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Career Source: The 2010-2011 Job Market: The Location Report

Katz, Barbara

doi: 10.1097/01.EEM.0000387718.80115.79
Career Source


The emergency medicine job market is just as hot as last year, possibly even more so, and the availability of jobs just continues to grow. One of the most important changes in the marketplace this year is a significant increase in employers who will accept primary care board certification and emergency department experience, up to 30 percent nationwide and nearly 50 percent in some regions.

Hot spots have changed from last year, and the top 10 and bottom 10 lists will surprise you. Because you are more likely to see airborne swine than find a job in Charleston, the When Pigs Fly Award goes to that South Carolina city.

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The Midwest

The 13 states of the Midwest lead the charge again this year with 29 percent of the country's available jobs. The region will also lead the nation in accepting primary care physicians for emergency medicine jobs at 46 percent. Ohio is now an area of high need with 21 percent of the region's jobs, including strong opportunities in Cincinnati, Columbus, and particularly Cleveland. Sixty percent of Ohio's primary employers are smaller physician-run contract groups, 23 percent are larger national contract groups, and the rest are hospitals.

Illinois will continue to be a hotbed with lots of jobs in the Chicago area again this year. More than 44 percent will be open to primary care physicians. Physician-run contract groups will offer the most jobs, some in rural areas. Missouri and Indiana will have strong opportunities, but there are no jobs in Indianapolis and few in Kansas City, with St. Louis picking up the slack in metro area jobs. More than 45 percent of those opportunities will be open to primary care doctors.

Positions will be open in Louisville and Lexington, KY, 65 percent with national contract groups and nearly 40 percent in rural areas. Wisconsin and Iowa will have few in the Milwaukee-Madison region but more in Des Moines. There will be equal numbers of physician-run contract groups and hospital employers and high rural opportunity in Iowa. Michigan, Minnesota, and Kansas will have few jobs, especially not in the metro regions including Minneapolis-St. Paul, Detroit, and Kansas City. Seventy percent of Minnesota jobs are open to primary care physicians, with about 40 percent rural and no national contract group openings. Nebraska and the Dakotas have the fewest jobs, and all the Dakota jobs accept primary care boards.

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The Southeast

As usual, the Southeast squeezes in a close second with 26 percent of the country's jobs, but North Carolina has many opportunities in Charlotte and even a few jobs in the Research Triangle and the Asheville area. Employers will be fairly evenly split between physician-run contract groups, hospitals, and national contract groups. North Carolina also has the lowest acceptance of primary care boards in the region, at only 16 percent.

Tennessee will have 16 percent of the region's jobs with the Nashville, Knoxville, and Memphis areas all smoking hot. Nearly 40 percent of the jobs accept primary care boards, and nearly 60 percent are with national contract groups. Florida and Georgia will be on equal footing with 13 percent of the regional opportunities. The most surprising development in the market this season are a lot of jobs in Atlanta. Also look in Tampa-St. Petersburg and the greater Miami area if you like Florida. Both will feature a lot of jobs with national contract groups.

Fifty percent of employers in Mississippi will accept primary care boards, and 45 percent are rural jobs. Nearly 80 percent of Louisiana employers will accept primary care physicians, and more than 85 percent of the jobs are with national contract groups. South Carolina, Alabama, and Arkansas will offer practically no urban jobs, but a few will be in Birmingham. Seventy percent of jobs in Alabama and Arkansas will be with national contract groups, but most of the employers in South Carolina are hospitals. Look for a few nice spots around Columbia. About 45 percent of West Virginia's jobs will be with national contract groups, and 43 percent will accept primary care. About 30 percent of those jobs will be in rural areas.

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The West-Southwest

Texas will have 57 percent of the region's jobs, almost 10 percent of all the jobs in the entire country. Strong opportunities will be available in Dallas-Ft. Worth, San Antonio, and Houston, with less than 10 percent in rural areas. About 35 percent will be open to primary care, and more than half will be with national contract groups. Look for strong opportunity along the Gulf Coast and in Austin.

California will offer 23 percent of the region's jobs, but the three major metro areas will be slim, slim, slim. Look north and inland for strong opportunity. The state will be about 35 percent open to primary care doctors, with about 50 percent with national contract groups and 30 percent with physician-run contract groups. Less than 11 percent will be in rural areas.

Oklahoma will be coming on strong this year with jobs in Oklahoma City and Tulsa. Rural and primary care opportunities will be lower, at 13 percent each, with national groups at about 50 percent. New Mexico will have jobs sporadically, with little in metro areas and equal employer percentages across the board. Arizona, Colorado, and Nevada are very tight this year with little to nothing in Phoenix, Tucson, Denver, or Las Vegas. Another surprise this year is the availability of jobs on three of the Hawaiian islands, primarily with hospital employers. As usual, Utah is off the opportunity map.

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Middle Atlantic

The Middle Atlantic states will provide 13 percent of the country's jobs, with nearly half of those in Pennsylvania. Look for strong opportunity in the Philadelphia region, the central part of the state, and even near Pittsburgh. Despite high need, less than 18 percent of the jobs will be open to primary care physicians, less than 30 percent are with national groups, and less than 10 percent are in rural areas.



New Jersey will be providing 20 percent of the region's jobs with opportunities in the New York City and Philadelphia areas, half via national groups and less than seven percent open to primary care. Maryland and Virginia will each offer about 15 percent of the Mid-Atlantic jobs, including metro locations like Baltimore, the surrounding D.C. region, Richmond, and the Tidewater area. Western Maryland is looking for a few EPs, and the D.C. area has some spots in military hospitals for civilians and a need for pediatric EPs. All of the jobs in Delaware are open to primary care physicians.

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The Northeast

You'll find activity only in New York, which has only 10 percent of the nation's jobs this year. Only 25 percent of the state's jobs accept primary care boards, but there are good opportunities in New York City's boroughs. Less than 25 percent of the employers are national groups, with equal splits among hospital and physician-run groups.

Look for jobs around the Adirondacks, in nearby northern New Jersey, and even on Long Island. Massachusetts and Maine will each provide 13 percent of the region's jobs with a few in Boston and the Portland area. While Massachusetts is pretty much a no-go for primary care doctors, Maine will accept them in 65 percent of the jobs there, 96 percent with hospital employers. Look for some nice spots in the Berkshires and along the coasts of both states.

Connecticut and New Hampshire will feature some good opportunities. While 75 percent of New Hampshire's jobs will be with hospital employers and 25 percent will accept primary care, the employers in Connecticut, where there are no rural jobs, accept only emergency medicine boarded. Neither Vermont nor Rhode Island will have a lot to offer, but a national contract job or two can be found in Rhode Island.

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The Pacific Northwest

Eureka! There will be jobs in Alaska. Really, in Anchorage and Juneau with physician-run contract groups and everything! The rest of the Pacific Northwest isn't quite as exciting. Washington will have the most jobs, 81 percent of which will be with national contract groups and maybe one job each in Seattle and Tacoma. Only 22 percent of jobs in the region are open to primary care boards. Montana will have some jobs in the Rockies, and about 50 percent of the jobs there and in Oregon are with hospital employers, with about 20 percent accepting primary care boards. Wyoming presented some interesting numbers. Twenty-two percent will be rural jobs, 22 percent will accept primary care, 22 percent will be with national contract groups, and 22 percent will be with hospital-based employers. Could there be a Catch-22? If you are headed to Idaho, look for one or two jobs in the southern part of the state.

The most interesting job opening I found during my hours of research: Two groups competing for a contract at a military medical center in Washington, D.C., were advertising the same jobs. I wonder how that worked out!

Next month: Part two of this annual series, the Compensation Report.

Ms. Katz

Ms. Katz

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