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ICACS Governor’s Poll 2002

ICACS Governor’s Poll 2002. James A. Madura, MD FACS Governor at Large, Indiana. ICACS Governor’s Poll The Stimulus. Questions were raised at a past Clinical Congress as to the volunteer activities of the members of the ACS

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ICACS Governor’s Poll 2002

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  1. ICACS Governor’s Poll 2002 James A. Madura, MD FACS Governor at Large, Indiana

  2. ICACS Governor’s PollThe Stimulus • Questions were raised at a past Clinical Congress as to the volunteer activities of the members of the ACS • In 2000 we had a good response to our last poll from the membership in Indiana concerning meeting attendance

  3. Purpose: To “take the pulse” of the membership and gather information about the attitudes and activities of the membership. To determine what problems the members are seeing in their practices, and to see if the Chapter and the College were fulfilling perceived needs ICACS Governor’s Poll 2001-2002

  4. > 400 questionnaires mailed out to members of IC/ACS twice and also placed on Chapter Web Site 216 members responded and make up the basis for this report Mean age = 49.5 ± 11.1 years Males: 200 (93%) Females: 16 (7%) General Surgery 214 Specialties 102 ICACS Governor’s Poll 2002

  5. How long in practice (years) • Total respondents: 216 surgeons • 16.7 ± 10.9 years • GNS: 114 surgeons • 17.4 ± 11.6 years • Specialties: 102 surgeons • 16.1 ± 9.8 years

  6. Respondents practice modes

  7. Practice Modes 216 respondents

  8. Respondents City Size

  9. Where the Indiana surgeons practice

  10. Make up of Surgical Respondents

  11. Responding Surgeons by Specialty

  12. ICACS Members volunteer activities

  13. ICACS Members hospital activities

  14. Participation in medical organizations & societies: 216 respondents

  15. Important issues to the members • Declining fees • Quality of care • Malpractice • Managed care • Surgical competency issues • Insurance exclusion • Patient privacy legislation • Competition for cases

  16. Importance of issues ( rank 1-8)GNS vs. Specialty Surgeons

  17. Importance of issues ( rank 1-8)Sorted by age

  18. Has practice changed? • Yes: 178/216 = 82.4% • Age < 50 years 71.1% • Age > 51 years 98.9% • General surgeons 84.2% • Specialty surgeons 73.5%

  19. How has practice changed??Most frequent answers • Decreased reimbursement for more work • Exciting new technology (the only positive) • More paper work • Managed care interfering with quality of care • Difficulties dealing with 3rd party payors • Less respect for general surgeons • Loss of autonomy in practice • More regulations in patient care (esp Medicare & Medicaid) • More time with business issues, less with patients

  20. Retirement • At what age do you plan on retiring? • All comers: 62.2 ± 4.7 years • GNS: 62.2 ± 5.0 years • Specialties: 62.5 ± 4.8 years • < 50 yrs.: 61.2 ± 4.3 years • > 51 yrs.: 64.8 ± 4.5 years • Will you stay in current community • Yes 163/216 74.9% • No 26/216 12.3% • Undecided 27/216 13.2%

  21. Do you have computer access to the Chapter Web site? • All comers: 184/216 85% • GNS: 100/115 88% • Specialties: 81/102 80% • Age < 50 113/120 88.3% • Age > 51 71/88 80.7%

  22. What can the IN Chapter ACS do for you?Most frequent answers • Communicate important present and future issues • Lobby over reimbursement issues with State Govt.. • More subspecialty emphasis • Provide a forum for publication of interesting cases • Be a stronger advocate for General Surgery with AMA, HCFA, etc. • Form a real union for collective bargaining • Get younger surgeons & residents involved • Seminars on contract negotiation

  23. Conclusions • In Indiana, more general surgeons than specialists practice solo and in small communities • Indiana surgeons are very involved with volunteer activities, and other medical/surgical organizations • Their major concerns are: declining fees, malpractice, managed care and the quality of care they are able to give in the current environment • Most surgeons consider retirement at age 62 • Most will remain in current communities • Greater than 80% have computer access to our web site

  24. Where do we go from here? • Make ACS aware of Hoosier concerns • Make broader appeal to specialists & small town practitioners with ICACS educational programs • Use the Web site more effectively • Publish ways to act effectively for reform • Educational forum • Links to government, educational opportunities • Interesting case forum?? • Surgical Grand Rounds on the Web • Links to Surgery Education Sites. IUMC, ACS, etc.

  25. Thanks to: • All 216 Hoosier surgeons who took the time to thoughtfully fill out the questionnaire • (Especially to those who filled them out multiple times!) • Thanks to Carolyn Downing who made sure I got all the forms sent to her • Larry Micon, the program director for this year’s meeting

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