Best Places to Practice to Avoid Burnout

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May 10, 2017

In This Article

What Makes a State One of the Worst?

1. New Orleans, Louisiana

In Summary

  • Louisiana has relatively low measures of happiness and high crime rates.

  • Physicians have the highest rate of malpractice suits, and the state has the least healthy population.

  • New Orleans has high rates for crime and homelessness, and tourists tend to be rowdy.

State Profile: Louisiana hosts more than 400 festivals each year, including Mardi Gras, but it has been ranked as the sixth least happy state, the eighth lowest in well-being, and the third lowest in family-friendliness. It is also rated the sixth least safe state, with the fifth highest violent crime rate. It is also ranked as having the worst drivers in the country for accidents, infractions, and fatalities.

Problems for Doctors: The state has had the highest number of malpractice lawsuits per capita. The state has been ranked as having the least healthy population in the nation, and it has the eighth lowest rate of employer-sponsored health insurance. Louisiana physicians have the ninth lowest average income. On a more positive note, more than half of physicians are in independent practice, the highest rate in the country, and hospital patients are the fifth most satisfied in the nation.

City Profile: New Orleans' rich cultural offerings can provide a diversion from long work hours, but it is awash with tourists who often drink too much and get rowdy. The city also has a large homeless population and high crime rates. In 2016, New Orleans police responded to an average of 10 shootings a week, according to a 2017 report.[10] "The crime, the homeless people out in front of shops and sidewalks, it's embarrassing," Louisiana's lieutenant governor said of New Orleans last year. However, New Orleans is rated as having the ninth happiest patients, based on online reviews.

2. Phoenix, Arizona

In Summary

  • Arizona rates low as a family-oriented state, and residents are not outdoors-oriented.

  • Physicians face many uninsured patients and a somewhat high rate of malpractice suits.

  • Phoenix has had a growing crime rate, and the heat makes it largely unwalkable.

State Profile: Arizona is an increasingly popular state to live, but it is the fifth least family-friendly state and the 21st least happy state. The state has the eighth worst drivers for accidents and fatalities. It is home to the Grand Canyon and other outdoors attractions, and it is rated the second best state for golf.

Problems for Doctors: Patients have the fourth lowest rate of health insurance coverage and fourth lowest rate of employer-sponsored health insurance, and the state has the fourth lowest hospital patient satisfaction rate. Physicians face the 18th highest number of malpractice lawsuits per capita.

City Profile: The heat forces most people to drive, not walk. Phoenix has not submitted crime data to the FBI for rankings, but the local paper reported that from 2014 to 2015, the last measured year, the violent crime rate rose by 6%, largely due to aggravated assaults.[11] But Phoenix has been ranked as having the fifth lowest stress, and it is clean with relatively new housing stock.

3. Las Vegas, Nevada

In Summary

  • Nevada has high rates of violent crime, assaults, and divorce.

  • Patients are often uncovered by health insurance, and the state has a relatively unhealthy population but the lowest rate of lawsuits.

  • Las Vegas is a fairly unhappy city that has had a growing homicide rate.

State Profile: Nevada is another increasingly popular state to reside, but it is ranked the 12th least livable and the 16th least happy state. It has the second-highest violent crime rate. It also has the second highest divorce rate, is the seventh least family-friendly state, and has the seventh worst drivers for accidents and fatalities. It is ranked the 25th best state for golf.

Problems for Doctors: The state has the third highest rate of uninsurance. Nevada is ranked the 13th unhealthiest population in the country, but it has the 18th lowest rate of malpractice lawsuits, and its medical board has the fifth fewest medical board disciplinary actions in the country.

City Profile: Las Vegas has been ranked the eighth unhappiest large city. Homicides in the county rose 100% from 2015 to 2016, according to a 2016 report.[12] Also it is not a good place for people with alcohol, gambling, or shopping addictions. Still, this so-called "Sin City" has a large number of churches and other religious institutions.[13]

4. Albuquerque, New Mexico

In Summary

  • New Mexico gets low marks for being family oriented.

  • Physicians have to care for large numbers of patients, many of whom are uninsured.

  • Albuquerque has a relatively high percentage of violent crimes, but it does have a great deal of culture and charm.

State Profile: New Mexico is a beautiful state with warm weather and plenty of diversity, but it has been rated the eighth least livable, the 11th least happy, and the second least family-friendly state. Violence is a big problem. It is ranked as the third least safe state, with the third highest violent crime rate. On the plus side, it ranks as the 20th best state for well-being.

Problems for Doctors: The state has the eighth lowest rate of insurance coverage, the lowest rate of employer-sponsored insurance, is ranked the 14th unhealthiest population in the country, and has the fourth lowest hospital patient satisfaction rate. New Mexico has the worst ratio of primary care physicians to population.

City Profile: Albuquerque is the fifth most violent city in the nation, according to the local TV station.[14] It is also ranked in the bottom half of family-friendly cities. However, the city has a vibrant cultural scene and is ranked the 15th best-run city, the fifth best city for drivers for accidents and fatalities, and the 10th most dog-friendly city. It also has a great deal of parkland and plenty of hiking and sightseeing in the nearby mountains.

5. Tulsa, Oklahoma

In Summary

  • Oklahoma gets overall poor marks on safety and happiness.

  • Physicians have a greater risk of being sued, and the state has a relatively unhealthy population.

  • Tulsa is rated as very dangerous, but people are strongly religious.

State Profile: Oklahoma is known for friendly people and some of the best barbeque in the country, but it has been ranked the eighth least happy state, the third lowest for well-being, and it has the third highest divorce rate. In addition, the state is rated the second least safe with the 14th highest rate of violent crime in the country. On the plus side, it has the fifth lowest cost of living.

Problems for Doctors: Physicians face the second highest rate of malpractice lawsuits, and its medical board has been rated as having the fifth fewest medical board disciplinary actions. It has the sixth most unhealthy population, the seventh lowest rate of insurance coverage, and the 10th lowest rate of employer-sponsored health insurance.

City profile: Tulsa offers lots to do, including an aquarium, museums, and gambling casinos, but it has a fair amount of crime. It has been listed as the most dangerous city in the country, and the murder rate was triple the national average, according to a 2016 report.[15] Tulsa is prone to tornadoes and floods, but the city has installed a highly effective flood management system. Tulsa is sometimes called the "buckle of the Bible Belt" and has been ranked the ninth most conservative city in the country.

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