The most recent trends report can be viewed on the home page under ‘The Swan Report’

A Swan’s growth requires movement into new bodies. Similarly, professionals grow into their new positions. Thus, we have called these trends The Swan Report, hopefully, providing assistance during these changes.

The Very Latest Trends Report – March 12, 2012

Greatest concern are the April 1st  the proposed Medicaid restructuring. There are 500 proposed diagnosis that Washington states’ Medicaid will not reimburse for treatment – yet, physicians are legally responsible to treat. Instead the state will pay a screening fee of approximately $50.00 if the patient is a part of a private pay version of Medicaid, which at this point in time has about 60% of the patient population. The purpose is to avoid the abuse to Emergency Rooms in Washington state hospitals.

This will result in unpaid work due to the ethical, moral and liability dilemmas. The goal is to direct the population to lower cost options, like Urgent Care Clinics. Emergency Room physician groups, Medical and Hospital associations are lobbying against this initiative. Tennessee and Iowa are launching different but similar plans. All are watching to see how it will occur or not occur in the other 47 states.

-Selikoff Recruitment, LinkenIn. Twitter. – From February 14-Feb 18th our LinkenIN site received over 4,020 connection – all in only four days!!! Join us in the Spring issue to promote your openings and hospitals work ethic. Plus, we can find specific CME’s to meet your needs i.e.  Pediatrics Neurology, ER w/ Trauma Speciality, Female OB/Gyn, etc.

The Very Latest Trends Report – January 14, 2012

The Obama administration has expanded coverage to more numbers of young people than the law currently allows to stay on their parent’s plan. The cut off is now at 26 years old.

Republicans have pledged to repeal this law during 2012.

This act prohibits insurance carriers from discriminating against those with preexisting medical  conditions.

It hopes to make universal coverage available. A win regarding this law will have a bit of the Halo Affect for President Obama. Yet, a loss would damage his credibility with the Independent voter.

The Very Latest Trends Report – December 20, 2011

Let’s Step Up to Our Life’s Challenges

Eli Wiesel, a concentration camp survivor, is one of the most important people of this century. He is well-known as a crusader against unjust treatment of humanity, terrorism and brutality. His persistence against all inhumane actions is an attempt to make the world a better place for ALL concerned.

Although his life is a series of public speeches all over the world; his beginning vocation was a writer. That by its very definition requires a great deal of introspection and solitude. Nonetheless, his cry to end the violence in the world takes a back seat to his preferred stance of private reflection. Can we also advocate as he does?

One of the side effects that survivors of concentration camps share is fear of being heard. The loss of their parents, siblings, friends often creates a huge anger against God, truth, beauty and emotions that their pinions will not be heard.

In time, communication can occur. It takes patience and repeated demonstrations that communication is not fruitless. Successful understanding and real growth occurs when the importance of knowing what questions to ask vs. the answers given is valued. Trust and sharing comes from discussing which questions are more accurate or valuable to ask rather than the multiple optional answers.

In this world of many challenges – on all fronts – health care, finances, economy, etc. Can the question of how we can have peace and justice for all concerned be queried? Can we step up from our solitude and work for all? Can we all list our questions and requirements to find a multi-faceted path to our problems?

After these brutal times many people become embittered, but many come out with compassion. May we all step up and work for a communicative and compassionate focus.

The Very Latest Trends Report – October 20, 2011

As of Fall 2011, Selikoff Enterprises is very excited to have a relationship with Nurse Practitioners’ CEU conferences. There are two running in the near future:

February 16-17 – Providence, Rhode Island – March 12-15 – San Antonio, TX

Finally, we are increasing our technological exposure. We will contract with a company that enhances our exposure to technologies that will work. As technology is in flux, it is important to choose wisely and well…for example, Facebook now has their own PAC!!! Do you want to be there?

The Very Latest Trends Report – September 20, 2011

There are approximately 850 CME’s this quarter – more than is usually held in the fall time frame. There are only 12 CMEs in Anesthesiology and none of these are in medical legal updates! In fact, there are hardly any medical legal updates at all!!!

Ironically, the Surgeries and OB/Gyn have 87 CMEs – an all time high. Hemo/Onc and OTO have also increased their CME offerings – 45 combined total. Finally, Family Practice/Internal Medicine have 483 CMEs and none are in medical legal updates!

In addition, the AMA has created a social network for Doctors. We are also formulating a link with them, too.

Finally, our web site, is attracting over 400 hits every two weeks. We have a tracking company called Attracta, that reports the day, date and time the site is being viewed.

Since Spring of 2008, Doctors have been doing double duty. This resulted in the following kinds of thinking:
  • Doctors have en mass abandoned the ownership of private practices.
  • Political and personal points of view regarding health insurance mandates has shifted because of the increase costs to employer – now doctors are supporting mandates, as it may help their patients.
  • Many now believe that healthcare is a universal right – but profit making businesses should remover their role in either insuring people or providing for their care.
  • Many paying $85,000/year for medical malpractice insurance – sold their practices and took jobs with a local health care group. Thus, this ends the advocacy and liability issue for them.
  • They now focus on optimizing the patients’ experience.
  • Doctors who do not own their own practices were more likely than those who owned their practice to support this type of overhaul.
  • Nonetheless, ownership status does not necessarily lead to this change in political thinking.
  • It is to soon to tell if these changes are fleeting or not.
  • Medicine is not about running your own shop anymore.

research from The New York Times and Wall Street Journal

The Very Latest Trends Report – July 22, 2011

  • There in a movement to make all print media digital. There is a new group comprised of The Times, The New Yorker and Esquire which will be available in a dedicated magazine section called Verizon Wireless – VCAST Store. The App will allow the reader to sign up and download via this APP.

The Very Latest Trends Report – July 8, 2011

  • The higher gas prices are hurting the big box retailers. People are not going out to “shop” and spend time as they are conserving their gas and consolidating their shopping excursions.
  • There was a full page letter in 6 metro papers asking McDonald’s Corp. to change the contents of their Happy Meals. The request is to eliminate or cut down on the over saturated, sodium, sugar and high caloric contents. The call is for more corporate accountability.This is support by the American Academy of Child and Adolescent Psychiatry and Chicago Hispanic Health Coalition, as well as a number of nutrionists and doctors such as Andrew Weil, MD, Arizona Center for Integrative Medicine.

The Very Latest Trends Report – July 1, 2011

  • Hospitals can cut there bills by not running so many and so often the range of blood tests per patient. The normal run of tests can cost a hospital/patient approximately 30 K. Often the doctors have no idea of what the financial cost is for their tests.

The Very Latest Trends Report – June 24, 2011

  • Because of the hackers, Sony Corp, (and Epsilon, RSA, NASDAQ – to name a few) the Chief Information Officer (ICO) will now report to the CEO’s of said corporations.
  • The capnograpgh which measures the carbon dioxide expelled from the mouth can tell the rescuers whether or not the patient can be helped or is futile.
  • There are new pills vs. injections which offer an alternative to injections to treat MS patients. The cost is approximately 40 K a year after coming under a healthcare plan.

The Very Latest Trends Report – June 16, 2011

  • Linkedin – is increasing its’ IPO price by 30%.This shows the impact of networking amongst professionals looking for new jobs. This is demonstrated by Summer’s Go For IT!  recruitment issue. It has a distribution to 40 National Conferences and 40  Nursing and Allied Health conferences! In 25 years the industry  has never been a quarter with this many conferences!

The Very Latest Trends Report – May 13, 2011

  • The applicants only have 7 seconds to make a good impression – likewise so do the recruiters.
  • Possible Interview Result Outcomes:
  • Super Results – Applicant and Recruiter feel it is a great match and have accomplished their individual goals
  • Potential Results – Both say something similar to, ” I’ll get back to you in the next couple of days.”
  • Not Really – Limits interview time, deeply regrets they have very busy schedule and need to leave.

The Very Latest Trends Report – May 6, 2011

  • There has been a surge of recruiters cutting the salaries to doctors, once they sign on to work.
  • There is a shortage of CRNA’s – SelikoffEnterprises has access to several conference/job fairs starting in July. Let us know if these are staff people that you need.
  • It was shared in our office:
    95% have 10 + years of experience * 67% completely employed * 72% have Director level position or above
  • Average earnings for our market place is $172,000+

The Very Latest Trends Report – April 20, 2011


  • Many hospitals are having mistakes made in surgery and ob/gyn deliveries
  • Several hospitals are pulling their previous job openings due to lack of money, funding, patient availability
  • Urology openings are being created to serve the community as independent physicians vs. hospital employees
  • Hospital in AL is laying off doctors, Upstate NY group is in a financial challenge
  • Upstate NY hospital hired 4 anesthesiologist between December and April
  • Upstate VA PA is receiving an abundance of candidates
  • Recruiters are trying to make sure that if their telephone lines are busy – there is a “roll over” line to receive these calls
  • Central OH VA abundance of candidates

The Very Latest Trends Report – April 11, 2011

  • Smaller VAMC – PA hospital – fully staffed with doctors
  • Northern Utah hospital also fully staffed with doctors
  • Chase and Eddie Bauer had their credit card banks’ security breached
  • Endocrine Symposia on diabetic needs has been cancelled


The Very Latest Trends Report – April 4, 2011

  • Large hospital in CA is fully staffed and turning away doctor applicants
  • Mid – size hospital in surrounding Atlanta, GA is also fully staffed with doctors and turning away applicants
  • Mid – size hospital in MO is laying off staff
  • Mid – size hospital in New York – closed
  • Wall Street Journal completing  FL investigation looking for Medicare/Medicaid fraudulent billing practices
  • Equity loans on homes are very variable throughout the United States – CA cost of the loan 2.29, MA cost of the loan 14.50, WY cost of the loan 6.0


The Very Latest Trends Report – March 28, 2011

Monday on Fox news they learned that the staffers of Congress family members are exempt from having to pay back student loans. This will get national attention if other news networks will broadcast it. When you add this to the below, just where will all of it stop?

35 States file lawsuit against the Federal Government

Governors of 35 states have filed suit against the Federal Government for imposing unlawful burdens upon them. It only takes 38 (of the 50) States to convene a Constitutional Convention.

This will take less than thirty seconds to read. If you agree, please pass it on.

This is an idea that we should address.

For too long we have been too complacent about the workings of Congress. Many citizens had no idea that members of Congress could retire with the same pay after only one term, that they specifically exempted themselves from many of the laws they have passed (such as being exempt from any fear of prosecution for sexual harassment) while ordinary citizens must live under those laws. The latest is to exempt themselves from the Healthcare Reform.. in all of its forms. Somehow, that doesn’t seem logical. We do not have an elite that is above the law. I truly don’t care if they are Democrat, Republican, Independent or whatever. The self-serving must stop.

Proposed 28th Amendment to the United States Constitution: “Congress shall make no law that applies to the citizens of the United States that does not apply equally to the Senators and/or Representatives; and,

Congress shall make no law that applies to the Senators and/or Representatives that does not apply equally to the citizens of the United States ..”

The Very Latest Trends Report – February 25, 2011

  • There are four hospitals that have disbanded their human resource departments. There are eight hospitals that have replaced their long-term recruiters with new recruiters.
  • Most of the internet jobs are from Recruitment Firms, Traveler Companies, and private agencies. NurseFinders has been bought by a Texas corporation.
  • Medicare payments to physicians and hospitals may be cut by 25% at the end of the year.
  • The government must act on the Medicare payment action kit.