Are you burned out?
Several survey questions looked at recent trends impacting the practice of urology, including hospital employment, MOC’s value, the use of telemedicine, and the shrinking work force. About half (49%) of urologists report already being employed by a hospital/health system or belonging to a large group (eight or more urologists). Another 21% say they’re thinking about hospital employment or joining a large group. The main reasons for considering this choice include less administrative hassle (cited by 64%), easier reporting of MIPS/APM experience (52%), more affordable infrastructure (48%), better reimbursement, and more free time (both 39%).
Nearly all respondents have certification from the American Board of Urology; 79% report having a time-limited certificate and 19% a certificate that is not time limited. Nearly two-thirds (64%) say they don’t plan to take the recertification exam when they are age 60 or older or within 5 years of the end of their career. Nevertheless, 63% strongly agree or agree with the statement, “I feel that board certification is necessary to preserve the integrity of urology as a specialty.”
Telemedicine has a viable future in urologic practice, according to 45% of survey respondents—possibly reflecting a belief that remote visits are a means to address the urologist shortage.
Looking ahead to 2018, the most frequently cited plan was to add another urologist to the practice (20%). Other plans for the coming year include retirement from the practice of urology (10%), seeking a medical job in a non-clinical setting, becoming hospital employed, and working locum tenens (all 7%).