Ivy Clinicians

Physician employment is undergoing a dramatic transformation. From 2012 to 2022, self-employed physicians dropped from 53% to 42%, while employed positions grew from 42% to nearly 50% according to a recent article by Becker's Healthcare. The Major Players Reshaping Physician Careers: - Optum: The Heavyweight Champion - HCA Healthcare: The Hospital System Powerhouse - CVS Health: The Pharmacy-Turned-Medical-Employer - CommonSpirit Health: The Collaborative Network - Kaiser Permanente: The Integrated Care Model To read more about these groups and what it means for physicians, find the full article here: https://lnkd.in/gpqK98jf

The healthcare system is facing a breaking point that most patients never see. Key insights that should alarm every physician: - Staggering Subsidies: Hospitals are now spending $304,312 per doctor just to keep medical teams staffed - a model that's fundamentally unsustainable. - The Productivity Paradox: Physicians are delivering 12% more clinical work compared to 2022, yet compensation per work unit is actually dropping. - Inflation's Silent Squeeze: While healthcare costs rise, individual physician compensation is falling behind - creating a pressure system that's about to burst. A critical perspective from Dr. Marisha Burden cuts right to the heart of the issue: Clinicians aren't "cost centers" - they're the core value drivers keeping the entire healthcare ecosystem running. The system needs a radical rethink. Right now, it's treating medical professionals like expendable resources instead of the critical professionals they are. Read the full article covering this topic from MedPage Today here: https://lnkd.in/g5DjgB6P?

Imagine this: You’re out for a bike ride. You get to an intersection, you’re going straight and an ambulance is turning right. When they turn, they hit you. You need to be taken to the emergency room, so the ambulance gives you a ride. How nice! A few months later, you get a $2,000 bill for said ride to the hospital, on top of the $47,000 hospital bill. How would you react? Read how William Hoesch is handling this exact scenario in Rainier, Oregon here: https://lnkd.in/eNQnNDGv

Jordan Frey, MD recently shared data on the true cost of physician turnover in an op-ed for Doximity, and the numbers are staggering. Key findings: - Cost to replace a single physician: $250,000 to $1 million - Replacement costs typically 2-3x annual physician salary - Average healthcare organization loses ~$5 million to physician turnover - A 60-physician exodus can cost an organization $30-40 million Major cost contributors: - Physician recruitment and advertising - Signing bonuses for new hires - Onboarding and administrative costs - Lost billings during transition - Reduced efficiency with new providers - Patient migration to departing physician Impact on billing revenue: - Gap in patient care between physician departure and new hire - 2-year ramp-up period for new physicians to build practice - Permanent loss of patients who follow departing physician - Reduced efficiency when replacing experienced providers with newer ones Why this matters: "It is not to the health care organization's benefit that you know just how difficult and expensive it is to replace you. But it is to your benefit." These costs create significant leverage for physicians in contract negotiations, demonstrating that we're far from interchangeable. Understanding this reality can help inform your next contract discussion. Read the full post here: https://lnkd.in/eKnXTd5T

A recent study in eClinical Medicine by The Lancet Group reveals alarming trends in workplace violence against healthcare workers. Key findings include: - Violence is becoming more severe and frequent, with high-risk areas including EDs and night shifts - 156 healthcare workers were killed at their workplaces between 2011-2018 in the U.S. alone - Some studies report 12-month prevalence of non-physical violence above 90% Major contributors to violence: - Resource constraints and staffing shortages - Extended wait times - Unmet patient expectations - Poor communication - Organizational factors Impact on staff: - Significant mental health consequences - Higher burnout rates - Increased turnover - Direct correlation with medical errors and reduced quality of care "Few prevention and mitigation activities have shown sustained effects, highlighting the challenges in understanding and addressing the complex interplay of factors that drive violence against HCWs." - O'Brien et al. The financial toll: - $4.7 billion spent on hospital security in the U.S. - $847 million specifically for workplace violence prevention - Estimated cost of $88,000 to replace a single nurse Read the full study here: https://lnkd.in/d57jsDaj

Marc Andreessen, legendary venture capitalist and creator of Netscape, tweeted about declining trust in US physicians. Let's cut through the noise and look at what this means for those of us on the frontlines. Key findings from the study: - Trust in physicians and hospitals dropped from 71% (April 2020) to 40% (January 2024) - Important context: This was measured during the height of pandemic pressures - The study combined trust in "physicians and hospitals" without distinction - Most trust shifted from "a lot" to "some" - not complete erosion As Benjamin Schwartz, MD, MBA in “The Surgeon’s Record” notes: "The biggest contributors to mistrust? Poor communication and lack of time spent with patients." This hits especially close to home in the ED, where time pressures are intense and stakes are high. Encouraging findings: - Recent PatientPoint study shows 81% of patients still trust their doctors - Nurses remain the most trusted professionals (78% in 2023 Gallup poll) - Most patients who distrust "the system" still trust their individual providers As the Schwartz points out, "Patient trust is a complex issue, one that's critical to effective care delivery. As we innovate, we must be careful not to overlook core elements of the doctor-patient relationship that define medicine." Schwartz concludes with wisdom we should all consider: "Rather than trying to 'SaaS' healthcare, let's aim for solutions that truly complement and elevate patient care. That's the real opportunity." Read the full post here: https://lnkd.in/eUvAu3Qp

The Emergency Medicine News piece, “The Misery of Waiting Room Medicine, by Edwin Leap, MD, explores the challenges emergency clinicians face when attempting to deliver high quality care while hospital emergency departments are gridlocked. "These days our lives are split between the computer, patient rooms, the triage area, and often the waiting room. We struggle to protect privacy even as our patients tell us their medical history while separated from other curious humans by little more than a cloth screen or 20 inches of air and viral particles." Here's what emergency clinicians are facing: - Growing hold populations - Increasingly complex patients living longer - Specialist shortages - Multi-day ED stays becoming commonplace - Privacy concerns in makeshift triage spaces Two concerning revelations about the current practice of emergency medicine: 1. The Facility Fee Paradox: Patients are paying premium facility fees while often receiving care in waiting rooms - not actual treatment spaces. As the author notes: "We're asking patients to pay what they might for an actual room when, in fact, they're propped in a corner of the waiting room." 2. The Perpetual Cycle: "Why would the hospital build a larger ED if it's always going to be full?" There's little incentive for change when waiting room medicine is deemed "good enough" and patients keep coming despite the conditions. The harsh truth? This might be emergency departments’ new reality. What are your thoughts on breaking this cycle? How is your ED handling these challenges? Read the full article here: https://lnkd.in/eXHMpFce #EmergencyMedicine #Healthcare #PatientCare #EDLife #MedicalPractice

Beautiful morning to run in Raleigh’s City of Oaks Marathon! #cityofoaks Raleigh Founded | CED (Center for Entrepreneurial Development)

A group that started as a simple Slack channel of curious clinicians has evolved into a groundbreaking VC firm with 650+ healthcare professionals at its core. Here's why Scrub Capital's launch matters for the future of emergency medicine. Key Highlights: - Launched publicly after 6 months of stealth operations - Target fund size: $10 million - Focus: Digital health and medical device companies - Community: 650 clinician members - First investment: Photon Health (prescription ordering/fulfillment) "Clinicians are willing to bet on us [and] bet on themselves. For half of them, it's [their] first time putting money into VC period." - Dr. Rebecca Mitchell, MD, Co-founder & Managing Partner Why It Matters for Emergency Medicine: - True clinician voices in investment decisions - Structural alignment vs. traditional paid consultancy - Opportunity for clinicians to participate in VC investing - Focus on frontline healthcare needs "At the end of the day, we're trying to prove that there is value in bringing diverse voices to the table. These people deserve to be a participant in this, and it should not just be the folks in finance and on Wall Street that benefit." - Christina Farr Read the full article here: https://lnkd.in/e4s6TifG #emergencymedicine #healthcare Jonathan Slotkin

Exciting news for the emergency medicine community! ?? Ivy Premium is officially live. Thanks to all of Ivy’s advisors who helped create this new feature to help EM practices find high-quality emergency physician candidates. Perks of being an Ivy Premium customer: - Premium visibility: Top placement in job searches - Enhanced exposure: Featured in the nearby jobs carousel - Increased reach: Shown in more clinician searches - "Actively Hiring" badge: Catch the eye of job seekers For clinicians, this means easier access to high-quality opportunities. We're committed to continually improving the job search experience for emergency medicine physicians, PAs, and nurse practitioners. Stay tuned for more updates as we expand Ivy Premium! Kevin Yerovsek David Bienkowski Hamad Husainy DO, FACEP Jay Mullen MD MBA FACEP Mark Reiter MD MBA