06Jun

Family physicians are the most recruited of all doctors. The demand for these family practitioners is expected to grow by 10%, second only to psychiatrists. Yet those who practice family medicine have seen their average pay decrease, making these doctors among the lowest paid of all medical specialties.

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These aren’t new revelations, but they stand out starkly in the just-released Physician Compensation Report from Physicians Thrive, a financial advisory firm for doctors. The report is a compilation of data from multiple sources. It covers pay and bonuses by physician specialty and practice, and drills down into regional and state differences, hiring demand, and gender gap issues.

The report tells us that in 2020 specialists earned an average $346,000 per year, up from $341,000 in 2019. But female physicians earn 28% less on average than their male counterparts in the same specialty.

Primary care physicians, including family medicine practitioners, earn an average of $243,000 per year, up from $237,000 in 2019. But half of all family medicine doctors earn less than $205,000. And they’ve seen their pay decrease by 8.3%, the largest of all medical specialties, according to the report.

Why isn’t clear.

It’s not a matter of a significant gender imbalance the way it is in pediatrics where almost two-thirds of the doctors are women. Or in obstetrics/gynecology, which is 59% female. The Association of American Medical Colleges says 59% of the family medicine doctors are male.

For whatever reason, the Physicians Thrive report says that, “Since 2014, the number of physicians choosing to work in family medicine has decreased, leaving family practices understaffed throughout the country.”

Picking up at least some of the slack are nurse practitioners and physician assistants. The report says 78% of NPs and 33% of PAs provide primary care, according to the report. Though they do much of the same work as a physician, nurse practitioners on average earned $124,000 in 2019.

The highest-paid specialists, according to the report, are neurosurgeons earning a median of $645,000. In the Midwest, these specialists earn an average of $760,000 annually, making them the highest-paid specialists anywhere.

Photo by CDC on Unsplash

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Jun 6, 2023

Even Heroes Need Help

The world may be lauding healthcare workers as heroes, but the professionals themselves are exhausted, worn down physically and emotionally by their efforts to treat the sick and stem the COVID pandemic.

“The pandemic has had a terrific strain on nurses,” Dr. Ernest Grant, president of the American Nurses Association, told ABC News.

As the COVID death toll reached a half million, the network broadcast a special report on the looming mental health crisis among frontline medical professionals.

“It’s hard for us health care workers,” said respiratory therapist Kelsey Copely. “I’ve seen more deaths these past few months than I had seen in years, and it’s not normal and it takes a lot. It takes a toll on someone’s mental health.”

A 2018 study of physician suicides estimated that 300 to 400 physicians commit suicide annually. It’s too early to assess the impact of the pandemic on doctors, though the American Medical Association says stress levels have risen.

“Acute stress among physicians, which was already significant before the pandemic, has increased dramatically for many physicians during the last several months as the pandemic has brought new challenges and exceptional demands,” AMA President Dr. Susan R. Bailey told ABC.

Last March, as the number of hospitalizations was rising quickly and the country was heading to a shutdown, Dr. Mona Masood, a psychiatrist, began enlisting other psychiatrists to provide mental health support for doctors and medical students.

“It was very clear that physicians did not know how to reassure themselves or take care of their mental health,” Masood said.

Since last year, the free confidential support service has fielded thousands of calls from physicians and students.

“Almost all of them start off with ‘I’m so sorry for taking your time. I’m so sorry taking this resource.’ And that speaks to that implicitness of others should be taken care of before me,” Masood said in an interview just a few months after the hotline launched.

One reason more doctors, nurses and other frontline healthcare workers don’t seek help is worries over losing their license to practice.

ABC News said many medical licensing applications probe deeply into the applicant’s mental health, even going beyond what is allowed by law. The Journal of the American Academy of Psychiatry and the Law found that in 2018 only 18 states complied with the law about mental health questioning on physician licensing applications.

Last year, the American Medical Women’s Association (ANWA) launched the Humans Before Heroes initiative to reform licensing questions to remove the fear that by getting mental health help a professional might be denied or lose a license.

Says the AMWA, “It is critical that we remove all barriers to care-seeking so no frontline hero is left sacrificing themselves for others. Mental health treatment must be normalized and encouraged.”

Image by Darko Stojanovic

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Jun 6, 2023

Recognizing Nursing Assistants This Special Week

This week – Nursing Assistants Week — we at Green Key Resources want to extend a special thank you to the nation’s certified nursing assistants and recognize the vital work they do.

These are the professionals who do the day-to-day work of caring for patients too ill, too elderly or who are just in need of extra help as they recover.

Never before has so much been asked of the 1.6 million women and men working in nursing and care facilities and hospitals all across the country. Risking their own health, they’ve worked alongside doctors and RNs to care for COVID-19 patients, bathing, turning and feeding those who need the help and answering their calls.

In other times, this work is part of their daily routine. This year, it is heroic work.

Thank you for being there. We appreciate what you do for all of us.

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