Q&A
Positions experiencing the most attrition at H+H
1:32:46
ยท
173 sec
Dr. Katz details the positions and specialties experiencing the most attrition at H+H, highlighting the challenges in retention across various medical fields.
- Surgical specialties, particularly urology, face significant attrition due to large pay disparities with the private sector
- Obstetrics and Gynecology (OBGYN) is experiencing difficulties as new graduates increasingly choose subspecialties over general practice
- Psychiatry faces challenges in recruiting staff for hospital wards, partly due to the rise of teletherapy
- Primary care physicians, while experiencing attrition, often stay due to strong patient relationships
- Specialties like radiology and anesthesiology have more mobility in the job market, affecting retention
Carmen N. De La Rosa
1:32:46
Mhmm.
1:32:48
I appreciate that answer.
1:32:49
What positions have been experiencing the most attrition?
Mitch Katz
1:32:54
The most attrition.
1:32:57
Our biggest holes, I'm gonna start with that, have been very specialty oriented, especially surgical specialties, in part because it's not unusual in New York, a urologist might earn between $1,000,000 $3,000,000 in the private sector.
1:33:17
And so, figuring out, you know, how you know, what makes sense, you know, in a safety net type of system, is can be very challenging.
1:33:28
Things like urogynecology, You know?
1:33:32
So these are these are the ones that I just know we have trouble hiring.
1:33:37
They aren't they're they're relatively small.
1:33:39
We're having a lot of trouble, right now, with OBGYN because modern graduates of residencies are choosing to do specialty fellowships.
1:33:52
The the desire to do what we would call floor OB, being on the floor, regular OB, it's such a high risk, you know, enterprise.
1:34:04
We find more and more of our own residents wanna go into reproductive endocrinology, other specialized field.
1:34:12
And good for them, but hard for us.
1:34:15
Same with psychiatry, the ability for people to do meaningful work on Zoom, you know, doing therapy for people.
1:34:25
And it's good therapy.
1:34:26
I have nothing you know, people benefit from it.
1:34:29
Mhmm.
1:34:29
But then very hard to get people to wanna work on a hospital ward with potentially violent people.
1:34:37
So psychiatry has been a huge issue.
1:34:41
The we've talked a lot about primary care.
1:34:44
The way I view primary care is so many of us, and I think you'll hear from them, love the relationships that we develop, with our patients, and it keeps us where we are.
1:34:56
You know, an anesthesiologist can jump around for the highest salary, right, because they do a case, you're done with the case.
1:35:05
They're never gonna see you again.
1:35:07
Right?
1:35:07
You're done.
1:35:08
For those of us, whether you're a primary pediatrician or you're a primary internist, you hate leaving because you're leaving your patients.
1:35:17
So but, you know, I don't think, therefore, they should get paid less just because they have less sway in the market.
1:35:23
But I think that's one of the reasons why primary care doctors and pediatricians get paid less, because we have less sway.
1:35:31
The the radiologists, the anesthesiologists, they can just move for a better offer.
1:35:36
We hate to move because then we'd lose we have to leave our patients.