recruiting new health professionals: considerations for
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Recruiting New Health Professionals: Considerations for CommunitiesVicki Trauba, Program ManagerRural Health Resource Center Duluth, Minnesota
Technical Assistance and Services Center
Mission: To provide technical assistance, information, tools and resources for the improvement of rural healthcare. To serve as a national rural health knowledge center and strive to build state and local capacity.Private non-profit organization 501c3Established in 1991 as a collaborative initiativeCreated in response to increasing challenges of providing healthcare in rural communities
Rural Health Resource Center
2003 Demand for Physicians in Greater and Underserved Minnesota (Including Duluth & Rochester)
DemandRanking
Physician Specialty CurrentVacancy
VacanciesNewly Created
Vacancies Due to Turnover
Primary Care1 Family Medicine 58.8 25.0 37.82 Internal Medicine 18.0 2.0 12.03 Obstetrics/Gynecology 14.0 14.0 3.04 Pediatrics 10.0 7.0 3.05 Medicine/Pediatrics 2.0 2.0 0.0
Subtotal 102.8 50.0 55.8Medical Specialties
1 Cardiovascular Disease 7.0 2.0 4.02 Gastroenterology 5.0 4.0 1.03 Hospitalist (IM) 5.0 2.0 3.04 Dermatology 3.0 1.0 1.0
Subtotal 20.0 9.0 9.0Surgical Specialties
1 Orthopaedic Surgery 13.1 13.0 4.02 Urological Surgery 9.0 8.0 3.03 General Surgery 8.0 5.0 3.04 Otolaryngology 7.1 5.0 2.0
Subtotal 37.2 31.0 12.0Other Specialties
1 Diagnostic Radiology 16.0 12.0 7.02 Psychiatry 8.0 7.0 6.03 Anesthesiology 6.0 4.0 2.04 Neurology 6.0 3.0 5.0
Subtotal 36.0 29.0 20.0Overall Total 196.0 119.0 96.8
Evaluating Practice Opportunities
Community FactorsCompatibilityPractice CharacteristicsPractice ConsiderationsReason for Opportunity Financial Package
Survey of Final-Year Residents
• 43% received <100 contacts about practice opportunities• Top 2 practice considerations:
Geographic location /lifestyle & financial package• 58% prefer salary with production bonus• 41% prefer partnership & 30% prefer single specialty • 47% indicated loan repayment would effect choice of practice• 47% unprepared in handling business considerations• 60% significantly concerned with:
Dealing with managed care organizations, insufficient practice management knowledge & malpractice issues
Source: MHA 2003
Practice ComponentsCompensationPersonal Benefit PackageProfessional BenefitsClinic Setting HospitalAdditional Health Care ProvidersRecruitmentRetentionCommunity
Recruitment Readiness & Feasibility Assessment
Common Recruitment Incentives
• Compensation – 1 year guarantee, some with additional Signing Bonus
• Loan Forgiveness with Service Obligation (95%)
• Relocation Expenses (99%)• CME Allowance (93%)• Health Insurance (96%)• Malpractice (90%)• Retirement & Disability (70%)
Source: MHA 2004
Common Recruitment Methods
Connect with Training Programs:Promote health careers in high schoolsTrack you local students in health programs; keep in touch; provide internships and scholarshipsProvide clinical training at your clinic or hospital for nursing, medicine, pharmacy, dentistry, and PA studentsEncourage your providers to serve as community faculty for future recruitment
Overview of the Recruitment Process
First contact (after mailing, word of mouth, ads, web)Obtain CV or resumeSend recruitment packetSecond contact or follow-upArrange for and conduct interviewConduct reference check and background checkArrange site visit
Overview of the Recruitment Process
Conduct site visitSecond visit (if necessary)Contract negotiationsSigning the contractRetention
Demonstrates to candidates that more than just the hospital or clinic wants their servicesDemonstrates the community cares enough about local health care to actually be a part of its successProvides the first opportunity for the candidate and family to begin making personal links with the community
Community Participation
Before recruiting a new health care provider, meet with and gain the support of recognized leaders of the various sectors of your community:
•Local employers•Local economic developers•School leaders•The Chamber•Civic minded residents
Community Stakeholders
What Can the Community Do to Help?
Assist with the site visit itineraryCommunity tours including local
churches and schoolsOpportunities for the spouseActivities for the childrenPlanning social events
Student Loan Repayment Program
Rural Physician Loan Forgiveness Program:Residents in Peds, FP, IM, Psych, Ob/GynprogramsRural (non-metro areas)State administered 3 year minimum obligation
Student Loan Repayment Program
Urban Physician Loan Forgiveness Program:Residents in Peds, FP, IM, Psych, Ob/GynprogramsFederally designated urban HPSAs and MUAsState administered 3 year minimum, 4 year maximum obligation
Student Loan Repayment Program
Rural Midlevel Loan Forgiveness Program:Students in NP, PA, CNM, Nurse Anesthetist and Advanced Clinical Nurse Specialist programs Rural (non-metro areas)State administered 3 year minimum, 4 year maximum obligation
Student Loan Repayment Program
Rural Midlevel Loan Forgiveness Program:Students in NP, PA, CNM, Nurse Anesthetist and Advanced Clinical Nurse Specialist programs Rural (non-metro areas)State administered 3 year minimum, 4 year maximum obligation
Student Loan Repayment Program
Rural Midlevel Loan Forgiveness Program:Students in NP, PA, CNM, Nurse Anesthetist and Advanced Clinical Nurse Specialist programs Rural (non-metro areas)State administered 3 year minimum, 4 year maximum obligation
Student Loan Repayment Program
Nurse Loan Forgiveness Program:Students RN and LPN programs Nursing homes or ICFMRsState administered 3 year minimum, 4 year maximum obligation
Student Loan Repayment Program
Rural Midlevel Loan Forgiveness Program:Students in NP, PA, CNM, Nurse Anesthetist and Advanced Clinical Nurse Specialist programs Rural (non-metro areas)State administered 3 year minimum, 4 year maximum obligation
Student Loan Repayment Program
Dentist Loan Forgiveness Program:Students and residents in Dental programs or licensed Dentists25% of patient visits are public programs or sliding fee scaleState administered 3 year minimum, 4 year maximum obligation
Student Loan Repayment Program
Rural Midlevel Loan Forgiveness Program:Students in NP, PA, CNM, Nurse Anesthetist and Advanced Clinical Nurse Specialist programs Rural (non-metro areas)State administered 3 year minimum, 4 year maximum obligation
Student Loan Repayment Program
Federal National Health Service Corps (NHSC) Loan Repayment Program and
Minnesota National Health Service Corps State Loan Repayment Program (SLRP):Primary Care Physicians, Dentists, Dental Hygienists, CNMs, CMs, NPs, PAs, Clinical Psychologists, Clinical Social Workers, Psychiatrists, Mental Health Counselors, Psychiatric Nurse Specialists, Marriage & Family TherapistsFederally designated health professional shortage area (HPSA), rural or urban2 year minimum obligation
• The Rural Health Resource Center (RHRC)• Healthcare Education – Industry Partnership (HEIP)• MN Hospital Association• MN Office of Rural Health and Primary Care, MN
Dept. of Health• MN Dept. of Employment and Economic
Development, Research and Statistics Office• Area Health Education Center (AHEC)
Resources
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