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)

   Mean
 Number in group  6.3

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:

Anne Diamond
Director, Health Economics
American Congress of Obstetricians and Gynecologists
202-863-2444
adiamond@acog.org

Contact:

Anne Diamond
Senior Director
adiamond@acog.org