Employment & Salary Survey 2014
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© 2 0 1 4 O b G y n H o s p i t a l i s t . c o m A l l r i g h t s r e s e r v e d . N o p a r t o f t h i s d o c u m e n t m a y b e r e p r o d u c e d o r t r a n s m i t t e d i n a n y f o r m o r b y a n y m e a n s , e l e c t r o n i c , m e c h a n i c a l , p h o t o c o p y i n g , r e c o r d i n g , o r o t h e r w i s e , w i t h o u t p r i o r w r i t t e n p e r m i s s i o n o f D r . R o b O l s o n , E d i t o r o f O b G y n H o s p i t a l i s t . c o m .
Employment & Salary Survey Results 2014
08 Fall
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Contents
Survey Summary 3
OB/GYN Hospitalist Reponses:
Demographics / General Questions 4
Full Time OB/GYN Hospitalists 11
General Full Time Questions 11
24 Hour Shifts 17
Other Shifts 23
Part Time Hospitalists 28
Pay & Benefits 43
Job Satisfaction 54
Non-OB/GYN Hospitalist Responses:
Non-OB/GYN Hospitalists 48
OB/GYN Physicians 59
OB/GYN Hospitalist Administrators & Staffing Companies 61
Perinatologists and Nurses 63
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Survey Summary Total Number of Respondents: 403
313 in 2013 221 in 2012
Profession:
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OB/GYN Hospitalist Demographics/General
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OB/GYN Hospitalist Demographics/General
Responses:
• I practice both as a hospitalist doing OB/ER/In-patient consults and with a small general practice doing the full range of OB/GYN
• Cover 32 resident clinic OB and GYN service - including block time scheduled GYN cases 2 half days a week (collectively). Consults on floors (complex cases) and transfers from all over the region for complicated OB or GYN cases.
• I have a private practice and take OB/Gyn Hospitalist call responsibilities as well • Supervising residents, all 4000+ deliveries are teaching cases, supervised by attendings, 50 % of attendings
are hospitalists. • Never both in the same 12-hour shift. • Cover all unassigned Ob and Gyn patients. Rest of group does gyn surgery eg. ectopics but I do not, have to
call in private as back-up when I am on shift • Training ob/gyn residents in gyn surgery, mostly MIS, supervising and teaching CFM residents • OB and Gyn in patient and outpatient • Mostly OB. Cover hospital codes and an outpatient infertility clinic. • We have 2 ob/gyn hospitalists during the day to cover the Ob/gyn resident clinic patients as well as "no doc"
patients covering L&D, gyn scheduled cases, emergent add-on cases, ER consults and floor consults • ER coverage, emergency GYN surgery, Inpatient GYN consults, routine scheduled deliveries for our local
health department prenatal patients, coverage of our private practice patients, coverage of our high risk indigent patients from our contracted county regional perinatology referral clinic
• I serve as an OBGYN hospitalist for for a 8 person group, not the entire hospital (our group does the majority of the work at the hospital). As such, I do all the daytime deliveries, assist on sections and occasionally in surgery, make rounds, do circs, and see ER patients and consults during my shift.
• Work partime - mainly in L&D but cover anything that would occur from Ob/gyn • Entirely E.R. physician ...an OB / GYN E.R. at a women's hospital ...cover emergent vag deliveries and assist
on unscheduled Cesareans.. • Do both Ob/gyn • OB, ER coverage including GYN surgery, inpatient GYN consultations, outpatient GYN clinics • Medical director of labor and delivery; cover resident cases in GYN OR, cover consultations on occasion, cover
ED consults on occasion. • We do not have a true ER, so hospitalists see and treat or transfer everyone who does not have a primary ob-
gyn or has a non ob-gyn problem. We also follow our own patients in hospital and provide all ob-gyn services to them.
• Primarily Gyn ER and Inpatient Gyn consults with some OB (non affiliated patients)
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OB/GYN Hospitalist Demographics/General
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OB/GYN Hospitalist Demographics/General
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OB/GYN Hospitalist Demographics/General
‘Maybe’ Responses:
• We staff an OB ER and often are too busy to take care of the main ER's patients (incomplete abortions, ectopics, some trauma)
• I just started this month as a part time ob hospitalist, 2-4 24 hour shifts/month. Primarily staff Ob ER, emergent deliveries, assist CS.
• We only do Obstetric ER. • If it did not compromise my income • Prefer Laborist duties only , but ER GYN consults are part of the current arrangement • I would like non-pregnancy related problems to be handled by the ED staff with us as consultants when needed. • I like the surgery but our ER docs abuse the convenience of having us in house to do much of what they would
be expected to do in another hospital this can be very time consuming • it harder to maintain confidence in laparoscopy skills without doing it regularly • We take ER triage of anything over 20 weeks, do some IP consults on pregnant patients under 20 weeks on the
IM service for medical problems. This is ok. I would not like to see us having to deal with SABs, ectopics etc as that would take us away from L&D potentially for hours.
• I don't mind doing ER consultations, but I don't like when a gyn OR case makes me unavailable to L&D. • Need better system of gyn backup • We have no capacity to offer long-term follow up. I also do not comfortable doing laparoscopy since I do it so
infrequently. • Sometimes frustrating
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OB/GYN Hospitalist Demographics/General
Note: This chart shows weighted average responses.
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OB/GYN Hospitalist Demographics/General
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Full Time OB/GYN Hospitalists – General
7% 7%
1% 3% 4%
27% 18%
33%
Other
Full Time Academic
Government-
Private MFM Practice
Private OB/GYN
Medical Staffing Group
Independent
Hospital Employee
2012 Responses
16%
13%
28%
43%
Other
Medical Staffing Group
Independent Contractor
Hospital Employee
2011 Responses
6% 4%
1% 1% 3%
8% 31%
4% 42%
Other Independent Contractor
Full Time Academic Government-Employed
Private MFM Practice Private OB/GYN Group Medical Staffing Group
Independent Contractor Hospital Employee
2013 Responses
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Employer Pays 69%
I Pay 31%
2013 Responses
Full Time OB/GYN Hospitalists – General
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Full Time OB/GYN Hospitalists – General
HOURLY OB/GYN Hospitalist Reponses:
Yes 56%
No 44%
2013 Responses
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Full Time OB/GYN Hospitalists – General
SALARIED OB/GYN Hospitalist Responses:
Yes 65%
No 35%
2013 Responses
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Full Time OB/GYN Hospitalists – General
‘>2 Hours’ Responses: • I drive 5 1/2 hours to work and usually work 3 of the next 5 days, returning on the 6th day • 5.5 hour commute • I live 500 miles from hospital • I drive 185 miles each way to work a 24-hour shift. i work 2 shifts a week. i have been doing this for 7
years. • Work in one city and live in another. • 3 hrs. weekly one way • 2 hours interstate with 10 minutes to the interstate and 5 minutes getting to hospital • I fly from my home in Utah • Fly from Colorado to California • 4 hours • 3 hours • Have a second place of residence to decrease commute
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Full Time OB/GYN Hospitalists – General
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Full Time – 24-‐Hour Shifts
‘Other’ Responses:
• Mostly weeknights and every other Sunday for 24. Occasional day shifts for night shifts which start earlier, 1 pm or 3 pm
• We have combinations of 6,8,10, 12, 14, 16 and 24 hour shifts
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Full Time – 24-‐Hour Shifts
‘Other’ Responses:
• I drive 5 1/2 hours to work and usually work 3 of the next 5 days, returning on the 6th day • 5.5 hour commute • I live 500 miles from hospital • I drive 185 miles each way to work a 24-hour shift. I work 2 shifts a week. i have been doing this for 7
years. • Work in one city and live in another. • 3 hrs. weekly one way • 2 hours interstate with 10 minutes to the interstate and 5 minutes getting to hospital • I fly from my home in Utah • Fly from Colorado to California • 4 hours • 3 hours • Have a second place of residence to decrease commute • A "shift" is 24 hours • No minimum. Use average. • 1-2 24-hour shifts per week, post call day off, otherwise 9 hour shifts Mon thru Fri. • We do a mix of 10, 12, 14, 16, 18 and 24 hr. shifts to make a 40 hr. week (full time salaried) • 6.5 shifts per month • Varies among 6 to 9 per month • Total of 40h/week any combination of shift • Don't know • FTE is 40 hours/week. Our shifts are various lengths • FTE here is 13 12 hour shifts per month • 8 hospitalist shifts plus 6 days in outpatient clinic • We have 5 full time people and divide shifts equally • I work 12 hrs. shifts. 13 per month • I work every Friday and Sunday
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Full Time – 24-‐Hour Shifts
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Full Time – 24-‐Hour Shift
‘Other’ Responses:
‘Other’ Responses:
• If a partner can only work 12 during a given shift
• Only if you have made special arrangements with another hospitalist to help them out.
• Rarely, less than 10% of the time • Rarely if needed for vacation/sick coverage • Depending on need; I am only one who has
been doing it, and it is infrequent • Most are AM to AM and a few PM to PM • Only if I make it this way and very rare • We could if we had to for staffing purposes but
usually choose not to • I have split a shift with one of my colleagues • I work for the government so we do 0800-0800
and 1600-0800 • If I opt I suppose I could. I choose 12 hrs.
• 0830 • 0730 • 0630H • 07:30 • 1900 • 7 a.m. the afternoon shift change varies depending on the length of the day shift worker • 1000 • 1900 • 8am and 6pm • 19:00 • 1900 • 6pm • 23:00
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Full Time – 24-‐Hour Shifts
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Yes 75%
No 25%
2012 Responses
Yes 69%
No 31%
2011 Responses
Yes 70%
No 30%
2013 Responses
Full Time – 24-‐Hour Shifts
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Full Time – 24-‐Hour Shifts
6%
60%
34%
Other
Use them as a consultant like a
Work as a perinatologist extender
2012 Responses
14.8%
75.4%
24.6%
Other
Use them as a consultant like a
Work as a perinatologist
2011 Responses
1%
55%
55%
Other
Use them as a consultant like a private OB/GYN
Work as a perinatologist extender and do some or
2013 Responses
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Full Time – Other Shifts
‘Other’ Responses:
• 10 hour days, 14 hour nights
• 10 • 10 hours daily, 7a-5p
while call partners are in office
• 10h days, 14h nights • Between 10h and
15hours • 24 hours • 10 hours • Sometimes 10 and
sometimes 14 hours • The previous question
makes no sense. I generally work 8-hour days. I do one 36-hour call per month
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Full Time – Other Shifts
‘Other’ Responses:
• 000-0800 • 0800-1800 • 0800-1800 • 0700-1700 • 2 docs in house. One set changes 8, one set changes 630 • Day shifts: 730a-5p, Night shifts 5p-730a • 0800 / 1800 • 7:30a and 5:30p • In 2012 I worked 12h shifts. Now I work 24 h shifts and change at 1030 • Depends on if work a 12 or back to back 12s for a 24; starts at 0700 or 1900 • 2000-0800 • 0700-1700 • 0700 - 1700 • 0630-1500 • 0700-1700 • I now work 24 hr. shifts, 0800 to 0800 hrs.
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Full Time – Other Shifts
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Full Time – Other Shifts
‘Other’ Response: I see their patients in triage and talk to them as they are the primary caregiver.
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Part Time OB/GYN Hospitalists
‘Other’ Responses:
• Kaiser Permanente share holder • Part time academic faculty (no other employment) (spend "off" time with my children) • Independent member of a hospitalist group and teach med students and residents • Academic faculty, employed by Med School University. Work as Residency Program
Director, staff 3 resident clinics per week • Multi spec large group • Work for a large health group • Work for a community health center that provides hospitalist services to the nearby
hospital • I started as a locums after 8 months and LOVING it, i have signed and employee
contract
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Employer Pays 58%
I Pay 42%
2013 Responses
Part Time OB/GYN Hospitalists
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Part Time OB/GYN Hospitalists
‘>2 Hours’ Responses:
• I drive fro KC to St Louis to be a OB hospitalist. OB hospitalists are the norm in STL and not in KC (only 1 hospital has a program)
• 7 hour drive. Group 3 shifts into one trip monthly. • 6 hours • 4 • I drive 3 hours. Then I work two night shifts in a row and drive home. I rent a room close
to the hospital so I can sleep after each night shift. Two nights is .7 FTE.3.5 hour drive or 4 hour train ride with bus
• 2.5 hours • I fly from AZ to ME every three weeks and work 5 12 hour shifts in a row then fly home • 2.5 hours • 2.5 hour
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Part Time OB/GYN Hospitalists
‘Other’ Responses:
• Several shifts a month totaling more than 60 hours • 120 • 240 hours • 48-96 hours • 2-3 twelve hr shifts per month because I was recently recruited to help in an outlying
office, same hosp. employer • 13 X 24hr shifts/month • 1/2 time hospitalist=80hrs/month + 1/2 time private practice
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Part Time OB/GYN Hospitalists
‘Other’ Responses:
• Planned parenthood • Academic medicine at medical school • Outpatient gyn • Academic duties (research, administrative, etc.) • Office gyn w major surgery • CMO of clinics • Clerkship director for medical school • Private practice • Med School Faculty, & Resident program director, staff
resident clinics • Full time • Hospital Chief Medical Officer • Program director in OB/GYN • Nothing • Full time reviewer for Medicare
• Medical Director of OB • VPMA of hospital/ Administrative • Enjoying semi-retirement • Gyn concierge practice • Volunteer MD in Peru • Locum tenens • Play • Administration • Only work as hospitalist • Perinatologist in Practice • Utilization Review • Health plan medical director • University Faculty OBGYN
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Yes 24%
No or Maybe 76%
2011 Responses
Yes 42%
No or Maybe 58%
2013 Responses
Part Time OB/GYN Hospitalists
Yes 54%
No or Maybe 46%
2012 Responses
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Part Time OB/GYN Hospitalists Would you like to work more: ’No or Maybe’ Responses:
§ Too stressful § I am happy with my shifts § My job is perfect! § I enjoy office practice and gyn § I'm already a full hospitalist § If payment is better § Happy with work load § I have enough shifts § I have a combination of hospitalist shifts and
full time office practice § Plenty of hours § I have the perfect balance right now. § None § I like my private practice and Hospitalist
combination § 24 hr. a week us good § Would prefer to be in different location § Like amount I'm doing § No, I am maxed out on shifts covering for a
colleague who is out. Ready to go back down.
§ Already work enough § Too early to determine. Would prefer in
academic setting § If I were not the 'boy' for our MFM physician § In the future § Caring for elderly mother § Retired from office practice § Other MDs also wants more time § Satisfied with number of shifts § I am happy § I simply do not. § I work 3 24 hr. shifts/month as my group has
11 partners and I am happy with that situation.
§ Enough now § Not sure if I could afford it. I also have a
private practice § Too much work to so as my general obgyn
practice § I am happy with the amount of hours that I
have § Possibly in future § Since our hospital is high acuity, the on call
shifts can be grueling. § This is not my main employment § I would like to find supplemental work close
to home but i would not want more shifts at the current hospital that is far from my home.
§ My clinical and administrative work is balanced and sufficient
§ I am leaving my position due to back issues. § I am happy § I'm satisfied with my work schedule § I am preparing to retire § not interested in full-time § I like my 0.8 FTE § Too busy already! § Satisfied with my number of hours § I don't particularly like triage § Choose to work as.66 FTE § I WORK PART TIME § Semi retired, work enough § I like the 24 h x 5 days/month schedule I
have § I like part-time § No I work exactly as much as I want § Perhaps § Prefer more OB, less Gyn § Happy
Yes 20%
No 80%
2013 Responses
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7%
30% 37% 40%
90%
Does not apply Supervise midwives
Also consult for and do operative vaginal
deliveries and C/S for
midwives
Also consult for and do operative vaginal
deliveries and C/S for family
practice physicians
Work with other OB/GYNs
and MFMs
2013 Responses
Part Time OB/GYN Hospitalists
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28%
77%
31%
33%
6%
16%
Perinatologist
OB/GYN Physicians
Family Medicine Physicians
Certified Nurse Midwife
Uncertified or Lay Midwife
No one
2013 Responses
Part Time OB/GYN Hospitalists
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Yes 67%
No 33%
2013 Responses
Part Time OB/GYN Hospitalists
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Part Time OB/GYN Hospitalists
‘Other’ Responses:
• We are both faculty in the same department. Work closely together and co-manage • All MFM deliveries and admits • I am the local Perinatologist
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3%
75%
16%
6%
Other
No - adequate staffing
Yes - trying to hire
Yes - working too hard
2013 Responses
Part Time OB/GYN Hospitalists
Part Time Hourly OB/GYN Hospitalists:
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Yes 59%
No 41%
2013 Responses
Part Time OB/GYN Hospitalists
Part Time Hourly OB/GYN Hospitalists:
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15%
52%
22%
11%
Other
No - adequate staffing
Yes - trying to hire
Yes - working too hard
2013 Responses
Part Time OB/GYN Hospitalists
SALARIED OB/GYN Hospitalists:
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Yes 67%
No 33%
2013 Responses
Part Time OB/GYN Hospitalists
SALARIED OB/GYN Hospitalists:
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OB/GYN Hospitalist Pay & Benefits FULL TIME PAY TYPE PART TIME PAY TYPE
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4% 6%
21%
33%
16%
9% 7% 5%
12% 12%
24%
18%
9%
18%
0%
6%
<$79 $80-$90 $91-$100 $101-$110 $111-$120 $121-$130 $130 - $139
>$140
2013 Responses
Full Time
Part Time
4% 6%
18%
46%
17%
3% 3% 4%
16%
8%
21% 21% 15%
8% 2%
10%
<$79 $80-$90 $91-$100 $101-$110 $111-$120 $121-$130 $130 - $139
>$140
Full Time
Part Time
OB/GYN Hospitalist Pay & Benefits HOURLY GROSS WAGE
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1% 0%
9%
29% 29%
15%
4% 8%
4% 0%
26%
11%
7% 11% 11%
19%
0% 4% 4%
7%
2013 Responses Full Time Salary
Part Time Salary
0% 2%
11%
19%
28%
13% 10% 11%
5%
0%
15% 12%
4%
27%
12%
4% 8%
0%
8% 12%
Full Time Salary
Part Time Salary
OB/GYN Hospitalist Pay & Benefits SALARY
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OB/GYN Hospitalist Pay & Benefits FULL TIME SALARIED: PART TIME SALARIED:
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OB/GYN Hospitalist Pay & Benefits BENEFITS (Respondents could select all applicable answers)
0%
47%
46%
96%
100%
58%
68%
78%
67%
89%
88%
95%
100%
85%
94%
100%
100%
77%
72%
97%
88%
72%
71%
92%
73%
80%
86%
98%
98%
93%
87%
97%
Pay differential for night shifts
Disability insurance
Life insurance
Professional liability insurance
Sick/personal time off
Health insurance
Retirement
Paid vacation
Full Time Salaried Full Time Hourly Part Time Salaried Part Time Hourly
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90%
0%
10%
42%
0%
58%
78%
2%
20%
28%
0%
72%
No paid vacation
Available for opt-in/purchase
Included in contract
Full Time Salaried Full Time Hourly
Part Time Salaried Part Time Hourly
OB/GYN Hospitalist Pay & Benefits PAID VACATION (Separate from CME)
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17%
0%
17%
33%
17%
0%
17%
0%
0%
0%
0%
0%
13%
20%
27%
20%
13%
0%
0%
7%
5%
9%
23%
27%
9%
9%
18%
0%
0%
0%
7%
0%
6%
16%
33%
14%
16%
4%
0%
3%
Other
<5
6-10
11-15
16-20
21-25
26-30
31-35
36-40
>40
Full Time Salaried Full Time Hourly Part Time Salaried Part Time Hourly
OB/GYN Hospitalist Pay & Benefits PAID VACATION DAYS/YEAR
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63%
2%
0%
8%
6%
6%
0%
15%
19%
0%
8%
19%
31%
15%
0%
8%
55%
0%
6%
9%
14%
2%
1%
14%
19%
5%
2%
18%
28%
11%
3%
14%
None
1-2 days
3-4 days
5-6 days
1 wk
2 wks
>2 wks
Other
Full Time Salaried Full Time Hourly Part Time Salaried Part Time Hourly
OB/GYN Hospitalist Pay & Benefits CME DAYS / YEAR
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OB/GYN Hospitalist Pay & Benefits CME ‘Other’ Responses: Full Time Hourly ‘Other’ Responses
• We get no actual "days" but we get reimbursed for CME. • We get a annual dollar amount to apply to CME • WHATEVER AS LONG AS SHIFTS COVERED • Get financial reimbursement for CME dollars spent. No CME days • No time off but do get a cash allowance to use for CME • Don’t know • CME fund • I receive reimbursement for the cost but no time off specifically for CME. • CME hours are used outside of the scheduled shifts • $1000 • CME done between shifts • We do CME days when we are not working, No " paid" days per se. There is a generous CME allowance. • Not paid for un worked shifts • $5000 stipend for CME PLUS License/dues
Full Time Salary ‘Other’ Responses
• 240 hours of PTO which include CME • Part of PTO • Include in salary • CME is lumped into vacation time which is 240 hrs/calendar yr • Variable • Get tuition paid but no paid time off • On request • Not defined in my contract • No PTO or CME time- has to be arranged with other OB GYN hospitalists • 48 hours • $3000 no limit on days • 35 days to use as I like • There is a CME allowance, but the CME days are on my time.
Part Time Hourly ‘Other’ Responses
• Not specified • None • I am part time. None with the hospitalist program. • Not full time • Variable • Not part of contract • $2000 • UNSURE • None - CME is done on non-call days
Part Time Salary ‘Other’ Responses
• We get to take all the time we want, but eat what we kill, so unpaid • Do not get "paid" days of CME. I do CME in my "off" time.
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OB/GYN Hospitalist Pay & Benefits Part of your pay DOES INCLUDE incentives and/or bonuses, including production-based compensation:
Full Time Hourly Incentives/Bonuses
• # deliveries,bonus for every Gyn Case • Team lead • Performance incentives • RVU • Production plus drills and simulation, outreach, committee attendance and participation • Hospital income • Bonus for quality metrics • There may or may not be a one time bonus after 1 year of employment based on the revenue of the company
evening split • RVU, Production • Production based on collections • 30% of the RVU • Quality metrics • Performance, peer review, chart completion • There is a company wide bonus given yearly along with a generous 401K match depending on the overall
performance of the company, not my specific performance. • Survey results • Group achievement of quality goals, meeting attendance
Full Time Salaried Incentives/Bonuses
• Bonus based on completion of 4 separate goals each weighed 25% • Specific quality improvement measures including c/s rates, VBAC rates, patient satisfaction, and timely medical
record Maintenance • Negotiable each year • Meeting quality assurance standards, attendance at staff meetings • Bonus payment to entire group based on overall profitability • Number of deliveries, hospital projects, chief duties, etc • Set goals • Participation in quality improvement activities, small percentage bonus at end of year. • I share 50% of all billable services with hospital (triage visits, deliveries, procedures) • Group production- everyone is equal in multi specialty group • No Deliveries
27%
3%
42%
16%
Part Time Salaried
Part Time Hourly
Full Time Salaried
Full Time Hourly
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• Quality, safety. • Patient satisfaction and RVU • Various teaching and cost-savings projects • Extra hrs above salaried hrs are paid at an hrly rate. There is a yr end bonus based on accomplishing goals
defined by administration • I receive productivity money from a portion of the pt's care I bill for. The hospital receives the rest. • Old contract -- bonus on productivity and attending committee meetings New contract -- bonus on "quality" -
unfortunately we don't know yet what this is going to entail • Employee bonus plan depending on patient satisfaction and operating efficiency--small amount between $300
and $2500 annually. • We are incentivized if the department as a whole, meets or exceeds its budget expectations for the quarter • WRVU • Based on one day a week in office. Get percentage of all collections from my patients • I participate in my staffing groups bonuses. • Incentives just initiated but yet to be defined by employer • At employer's discretion i.e. Unknown • Quality and Service criteria • Combination of meeting attendance, outreach, projects (ie stats, simulation, protocols etc), certification in ACLS
and NRP, and patient satisfaction scores • Safety incentives, standards of practice etc. • Incentive bonus is based on achievement of goals, which are defined/agreed upon with admin at beginning of
each year, such as developing/implementing OB Team Stat emergency response protocol for our OB department.
• Hhhhhhh • OBH have an incentive formula for quality measures, patient experience as a team score, and utilization. We
are not on a production or RVU incentive. • RVU's generated, patient satisfaction scores • Performance and participation in dept improvement projects • Meeting attendance, outreach, simulation • Now production 10%, however moving to quality criteria- however no objective criteria offed. Boss want to put
10% of salary at risk- over all a loss in total compensation including benefits. • RVU • RVU and quality metrics • Attendance, Certifications, Quality metrics, Outreach assignments. • RVU, patient satisfaction surveys. Max bonus is $3000 per quarter. • Goals that change yearly, this year, percent cesarean, patient feed back, overall financial performance, • Meeting budget
Part Time Hourly Incentives/Bonuses
• Yearly bonus to all employees • Production based on how much revenue is specifically generated from hospitalist shifts (as opposed to office
work) • Quality incentives • They bill for deliveries, procedures, E&M and they give me a percentage (about 85%) of everything they collect. • PRODUCTION BASIS • Paid per delivery for resident or FP coverage, we bill on our own for C-section assists, triage visits, strip reads • Production structure based on clinical OB/GYN practice but any production gained while serving as hospitalist
(getting paid hourly to do so) applies to total production scheme • Patient and staff satisfaction; meetings; RN education; drills
Part Time Salaried Incentives/Bonuses
• RVU-based production model • Participating in dept projects, peer review, • RVU • Quality measures • Based on number of deliveries, gyn surgeries done on call • Based on quality/educational controls • Meeting budget
Employment & Salary Survey 2014
54
OB/GYN Hospitalist Job Satisfaction
FULL TIME HOURLY OB/GYN HOSPITALISTS
Very
Satisfied Satified
Neither Satisfied or Unsatisfied
Unsatisfied Very
Unsatisfied
Career as an hospitalist/laborist
56% (57) 36% (37) 5% (5) 3% (3) 0% (0)
Variety of work 33% (34) 46% (47) 16% (16) 4% (4) 1% (1)
Your Management 36% (36) 42% (42) 15% (15) 6% (6) 2% (2)
Recognition of your work/contribution
28% (29) 41% (42) 14% (14) 15% (15) 2% (2)
Professional relationships (private physicians/ nurses/MFMs)
50% (51) 39% (40) 7% (7) 3% (3) 1% (1)
Pay 19% (19) 52% (53) 12% (12) 15% (15) 3% (3)
Benefits 16% (16) 44% (44) 15% (15) 21% (21) 5% (5)
Employment & Salary Survey 2014
55
OB/GYN Hospitalist Job Satisfaction FULL TIME SALARIED OB/GYN HOSPITALISTS
Very
Satisfied Satified
Neither Satisfied or Unsatisfied
Unsatisfied Very
Unsatisfied
Career as an hospitalist/laborist
66% (63) 25% (24) 4% (4) 3% (2) 2% (2)
Variety of work 50% (48) 41% (39) 5% (5) 2% (2) 2% (2)
Your Management 37% (34) 38% (35) 13% (12) 9% (8) 4% (4)
Recognition of your work/contribution
36% (35) 33% (32) 16% (15) 15% (14) 0% (0)
Professional relationships (private physicians/ nurses/MFMs)
50% (48) 39% (37) 9% (9) 2% (2) 0% (0)
Pay 34% (33) 45% (43) 11% (11) 7% (7) 2% (2)
Benefits 48% (46) 36% (35) 6% (6) 6% (6) 3% (3)
Employment & Salary Survey 2014
56
OB/GYN Hospitalist Job Satisfaction PART TIME HOURLY OB/GYN HOSPITALISTS
Very
Satisfied Satified
Neither Satisfied or Unsatisfied
Unsatisfied Very
Unsatisfied
Career as an hospitalist/laborist
33% (20) 49% (30) 13% (8) 5% (3) 0% (0)
Variety of work 17% (10) 59% (35) 19% (11) 5% (3) 0% (0)
Your Management 18% (11) 56% (34) 18% (11) 5% (3) 3% (2)
Recognition of your work/contribution
15% (9) 59% (36) 16% (10) 5% (3) 5% (3)
Professional relationships (private physicians/ nurses/MFMs)
36% (22) 44% (27) 15% (9) 5% (3) 0% (0)
Pay 8% (5) 52% (32) 25% (15) 13% (8) 2% (1)
Benefits 5% (3) 23% (14) 40% (24) 27% (16) 5% (3)
Employment & Salary Survey 2014
57
OB/GYN Hospitalist Job Satisfaction PART TIME SALARIED OB/GYN HOSPITALISTS
Very
Satisfied Satified
Neither Satisfied or Unsatisfied
Unsatisfied Very
Unsatisfied
Career as an hospitalist/laborist
38% (10) 38% (10) 15% (4) 4% (1) 4% (1)
Variety of work 38% (10) 46% (12) 12% (3) 4% (1) 0% (0)
Your Management 15% (4) 54% (14) 4% (1) 23% (6) 4% (1)
Recognition of your work/contribution
19% (5) 50% (13) 23% (6) 0% (0) 8% (2)
Professional relationships (private physicians/ nurses/MFMs)
38% (10) 35% (9) 27% (7) 0% (0) 0% (0)
Pay 23% (6) 38% (10) 27% (7) 12% (3) 0% (0)
Benefits 24% (8) 36% (9) 20% (5) 20% (5) 0% (0)
Employment & Salary Survey 2014
58
Non-‐OB/GYN Hospitalist
‘Other’ Responses: • RN practice manager • VP Business Development • Hospital Services Director • Residency Program Director and hospitalist • MFM and OB Hospitalist RN Manager • Gyn Hospitalist • Director of Hospitalist Services • Director • Student • Financial Analyst • Website Admin • CMIO • OB/GYN Chair overseeing OB/GYN Hospitalist program
ACOG staff
Employment & Salary Survey 2014
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70% 6% 24%
2012 Responses
Yes
No
Maybe 57%
7%
36%
2011 Responses
Yes
No
Maybe
60%
3%
37%
2013 Responses
Yes
No
Maybe
OB/GYN Physicians
Employment & Salary Survey 2014
60
OB/GYN Physicians ‘Other’ Responses:
• Insurance and practice instability • On active duty in the US Navy • Loose of control as self employed and subject to an employer • No opportunities in desired areas and desire for part time work • Not aware of all local opportunities • Too old • Practice based outside the USA, in Nigeria • Love my job! Love all aspects of my obgyn practice • Not interested in working the graveyard shifts • I am working on reinventing myself into a hospitalist while I close my practice • Making too much money to drop down to hospitalist pay at this time; but the time will come that I won't want to
work this hard despite the money.
Employment & Salary Survey 2014
61
OB/GYN Hospitalist Administrators & Staffing Companies
Employment & Salary Survey 2014
62
OB/GYN Hospitalist Administrators & Staffing Companies Continued Who makes decisions to have a hospitalist program or not? - What’s your most common mistake dealing with hospitalists? - How could you teach hospitalists to do a better job with coding?
Who makes decisions to have a hospitalist program or not? - What’s your most common mistake dealing with hospitalists? - How could you teach hospitalists to do a better job with coding?
Employment & Salary Survey 2014
63
Perinatologists
Do you see any resistance to using OB/GYN Hospitalists as Perinatologists extenders? - What's your forecast for integration of OB/GYN Hospitalists into your personal clinical practice or the MFM field in general?
Nurses Do you find that hospitalists empower you / make your job easier? - Do you believe they make L&D safer for women?