The Financial Impact of Deployments on Reserve Health Care Providers

Petinaux, Bruno

doi:10.7205/milmed.173.8.729

Cited by 1 publication

(4 citation statements)

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“…These data were used by and extrapolated from the article by Petinaux, who studied income trends from deployed Army Reserve physicians during the Global War on Terrorism (GWOT). 8 Assumptions were also made in that no new neurosurgeons would be hired by the group during the time period.…”

Section: Statistical Methodologymentioning

confidence: 99%

“…Previous study has proven reserve service to be a financially viable opportunity during the first 3 years of service after residency. 8 This is not without challenges. Deployment or mobilization of a reserve neurosurgeon to active duty can be disruptive.…”

Section: Impact On Surgeonsmentioning

confidence: 99%

“…A previous study by Petinaux noted that 86% and 76% of mobilized or deployed reserve physicians during the GWOT did not receive civilian income or benefits, respectively. 8 The author calculated that a total of $1,339,000 of income was lost in the 16 of 29 deployments, which resulted in an economic loss for the physicians during the GWOT. Those in a solo practice had the worst losses with additional layoffs of ancillary staff.…”

Section: Impact On Surgeonsmentioning

confidence: 99%

“…It is also worth noting that no neurosurgeons were surveyed in the Petinaux study. 8 There is also the intangible opportunity cost of reserve military service. This includes being unavailable for one's civilian practice during mandatory military drill weekends and the 2 weeks of annual training.…”

Section: Impact On Surgeonsmentioning

confidence: 99%

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The impact of the reserve military neurosurgeon: practice, community, and service

Menger

Mundell

Robbins

et al. 2018

Neurosurgical Focus

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OBJECTIVEPapers from 2002 to 2017 have highlighted consistent unique socioeconomic challenges and opportunities facing military neurosurgeons. Here, the authors focus on the reserve military neurosurgeon who carries the dual mission of both civilian and military responsibilities.METHODSSurvey solicitation of current active duty and reserve military neurosurgeons was performed in conjunction with the AANS/CNS Joint Committee of Military Neurosurgeons and the Council of State Neurosurgical Societies. Demographic, qualitative, and quantitative data points were compared between reserve and active duty military neurosurgeons. Civilian neurosurgical provider data were taken from the 2016 NERVES (Neurosurgery Executives Resource Value and Education Society) Socio-Economic Survey. Economic modeling was done to forecast the impact of deployment or mobilization on the reserve neurosurgeon, neurosurgery practice, and the community.RESULTSSeventy-five percent (12/16) of current reserve neurosurgeons reported that they are satisfied with their military service. Reserve neurosurgeons make significant contributions to the military’s neurosurgical capabilities, with 75% (12/16) having been deployed during their career. No statistically significant demographic differences were found between those serving on active duty and those in the reserve service. However, those who served in the reserves were more likely to desire opportunities for improvement in the military workflow requirements compared with their active duty counterparts (p = 0.04); 92.9% (13/14) of current reserve neurosurgeons desired more flexible military drill programs specific to the needs of practicing physicians. The risk of reserve deployment is also borne by the practices, hospitals, and communities in which the neurosurgeon serves in civilian practice. This can result in fewer new patient encounters, decreased collections, decreased work relative value unit generation, increased operating costs per neurosurgeon, and intangible limitations on practice development. However, through modeling, the authors have illustrated that reserve physicians joining a larger group practice can significantly mitigate this risk. What remains astonishing is that 91.7% of those reserve neurosurgeons who were deployed noted the experience to be rewarding despite seeing a 20% reduction in income, on average, during the fiscal year of a 6-month deployment.CONCLUSIONSReserve neurosurgeons are satisfied with their military service while making substantial contributions to the military’s neurosurgical capabilities, with the overwhelming majority of current military reservists having been deployed or mobilized during their reserve commitments. Through the authors’ modeling, the impact of deployment on the military neurosurgeon, neurosurgeon’s practice, and the local community can be significantly mitigated by a larger practice environment.

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Section: Statistical Methodologymentioning

confidence: 99%

Section: Impact On Surgeonsmentioning

confidence: 99%

Section: Impact On Surgeonsmentioning

confidence: 99%

Section: Impact On Surgeonsmentioning

confidence: 99%

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