Hospital Subspecialty Coverage
Now that many subspecialists can do all their procedures in their offices or surgical centers, there is little incentive for many subspecialists to have hospital privileges and cover the ED. Private Hospitals are increasingly having difficulty finding coverage for Ophthalmology, Urology, ENT, Plastic Surgery, and even General Surgery.  Many hospitals have recently resorted to hiring "Surgicalists" to cover ED and in-hospital surgical consults.  Patients needing an immediate Optho evaluation are being transferred to the academic center.
"They that are whole have no need of the physician, but they that are sick" -  Jesus of Nazareth
It's an interesting topic.  What can hospitals do to attract or incentivize more doctors?  Hiring 'surgicalists' can be a good idea as their practice centers exclusively on an urgent care of patients.  These are all needed specialists and field professionals, such as cardiology, hematology, Urology or any other areas of the medical field.  Hiring a surgicalist can be a good idea, which would further translate to shorter wait times for patients, and better post-operation results. When hospitals and clinics are in need of temporary staffing solutions, they can have the option of turning to a locum tenens firms for physician recruitment. Locum staffing services can ensure continuity in patient care by providing a desirable candidate to handle the load in the absence of the regular physician or during any emergency. A career path as a surgicalist comes with many added benefits. Many hospitals and healthcare centers seek the help of established recruitment agencies like Medicusfirm, Doctorschoiceplacement, etc. offering fast and reliable solutions to fill these ED related jobs. Smile
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Currently, true or false, there is a perceived quality gap between a locums-provided subspecialist or surgicalist/hospital-based subspecialist and the private group sub-specialist. Quality comes down to a physician-to-physician basis but stable private groups have provided the best continuity and better quality especially when there exists competing private groups at the same hospital.

Locums subspecialty coverage is sometimes needed but not preferable. Locums does provide continuity of hospial services but not long-term continuity of care for the patient.

In some cases hospitals turn to tele-medicine or even tele-surgery. There is a place for this but it's not a better arrangement than a local provider unless there is a quality issue with the local provider.
"They that are whole have no need of the physician, but they that are sick" -  Jesus of Nazareth

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