Practice Patterns: Young Oncologists Seek Benefits of Larger Practices, Hospitalist Jobs

Victoria Stern, MA

Disclosures

December 17, 2014

In This Article

The New Oncology Landscape

"There is strength in numbers when it comes to practicing medicine," said Futch. He noted, for instance, that a larger practice can afford to hire an administrator to handle the increasing list of demands and regulations in healthcare. Additionally, a large practice can divide the cost of expensive equipment and technology over more physicians and has significantly better negotiating power with pharmaceutical and insurance companies.

"Even if a physician wants to maintain autonomy, what's happening is that larger organizations are moving into communities, forming alliances and creating competitive situations that almost force small fish out of the water," Dr Peace said. "Universities such as mine may find it in their best interest to buy practices and create a consolidated organization to compete with whoever comes into their territory. The big kid on the block will have better insurance contracts and economy of scale that a small group can't possibly put together."

Futch noted, however, that it's difficult to know what ignited this shift in oncology practice patterns. "It seems that, in light of financial shifts, physician demand and attitudes as well as availability for hospital employment grew together to create this new oncology landscape."

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