rehabilitation institute amy houtrow, md, phd, mph gen x all the way!!
TRANSCRIPT
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Rehabilitation Institute
Amy Houtrow, MD, PhD, MPH
Gen X All the Way!!
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Rehabilitation Institute
The Changing Health Care System Loss of the solo practitioner
Declining revenue from Fee for Service
Electronic health record
The rising cost of getting a medical education
80 hour work week
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Rehabilitation Institute
The Solo Practitioner Working for the ‘Man’
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Rehabilitation Institute
The Solo Practitioner Working for the ‘Man’
In 2012 (data from the AMA)– 18% in solo practice (down from 40% in 1996)– 29% worked for a hospital– 53% physician owned practices
But 75% of estimated new hires in 2014 will join hospital based groups – Harder and harder to make a living in solo practice– Medicine is not entrepreneurial
http://fas.org/sgp/crs/misc/R42880.pdf
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Rehabilitation Institute
Making a Living
The Golden Era of Medicine– Fee for service– Not a lot of paperwork – Made a good living, worked harder, made more
Now? Not so much– Costs more to run an office– Barriers to working smarter
• 43 min/day interacting with health plans
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Rehabilitation Institute
Electronic Health Record
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Rehabilitation Institute
Cost of a Medical Education
Medical school ~$50,000 per year– 15,360 hours
Residents make ~$40,000 per year– 30,000 hours
After training ~50+ hours a week Adjusted wage of $35/hr
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Rehabilitation Institute
80 Hour Work Week
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Rehabilitation Institute
80 Hour Work Week
28 studies found no improvement
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Rehabilitation Institute
Values of Gen Y in Relation to Health Care
Life work balance Sharing of household responsibilities Privacy? Compensation
– Not so secretive– Not just about the dollars
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Rehabilitation Institute
Crossing the Generational Chasm
A super fun exercise!! Collaborate professionally
– Opportunities to develop professionally Recruitment
– Recruiting– Being Recruited