the patients they operate on in the resident clinic as outpatients.

Please feel free to provide additional comments or feedback about this survey? p1



• I did not answer hourly wage question because I am given a stipend for each shift (900 day, 1500 weekend) and I keep 85% of everything I bill so it is neither salary nor hourly wage. It ends up working out to around 125/hr on average (not consistently)

• None • Ob Hospitalist is a great career once you have practiced for a period of years and

have experience. Would not recommend to new graduates until they get global experience in our field.

• How do we get a copy of report • Change from independent contractor to W2 employee has been very expensive • Thank you! • Appreciation by nursing staff • Love the data these surveys provide!!! thanks




• I did not have to pay insurance tail coverage because I had an occurance type policy before becoming a hospitalist

• No backup people hired - not for sure why not • I want to explain why I am not satisfied with pay. We essentially run an ED. We

are responsible for 2 lives with every patient and many patients are very high risk. Why is an ED physician getting $200-250/hour when we are barely getting $100/hour? There are NPs and PAs who are paid more than that. I think we need to be reimbursed for our expertise and care. It is not that I personally need more money. I am nearling retirement and love the work but feel as a whole we are horribly underpaid.

• Haven't read when, and how, results will be available. • Ask about simulation training last 12 months • none




• Some answers combine different work sites; primary hospital works 24 hr shifts but secondary works 12 hr shift. Some questions should allow to answer differently for both

• The workload expectations for my job have increased significantly recently as the hospital has opened up an OBED and I am not being compensated much more at all so I am hopeful this survey might help me negotiate more.

• None for now. Thanks! • In the ? about malpractice tail coverage you didn't include an option that applied

to me. I would have had to pay for my tail because they didn't but I opted not to get one as it would have cost 80k and the company was on shaky ground so I decide to go bare and have all of my assets in trusts. Also the ? about CME/vacation. I don't get specific days off for either - I have to work 140 shifts plus 160 hrs of admin work and I can arrange them in any way I want. I get $3000 for CME and can take as many days as I want but they will only cover $3000.




• Some answers combine different work sites; primary hospital works 24 hr shifts but secondary works 12 hr shift. Some questions should allow to answer differently for both

• None • The workload expectations for my job have increased significantly recently as the

hospital has opened up an OBED and I am not being compensated much more at all so I am hopeful this survey might help me negotiate more.

• None for now. Thanks! • Thanks • Malpractice tail coverage question should have included an 'other' option. In my

case tail coverage was provided by a prior employer. • Although I get vacation time and CME time, I still have to do the specified number

of shifts/month. I wish I was able to truly take "vacation".




• In the ? about malpractice tail coverage you didn't include an option that applied to me. I would have had to pay for my tail because they didn't but I opted not to get one as it would have cost 80k and the company was on shaky ground so I decide to go bare and have all of my assets in trusts. Also the ? about CME/vacation. I don't get specific days off for either - I have to work 140 shifts plus 160 hrs of admin work and I can arrange them in any way I want. I get $3000 for CME and can take as many days as I want but they will only cover $3000

• Thanks • Malpractice tail coverage question should have included an 'other' option. In my

case tail coverage was provided by a prior employer. • Although I get vacation time and CME time, I still have to do the specified number

of shifts/month. I wish I was able to truly take "vacation". • Covered the topics of major concern for hospitalists. Not convinced even if the

answers demonstrate negotiable changes, that those changes will/can occur


sogh 2016 hospitalist employment & salary survey 2016 salary... · sogh 2016 hospitalist...

Documents