Crains New York - February 4, 2013 - (Page 13)

H E A LT H C A R E REPORT INSIDE The List NY area’s largest executive recruiting firms PAGE 16 ‘We’re looking now at integrated medicine, not fragmented care’ —Laurie Glimcher, dean, Weill Cornell Medical College, Page 14 Obamacare transforms med school MEDICAL STUDENTS work with faculty at Weill Cornell. Get degree in three years, but forget about being captain of your own ship BIG NEED 92K 30M SHORTAGE OF primary-care physicians expected by 2020 BY JUDITH MESSINA buck ennis Ranjodh Singh, a first-year medical student at Weill Cornell Medical College, trains every few weeks not with his classmates but with nursNUMBER OF people expected to become insured under ing, public-health and social-work Obamacare students from Hunter College. Together, they talk to patients, analyze case studies and write probably not end up working as sole papers. “[We’re] learning the skills and practitioners but as pieces in a much strengths of other professions,” said more complex, and possibly more Mr. Singh. “Now it’s ‘How can I integrated, health delivery system. “We’re no longer the captain of help them?’ ” Medical students typically have the ship that we always thought we been left to figure out how to work were,” said Dr. Joseph Murray, assowith nurses and other health profes- ciate professor of clinical psychiatry sionals, usually by osmosis in their at Weill Cornell and course director third and fourth years. But Oba- of Medicine, Patients and Society I, macare and the shifting economics a first-year course that focuses on of medicine are changing that. To- the physician-patient relationship. day’s first-year medical students,the “If people are going into the profession to be the boss, to first to train since the tell patients what to Supreme Court ruled THE ROAD TO do and to order people Obamacare to be See MED on Page 14 constitutional, will HEALTH Pay is good, hours even better as M.D.s choose employment over going it alone BY GALE SCOTT When Dr. Jeremy Boal was growing up, he got used to not seeing his physician father much on weekends, or at dinner, or even mornings before he left for school. “He took tremendous pride in working extraordinary hours,” said Dr. Boal, a senior vice president and the demands of government and chief medical officer for North private insurers have made it harder Shore-LIJ Health System. “It was for sole practitioners to hang a shinhow he was trained; that gle, doctors are finding was the expectation.” plenty of opportunities Not anymore.Even as with hospitals keen on the digital age has setting up large pracbrought a 24/7 worktices as a way to offset a place mentality to most drop in income from AVERAGE hiring professions, many dochospital stays. Those bonus for doctors in tors are moving in the jobs come with shorter, 2010-2011 opposite direction. Demore predictable Source: Merritt Hawkins mand for physicians, eshours, and most docpecially primary-care tors are getting hiring doctors, is increasing in perks when they the age of Obamacare. change positions. Salaries in some specialties rose by Nationally, and in much of New 15% or more last year. And though York state, hiring bonuses of tens of PAY DAY $23K “The current generation of doctors wants more work-life balance,” Dr. Boal said. “We certainly have to hire more doctors to cover, so there is less burnout and exhaustion for physicians, and they can be protective of their weekends and turn off their cellphones when they are not on call.” Doctors no longer want to be on call around the clock and on weekends.“It takes one and a half doctors to fill a position now,” said Dr. Boal, compared with the staffing patterns of a generation ago. Increased demand for doctors has job-seekers in an enviable position—particularly if they are willing to relocate. According to a study by physician recruitment firm Merritt ᮢ High-demand docs command bonuses REFORM: DOCTORS thousands of dollars,offers of partial repayment of medical-school loans, housing allowances and other lucrative lures have become standard. Though the trend has yet to penetrate city hiring, recruiters say bonuses will become more commonplace as more baby-boomer doctors retire. Still, for new specialists leaving one of the city’s many medical residency programs, employment prospects are flush. And hospitals with outpatient facilities are eagerly hiring experienced doctors leaving private practice, luring them away in hopes of getting access to their patients. See BONUSES on Page 14 February 4, 2013 | Crain’s New York Business | 13

Table of Contents for the Digital Edition of Crains New York - February 4, 2013

THE INSIDER
ALAIR TOWNSEND
IN THE BOROUGHS
IN THE MARKETS
BUSINESS PEOPLE
OPINION
GREG DAVID
DIGITAL NY
SMALL BUSINESS
REPORT: HEALTH CARE
THE LIST
CLASSIFIEDS
REAL ESTATE DEALS
SOURCE LUNCH
OUT AND ABOUT
SNAPS

Crains New York - February 4, 2013