
For Hospitals
Architecting Your Physician Workforce
Physician staffing should do more than fill vacancies. Open Source MD works with hospitals and health systems to build, stabilize, and grow physician services around the needs of the hospital, its patients, and its medical staff.
A Different Approach to Physician Workforce Strategy
Persistent vacancies, physician turnover, locums dependence, service-line instability, and difficulty recruiting specialists can affect patient access, continuity, throughput, medical staff stability, growth, and financial performance. OSMD approaches these challenges as workforce and service-line problems rather than simply as open shifts that need to be filled.
OSMD is designed as a long-term, permanent workforce solution in which hospitals contract directly with physicians, while OSMD supports the physician workforce and service-line strategy. Our goal is to create physician programs that are more stable, more flexible, and better aligned with the strategic needs of the organization.

What OSMD Helps Hospitals Build
Stability
Create durable physician teams and reduce the repeated cycle of vacancies and temporary coverage.
Flexibility
Develop workforce capacity that can adapt as volumes and clinical programs change.
Alignment
Create stronger relationships among physicians, medical staff leadership, and hospital administration.
Growth
Support hospitals developing or expanding clinical service lines.
Continuity
Increase the likelihood physicians return consistently and become part of the medical community.
Performance
Build physician programs that support broader clinical, operational, and financial objectives.

Is Your Hospital a Fit for OSMD?
OSMD can work with hospitals of different sizes. The most important consideration is whether there is enough recurring physician need to support a meaningful, long-term OSMD presence. As a general guideline, OSMD partnerships typically involve the equivalent of at least two physicians working each day on an ongoing basis. Those physicians do not necessarily need to practice in the same specialty. The model is intended for durable, permanent physician relationships rather than short-term coverage.
The common denominator is not hospital size. It is sufficient recurring physician demand to support a durable partnership.
Three Ways OSMD Can Support a Hospital
The Infrastructure Behind the Physicians
Finding a physician is only one part of building a sustainable workforce. OSMD provides or coordinates certain services associated with OSMD opportunities and maintains relationships with independent third-party organizations that may offer additional resources.
- Other professional resources relevant to independent physicians
How Hospitals Can Leverage the Physician-Support Ecosystem
Hospitals recruit physicians with more than compensation and a schedule.
Recruitment differentiation
Physicians may see greater overall support than they would from a bare staffing arrangement alone.
Retention support
Access to resources beyond the clinical shift can make a long-term relationship more attractive and sustainable.
Reduced implementation burden
Hospitals can piggyback on support resources associated with OSMD rather than building every resource internally.
More complete physician value proposition
Hospitals can present an opportunity that includes professional infrastructure in addition to compensation and scheduling.

OSMD Is Not Locums or Temporary Staffing
OSMD does not provide locum, interim, temporary, or other short-term staffing. OSMD is designed for long-term, permanent physician workforce relationships in which hospitals contract directly with physicians. OSMD supports those relationships through workforce strategy, service-line development, physician recruitment, and professional infrastructure.
Medical Malpractice as Part of the Infrastructure
For some hospitals, medical malpractice requirements can create a practical obstacle when working directly with independent physicians. OSMD maintains relationships with independent providers that may offer coverage options to affiliated physicians. OSMD does not underwrite coverage, and the existence of malpractice coverage does not independently determine worker classification.
Building and Stabilizing Clinical Programs
- Stabilizing an existing physician service
- Replacing an unsustainable staffing model
- Reducing dependence on temporary coverage
- Supplementing an existing employed workforce
- Recruiting difficult-to-find physicians
- Developing or expanding a clinical service
- Coordinating physician resources across multiple specialties
- Supporting onboarding and physician integration

Built Around the Hospital
OSMD does not use one predetermined staffing template. Each hospital is evaluated individually based on existing physician resources, patient volume, physician requirements, service-line objectives, recruitment challenges, operational priorities, medical staff needs, growth strategy, and opportunities to integrate multiple specialties.
Proprietary Workforce Design
OSMD has developed proprietary workforce strategies designed to improve stability, flexibility, continuity, physician engagement, and hospital alignment.
Experience Beyond Staffing
OSMD leadership works alongside hospital and health-system executives on challenges extending beyond recruitment, including service-line stabilization, clinical program development, physician leadership, medical staff alignment, hospital turnaround initiatives, and engagement with governmental and community stakeholders.
A Hospital Executive’s Perspective
Bud Wethington personally observed OSMD operating within a hospital while serving as a hospital CEO. His perspective gives hospital leaders independent insight into OSMD from an executive who saw the model in practice.
Hospital FAQs
Is OSMD a locums or temporary staffing company?
No. OSMD does not provide short-term or temporary physician staffing. OSMD is designed around long-term, permanent physician workforce relationships in which hospitals contract directly with participating physicians.
Our goal is to help hospitals establish durable physician teams and clinical programs rather than fill isolated temporary assignments.
What types of hospitals are a good fit for OSMD?
OSMD can work with community hospitals, medium-sized hospitals, and larger health systems.
The most important consideration is whether there is sufficient recurring physician need to support a meaningful long-term OSMD relationship. As a general guideline, OSMD partnerships typically involve the equivalent of at least two physicians working each day on an ongoing basis.
Those physicians may practice within one specialty or across multiple specialties.
Does OSMD have to take over an entire physician service?
No.
OSMD may provide most or all of the physicians required for a service line, but OSMD can also provide a stable portion of the workforce alongside an existing hospital-employed physician group.
The appropriate structure depends on the hospital’s existing medical staff and long-term workforce needs.
Can an OSMD partnership include multiple specialties?
Yes.
The recurring physician requirement supporting an OSMD relationship can be distributed across several specialties rather than concentrated in one clinical service.
This allows hospitals to address multiple physician and service-line priorities through one broader OSMD relationship.
What physician services does OSMD currently support?
Current OSMD physician services include Hospital Medicine; Pulmonary & Critical Care; Cardiology; Trauma Surgery; Primary Care; and Urgent Care.
Additional physician services are evaluated individually based on hospital need, physician availability, market conditions, infrastructure, and the ability to create a sustainable long-term program.
Can OSMD stabilize an existing program?
Yes.
OSMD can work with hospitals facing physician turnover, persistent vacancies, recruitment difficulties, lack of continuity, or instability within an established clinical program.
The objective is to create a more durable physician workforce and strengthen long-term relationships among physicians, hospital leadership, and the medical staff.
Can OSMD help develop or expand a service line?
Yes.
OSMD can work with hospital leadership to evaluate and support the physician workforce needed to establish, restructure, or expand a clinical service.
This may include physician recruitment, workforce planning, onboarding, physician integration, and long-term program development.
How is OSMD different from a traditional staffing company?
Traditional staffing models commonly focus on filling individual openings or temporary coverage needs.
OSMD is designed around long-term physician workforce and service-line strategy. Participating physicians contract directly with hospitals, while OSMD focuses on physician recruitment, workforce stability, continuity, hospital-physician alignment, clinical program development, and the professional infrastructure that can help support long-term physician relationships.
What business and professional resources are available to physicians?
OSMD-affiliated physicians may have access to resources through OSMD and independent third-party relationships, including medical malpractice resources, health insurance resources, banking and lending, physician mortgage programs, wealth architecture, credentialing and onboarding support, physician logistics where applicable, and other professional resources relevant to independent practice.
Many of these services are optional and are provided independently.
Why does physician-support infrastructure matter to a hospital?
Recruiting physicians requires more than offering compensation and clinical work.
Physicians may also need malpractice coverage, health insurance resources, banking and financial services, administrative support, and other professional infrastructure.
Access to a broader support ecosystem can help a hospital create a more compelling recruitment proposition, reduce practical barriers for physicians, and support longer-term retention.
Does OSMD help physicians obtain malpractice coverage?
OSMD maintains relationships with independent medical malpractice providers that may offer physician-focused coverage options to affiliated physicians.
Physicians independently evaluate the available coverage and enter into their own relationship with the insurer.
OSMD does not underwrite malpractice insurance or guarantee the suitability of any particular policy.
Does OSMD determine employee versus independent contractor classification?
No.
Worker classification depends on the overall facts and circumstances of the relationship and applicable law.
No individual feature of OSMD’s model determines whether a physician should be classified as an employee or independent contractor. Hospitals should rely on their own legal and tax advisors regarding classification.
Does OSMD replace medical staff leadership?
No.
OSMD works collaboratively with hospital executives, medical staff leadership, clinical teams, and physicians.
The objective is to strengthen physician-hospital alignment and clinical programs, not replace the hospital’s established medical staff leadership structure.
Does OSMD use the same workforce model at every hospital?
No.
Every hospital differs in patient volume, physician resources, specialties, recruitment environment, clinical priorities, and long-term objectives.
OSMD evaluates each organization individually. The specific workforce design is developed around those needs, while the detailed operating methods remain proprietary to OSMD.
Can OSMD support employed and independent physicians within the same hospital?
Yes.
An OSMD partnership does not require a hospital to eliminate or replace its employed physicians.
OSMD-affiliated physicians can work alongside hospital-employed physicians as part of a broader clinical team when that structure supports the hospital’s long-term workforce needs.
How does a hospital relationship with OSMD begin?
It begins with a discussion about the hospital’s physician workforce, existing medical staff, service-line priorities, recruitment challenges, and long-term objectives.
OSMD then evaluates whether the organization has an appropriate recurring physician need and whether the OSMD model can provide a sustainable long-term solution.

