CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved. 3 rd Annual Future...

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.

3rd Annual Future Physicians of AmericaJune 2008

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved. Slide | 2

Survey Background

• Survey includes 925 medical students that use Epocrates software

– 4th year:49%

– 3rd year: 40%

– 2nd year: 8%

– 1st year: 3%

• Survey completed in May 2008

• Students randomly selected to participate


Why did you choose to enter the medical profession?

23%

6%

19%

52%

1%

3%

5%

33%

37%

81%

82%

Family pressure

Didn't know what else to do

Family tradition

Financial stability

Reputable profession

Wanted to help people

Interested in science andmedicine

2008

2007

Future physicians interested in science and medicine, want to help people

*Respondents allowed to select up to 3; excludes ‘other’ 7%


What are your greatest concerns about becoming a practicing physician?

*Respondents allowed to select up to 2; includes responses above 5%

Students’ concerns about paying off school loans growing

50%

33%

24%

17%

12%

12%

12%

10%

6%

5%Paying medical malpractice premiums

Not keeping with new medical information

Handling administrative hassles

Working long hours

Facing malpractice lawsuits

Staying current with new medical information

Declining reimbursement

Paying off student loans

Being a good physician

Balancing work and personal life

2008

2007


Majority of students would still choose medicine as a career

Knowing what you do now, would you still choose a career in medicine?

Don't know15%

No5%

Yes 80%

Key factors in specialty selection:

- Work/life balance

- Intellectually stimulating

- Appropriate level of patient interaction


6%

7%

42%

15%

31%

32%

Own a solo practice

Practice part-time

Open a partnership practice

Be employed by a hospital

Work in academia

Join a group practice

What are your career goals?

*Respondents allowed to select all that apply; Excludes “other” 7%

Over 60% of students aspire to be a practice-based physician

2/3rds of physicians are practice-based

(NAMCS 2007)


44% of students expect to make $100k or less; inconsistent with current salary avg

Approximately how much do you expect your annual income to be in five years?

14%

17%

23%

13%

9%

17%

8%

Less than$50,000

$50,000 $75,000 $100,000 $150,000 More than$250,000

97% of physician specialties

compensated >$150,000 by

3rd year in practice(2006 salary survey, Allied Physicians, Inc.)


Majority of students feel unprepared for the business of medicine

How well do you feel medical school prepared you to take on the business side of managing or belonging to a practice?

*n=981; excludes respondents who expressed an opinion

Not prepared68%

Somewhat prepared

23%

Prepared9%


3%

5%

5%

6%

9%

21%

49%

Professor/physician

Fellow medical student

Medical journal

Attending resident

Text book

Mobile reference

Internet reference

When you need information to help you solve a clinical question, where is the first place you are most likely to turn?

Students more likely to use electronic reference than ask peer or teacher question

*Excludes “other” 2%


Offended4%

Indifferent24%

Supportive72%

How do you feel if your patient requests a second opinion?

Majority of students support 2nd opinion

For 30% of patients who seek second

opinions for elective surgery, the second

doctors disagree with the first

(New York Times, Feb. ’08)


No preference

70%

Female19%

Male11%

Do you have a gender preference when selecting your personal

physician?

30% of students prefer treatment by a same gender physician

No21%

Yes79%

Would you seek medical care or advice from your peers?


3%

5%

50%

52%

72%

Smart durgs (Ritalin)

OTC stimulants (NoDose)

Power naps

Exercise

Increase caffeineintake

Medical students often work long hours; what methods have you used to stay alert or awake?

Caffeine, exercise and naps; students’ remedy for long work hours

*Respondents may select all that apply; excludes other 9%


17%

14%

6%

7%

11%

15%

27%

Don't watch TV

Other

Dr. Quinn (MedicineWoman)

Dr. Gregory House (House,M.D.)

Dr. Derek Shepherd (Grey'sAnatomy)

Dr. Heathcliff 'Cliff' Huxtable(Cosby Show)

J.D. (Scrubs)

If you were to compare yourself to a TV physician personality, which of the following would you select?

Medical students see humor in themselves; 30% compare to “Scrubs” TV character

- Dr. John Carter (ER)

- Drs. Meredith Grey and Izzy Stevens (Grey’s Anatomy)

- Dr. Elliot Reed (Scrubs)

Other TV personalities students identify with:


Nearly 60% of students spend spare time on Facebook

24%

2%

3%

4%

17%

37%

61%

None

Digg

LinkedIn

Flickr

MySpace

YouTube

Facebook

Which of the following social/news networks do you spend time on?

1%

6%

36% 33%

Less than 1hr

1 - 5 hrs 6 - 10 hrs More than10 hrs

Please estimate how much time you spend on these sites per week

*Respondents asked to select all that apply *(n=755)


39%

5%

6%

19%

24%

58%

Research opportunities

Financial aid

Only one where I wasaccepted

Cost

School ranking/reputation

Location

2008

2007

2006

Why did you choose your medical school?*

*Respondents asked to select up to 2; excludes answers below 4% and “other”

Location remains top priority; reputation maintains importance in school selection


What’s the Grade? Overall: B

Subject Grade

Clinical training

Quality of education

Career guidance

Integration of medicine and technology

Medical School Report Card

Clinical training most improved

(B in 2006)


60% of students feel EMR availability is very important to future practice choice

Yes68%

Don't know15%

No17%

Have you had experience with an EMR system during your rotations?

Important28%

Very important

62%

Not important2%

Somewhat important

8%

How important is it to have an EMR at the place you would choose to practice?


Less than 20% see EMR adoption in the next few years

The government is driving towards 100% adoption of electronic medical records. When do you see the full adoption of

electronic medical records occurring?

Consistent with 2007, over 70% see full EMR adoption

occurring within the next 5-10 years14%

30%

39%

14%

2%

Within the next1-2 years




More than 10years


92% of medical students plan to vote in the ’08 election

Other4%

Republican party22%

Democratic party41%

No affiliation33%

What political party do you affiliate yourself with?

*Other includes Green and Libertarian parties


Over 60% of students believe health care reform would reduce their income

Yes35%

Don't know24%No

41%

How do you believe health care system reform would change your future income level as a

physician?

Do you believe there will be serious health care reform within

the next five years?

Increase4%

Decrease63%

Same33%


Improve32%

Don't know5%

Worsen32%

No change31%

Over the next 5 years, how do you believe the U.S. healthcare system will change?

Nearly 40% of students give the healthcare system poor marks (D or F)

How would you rate the U.S. healthcare system?

Healthcare grades on the decline since 2006 (29% D or F)

Fewer believe system will worsen compared to 2006 (42%)

3%

22%

36%

27%

12%Failing (F)

Below average(D)

Average (C)

Good (B)

Excellent (A)


Majority of students feel patients should be concerned about PCP shortages

Not concerned

5%

Very concerned

34%

Somewhat concerned

23%

Concerned38%

To what degree do you believe patients should be concerned about the predicted shortage of PCPs?

50% of patient visits annually are made to primary care physicians

(CDC 2006)


Nearly 30% of students underestimate the average length of patient visits

8 minutes or less(8%)9 - 10

minutes(21%)

More than 10 minutes

(71%)

What do you think is the appropriate length of a routine patient visit?

Average physician spends 13 minutes with each patient

(NEJM 2001)


Physicians gaining influence over students opinion of pharma

9%

10%

10%

11%

18%

29%

50%

53%

Residents

Fellow medical students

Other

Family and friends

Patient experiences

Media

Pharmaceutical sales reps

Attending physicians

2008

2007

What influences have contributed to your opinion of the pharmaceutical industry?

*respondents may select up to 2


87% believe disease awareness campaigns lead to early disease detection

Somewhat disagree

4%

Disagree3%

Neutral11%

Strongly agree13%

Agree31%

Somewhat agree38%

Do you agree or disagree that disease awareness campaigns

lead to early disease detection?

Do you agree or disagree that the use of celebrities for disease awareness

campaigns is beneficial to society?

Neutral28%

Agree53%

Disagree19%


Bob Dole most memorable as Viagra pitchman

1. Viagra (Bob Dole)

2. Lipitor (Dr. Jarvik)

3. Cialis (couple in the bath tubs)

4. Boniva (Sally Fields)

1. Erectile dysfunction

2. Insomnia

3. Depression

4. Herpes

Brand name Disease

Which is the first pharmaceutical TV ad for a drug or disease that comes to mind?

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