As you determine your overall physician contracting strategy and decide what services you will compensate for (and which ones you won’t), understanding the specialties who are called most frequently is an important variable to consider.
Knowing your hospital’s unique characteristics is important. Some examples are:
- A hospital with a well-established psychiatric inpatient program should anticipate having a higher rate of coverage for psychiatric services, especially compared to hospitals with little psychiatric care available.
- A children’s hospital; though pediatric surgery is usually called very rarely in a typical acute care hospital, this service would be much more utilized in a pediatric hospital.
- A hospital with active trauma center where associated emergency services like general and trauma surgery, orthopedic surgery, neurosurgery, vascular surgery, and ENT/plastic surgery become more prominent.
Though frequency of call is dependent on the services the hospital offers, its market, and other unique factors, there are a handful of specialties that we can assume will be called for coverage again and again.
Services with usually higher call frequency:
- Internal Medicine
- General Surgery
- Orthopedic Surgery
- Gastroenterology
- Cardiovascular
Services with a medium level of call frequency:
- ENT
- Plastic (facial, hand)
- Critical care
- Neurology
- Psychiatry
Services with lower call frequency:
- Neurosurgery
- Vascular surgery
- Cardiac/Thoracic
- Urology
- Infectious disease
- Neonatology
- Peds Surgery