The employed surgeon: A changing professional paradigm

JAMA Surgery

Volumn 148, Issue 4, 2013, Pages 323-328

  Charles, Anthony G ^a,b,c   Ortiz Pujols, Shiara ^a,b   Ricketts, Thomas ^b,c   Fraher, Erin ^a,b,c   Neuwahl, Simon ^b,c   Cairns, Bruce ^a   Sheldon, George F ^a,b,c  

^a UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

^b American College of Surgeons   (United States)

^c UNIVERSITY OF NORTH CAROLINA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; ARTICLE; CERTIFICATION; EMPLOYMENT; EMPLOYMENT STATUS; FEMALE; FEMALE PHYSICIAN; GROUP PRACTICE; HUMAN; MALE; MEDICAL SOCIETY; PRIORITY JOURNAL; RURAL AREA; SELF EMPLOYMENT; SURGEON; TREND STUDY; UNITED STATES; URBAN AREA;

AGE FACTORS; EMPLOYMENT; FEMALE; HUMANS; MALE; PHYSICIANS; PROFESSIONAL PRACTICE; SEX FACTORS; SPECIALIZATION; SPECIALTIES, SURGICAL; UNITED STATES;

EID: 84876815835     PISSN: 21686254     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamasurg.2013.1013     Document Type: Article

References (27)

1. Kocher R, Sahni NR. Hospitals' race to employ physicians-The logic behind a money-losing proposition. N Engl J Med. 2011;364(19):1790-1793.
2. Hayden B. Hospital statistics chart rise in physician employment. H&HN Daily. January 6, 2012. http://www.hhnmag.com/hhnmag/HHNDaily/ HHNDailyDisplay dhtml?id=1970001363. Accessed August 20, 2012.
3. Simon CJ, Born PH. Physician earnings in a changing managed care environment. Health Aff (Millwood). 1996;15(3):124-133.
4. Minott J. What are the costs to physicians of administrative complexity in their interactions with payers? Find Brief. 2010;13(2):1-3.
5. The Physicians Foundation. Health reform and the decline of physician private practice: a white paper examining the effects of the patient protection and affordable care act on physician practices in the United States. http://www.physiciansfoundation.org/. Accessed February 22, 2012.
6. Boukus E, Cassil A, O'Malley AS. A snapshot of U.S. physicians: key findings from the 2008 Health Tracking Physician Survey. Data Bull (Cent Stud Health Syst Change). 2009;(35):1-11.
7. Walton L, Noonan TC, Miley CF, et al. Hospitals employing physicians: a practical guide to buying physician practices and compensating employed doctors. Paper presented at: 10th Annual Conference on Emerging Issues in Healthcare Law; February 17, 2012; Orlando, FL. http://www.bassberry.com/files/upload/ HospitalsEmployingPhysiciansABA.pdf. Accessed February 22, 2012.
8. Casalino LP, November EA, Berenson RA, Pham HH. Hospital-physician relations: two tracks and the decline of the voluntary medical staff model. Health Aff (Millwood). 2008;27(5):1305-1314.
9. Strode R, Beith C. Something old is something new again: structuring physician practice acquisitions. Healthc Financ Manage. 2009;63(7):78-82.
10. Iglehart JK. The emergence of physician-owned specialty hospitals. N Engl JMed. 2005;352(1):78-84.
11. Kocher R, Sahni NR. Physicians versus hospitals as leaders of accountable care organizations. N Engl J Med. 2010;363(27):2579-2582.
12. Marder WD, Emmons DW, Kletke PR, Willke RJ. Physician employment patterns: challenging conventional wisdom. Health Aff (Millwood). 1988;7(5): 137-145.
13. Kletke PR, Emmons DW, Gillis KD. Current trends in physicians' practice arrangements: from owners to employees. JAMA. 1996;276(7):555-560.
14. Lieberhaber A, Grossman JM. Physicians moving to mid-sized, single-specialty practices. Track Rep. 2007;(18):1-5.
15. Casalino LP, Pham H, Bazzoli G. Growth of single-specialty medical groups. Health Aff (Millwood). 2004;23(2):82-90.
16. Felland LE, Grossman JM, Tu HT. Key findings from HSC's 2010 site visits: health care markets weather economic downturn, brace for health reform. Issue Brief Cent Stud Health Syst Change. 2011;(135):1-8.
17. Mathews AW.When the doctor has a boss: more physicians are going to work for hospitals rather than hanging a shingle. Wall Street Journal. November 8, 2010. http://online.wsj.com/article/SB10001424052748703856504575600412716683130 html. Accessed February 15, 2012.
18. Merritt Hawkins & Associates. 2008 review of physician and CRNA recruiting incentives. http://www.merritthawkins.com/pdf/mha-2008-incentive- survey. pdf. Accessed October 15, 2011.
19. Blumenthal D. New steam from an old cauldron- the physician-supply debate. N Engl J Med. 2004;350(17):1780-1787.
20. Merritt Hawkins & Associates. 2007 survey of physicians 50 to 65 years old. http://www.merritthawkins.com/pdf/mha2007olderdocsurvey.pdf. Accessed January 22, 2012.
21. American Medical Student Association (AMSA) Student Debt Fact Sheet 2009.
22. AMSA website. http://www.amsa.org/AMSA/Libraries/Committee-Docs/AMSA- DebtFactSheet.sflb.ashx. Accessed October 15, 2011.
23. Poley S, Newkirk V, Thompson K, Ricketts T. Independent practice becoming increasingly rare among surgeons. Bull Am Coll Surg. 2011;96(3):40-41.
24. Heneghan SJ, Bordley J IV, Dietz PA, Gold MS, Jenkins PL, Zuckerman RJ. Comparison of urban and rural general surgeons: motivations for practice location, practice patterns, and education requirements. J Am Coll Surg. 2005; 201(5):732-736.
25. Cantlupe J. Physician alignment in an era of change. Health Leaders Media. September 14, 2010. http://www.healthleadersmedia.com/page-2/MAG-256427/ Physician-Alignment-in-an-Era-of-Change. Accessed October 15, 2011.
26. Andriole DA, Jeffe DB, Schechtman KB. Is surgical workforce diversity increasing? J Am Coll Surg. 2007;204(3):469-477.
27. American College of Emergency Physicians. On-Call specialist coverage in U.S. Emergency departments: ACEP survey of emergency department directors: April 2006. http://www.acep.org/content.aspx?id=36752. Accessed January 15, 2012.