America's best places to practice - Take our tour of the friendliest states for physicians - ModernMedicine
America's best places to practiceTake our tour of the friendliest states for physicians

Source: Medical Economics


Take your pick, Doctor...

With primary care physicians in demand almost everywhere, there's not a region in the nation that wouldn't love to claim you as its own. The question is: Which state is best for your bank account, your career, and your peace of mind?

To determine the best states in which to practice, we evaluated a number of factors: overall compensation, malpractice liability insurance rates, cost of doing business, health insurance competition, and the mix of public and commercial payers. We also considered quality-of-life factors such as residential real estate prices, natural amenities, and weather.

We talked with physicians, state medical societies, and physician placement experts who recruit doctors to hospitals and group practices around the country. We tapped into survey information from the Medical Group Management Association and the Medical Liability Monitor, which publishes an annual state-by-state review of malpractice liability insurance rates. We also pored over data from the U.S. Census Bureau, the National Association of Realtors, and the Kaiser Family Foundation, among other sources.

If you don't find your state here and feel it's among the best too, let us know at
. Here's hoping the greenest pastures are just outside your window.

10 ALASKA

Why doctors love it here: If the mere thought of Alaska makes you shiver, you may be in for a surprise: Even northern climes break 70 degrees during the summer, and two of Alaska's largest cities—Anchorage and Juneau—have predictable seasonal changes. Also, hospitals and groups are offering bonuses up to $50,000 to primary care doctors who relocate.

Why you might not: Alaska's vast wilderness can be a shock to some. Statewide, food and housing costs are higher than the national average for cities its size, and if you're looking for a more relaxing schedule here, forget it: There were 267 outpatient visits to for-profit healthcare facilities per 1,000 Alaskan residents in 2007, compared to a national average of 146, according to Kaiser Family Foundation's State Health Facts website.

Average annual primary care compensation: $310,000 (internal medicine, based on Delta Physician Placement data over several years)—plus, Medicaid fees are more than twice the national average, according to Kaiser.

Malpractice liability insurance annual rate (for internal medicine, from the Medical Liability Monitor 2008

Annual Rate Survey): $8,856 to $10,891

Major health systems: Banner Health (Fairbanks), Providence Health & Services Alaska (Anchorage)

Best town you've never heard of: Sitka (population: 8,800). The state's fourth-most-populous city boasts a rainy but mild year-round climate compared to most of the state. This gulf-coast town is a whale-watching destination with plenty of water and wildlife recreation, and numerous seafood restaurants. It's home to the Sitka Medical Center and Community Hospital.

What the recruiters say: "Anchorage is a more affordable city than Atlanta or Cincinnati," says David Cornett, formerly of the St. Louis-based recruiting firm Cejka Search. "Alaska needs physicians, and for somebody who really wants to be out west and enjoy the wild, that's the place to be—and you can fly nonstop to Hawaii if you want to get away in the winter."


Comments from our Readers
 Posted Jul 09 2009 03:06PM
Alaska? Yeah it's great and all up here, but not because of high salaries. That is a misconception. I think the Delta primary care compensation is based on some funky data. They must be including extended costs for recruiting doctors into the remote bush regions. In Anchorage, the primary care docs make about the same as the rest of the country.
 Posted Jul 16 2009 11:52AM
ALASKA ,that magic state,I wish ,if I can visit that place,or live there forever,but how? I am an Egyptian Dermatologist aged 57years old,and practicing my speciality in KSA in the field of DERMATOLOGY,COSMETIC DERMATOLOGY,and AESTHETIC PROCEDURES.I think my certificates are not be approved, or what do you think?
 Posted Jul 19 2009 07:52PM
As a neurologist in the suburbs of Indianapolis, there are no primary care doctors that aren't owned by a hospital. I recently tried to help one disenchanted primary care physician transition away from the hospital owned practice only to see him return to an institutional setting; he couldn' make ends meet due to the very low reimbursement from both private and public sources. A recent article in the Indpls newspaper stated that Anthem Wellpointe has an 80% market share and continues to reduce payments to both hospitals and physicians. A medical society survey suggested over 70% of primary care physicians do not plan on practicing medicine in IN by the end of this year. The specialists are now also looking for greener pastures and groups are arguing over their incomes causing some to split. So how is IN a desired location to practice?
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