MD only vs. ACT?

[GoodmanBrown]

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Does anyone know the approximate ratio of MD only vs. ACT model groups in practice? Is it about a 50/50 split, is it already more ACT? I'm assuming it's slowly moving toward more ACT and less MD only. Is this correct?

Also, are there regional specifics? Like, does the Midwest have more ACT groups and the Northeast have more MD only?

If this has been addressed before, feel free to simply post links. I browsed and did a search and didn't come up with anything. Thanks!

 

[2ndyear]

To be broad, fairly regional specific. Northeast lots of ACT. West coast lots of MD only. Of course there are exceptions to each rule. Midwest I don't know, I know Milwaukee has a large MD only practice.

 

[InductionAgent]

Go to gaswork.com and do an advanced search with "100% doing your own cases" and/or "Never directing CRNAs." You'll get a good picture. Of course not all jobs are on gaswork, but a lot are, and it gives you a good sampling of what the overall trends are.

 

[kmurp]

West of Mississippi, MD only is the primary mode. In the east, it's the reverse. In general, all other variables being equal, the care team model generates more income for the anesthesiologist, as long as the ratio is at least 1:3, and preferably 1:4. This doesn't mean that there are four times the number of CRNAs in the group, they only work 40 hours/week.... The higher leverage practices will often have roughly twice as many CRNAs on staff and physicians, sometimes more, depending on call etc.