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Community Profile
The Next Greatest Thing The Piedmont Triad Region of NC
Continued
There’s one trend he hasn’t been able to buck yet. “They say if you come into your residency here single, you leave single,” he notes. He blames it on sheer population numbers, as the same ad he ran on
Match.com in Winston-Salem generated far fewer responses than when he ran it
for Raleigh.
He’s also found himself out of step at times with the conservative, religious-based
demographics surrounding him. “It will be a part of your practice,” he says. “People will ask you what religion you are, and you’ll hear ‘I’m a Christian’ a lot. If church isn’t a big part of your life, it cuts off an important social outlet.”
Wolfe says a vascular surgeon recently moved away because Asheboro doesn’t offer parochial schools, and his wife wanted their children to receive a
private education. Beyond that, she can’t recall any specific reasons doctors leave or turn down a job offer. As for
Hampton, his only complaint is that he can’t satisfy his hankerings for Skyline Chili.
Money goes a long way in the Piedmont Triad. For starters, several of the
systems use national salary averages such as Sullivan, Cotter and Associates
and MGMA data as a benchmark, “because we don’t’ feel like we are competing within the Piedmont for a physician,” says Wolfe. “We are competing within the country.”
All areas of the cost of living are low here, particularly real estate. For
instance, Hampton likes the fact he could buy a 2,500-square-foot ranch with
four bedrooms on a plot of land for $140,000. His short stint living in
California, paying $880 a month to rent a two-bedroom apartment with another
student, makes him appreciate the mortgage payment even more. “And I have like five times more space than we had out there,” he adds.
Hampton also looked into area’s tax system before accepting his residency position. Had he chosen Charlotte,
he claims the most economical option was to live in South Carolina and drive 45
minutes to work each morning.
To keep malpractice rates in check, Forsyth, part of Novant Health, created its
own malpractice insurance company in May 2007. Officials at Novant say the idea
to form the company, known as New Star, initially came from surveys and
interviews with doctors who expressed tremendous concerns about the
dramatically rising costs of medical malpractice premiums. Some specialists
reported paying more than $50,000 a year in insurance premiums alone. The move
also ensures high risk specialties like obstetrics can continue to practice in
Piedmont Triad without threats of extinction.
To their own beat
The all-for-one mentality shown by the Triad’s cities doesn’t extend to the hospital systems, however. Each city has its major system—Moses Cone Health System in Greensboro, Forsyth Medical Center in Winston-Salem,
and High Point Regional—plus the all-encompassing Wake Forest University Baptist Medical Center. On the
other hand, competition means each of the systems has carved out its particular
niche—Forsyth Medical Center, for example, has an extensive single-site birthing
center, while Wake Forest has a pediatric emergency and trauma center with
equipment designed and sized specifically for children.
Hospitals in the Piedmont Triad take pleasure in making sure they don’t follow the leader in their quest for excellence, which means each facility is
a leader on its own:
Moses Cone Health System: A new heart and vascular center is the first clue this Greensboro system, which
encompasses five hospitals and 1,100 licensed beds, prides itself on cardiology
care. It is working on becoming an accredited chest pain center as well,
reports Rebekah Driggers, the manager of physician and specialty recruitment at
Moses Cone. It was recently awarded a stroke certification, and is home to the
first free-standing women’s OB hospital in North Carolina. Add a regional cancer center to its list of
specialties, too.
High Point Regional Health System: This 384-bed hospital recently applied under the state’s certificate of need status to expand to a 400-bed facility. As the tertiary
care hospital in the Triad, it covers a southern territory that stretches
halfway to Charlotte. “And we offer a lot more specialties than you would normally find in a 380-bed
hospital,” Roney points out. Count on physicians here to handle open-heart surgeries,
neurosurgery, and stroke treatments—everything except transplants and major pediatric illnesses. Its sleep lab is
accredited, as well as its inpatient rehabilitation program.
High Point Regional also is a magnet hospital for nursing excellence. “When it comes to turnover, we blow everybody out of the water, including our
competition in the Triad,” Roney says. “We know in order to have a well-run hospital, we need nurses and so we put a lot
of resources into that effort and it shows.”
Wake Forest University Baptist Medical Center: WFUBMC is the largest health-care system in the Triad, and the region’s only academic medical center. It is comprised of the 872-bed North Carolina
Baptist Hospital and Wake Forest University Health Sciences, which operates the
School of Medicine. This year it won the 2006-07 Consumer Choice Award for the
Winston-Salem metropolitan area—a designation to honor hospitals that consumers rate as having the highest
quality and image. U.S. News and World Report also consistently ranks WFUBMC as
one of America’s best hospitals. Of the 169 doctors from the Winston-Salem metropolitan area
included in the latest update of Best Doctors in America, almost 90 percent—that’s 149 doctors—are at WFUBMC.
Forsyth Medical Center: Welcome to the first certified stroke, hip joint replacement, knee joint
replacement, and congestive heart failure programs in North Carolina. The
hospital also has joined a national coalition to provide free electronic
prescribing capabilities for every physician in America. The 847-bed facility
will add 114 patient care beds in a new wing to open later this year.
Forsyth Medical Center and Novant Health have received numerous awards for
patient care in recent years, but what makes McCullough’s list of accomplishments is the fact that the employees of Forsyth Medical
Center and its affiliates received the North Carolina United Way employee
spirit award.
Randolph Hospital: Patient satisfaction scores for these 145 licensed beds in Asheboro are in the
98 percent range, so it’s no wonder Wolfe can say Randolph is one of three in North Carolina to win a
national quality award for phenomenal care. Its cancer center is accredited
with commendations, and the American Diabetes Association has recognized it for
its quality diabetes self-management education program.
Opportunity knocking
Hampton just hopes he can find a permanent position when his residency ends. At
the moment, he puts his chances at a neonatal spot opening up in the next 12
months at 50/50. Recruiters may have a more positive prediction. After all,
says Wolfe, “All of a sudden in the last year, our local practices have really started to
recruit physicians in the double digits. For a while, there had not been such a
demand. But right now, almost every primary care practice in town is
recruiting.” The numbers are saying to her that not only is the population growing, but
folks are choosing to stay home for their medical care rather than seek out
other metropolitan centers in the state.
It’s the same story at WFUBMC. According to William Applegate, MD, MPH, the interim
president of Wake Forest University Health Sciences and dean of the medical
school, North Carolina is expected to grow in population by more than 40
percent in the next 25 years, so he projects a shortage of all types of
doctors.
Moses Cone conducts a community needs assessment every five years in an attempt
to head off any shortages in Greensboro. Right now, Driggers is helping private
practices recruit in neurology, while the hospital wants to talk to general
surgeons to fill some retirements in the pipeline. The reports say numbers for
GI, hematology, oncology, nephrology and ophthalmology will dwindle in the near
future, creating openings there.
Meanwhile, Roney says she doesn’t need any physicians at the moment, although High Point, too, brings in a
consulting firm to project physician demand over three-year increments so that
is likely to change in the future.
The question most physician candidates ask, says Driggers, concerns call
schedules. In her case, private practices average one day in seven, with some
as high as one in nine.
If he doesn’t find a permanent position and considers leaving the area, Hampton says his
family will not be pleased. “My wife told me I’ll have to drag her out of our house kicking and screaming. To put it plainly,” says Hampton, “she loves the area.” END
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