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2008 MPS Member Survey Results

 

2008 MPSMember Survey Results
 
The annual MPS member survey was distributed this summer by mail as well as online. As of September 16, _141_ members returned their responses, which have been compiled below.  This feedback helps MPS committees, Council and staff to work more effectively on behalf of the membership.  Thanks to those who responded!
 
DEMOGRAPHICS
 
 
Type of practice:        
_25_ Academic, 
_17_ Public,
_70_ Private,
_18_ Private/Public,
_9_ Retired
 
Years in practice:        
_6_ In training,
_11_ 1-5,
_10_ 6-10,
_34_ 11-20,
_72_
over 20
 
Primary place of practice:  
_106_ Central Maryland,
_2_ Western Maryland,
_4_ Eastern Shore,
_18_ DC Suburbs,
_1_ Southern Maryland,
_3_ Washington, DC
 
 
NUMBER OF RESPONDENTS WHO WANT THE MPS TO PROVIDE:
 
_91_ CME Events,
_82_ Legislative Involvement,
_57_ Interface with Managed Care,
 
_55_ Public Psychiatry Involvement,
_45_ Social Events,
 
Other   Better source of patient referrals
Career planning, mentoring
Expand access to care. Single payer insurance
Legal and ethical issues
Psychopharm, Substance Abuse, Psychotherapy
Public information about the role of psychiatry in healthcare
Push to bill for all time required for insurance pre-authorization for outpatient care and medications
Underserved areas
 
 
MPS CME OFFERINGS
 
Respondents’ top CME needs:
  • Affective Disorder
  • (5) Bipolar Disorder
  • (3) Depression
  • (3) Treatment resistant mood disorders
  • Depression and pregnancy
  • (7) Psychopharmacology
  • Medication Choice, Dosing
  • Psychopharmacology update in internal medicine. Ex: OB/Gyn
  • (3) Psychotherapy
  • (3) Anxiety Disorder
  • (3) ADHD
  • (2) PTSD
  • (2) Child and adolescent psychiatry
  • Child bipolar
  • Dementia
  • Schizophrenia
  • Dermatology for psychiatrists
  • (2) Diagnosis and Treatment
  • Everyday users of CBT - medication management, change in behavior and illness management.
  • Forensic programs
  • Integrating multi-perspective approaches to treatment
  • Maintaining licensure and requirements for APA membership
  • Medical-Psych Interface
  • Neuropsychiatry
  • Neurology
  • Eating Disorders
  • Board Preparation
  • Personality Disorder
  • Borderline personality disorder
  • Research and clinical programs
  • Substance abuse issues
  • Trauma issues
  • Syndrome of continued sexual dysfunction long after discontinuation of causative agent.
  • OCD
 
Number of respondents who would likely attend CME
 
_40_Illness oriented programs
_93_Psychopharmacology updates
_55_Psychotherapy topics
_43_Alternative and novel treatments
_36_Psychiatry and the arts
_43_Diagnosis and treatment complications when treating a diverse cultural population
_44_The business of psychiatry
                                                                                                                        
 
ARTICLE SUGGESTIONS FOR THE MARYLAND PSYCHIATRIST:
 
·         Advances in psychotherapy
·         Electronic medical records and e-prescribing
·         (2) History of psychiatry in Maryland
·         News from JHH and UM residency programs
·         The future of the business aspects of psychiatry. Population based mental health care, best practices, outcome research.
·         Practice administration in current insurance environment
·         Same as for CME programs
·         The crisis in state psych inpatient beds
·         Cultural aspects of psychiatric practice
·         Ethics
·         Interviews with senior psychiatrists
·         Private practice management
·         Feature psychiatrists in private practice who are "making it" in spite of the man
·         Job resources, psychiatry and the law, legislative updates
·         Continue the fine content you have had over the years
·         Anything relevant
·         More articles by Dinah
 


NUMBER WHO SUPPORT REDUCING PRODUCTION COSTS OF THE MARYLAND PSYCHIATRIST BY:
 
_57_Electronic distribution only via e-mail
_26_2 Electronic editions per year sent via e-mail and 2 hard copies per year sent via USPS
_40_No change – keep mailing the publication via USPS
Other: 
  • Any method is okay
  • (2) Give members the choice of electronic only or hard copy
  • Mail to those without e-mail
  • Use recycled paper and soy ink
 
 
Suggestions on how the MPS can Attract Psychiatrists from Minority and Underrepresented Groups to Become Members, and What it can do to Foster More Diversity Among MPS Leaders:
·         (3) Add diversity to committees and Council.
·         Have a multicultural themed CME.
·         Bring in speakers of minority groups as role models.
·         Extend general requests. Diversity is created by being a functioning, responsible organization that is open to all qualified professionals who individually choose or not.
·         Hold events for residents at their schools, maybe board review meetings. Have members volunteer for board tutoring, mock boards, etc.
·         I don't think it's a matter of attracting these psychiatrists to MPS. The problem has to be addressed in medical school itself.
·         Culturally sensitive programs targeting minority population.
·         Keep working at it!
·         Make an appointment to see them in their offices. Use existing members. Welcome them more than the drug reps do!
·         Offer residents 4 years of free membership
·         (2) Offer social events
·         Programs oriented toward their specific needs.
·         (3) Reach out and ask them to contribute.
·         Reduce price for incoming members.
·         Regional or local meetings among senior leaders and new ones. Study demographics.
·         (2) Spend more time connecting with 3rd and 4th year residents
·         Survey young psychiatrists
·         Ask WPS MD new President-Elect Bill Lawson from Howard. They may have records of minority grads in the area.
·         Word of mouth, network data with insurance companies and CMHCs. Outreach letters to members not involved in groups that explain various groups and levels of participation required.
·         Training in insurance/payment administration
·         Offer more formal networking opportunities
·         Through CME
·         Form minority committee for above tasks
·         Give greater prominence and visibility to minority psychiatrists in MPS affairs
·         Start a minority mentor network
·         (2) Target recruitment
·         How about a gay and lesbian support group/committee
·         I suspect their interests are more like everyone else's.
·         Give a graduated fee schedule, focus on public psychiatry issues
·         (3) Just ask
                       
Number of Respondents With a Personal Interest in New Cultural Diversity Opportunities for MPS Members 
_14_ MPS committee on diversity
_27_ Special networking events/programs specific to diversity issues
_33_ Newsletter articles about cultural diversity in MPS publications
_28_ Partnerships with culturally-specific medical member organizations
_39_ Foreign film discussion series
_24_ Diversity book discussions with an ethnic discussant
Other:
·         This is a noble organization; continue being so. Welcome the qualified with open arms when THEY choose to join.
·         What does diversity mean? race, gender, sexual orientation
·         I'd like any kind of book discussion, diverse or not
 
 
LEGISLATIVE ISSUES
 
Issues in addition to threats of scope of practice, patient rights, parity of mental health care in insurance contracts, funding for the public mental health system, and examination of outpatient commitment that respondents would like the MPS to consider pursuing:
 
  • APS, which manages mental health benefits for state employees is very difficult to deal with. Someone should look into their management.
  • Access to care for acutely disturbed individuals - more benefits and more intensive community services.
  • Accountability and misleading information for and from insurance companies about mental health coverage.
  • Child abuse reporting laws. Undeserved areas - hot to address.
  • Endorse Delegate Montgomery's universal health bill.
  • Gay and lesbian rights
  • Having it mandatory for insurance to cover biofeedback and neuro. feedback
  • Increase insurance payments for all mental health insurances
  • Medicare/Medicaid funding for mental health
  • Mental health parity or single payer health insurance
  • National health plan
  • Need for more child psychiatrists in Maryland. Possibly scholarships or debt payments to practice in Maryland.
  • Parity, National (one payer) insurance system, psychiatrist ONLY prescribing rights.
  • Require Blue Cross to forward insurance claims to APS or Magellan. Such as when state of Maryland retirees have Medicare and Blue Cross, but Blue Cross doesn't forward info to APS-making the elderly patients do it. Legislation to make it illegal for Medco or Caremark to directly contact patients to change their medication, ie: from Lexapro to Celexa.
  • Why do I need to get preauthorization from a clerk to prescribe medication?
  • (3) You are pursuing the right issues.
 
WHAT WOULD ENCOURAGE RESPONDENTS WHO DON’T ALREADY ATTEND TO COME TO THE MPS ANNUAL DINNER
  • A presentation on realistic legislative strategies for universal health care for all Maryland citizens.
  • At this point I'm not able to attend due to commitment to a training program.
  • Big Brother, Big Sister pairings to facilitate comfort level of networking, etc.
  • Different day of the week
  • Different night of the week.
  • Distance too far.
  • Free for members in training.
  • Have closer to Washington, DC
  • Have dinner on Friday instead of mid-week.
  • (2) Hold it in Western Maryland
  • Hope to come next year.
  • I attend and have always found it worthwhile and enjoyable.
  • I attend, but do think the main address should provide CME.
  • Interesting speaker, good location and food.
  • Invite Barack Obama to speak.
  • Know that someone knows me or welcomes me. Help me to feel that I belong. Like an usher in a church or something.
  • Location
  • Location in Frederick.
  • Low cost, vegetarian selections at a convenient time and location. NOT downtown Baltimore!
  • Move it closer to DC - like Ellicott City
  • Pay attention to members. Re: Price, location and format
  • Pay closer attention to actual committee involvement/actions each year before you appoint.
  • Please don't hold it over Passover. Hold it midway between Baltimore and DC.
  • Saturday event
  • Try holding it south of (but near) Baltimore. For all intents and purposes, those of us outside of Baltimore see it as the Baltimore Psychiatric Society. That's okay, but then you can't expect significant commitment from those of us at a distance.
  • Need a different night such as Tuesday or Wednesday for event; also consider Friday
  • Dates have been conflicted hope to attend this year
  • Better ways to alert/inform, such as email announcement of it
  • Nationally recognized speakers
  • (2) Special speakers
  • Baby at home
  • More convenient location, maybe Annapolis or the southern Balto burbs
  • Nothing
  • Timing
  • Fri or Sat not Thu nite (I work)
 
 
HOW THE MPS CAN BETTER SERVE RESPONDENTS:
  • (6) Already serves me well.
  • Assistance with organizing or networking among private practitioners. Small study groups. Community support. Become more visible to general public.
  • Eliminate need for preauthorization of medication and services. We are the physicians and not some clerk going down a checklist. Let it be another physician that is questioning the service or medication and make them responsible.
  • How about online clinical communication forum?
  • Keep up the legislative efforts on parity and no treatment plans!
  • I understand some members meet at DHMH. Please address the federal funds they don't get by not applying - this year again. A horrible disservice to Maryland children in particular.
  • Implement that great plan your have for redesigning the website!
  • Maryland ranks #313 out of 313 metropolitan areas in insurance reimbursement as % of charge for care. Please help change that! Despite the fact that we serve some of the best psychiatric care in the US. Put a stop to DSM-V as continuance of DSM-III and IV. They have hurt psychiatry.
  • More CME events.
  • More CME programs closer to Washington, DC
  • More events in practicing community with CME credit.
  • More referrals to my private practice.

 

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