Rehabilitation Institute

Amy Houtrow, MD, PhD, MPH

Gen X All the Way!!

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

Rehabilitation Institute

The Solo Practitioner Working for the ‘Man’

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

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

Rehabilitation Institute

Electronic Health Record

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

Rehabilitation Institute

80 Hour Work Week

Rehabilitation Institute

80 Hour Work Week

28 studies found no improvement

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

Rehabilitation Institute

Crossing the Generational Chasm

A super fun exercise!! Collaborate professionally

– Opportunities to develop professionally Recruitment

– Recruiting– Being Recruited