2008 Socioeconomic Survey of ACOG Fellows
Summary of Results
In mid January 2008, 3,500 surveys were mailed to a representative sample of ACOG Fellows and Junior Fellow practicing in the U.S. The survey included questions on practice type, workload, and practice finances, based on 2007 practice activity. A total of 904 usable responses were returned. The data are self-reported and cannot be independently verified.
Practice Setting
| |
Percent |
| Urban |
37.4 |
| Suburban |
36.2 |
| Mid-size town |
18.1 |
| Rural |
6.4 |
| Military |
1.8 |
Total
|
100.0 |
Top Two Professional Concerns
| |
Percent |
| Medical liability |
65.3 |
| Financial viability of practice |
44.3 |
| Paperwork and administrative burdens |
31.8 |
| Contracting with managed care orgs |
24.2 |
| Caring for uninsured patients |
20.8 |
| Practice paramaters/guidelines |
7.7 |
| Fraud and abuse |
.8 |
| Other |
5.1 |
Mean Years in Practice, Age, and Years in Current Position
| Gender |
% of
responses |
Age |
Years in practice |
Years in current
practice or
position |
| Male |
55.4 |
53.71 |
22.01 |
14.22 |
Female
|
44.6 |
44.19 |
12.15 |
7.85 |
| Total |
|
49.45 |
17.59 |
11.37 |
Specialty
| |
Frequency |
Percent |
| General ob/gyn |
604 |
67.9 |
| Gyn only |
159 |
17.9 |
| Ob only |
7 |
.8 |
| Gyn-onc |
17 |
1.9 |
Repro endo
|
25 |
2.8 |
| MFM |
54 |
6.1 |
| Urogyn |
8 |
.9 |
Other
|
16 |
1.8 |
| Total |
890 |
100.0 |
Hospital based procedures
| Procedure |
N |
% who do procedure |
Mean # Done |
Vaginal Delivery
|
836 |
76.79 |
105.23 |
| C-Section |
834 |
76.86 |
40.23 |
| Hysterectomy |
844 |
84.60 |
27.81 |
| Endometrial Ablation |
831 |
72.08 |
19.64 |
| Other |
833
|
91.00 |
57.95 |
| Surgical Assist |
779 |
71.50 |
34.78 |
Office Based Procedures
| Procedure |
N |
% who do procedure |
Mean # Done |
| Colposcopy |
834 |
88.13
|
72.32 |
| Endometrial Ablation |
783 |
18.01 |
14.48 |
| Cystoscopy |
771 |
6.74 |
23.73 |
| Hysteroscopy |
780 |
23.33 |
21.02 |
Urodynamics
|
777 |
23.68 |
25.69 |
| Sterilization |
781 |
17.80 |
14.99 |
| Other |
655 |
29.47 |
83.19 |
Patient Encounters Per Week by Location
| |
Mean |
| Office visits |
76.8 |
| Hosp visits |
10.7 |
| Outp or ER visits |
3.7 |
| Home visits |
.1 |
| Other visits |
1.1 |
| Total |
92.4
|
Clinical Hours per Week by Location
| |
Mean |
| Patient office hrs |
26.6 |
| Patient OR hrs |
13.1 |
| Hosp round hrs |
3.4 |
| Outpatient hrs |
2.0 |
| House call hrs |
.3 |
| Phone hrs |
3.0 |
| Email hrs |
.5 |
| Total |
48.5 |
Non-Clinical Hours per Week
| |
Mean |
| Admin hrs |
3.8 |
| CME hrs |
2.7 |
| Committee hrs |
1.5 |
| Travel hrs |
1.6 |
| Pro society hrs |
.7 |
| On call hrs |
12.5
|
| UR hrs |
.5 |
| Teaching hrs |
1.9 |
| QA hrs |
.5 |
| Total |
25.7 |
Weeks spent on professional activities in 2007
| |
Mean |
| Practice wks |
43.5 |
| Vacation wks |
3.8 |
| Sick wks |
.4 |
| Maternity wks |
.4 |
| CME wks |
1.3 |
| Admin wks |
1.2 |
| Teaching wks |
2.0 |
| Other wks |
1.1 |
| Total |
53.7 |
Do You Receive Pay for Call?
| |
Percent |
| Yes |
22.5 |
| No |
77.5 |
| Total |
100.0 |
Does Your Practice Use Hospitalists?
| |
Percent |
| Yes |
9.8 |
No
|
90.2 |
| Total |
100.0 |
Practice Type – Single Best Description
| |
Valid Percent |
| Solo |
23.6 |
| Single specialty |
27.1 |
| Multispecialty |
9.3 |
Salaried emloyee private practice
|
11.2 |
| Salaried employee HMO |
2.4 |
| Salaried employee hospital |
11.9 |
| Salaried employee med school |
8.8 |
| Salaried employee state or local gov |
.6 |
| Salaried employee federal gov |
.9 |
| Military |
1.8 |
| Other |
2.3 |
| Total |
100.0 |
Single Specialty Group Size (non-solo practices)
Multi-Specialty Group Size
| |
Mean |
| Ob/gyns in group |
14.6 |
| Phys in group |
129.0 |
Non-Physician Employees in Practice - total
| |
Mean |
| Non-clinical empl |
15.6 |
| Clinical empl |
9.9 |
| CNMs |
1.0 |
| PAs |
.4 |
| NPs |
1.2 |
| Total |
28.1 |
Accept Medicare patients
| |
Percent |
| Accept no Medicare patients |
8.8 |
| Accept established Medicare pts only |
9.2 |
| Accept all Medicare patients |
63.0 |
| Accept established and some new Medicare patients |
19.0 |
| Total |
100.0 |
Accept gyn Medicaid pts?
| |
Percent |
| Accept no Medicaid patients |
29.9 |
| Accept established Medicaid patients only |
9.5 |
| Accept established and all new Medicaid patients |
38.4 |
| Accept established and some new Medicaid patients |
18.7 |
| Do not treat gyn patients |
3.4 |
| Total |
100.0 |
Accept ob Medicaid?
| |
Percent |
| Accept no Medicaid patients |
21.5 |
| Accept established Medicaid patients only |
5.8 |
| Accept all Medicaid patients |
43.8 |
| Accept established and some new Medicaid patients |
17.6 |
| Do not treat ob patients |
11.4 |
| Total |
100.0 |
Net income - Clinical
| |
Mean |
| Net income |
$245,248.53 |
| Pension |
$31,832.71 |
Income by type of encounter – Gyn only practices
| |
Mean |
| Ob % income |
.00 |
| Gyn surg % income |
34.29 |
| Gyn prim care % income |
65.71 |
Income by type of encounter – ob/gyn practices
| |
Mean |
| Ob % income |
48.28 |
| Gyn surg % income |
25.51 |
| Gyn prim care % income |
26.21 |
Income by type of encounter – All practices
| |
Mean |
| Ob % income |
36.25 |
| Gyn surg % income |
27.70 |
| Gyn prim care % income |
36.05 |
Questions about this survey can be directed to:
James Scroggs
Director, Health Economics
American Congress of Obstetricians and Gynecologists
202-863-2447
jscroggs@acog.org