Satya Patel MD, MPH Profile picture
Dec 12, 2022 11 tweets 12 min read Read on X
It's time for new job signing by final-year residents. A non-compete is one of the important discussion points

It should be totally removed from Hospital-based physicians. It's a big win-win for health systems and physicians.

Why? read this thread.

#MedTwitter #healthcare Image
Non-compete agreement --> it is meant to prevent physicians to compete with their old employers.

#hospitalist
#intensivist
#ER Docs
#Neurologists based at hospitals & others

These specialties don't compete or take patients with them once they leave their current job.

Why? Image
How patients chose ED/Hospitals in an emergency?

- Most of the time it is chosen for patients.
- Based on critical illness, location, a nearby hospital, capabilities of that hospital, and related factors

- ED room is not chosen based on ED doc or hospitalist or ICU doc.
A city with Non-compete Agreement health systems:

- Physicians --> can't work at other hospitals during their off week/weekends --> artificial shortage of physicians

- Need to hire Locums --> 2 to 3X the regular pay

- Millions of dollars wasted/yr/system

@BeckersHR Image
The city with non-non compete agreement culture:

-Physician --> work at other hospitals during off week/weekend --> no/less need for locums --> save money
-Health systems easy to recruit physicians --> no need to leave city --> for new job

@BeckersHR @ACHEConnect @HC_Finance Image
Benefits for Health Systems:
- Millions of dollars in savings per year in staffing at hospitalist, ICU and ED dept
-Easy to recruit physicians
-No lawsuit headache

I have made schedules in both situations and personally, it is 100X easy to make schedule when docs can work.
Non-Compete Clause:

Healthcare CEOs -- Time fo cancel the non-compete clause of all hospital-based physicians.

- Save money for system
- Easy to recruit Image
Hospital HR
It is a time to work towards a common goal of patient care.
Without physicians, --> can not provide care.

- You can push for the removal of non-compete clause from all physicians' contracts. Image
Physicians:
-It's time to punch the face of the "non-compete clause". It is unfair, so don't sign. Discuss and negotiate.
- It's win-win for you and health systems.
- Enjoy Freedom while you are working and when you get new job.

@SocietyHospMed @TodaysHospital ImageImageImageImage
Non-compete Clause :
State and federal gov should work hard to remove all hospital-based non-compete agreements.

@kayiveyforgov @MikeDunleavyGov @DougDucey @AsaHutchinson @GavinNewsom @jaredpolis @GovNedLamont @carney @GovRonDeSantis @BrianKempGA @louleonguerrero @joshgreen_6 Image
Non-compete Clause :
State and federal gov should work hard to remove all hospital-based non-compete agreements.

@JBPritzker @GovHolcomb @IAGovernor @LauraKellyKS @JohnBelEdwards @LarryHogan @CharlieBakerMA @GovWhitmer @GovTimWalz @POTUS @CMSGov @mikeparson @PhilMurphy Image

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More from @patelsatya2020

Nov 12, 2022
Trying to retain your hospitalist???

Many #Hospitals and health systems struggling to retain hospitalists, why new thinking is needed?

I have made it easy for you.

@ACHEConnect @PhysiciansLead @BeckersHR @TodaysHospital
Why retain a #hospitalist?
- cost 50 to 100 k in lost productivity, recruitment of new hire
- extra cost of having #Locums and #PRNs
- Quality of care may be affected
- LOS increases by .5 days or more as per data
-takes from 6 to 12 months to get the replacement
- unstable team
What to do: I believe follows a simple process.

1. Listening/Feedback Session:
Listen to individual hospitalists:
- #surveymonkey is not okay here
- Set up a 1:1 #listening session and act on the feedback
-feel to be heard and problems acted upon
Read 14 tweets
Nov 12, 2022
Searching for a #hospitalist Job? I have made it easy for you. Too many options to choose from.

Top Factors to look for in the job.

#MedTwitter, @BeckersHR @NY_Hospital_Job @TodaysHospital @acphospitalist @ahahospitals
Not every hospitalist's job is the same.

#patient Volume:
- in 12-hour shifts, 15-18 encounters are common
- above 18, difficult to provide quality of care and high risk for errors and burnout risk
-it's okay to have a few days with a high census, but not with every day.
Night Shifts - Nocturnist
- Does the program have a dedicated nocturnist team?
- or rotation with all team members
- In 12 hr, shift 10 new admissions are doable
- Cross-Coverage: If a hospital is small (<150 beds), it's manageable, beyond it is difficult.
Read 21 tweets

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