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locum tenens

Daniel M Blumenthal, Andrew R Olenski, Yusuke Tsugawa, Anupam B Jena
Importance: Use of locum tenens physicians has increased in the United States, but information about their quality and costs of care is lacking. Objective: To evaluate quality and costs of care among hospitalized Medicare beneficiaries treated by locum tenens vs non-locum tenens physicians. Design, Setting, and Participants: A random sample of Medicare fee-for-service beneficiaries hospitalized during 2009-2014 was used to compare quality and costs of hospital care delivered by locum tenens and non-locum tenens internal medicine physicians...
December 5, 2017: JAMA: the Journal of the American Medical Association
Karen C Nanji, Sarah A Roberto, Michael G Morley, Joseph Bayes
Massachusetts health care facilities reported a series of cataract surgery-related adverse events (AEs) to the state in recent years, including 5 globe perforations during eye blocks performed by 1 anesthesiologist in a single day. The Betsy Lehman Center for Patient Safety, a nonregulatory Massachusetts state agency, responded by convening an expert panel of frontline providers, patient safety experts, and patients to recommend strategies for mitigating patient harm during cataract surgery. The purpose of this article is to identify contributing factors to the cataract surgery AEs reported in Massachusetts and present the panel's recommended strategies to prevent them...
October 4, 2017: Anesthesia and Analgesia
Don K Nakayama
High salaries indicate a demand for pediatric surgeons in excess of the supply, despite only a slight growth in the pediatric-age population and a sharp increase in numbers of trainees. Top-level neonatal intensive care units require 24-hour-7-day pediatric surgical availability, so hospitals are willing to pay surgeons a premium and engage high-priced locum tenens surgeons to fill vacancies in coverage. With increased supply comes an erosion of the numbers of cases performed by trainees and surgeons in practice...
June 1, 2017: American Surgeon
Sean Price
The nationwide shortage of doctors shapes the health care landscape in many ways, mostly through staffing headaches and gaps in care. But the shortage has been a blessing for at least one group of health care practitioners - locum tenens physicians. More and more, locum tenens doctors are taking the places of permanent physicians.
May 1, 2017: Texas Medicine
Charles D Cash
This ongoing column is dedicated to providing information to our readers on managing legal risks associated with medical practice. We invite questions from our readers. The answers are provided by PRMS, Inc. (, a manager of medical professional liability insurance programs with services that include risk management consultation, education and onsite risk management audits, and other resources to healthcare providers to help improve patient outcomes and reduce professional liability risk. The answers published in this column represent those of only one risk management consulting company...
January 2017: Innovations in Clinical Neuroscience
Tracy L Nolan, Jessica J Kandel, Don K Nakayama
The prevalence and quality of locum tenens coverage in pediatric surgery have not been determined. An Internet-based survey of American Pediatric Surgical Association members was conducted: 1) practice description; 2) use and frequency of locum tenens coverage; 4) whether the surgeon provided such coverage; and 5) Likert scale responses (strongly disagree, disagree, neutral, agree, strongly agree) to statements addressing its acceptability and quality (two × five contingency table and χ(2) analyses, significance at P < 0...
April 2015: American Surgeon
Jonathan S Thiele, Charles R Doarn, Jay H Shore
BACKGROUND: There is a national shortage of psychiatrists, and according to nationally available data, it is projected to get worse. Locum tenens psychiatry and telepsychiatry are two ways to fill the shortages of psychiatric providers that exist in many areas in the United States. Employment and salary data in these areas can be used to illuminate current trends and anticipate future solutions to the problem of increasing demand for, and decreasing supply of, psychiatrists in the United States...
June 2015: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Rachael Zimlich
No abstract text is available yet for this article.
April 10, 2014: Medical Economics
Frank A Riddick
No abstract text is available yet for this article.
2013: Ochsner Journal
Julie G Kosteniuk, Debra G Morgan, Carl K D'Arcy
OBJECTIVES: The research determined (1) the information sources that family physicians (FPs) most commonly use to update their general medical knowledge and to make specific clinical decisions, and (2) the information sources FPs found to be most physically accessible, intellectually accessible (easy to understand), reliable (trustworthy), and relevant to their needs. METHODS: A cross-sectional postal survey of 792 FPs and locum tenens, in full-time or part-time medical practice, currently practicing or on leave of absence in the Canadian province of Saskatchewan was conducted during the period of January to April 2008...
January 2013: Journal of the Medical Library Association: JMLA
S Hanekom, Q A Louw, A R Coetzee
OBJECTIVES: To compare the physiotherapy service provided when therapists' decisions are guided by an evidence-based protocol with usual care (i.e. patient management based on therapists' clinical decisions). DESIGN: Exploratory, controlled, pragmatic sequential time block clinical trial. SETTING: Level 3 surgical unit in a tertiary hospital in South Africa. PARTICIPANTS: All patients admitted consecutively to the surgical unit over a 3-month period were allocated to usual or protocol care based on date of admission...
June 2013: Physiotherapy
S Bendifallah
No abstract text is available yet for this article.
December 2012: Gynécologie, Obstétrique & Fertilité
Elie A Akl, Nancy Maroun, Khalil El-Asmar, Eliane Abou Jaoude, Jihad Irani, Kamal Badr
UNLABELLED: HASH(0x348eed0) BACKGROUND: We recently proposed that Lebanon could become a regional 'academic hub' through the repatriation of emigrated Lebanese physicians who would then provide clinical services in the Arab Gulf region on a locum tenens basis. The objectives of this study were to assess the willingness of Lebanese medical graduates practicing in the United States of America to relocate to Lebanon and the Arab Gulf region and to explore the factors associated with this willingness...
2012: Human Resources for Health
(no author information available yet)
No abstract text is available yet for this article.
May 14, 2012: Modern Healthcare
Samuel G Agnew, Robert H Blotter, Paul K Kosmatka, Guy J Rudin
An increasing percentage of emergency departments are reporting an inadequate number of on-call specialists. This situation is causing a growing crisis in emergency department on-call coverage for patients requiring orthopaedic care. Many orthopaedic surgeons are electing to opt out of emergency department on-call service. For many reasons, including a dwindling supply of eager participants, more medical groups are finding it difficult to fulfill their on-call obligations. This problem demands a variety of strategies to address the multiple causative factors that occur in practice settings...
2012: Instructional Course Lectures
Andrew Jw Sim
INTRODUCTION: Maintaining hospital consultant staffing levels often requires the employment of locum tenens to meet service needs. This is particularly so in hospitals where core clinical services are run by a small number of permanently appointed consultants. The problems associated with locum employment are underestimated and little attention has been directed towards addressing the issue in the rural general hospitals of Scotland. This study looked at the permanent and short- and long-term locum consultant usage over an 8 year period in one Scottish rural general hospital, the Western Isles Hospital in Stornoway...
2011: Rural and Remote Health
Arthur Lazarus
Physicians are not immune to job boredom, which may be brought on by lack of a stimulating job; a job that provides little opportunity for personal growth, development, or advancement; and work settings that are poorly matched to physicians' skills, interests, and capabilities. Common remedies include switching specialties, practicing concierge medicine, and taking locum tenens assignments. Some physicians counter boredom by leaving practice for jobs in the pharmaceutical and managed care industries, as well as other types of medical organizations...
March 2011: Journal of Medical Practice Management: MPM
A Trew, B Searles, T Smith, E M Darling
Due to the emergent unpredictable nature of cardiac surgery, perfusionists, potentially, are susceptible to extended work hours and acute sleep deprivation. While fatigue among other healthcare clinicians has been studied, there has been no research on this topic specifically in the perfusion community. Therefore, the purpose of this study was to: (1) collect preliminary data on the prevalence of fatigue in perfusion and (2) identify if there were concerns regarding fatigue, performance and perfusion safety...
September 2011: Perfusion
Renee Dahring
No abstract text is available yet for this article.
March 2011: Advance for NPs & PAs
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