A recently medical students are reportedly choosing not to specialize in gynecology due to the high cost of malpractice insurance. Litigation has caused the insurance premiums to rise, which has led to many OBGYN leaving their practice. In the meantime, the number of positions is expected to grow faster than average between now and 2014 due to population growth. This had led to fewer health care options in many states for women. As a result, the average salary for practicing gynecologists is expected to raise considerably and the job outlook is expected to be be strong.
The American Medical Association reported in 1995 that about 5.5% of people held jobs as obstetricians and gynecologists that worked in hospitals and clinics in the United States, according to the Bureau of Labor Statistics. Employment opportunities for physicians that specialize in obstetrics or gynecology are expected to grow by about 14% through 2016. OBGYNs will find more job openings in rural or underserved urban areas. OBGYN’s earned an average annual salary of $195,580 to $284,000 in 2008, according to Salary.com.
As our population ages and the need for health care grows the current physician shortage in the US is expected to intensify. Several factors are impacting this problem, the shrinking economy, the aging population and finally the impending health care “reform”.
American Academy of Family Physicians suggests there will be a shortage of 40,000 primary care doctors (Family Practice jobs, Internal Medicine jobs, Pediatric jobs and OB/GYN) by 2020. Added to this shortage is the fact that the number of medical students choosing primary care as a profession has already dropped by 51.8% since 1997, and that currently only 2% of medical school graduates choose primary care as a career. The drop in interest in primary care is likely a response to the significantly higher salaries that sub specialists like Radiologists, Cardiologists and many others command.
The US population is aging. From 2010 and 2035, all age groups 70 and above will increase over 95%. Although for most other specialties this means there will be a greater demand for all health care services, this will be less so the case for that care of pregnancy and birth. However, all other aspects of OB/GYN can expect to see a growth in demand. Further, it is estimated that as many as one-third of today’s older practicing physicians will retire by 2020.
The recent stock market decline has impacted older physicians” decisions. Some physicians are postponing retirement because of the economy’s impact on their retirement savings. But even a three- to five-year delay won’t address the impending loss of experienced physicians.
The final uncertainty is the outcome of national health reform. If the reform actually works in increasing the enrollment into health care insurance programs then when combined with the long term the aging population and these increased numbers should push demand for services and therefore cost higher. However, no one yet knows what will happen to reimbursement rates from Medicare and this new program. The question is will there be rate a cut of reimbursement rates for different procedures by Medicare and this new program that may ultimately decrease the income of all specialties.
Consider a leading Advertising Guru in India, by qualification is a Master of Computer Application. An economics graduate with an MBA heads the India operations of a large IT hardware MNC in India. The only thing constant is change. Does it apply to careers ?
Career is a journey and not a destination
Many have been in the dilemma of pursuing success and money on one hand , abilities and role on the other. It is not unusual to find out later, that in between expectations and reality their is a void. For a vast majority of people ,gaps exist between interests and alignment, specific abilities and available roles , leading to stagnation or growth. With the advent of converged networks and mobile technology, music and entertainment industry has become a meal for the mobile telephony service providers. Position of clerks in the banks have disappeared . So career now is more of a journey where one constantly aligns and realigns to new realities by enhancing ones employability and relevance all the time.
Planning a career
This a process and not an event in life. The start up point of any career is an honest assessment of who you are in relation to what you do. Alignment and interest drives motivation. Look inward and see what drives you. Working with people, rules, constancy, may impact your inclination. Likewise your abilities and skills to work with complexities, generalities or specialities may impact performance. Background and experience and its relevance with current and future roles may point out opportunities or challenges. Adorable professional role model can be a great source for potential mentor who can offer valuable insights. Bill Gates chose Warren Buffet as his mentor. Document it by writing out the as is and desired state( where are you today and where do you wish to be over time) after an iterative process with your life partners, mentor and stakeholders who know you well and are conversant with your interest and ability.
Implementing
In the 21st Century opportunities abound, and hence it is possible to select job options of task , and assignment, with flexibility of time , values , interest, on roles that are either contractual or fulltime. In this age of exponential knowledge growth, jobs and “hierarchies” are giving way to roles and “wirearchies” , a change from doing things right to doing the right things. Create an idea that can show your expertise to people who may need it. Bounce it of with partners like mentor, peers, friends and family who can help you with it. Since surprises and setbacks come from unexpected quarter , allow humour to take precedence over road rage. Like a doctor create a viral marketing program where the expertise is made known without an ad campaign.
Excelling in career is about making things happen and here is how :- Be an ACTOR
Acceptance – Identifying with the role and linking personal interest
Challenge – Dealing with issues and sorting them helps create a brand
Triggers- Creating small opportunties that can galvanise and move like a sprocket on a wheel
Observing – Scanning continuosly for change and addressing it
Reaching- Serve by reaching out
Reviewing and setting course correction
You have a mirror and see yourself everyday. Well if you did that so often you may not notice what has changed. Open a clothes closet and wear a old piece of garment and see how that fits. Chances are it may or may not fit. Likewise , it is important to review a plan at certain periodicity. May be once in two years or as frequent as it may be necessary to reassess and make changes accordingly. The chef tastes food at different stages of preparation to ensure that the taste will meet majority approval.
The final words
Mr Vineet Nayar – CEO of HCL opines about career plan and development ”at the end of college, write it down honestly, in 100 words or whatever it is, and put it in a box. I call it the magic box. Revisit it once a year or once every two years and say, how honest are you to that? Don’t let anybody run your life. That, in my mind, is very, very important. You should be in control of your life.”
Siddhartha Bhattacharjee
I am an executive by profession, manager by education, mentor by interest , coach by impusle. Life has been a series of spikes and thank God for these great swings of successes and failures alike.Great to think that it was not routine and stable for I learned a lot from these experiences.
Economics and Health
The job loss caused by the recession directly impacts all physicians income. When millions of people lose their jobs, they also lose their health care insurance and physicians lose patients that can pay. Hopefully the job loss is a short term set back, but it does affect demand for services and income for physicians immediately. This in effect destroys the underlying projections of the growth of demand made just a few years ago. Until the economy picks up and the unemployment drops from 10% to the 4 to 5% area there is a great possibility that the demand for all health care services based on per crash assumptions is optimistic.
Shortage of Anesthesiologists
From 1995 the number of anesthesiologists graduating from residency programs decreased. According to the American Society of Anesthesiologists the number of American anesthesia residency graduates decreased from 1,547 in 1995 to only 392 in 2000. During the same period, the number of practicing anesthesiologists increased by less than 9 percent, according to the AMA. This compares with a 13 percent increase in the number of physicians in all specialties.
CRNAs
The rising cost of health care can dramatically affect demand for physicians services. CRNAs, who can perform many of the routine duties of physicians at a fraction of the cost, may be increasingly used. Furthermore, demand for physicians services is highly sensitive to changes in health care reimbursement policies. If changes to health coverage result in higher out-of-pocket costs for consumers, they may demand fewer physician services.
In rural settings, CRNAs are the sole anesthesia providers in nearly two thirds of all hospitals. CRNAs are also the main provider of obstetrical anesthesia in the United States.
Increase in the Demand for Anesthesia Services
The National Center for Health Statistics states inpatient surgeries were flat between 1994 and 2000. While the number of anesthesia providers has remained relatively constant in recent years, surgical volumes have increased nationwide, placing greater demand on the providers of anesthesia services.
Bad Economy and Aging Population
The recent stock market collapse is having a major impact on older physicians decisions of all specialties. Many doctors are postponing retirement for a few years, because of the losses they sustained in their retirement accounts. However, even a few years delay of retirement won’t address the increased demands caused by this impending loss of experienced physicians. This postponement has already resulted in fewer jobs being offered and graduating residents not finding as many good opportunities as before. Some residents rather than committing themselves to less desirable full time jobs are opting for locum Anesthesia jobs.
Health Insurance Reform
The final question is the outcome of national health reform. Will there be any changes at all. This debate has frozen decision making for many in health care. If the health care reform actually happens in increasing the enrollment into health care insurance then the long term the aging population and these increased numbers should push demand for services and income higher. However, no one yet knows what will happen to reimbursement rates from Medicare. Already there has been some lowering of rates they pay in Radiology which has directly impacted that specialty. The question is will there be more rates cut that will affect all specialties including Anesthesia.
Bob Truog
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When it comes to drug rehab treatment centers, Vista Bay has an incredibly effective track record at achieving enduring results for individuals suffering from drug and alcohol addiction. The Vista Bay rehab program measures their success by the full recovery rate of the individuals they serve. There is something special about the high level of success that they are able to attain.
Firstly, Vista Bay drug rehab treatment centers provide a holistic alternative to the traditional treatment center philosophy. The result of the Vista Bay program has achieved a full recovery success rate of seventy percent, which is in comparison to success rates of traditional treatment centers that are as low as two percent.
Much of the difference that is found at Vista Bay is in their decision to be a drug-free facility. This is important as many other treatment centers offer a counter-intuitive method that promotes swapping one drug for another by providing prescription medication as part of the treatment. Vista Bay drug rehab starts with their highly successful hot sauna detoxification process. The process includes hot sauna treatments in combination with fluid intake and vitamin supplementation.
The Vista Bay detoxification process promotes the body’s natural ability to purge toxins from the body and is instrumental at providing greater clarity and lucidity of thought. Once an individual has gone through the detoxification process, they attend the Vista Bay life skills education courses, which provide essential elements to be used as a set of tools in order to ensure a more fulfilling life. In addition, the Vista Bay drug rehab program provides a comprehensive discharge plan for each individual in order to maximize their chance of success upon graduation.
The entire Vista Bay rehab experience is based on empowering the individual to permanently achieve a relapse free life. There is only a single fee for admittance to the Vista Bay drug rehab program. It not only includes a stay at the Vista Bay rehab treatment center that is for a duration as long as it takes to recover, but it also includes re-admittance at no additional fee for 30 days in the event that there is a relapse while following one’s approved discharge plan.
Vista Bay has been helping individuals attain a full recovery from drug and alcohol addiction for 42 years. Their success is founded on the unwavering dedication to the success of others. At a Vista Bay drug rehab treatment center, individuals attain the greatest chance for a full recovery from drug and alcohol addiction.
Vista Bay is a non-profit and non-traditional treatment center for drug and alcohol addiction. They help individuals overcome drug and alcohol addiction by providing an effective program and the time for each individual to become healthy again. The Vista Bay Drug Rehab program and successful track record make them an essential solution for permanent results for individuals, friends and families facing the serious problem of drug and alcohol addiction.
Obviously school is becoming much more expensive nowadays. One of the most common scholarships is a 2010 national merit scholarship. You can qualify for the 2010 national merit scholarship as long as you are meet all the qualification standards.
Sometimes you might find it very difficult to qualify for the scholarship depending on how well you are prepared for it. However if you feel like you might not qualify for the 2010 national merit scholarship you can also sign up for an alternative scholarship program. There is a $10,000 scholarship drawing held monthly. If you want to register for this scholarship you must be a US resident and be at least 18 years old. It is basically scholarship giveaway to help anyone interested in going back to school, parents, students and those who want to polish up their resume because they were recently unemployed for a while are all welcome to enroll in the program.
It is a $10,000 giveaway that you can use to spend on just about anything you want. The reason why you’re free to use this money on anything is because you’re not as restricted as you were with the school loans. Generally school loans have stricter standards that you need to follow. And on top of that there’s interest fees to pay back after a a certain amount of years after graduating from school.
With the $10,000 scholarship you don’t have to pay back a single dime. It is basically free money for you to spend on things such as rent, clothing, books and any other things that you might need help with. This is one of the greatest benefits of having this scholarship offer compared to dealing with school loans.
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Manipal University, the leading higher education provider in India, announced that it has introduced new courses and allocate more scholarships for the year 2010 along with additional infrastructures and facilities to its students. The university has also tied up with many new foreign universities for better teaching and learning atmosphere on the campus.
Since establishing Kasturba Medical College in 1953, nineteen other institutions have been set up, and the excellence in higher education that began in Manipal 56 years ago, continues even today with a fresh look each year.
NEW COURSES:
The university has added ten new courses taking the total number of courses in the University to 264. Registrar, Dr G.K. Prabhu, giving details of the new courses, admission details, scholarships and other activities of the university told reporters that by starting Manipal Centre for European Studies the University took the first big step in the direction of humanities. The university catered to higher education in medicine, engineering and management. So a Masters course in European Studies and Management adds more variety for students to choose from. “Diploma in Gandhian and Peace Studies, and also Certificate courses in Public Health and Global Health have already started,” he said. “The other new courses introduced for 2010 include MS Wireless Embedded Systems, MS IT Management, MTech Chemical Engineering, MTech Environmental Engineering, MSc Pharmacoeconomics, and MSc Clinical Research management”.
SCHOLARSHIPS:
Manipal University has always encouraged students to perform to their full potential by providing them with scholarships. Meritorious and deserving candidates are given one of the several freeships and scholarships that exist in the university. “The allocation for the year 2010 is Rs 12.23 crores. It was Rs 7.93 crores in 2009 and Rs 6.83 crores prior to that,” Dr Prabhu said.
Freeship – Candidates admitted to MBBS course within the first 500 ranks and BDS, BE, BPharm courses within the first 1000 ranks of the respective merit list are offered 100% freeship.
AICTE Scholarship– AICTE has introduced the scheme on tuition fee waiver for women, economically backward and physically handicapped meritorious students joining BE, BPharm and BHM courses.
AGE students scholarships – There is a 10 per cent tuition fee waiver for students of schools and colleges of Academy of General Education (AGE) joining any course at Manipal University. However, the waiver will be 25 per cent for those students joining Allied Health Sciences or Nursing courses.
Scholarships for Konkani Students – A similar waiver of tuition fees, 10 per cent and 25 per cent respectively, is applicable for Konkani students also.
Other Scholarships are: GE Scholarship, Harish B Fund Scholarship, ISLE Scholarship, ITC Scholarship, Maulana Azad National Scholarship and Philips Scholarships.
INTERNATIONAL COLLABORATION:
Manipal University has robust relationships with several US, European and Australian Universities regarding student and faculty exchange and collaborative research. 14 best students of KMC Manipal and Mangalore get to do their one month elective clinical training in Utrecht University and Groningen University in the Netherlands. Similar scholarships are available to students of Media & Communication in
University of Queensland, Australia and Hochschule Bremen, Germany. Students of MIT get opportunities to do their internships in various Universities and industries across the world by being members of IAESTE.
ADMISSIONS:
Admissions for all these courses and for the existing under graduate and post graduate courses have already begun. Prospectus and forms are available across the country at selected post offices and State Bank of India branches. Candidates can also visit www.manipal.edu and download the digital prospectus and application or apply online by paying the application fees through Credit Card or Net Banking or Demand Draft.
ONLINE ENTRANCE TEST:
Talking about the online entrance test Dr Prahbu said; “Manipal University is known for its online entrance tests. Considering it to be quite popular and student friendly, the university has decided to start more centers where students can take their test online”. The final score are displayed on the test screen soon after the completion of the test. The admissions are therefore, merit based and transparent. Candidates can choose the date, time and location depending on their own convenience.
Presently there are 21 centres and six more are being included this year. They are
Allahabad, Kanpur, Patna, Ranchi, Varanasi and Vijayawada
Last date for receipt of applications:
MBBS, BDS, BE, BPharm, PharmD – 13.03.10
MD, MS, PG Medical Diploma, MDS, PG Diploma in Dental Materials – 31.01.10
About Manipal University
Manipal University is the leading higher education provider in India. Spread over 600 acres of green expanse, Manipal University is home to 20,000 students pursuing undergraduate and post graduate programs in diverse subjects. The University has a strong alumni network of over 72,000 members.
The University has created an ecosystem of teaching and research excellence making it a universally accepted destination by students. The breadth of disciplines and collaboration among constituent institutions gives unparalleled opportunity to students to cross departmental boundaries and explore different horizons
Public Relations & Media Communications
manipal.edu, Manipal 576104, Karnataka, India
Tel: 91 820 2922953, 2922390
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