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Media falsely attribute doctor survey to New England Journal of Medicine

March 17, 2010 2:11 pm ET — 18 Comments

Conservative media figures and outlets have falsely claimed a New England Journal of Medicine (NEJM) survey found that 46 percent of primary care physicians would consider leaving their profession if Democrats' health care reform bill passes. In fact, NEJM says that the 3-month-old email "survey" was not published in or conducted by NEJM.

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NEJM spokeswoman confirms: Survey has nothing to do with the "original research" published in The New England Journal of Medicine

Media Matters for America contacted The New England Journal of Medicine and received confirmation from spokesperson Jennifer Zeis that the study had "nothing to do with the New England Journal of Medicine's original research." Zeis also made clear that the study "was not published by the New England Journal of Medicine."

The Medicus Firm, a medical recruitment firm, conducted the survey

The Medicus Firm conducted the survey in December 2009. The Medicus Firm, a Dallas- and Atlanta-based firm that recruits and places physicians in jobs, was responsible for conducting the survey. It issued a press release about the results on December 17, 2009.

Article actually appeared in employment newsletter. The report appeared in Recruiting Physicians Today, an employment newsletter produced by Massachusetts Medical Society, "the publishers of the New England Journal of Medicine." The report also appeared on the NEJM "CareerCenter" website, but was taken down on March 17. Zeis also said that this article "was written by The Medicus Firm." Both versions of the write-up clearly indicate that the source for the survey is The Medicus Firm and provide contact information for its media relations department.

NEJM CareerCenter website: "Recruiting Physicians Today is a free advertiser newsletter," and the survey report represents opinions "of The Medicus Firm only." The report written by The Medicus Firm about its survey appeared on the NEJM CareerCenter website, which "offers a full suite of physician job searching tools," and "provides physician-employment articles in the resource center, offering helpful articles on physician careers, physician job-hunting tips, physician employment trends and more." The report was taken down from the CareerCenter on March 17 and replaced with the following message:

Recruiting Physicians Today is a free advertiser newsletter published by the Worldwide Advertising Sales and Marketing Department in the publishing division of the Massachusetts Medical Society. Each issue of the newsletter features research and content produced by physician recruiting firms and other independent groups involved in physician employment.

On December 17, 2009 The Medicus Firm, a national physician search firm based in Dallas and Atlanta, published the results of a survey they conducted with 1,000 physicians regarding their attitudes toward health reform. To read their survey results at The Medicus Firm website, click here.

The opinions expressed in the article linked to above represent those of The Medicus Firm only. That article does not represent the opinions of the New England Journal of Medicine or the Massachusetts Medical Society.

Methodology involved emailing doctors in The Medicus Firm's database. The NEJM CareerCenter article indicated that "[t]he survey sample was randomly selected from a physician database of thousands. The database has been built over the past eight years by The Medicus Firm (formerly Medicus Partners and The MD Firm) from a variety of sources including, but not limited to, public directories, purchased lists, practice inquiries, training programs, and direct mail responses. The survey was conducted via emails sent directly to physicians."

In "survey" write-up, physician recruitment firm touted the importance of physician recruitment firms "[a]fter health reform is passed and implemented." After discussing the results of its "survey," the article added:

What does this mean for physician recruiting? It's difficult to predict with absolute certainty, but one consequence is inevitable. After health reform is passed and implemented, physicians will be more in demand than ever before. Shortages could be exacerbated further beyond the predictions of industry analysts. Therefore, the strongest physician recruiters and firms will be in demand. Additionally, hospitals and practices may be forced to rely on unprecedented recruitment methods to attract and retain physicians. "Health reform, even if it's passed in a most diluted form, could be a game-changer for physician recruitment," said Bob Collins, managing partner of The Medicus Firm in Texas. "As competitive as the market is now, we may not even be able to comprehend how challenging it will become after health reform takes effect."

Media falsely attribute survey to The New England Journal of Medicine

Bill O'Reilly: Survey was "published by The New England Journal of Medicine, a prestigious magazine." On the March 16 edition of his Fox News show, Bill O'Reilly said, "A new survey published by The New England Journal of Medicine, a prestigious magazine, says that nearly half of primary care doctors in America could leave the medical profession if Obamacare is passed." After citing statistics from The Medicus Firm survey, O'Reilly said, "I believe the study in The New England Journal of Medicine, because I've talked to enough doctors myself to know there's no great enthusiasm for Obamacare in the medical community, even here in liberal New York City."

Kilmeade: NEJM "published a report and did a survey" that found doctors "feel reform will force them out." On the March 17 edition of Fox News' Fox & Friends, co-host Brian Kilmeade said: "Well, if this does in fact pass, no matter how it does pass, what would it mean for the medical profession, those who spend so much money, oftentimes go way in debt, just to be doctors for you, not to be rich. You don't do the -- you don't become a doctor to be rich, you know, now especially. How do they feel about it? Well, The New England Journal of Medicine has published a report and did a survey, and they said the impact of reform on primary care physicians, 46 percent, they say, feel reform will force them out or make them want to leave medicine."

HotAir.com: NEJM "polled health-care providers." On HotAir.com, blogger Ed Morrissey wrote: "And you thought wait times were long now. The New England Journal of Medicine, hardly a bastion of conservative thought, polled health-care providers to determine their reaction to ObamaCare, and discovered that it has many doctors looking for the exits. Almost half of all general-practice doctors would feel compelled to leave medicine altogether if it passes."

Hannity guest attributes study to NEJM. On the March 16 edition of his Fox News show, Sean Hannity asked Milton Wolf, a radiologist who says he is President Obama's second cousin, "Will this plan that they're now pushing, and I think in a very corrupt way, do you believe this will harm and -- if you believe so, how greatly will it harm our health care system?" Wolf replied: "We just learned from The New England Journal of Medicine that a significant percentage of doctors would consider leaving -- seriously consider leaving the profession if this went through. We will actually have less providers if this went through to try to take on these extra burdens, and there would be no choice but to ration care. They've already built it into this plan."

Marc Siegel: "A new study in The New England Journal of Medicine says that one-third of physicians would consider quitting or retiring early if this goes through." On the March 16 edition of Fox News' Your World, Fox News contributor Dr. Marc Siegel stated: "First of all, the [American Medical Association] is a bureaucratic organization that doesn't represent practicing doctors. A new study in The New England Journal of Medicine says that one-third of physicians would consider quitting or retiring early if this goes through."

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    • Author by aBeck in 10-O-C (March 17, 2010 2:49 pm ET)
      5  
      46 percent of primary care physicians would consider leaving their profession if Democrats' health care reform bill passes


      Yeah yeah yeah. And 100 percent of the Rush Limbaughs said they would leave the country if the healthcare reform passes. Has anyone ever heard of a "petulent snit"? Nobody is going anywhere.
      Report Abuse
      • Author by null1fy (March 17, 2010 3:06 pm ET)
        1 5
        That would be nice. More private practices popping up, with a bill that you actually pay for at the end of the service.

        Congress? Good for business? Who knew!
        Report Abuse
      • Author by Lizinbklyn (March 18, 2010 11:01 am ET)
        1  
        Does anyone know a doctor that is P-O-O-R ?
        Report Abuse
    • Author by vonbargen9388 (March 17, 2010 3:16 pm ET)
      3  
      Just an editorial mistake?
      Poor research techniques?
      Or is it just Fox being dishonest?
      We report,erroneously, you decide, ignorantly!
      Report Abuse
      • Author by TheDayV (March 17, 2010 4:19 pm ET)
        3  
        The Medicus piece is dubious to begin with. FOX's reporting is, yet again, proven to be unprofessional, at best.
        Report Abuse
    • Author by genetics73 (March 17, 2010 3:33 pm ET)
         
      The report quoted here is not claiming to be research. It is a survey, published by the publisher of NEJM. It is specious and deceiving of the NEJM and MediaMatters to assume that it is a medical research article. The masthead of the newsletter "Recruiting Physicians Today" says: "From the publishers of the New England Journal of Medicine." It is a hair-splitting exercise to claim that NEMJ had nothing to do with it - as sensible as blaming Obama for the bombing of the Pentagon by his friend from Chicago, to use an absurd comparison. Or, as trustworthy as MSNBC's sycophants.
      Report Abuse
    • Author by Zoooma (March 17, 2010 5:25 pm ET)
         
      Okay, so Fox got it wrong.

      Does that negate the findings?
      Report Abuse
    • Author by Fever (March 17, 2010 6:02 pm ET)
      3  
      The damage has been done. Mission accomplished.

      :(
      Report Abuse
    • Author by cmhmd (March 17, 2010 8:52 pm ET)
      4  
      Just for completeness, physicians are in favor of health reform:

      The TEN LARGEST physician organizations are all YES on reform with Public Option and supporting the House Bill, with some points of contention, but generally have endorsed it.

      1. AMA 240,000
      2. ACP 126,ooo (Internists and many medical subspecialists)
      3. AAFP 94,000 (Family Practice)
      4. ACS 76,000 (surgeons)
      5. AAP 60,000 (pediatricians)
      6. ACOG 52,000 (ob-gyn)
      7. ASA 43,000 (Anesthesiology!)
      8. AOA 40,000 (osteopaths)
      9. APA 38,000 (psychiatry)
      10. ACC 37,000 (cardiology)

      http://cmhmd.blogspot.com/2010/03/nejm-medicines-ethical-responsibility.html

      http://cmhmd.blogspot.com/2009/10/nejm-doctors-on-coverage-physicians.html

      Report Abuse
      • Author by Unreality (March 18, 2010 12:13 am ET)
        1  
        Yeah, but what do doctors know about healthcare? /sarcasm
        Report Abuse
      • Author by Unreality (March 18, 2010 12:13 am ET)
        1  
        Yeah, but what do doctors know about healthcare? /sarcasm
        Report Abuse
      • Author by bludog1 (March 18, 2010 8:03 am ET)
          2
        My understanding from a practicing physician is that AMA represents about 20 percent of the profession. Seems the same argument could be made about the AMA's endorsement is being leveled at the other group. Where am I getting this wrong?
        Report Abuse
        • Author by cmhmd (March 18, 2010 11:58 am ET)
          2  
          AMA membership is indeed about 20% of all physicians, but it is the largest national physician organization that represents all doctors, whatever specialty. Plus they are old, have lots of money and great lobbyists.

          But more than that, they do have an ethicl/professional duty in all this that, for the first time in my professional career, they are really trying to live up to.

          Regarding the survey, it is like the one Investors Business Daily did recently, and you can read Nate SIlver's dissection of that here:
          http://www.fivethirtyeight.com/2009/09/ibdtipp-doctors-poll-is-not-trustworthy.html
          Report Abuse
          • Author by bludog1 (March 18, 2010 1:01 pm ET)
              2
            Thanks. That helps I guess, though seems like based on that, there is not a particularly compelling reason to say that anyone actually "speaks" for the profession.

            Report Abuse
            • Author by cmhmd (March 18, 2010 1:16 pm ET)
              2  
              That's true, but what I have been very heartened by this year is that those ten largest organizations have stepped up to support reform.

              In the AMA's case, that is through the leadership of the Board of Trustees and they were supported by the "House of Delegates," which is composed of leaders from around the country, so the leadership gets it.

              That is also true of the other nine organizations. Those in leadership positions, those that know we cannot just be trade unions advocating for the most money, but that we have a professional responsibility to do more, have stepped up. SOmetimes this bothers the rank and file, but I am proud of them.

              And check this out:
              http://cmhmd.blogspot.com/2008/11/medical-professionalism-in-new.html

              Cheers,
              Report Abuse
    • Author by egb (March 18, 2010 10:25 pm ET)
        1
      Deficit reduction depends on cutting $500B from Medicare - do you think Medicare beneficiaries will get upset? It also depends on raising taxes AND increasing revenues by $500B. The CBO is not allowed to call either of these two $500B "savings" into question. Do you think those whose taxes are going up will figure out how to avoid higher taxes? Maybe they could accept stock options instead of money? Have the rich ever not figured out how to avoid paying taxes.
      Thinking the deficit is going down BECAUSE of this bill is breathtakingly naive.
      Report Abuse
    • Author by skeptonomist (March 19, 2010 10:33 am ET)
         
      One of the ways most other advanced countries are superior to the US is in number of physicians per capita. These countries all have universal care at lower cost than the US. Physicians earn much less in these countries. Maybe what we need is a real free market in physicians, so that supply is allowed to approach demand. The idea that physicians would voluntarily leave the profession is laughable.
      Report Abuse

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