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New report highlights crisis with on-call panels

    ED Management : the Monthly Update on Emergency Department Management
    |March 23, 2005
    PubMed

    Insights

    Addressing physician compensation, lifestyle, and practice issues is key to solving on-call panel challenges. Utilizing hospitalists, physician assistants, and competitive contracting can improve physician availability.

    Area of Science:

    • Healthcare Management
    • Medical Staffing Solutions
    • Physician Workforce

    Background:

    • Filling on-call panels presents a significant challenge in healthcare systems.
    • Existing on-call systems face issues related to physician compensation, practice "turf" concerns, and lifestyle demands.

    Purpose of the Study:

    • To identify and propose solutions for the persistent problem of adequately staffing on-call medical panels.
    • To explore strategies that address the multifaceted issues impacting physician willingness to participate in on-call duties.

    Main Methods:

    • Analysis of financial incentives, professional autonomy (turf), and work-life balance factors affecting physician on-call availability.
    • Evaluation of staffing models including hospitalists and physician assistants for internal medicine coverage.
    • Assessment of competitive contracting as a mechanism to ensure sufficient on-call physician numbers.

    Main Results:

    • Financial compensation and addressing lifestyle concerns are critical for physician participation in on-call duties.
    • Integrating hospitalists and physician assistants can effectively cover internal medicine call panels.
    • Competitive contracting models show potential for building a sufficient pool of on-call physicians.

    Conclusions:

    • Solving on-call panel challenges requires a comprehensive approach addressing financial, professional, and lifestyle factors.
    • Strategic use of allied health professionals and innovative contracting can enhance on-call coverage.
    • Adequate funding is essential for the successful implementation of physician compensation models for on-call services.

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