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RURAL RECRUITMENT
PLAYBOOK OUTLINE
State of the industry and
trends in rural physician
recruitment
Emerging strategies for
recruitment into rural
communities.
Examples of optimized
recruitment & retention
outcomes
3
Projected physician shortfall
between 40,800 and 104,900
by 2030.
Demographic trends
continue to be the primary
drivers of increasing
demand from 2015 to 2030.
Physician’s retirement
decisions are projected to
have the greatest impact
on supply.
If underserved populations had
standard care utilization patterns,
demand for physicians would
rise substantially.
Source:	“The	Complexities	of	Physician	Supply	and	Demand	2017	Update.”	IHS	Markit for	Association	of	American	Medical	Colleges.	February	2017
STATE OF THE INDUSTRY
4
Medical School Graduates Outnumber
Residency Slots
Limits on Treatment Activity
by Advanced Practice
Providers
Visa Processing Backlog
and Foreign Travel
Restrictions
Adverse Malpractice Climate
TRENDS IN RURAL RECRUITMENT
5
ACUTE SHORTAGE OUTSIDE OF MAJOR CITIES
Less	than	8%
of	physicians	practice	in	rural	areas
About	20%
of	Americans	live	in	rural	areas	where	many	do	not	have	easy	
access	to	primary	care	or	specialist	services
Source:	Trend	Watch,	American	Hospital	Association;	Doximity
6
RURAL PRIMARY CARE CANDIDATE POOL
Source:		2017	AAMC	State	Physician	Workforce	Data	Book
Active	Primary	Care	Physicians
296,353
Est.	Physicians	Under	60
177,812
Available	due	to	7%	Turnover
12,447
(+)	3Y	Residents
40,674
Est.	8%	Choose	
Rural	3,254
15,701
24%	of	Residents	are	
International	Medical	
Graduates
78%	of	Internal	Medicine	
Residents	Pursue	
Subspecialties
7
HIGHLY DISPROPORTIONATE ACCESS
TO MEDICAL CARE
National	Rural	Health	Snapshot Rural Urban
Percentage	of	American	population 19.3% 80.7%
Population	aged	65	and	older 18% 12%
Physicians	per	10,000	people 13.1 31.2
Specialists	per	100,000	people 30 263
Source:	Health	Resources	and	Services	Administration	and	Rural	Health	Information	Hub.
8
COMMUNITY IMPACT
Each physician supports 14 jobs and $2.2
million in economic input for a community.
Adding One Physician to a community of 10,000
people is associated with a 5.3% reduction in
average mortality.
9
CRITICAL TO REACH PASSIVE CANDIDATES
10
FIND PASSIVE CANDIDATES ONLINE
of	all physicians	use	social	media	for	
professional	networking
Digital Recruitment is a Trend that is Here to Stay
31%
Source:	Maximizing	Multi-Screen	Engagement	Among	Clinicians,	Epocrates,	Inc.	2013;	MedTech Media	2015
11
FIND PASSIVE CANDIDATES ONLINE
of	U.S.	physicians	are	on	Doximity – a	“Top	5”	
smartphone	app	used	by	the	American	College	of	
Physicians
Digital Recruitment is a Trend that is Here to Stay
70%
Source:	Doximity;		American	College	of	Physicians
12
FIND PASSIVE CANDIDATES ONLINE
of	all physicians	prefer	to	receive	info	about	job	
opportunities	via	email.
Digital Recruitment is a Trend that is Here to Stay
95%
Source:	MMS	Job	Opportunity	Preferences
13
RURAL RECRUITMENT
PLAYBOOK OUTLINE
State of the industry and
trends in rural physician
recruitment
Emerging strategies for
recruitment into rural
communities.
Examples of optimized
recruitment & retention
outcomes
14
EMERGING STRATEGIES
Use Digital and Social Media to be Fast AND Strategic
15
CULTURE AND ENGAGEMENT
The Interview: Window to Your Culture
Tailor	the	
Interview	
Team to	the	
Candidate
Utilize	Your	
Best	Facility	
and	
Community	
Advocates
Assign	Topics	
&	Ensure	
Consistent	
Message
Explore	the	
Candidate's	
Priorities	and	
Motivations
16
CULTURE AND ENGAGEMENT
Share	Your	Facility	Vision	and	Community	Impact
Match	Your	Community	and	Culture	to	the	Physician’s	Values
Involve	the	Spouse	and	Family
Personalize	and	Strategize	Every Interview
The Interview: Selling the Vision
17
MORE IMPORTANT THAN MONEY
Source:	“The	Engagement	Gap,”	Jackson	Healthcare,	2016
Two elements have the strongest
relationship to satisfaction:
Trust in the hospital /
health system’s
leadership team
Quality of
communication across
the hospital or health
system
18
RURAL RECRUITMENT
PLAYBOOK OUTLINE
State of the industry and
trends in rural physician
recruitment
Emerging strategies for
recruitment into rural
communities.
Examples of optimized
recruitment & retention
outcomes
19
TRANSPARENCY
Visits/Procedures
Expenses
Practice	Overhead
Profit/(Loss)
Charges
Work	RVUs:	RVUs	&	Expense	(Cost)	per	Visit
Expenses	as	%	of	Collections
Patient	Collections
Gross	Collection	%
Accounts	Receivable
Staffing
Payer	Mix	based	on	Encounters
20
AUTONOMY
Source:	Medscape	Physician	Compensation	Report	2017
Too	Many	
Hours	
Per	Week	on
Paperwork
Not	Enough	
Time	with	
Each	Patient
Nationwide: Physicians Do Not Have Enough
Control Over Their Time
21
SUSTAINABILITY
Focus: Ties to Community and First Year Engagement
22
CONTINUOUS IMPROVEMENT
Patient	
Satisfaction
Employee	
Satisfaction
Provider	
Satisfaction
23
DEFINING BENCHMARKS
End Result
Placements	per	Year
Efficiency
Interviews-to-Hire	|	Time-to-Fill	|	Etc.
Process
Recruitment	Spend-per-Hire	|	Retention	|	Etc.
24
DEFINING BENCHMARKS
1
2
3
4
5
6
Total	Placements
Interviews-to-Hire
Time-to-Fill Recruitment	Spend-per-Hire
Retention
Acceptance	Rate
Typical	Recruitment	Benchmarks
25
EFFECTIVE RECRUITMENT
Success	Factors	for	Small,	Remote	Communities
Primary	Care
South	Big	Horn	
County	Hospital
Basin,	WY
Family	Medicine	and	NP
Peak	Vista	Community	
Health	Centers
Limon,	CO
Ob/Gyn
Glendive	Medical	Center
Glendive,	MT
Multiple
Canton-Potsdam	
Hospital
Canton,	NY
Forensic	Psychiatry
Oklahoma	Forensic	Center
Vinita,	OK
Family	Medicine
Friend	Community	
Healthcare	System
Friend,	NE
ADDITIONAL RESOURCES
Physician	Salary	Calculator
White	Paper:	Physician	Workforce	Through	2030
Guide	to	Developing	a	Strategic	Physician	
Recruitment	Plan
Infographic	Guides:	Physician	Trends,	Engagement	and	Networking
Case	Studies	
26

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