Profile of the veterans affairs urologist: results from a national survey.
OBJECTIVE
The Veterans Health Administration has multiple employment arrangements for its physician staff. Urological care to veterans is provided by urologists who work in the Veterans Affairs system under 1 arrangement, including full-time Veterans Affairs, contract Veterans Affairs, part-time Veterans Affairs and fee for service. We assessed the similarities and differences of these employment arrangements, while considering factors such as race, gender, professional activities and salary.


METHODS
A database was created of all urologists who provide care at Veterans Affairs Medical Centers across the United States regardless of the employment arrangement. A 14-item survey was sent to these 305 urologists. Participants were required to have finished residency training and be employed by the Veterans Affairs on a full-time, part-time, contract or fee for service basis.


RESULTS
A total of 118 surveys were completed for a 39% response rate. Compared to full-time urologists contract urologists were younger (p = 0.02), earned higher annual wages (p = 0.01), worked longer hours per week (p = 0.001), and spent more hours on direct patient care (p = 0.001) and teaching residents (p = 0.03), although they spent the same number of hours on research and administrative duties.


CONCLUSIONS
The practice environment of the contract urologist in the Veterans Affairs system is comparable in many ways to that of the full-time employee. However, the tendency of many contract urologists to be employed in a separate practice setting has led to higher incomes and longer work hours.
Tyson
Mark Douglas
MD
Dartmouth Medical School, Hanover, New Hampshire 03755, USA. Mark.Tyson.@Dartmouth.edu
Lerner
Lori B
LB
D032982:Contracts; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D006787:Hospitals, Veterans / Q000458:organization & administration*; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D010820:Physicians / Q000600:supply & distribution; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D012456:Salaries and Fringe Benefits / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014481:United States; D014493:United States Department of Veterans Affairs; D014572:Urology / Q000592:standards* / Q000639:trends; D016526:Workload