- Joined
- Apr 13, 2010
- Messages
- 529
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- 6
Well, first the numbers:
For at least the past two years (2011 and 2012 reports), Medscape's Physician Compensation Report has indicated Colorado's region (the Southwest region) is the lowest-compensated region in the country:
According to Physician's Practice, here is how we rank (lower numbers being better rankings; there are 56 locations because a few states have been split into smaller regions):
Cost of Living: #34 (39th percentile)
Tax Burden: #35 (37th percentile)
Least Disciplinary Actions: #47 (16th percentile -- the 84th percentile for MOST actions!)
Lowest Malpractice -- Internal Med: #39 (30th percentile)
Lowest Malpractice -- Surgery: #46 (17th percentile)
Lowest Malpractice -- OB/GYN: #28 (50th percentile)
Reimbursement Adjustment (CMS): #26 (53rd percentile)
We are basically average reimbursement with a fairly average cost of living and tax burden. We have a pretty high number of disciplinary actions (read: high risk for lawsuits) and moderately high cost of malpractice insurance relative to most states. As a result, while CO is a beautiful place to live and offers many amenities, it is often not on people's top list of places to move/practice medicine unless they have strong ties here already.
Anecdotally, my dad is in a moderate-size (8-12 physicians and a few PA/NPs) physician group that serves a large portion of the Front Range. They are, for all practical intents and purposes, the only group in this (not so uncommon) specialty in the area and their affiliated hospitals serve somewhere around a million people. They oversee around 70-90 hospital beds as a group. They have been attempting to hire about 1-2 physicians/year for the past 12 years or so in order to keep up with demand. The reality is they have only been able to get about 1 physician every 18 months (on average). There is another group in town but that group has not been able to keep physicians at all. (They are now down to <4 FTE docs.) As a result, this larger group has had to pick up their slack to ensure patients' access to care. CU actually has a residency program in this specialty; however, students who grew up elsewhere tend to want to return home (not CO) when they finish residency and students who grew up in CO may not get into residency in CO and may end up moving elsewhere as a result. Along with the relatively low rate of acceptance/matriculation to medical schools by CO residents, this results in a net loss of talent from the state of CO.
I had never seen these stats. Indeed, then, it is even more important for CO to protect its own than other states.
Will someone at CU let this guy in? Sheesh...