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Table 4

Practice profile of family physicians by family medicine residency completion, December 31, 2008


    AAFP Respondents FM Residency Graduates Not FM Residency Graduates
Total Respondents 29,083 26,773 2,310
Professional Activity (Avg. Percent of Time)      
  Administration 10.4% 10.5% 9.9%
  Direct Patient Care 82.8% 82.6% 85.3%
  Research 1.1% 1.1% 0.9%
  Teaching 5.7% 5.8% 4.0%
         
Total Direct Patient Care 28,831 26,536 2,295
Practice Type**      
  CCU 38.1% 38.4% 34.2%
  ICU 45.2% 45.7% 39.1%
  Surgery 29.9% 30.0% 29.4%
  Pediatrics 87.0% 87.9% 76.3%
  Obstetrics 27.7% 28.9% 13.9%
  ER 39.6% 39.7% 38.4%
Practice Base      
  Office 89.8% 89.8% 89.4%
  Hospital 6.8% 6.8% 6.0%
  Other (school, industrial, etc.) 3.4% 3.4% 4.5%
Practice Location      
  In SMSA 76.5% 77.1% 70.2%
  Not in SMSA 22.2% 21.9% 25.9%
  Not reported 1.3% 1.1% 3.9%
Mean Percent of Patients Whose Principal Health Insurance Coverage is:      
  Medicare 22.1% 21.7% 27.0%
  Medicaid 11.8% 11.9% 10.8%
  Prepayment-Capitation (HMO, IPA) 35.3% 35.6% 31.0%
  Other Health Insurance 21.7% 21.7% 21.9%
  No Health Insurance 9.1% 9.1% 9.3%
         
Total Office-Based Direct Patient Care 25,878 23,826 2,052
Practice Arrangement      
  Solo 17.6% 15.8% 38.1%
  Two-Person Partnership 8.1% 8.1% 8.5%
  Family Practice Group 42.8% 44.0% 29.4%
  Multispecialty Group 22.1% 22.5% 17.5%
  Other and unknown 9.4% 9.7% 6.4%
Practice Owner      
  Self 23.3% 21.4% 45.8%
  Medical Group Practice 26.7% 27.3% 20.1%
  Hospital or Health System 29.6% 30.3% 21.4%
  MCO or Insurance Company 3.2% 3.3% 2.1%
  Federal, State or Local Government 10.4% 10.8% 5.3%
  Other and unknown 6.8% 6.9% 5.3
Mean Percent of Income      
  Salary 64.1% 65.6% 46.8%
  Fee-for-service 6.6% 6.1% 11.5%
  Contract-for-service 13.6% 13.2% 17.4%
  Commercial Capitation 4.2% 4.1% 5.4%
  Medicare 8.4% 7.9% 14.1%
  Medicaid 3.3% 3.2% 4.7%

*Includes only active members of the American Academy of Family Physicians who responded to the member profile survey.
**Percents do not add to 100 percent because more than one answer may be checked


Source: American Academy of Family Physicians