Hospitals Don't Have a Staffing Problem. They Have an Access Problem.
Healthcare begins with access. Preferred Solutions was founded by physicians who believed hospitals deserve a more sustainable model for delivering specialty care—one grounded in long-term partnerships that strengthen programs and expand access for patients.
Protecting patient access is not an HR initiative. It is a system-wide strategy.
Vacancies Are Symptoms
The real problem is a staffing model built to react, not sustain.
Access Requires Durability
Care programs need infrastructure that holds when physicians leave and demand grows.
We Build the System
Not a placement. A program designed to deliver specialty care long after we leave the room.
Five principles behind every partnership
Long-Term Partnership Mindset
Temporary fixes do not protect access. The strongest programs are not filled quickly. They are built deliberately, with partners who are still here five years from now.
Demand-Driven Capacity Planning
Built around what your community actually requires, not what your hiring calendar allows. Referral patterns and acuity trends tell us more about real need than any open position ever will.
Integrated Operational Alignment
Access depends on more than clinicians. Scheduling, credentialing, and referral workflows are not operational details. They are the infrastructure access depends on, and friction in any of them limits care just as much as a staffing gap.
Physician Sustainability
Burnout ends access. When providers are overextended, programs contract and patients absorb the gap. We design models that protect physicians and programs alike.
Patient Access First
Access is not protected by filling isolated shifts. Stable service lines protect patients, build trust with referring providers, and break the cycle of disruption that temporary coverage creates.
Why we operate differently
Our approach is built on principles most locum companies skip entirely. See what sets us apart.
The Standard We Build Toward
One story captures why we do this.
In a rural community in Washington, a patient preparing for surgery asked whether she should travel to Seattle for better care. The surgeon treating her stopped the conversation. She was Harvard trained. One of the best vascular surgeons in the country. She happened to be there because of a Preferred Solutions program.
That patient stayed home. That is the point.
Our physician-led medical operations group personally evaluates every candidate for clinical competence and cultural fit. Our standard is simple: your team should not be able to tell our physicians are not permanent employees.
What our Partners Say
"Preferred Solutions has delivered value throughout the entire enterprise. Their surgeons are well-trained and excellent team players. Their leadership is tireless in their support of a successful program. Our experience has been so positive that we are now engaging them in other surgical and procedural specialties."
They expanded from vascular surgery into multiple specialty service lines following their initial engagement with Preferred Solutions.
"We needed expert vascular surgeons with a good skill set in open and endovascular care along with personalities that gave confidence to our Medical Center. Preferred Solutions delivered a great vascular package for our hospital that positioned us for success while we built our program around their service."
They used Preferred Solutions to launch and establish their vascular program, building the foundation for a self-sustaining service line.
What We Manage For You
Physician Recruiting
Sourced, personally evaluated, and matched to your clinical environment and culture. Every candidate vetted for surgical specialty fit and the softer qualities that determine whether they last.
Credentialing and Compliance
We function as a dedicated credentialing department for your hospital. License renewals, privileging, board certifications, vaccination tracking, and ongoing compliance. Nothing on your plate.
Scheduling
Dynamic workforce optimization built around patient demand, not shift fulfillment. Planned five to six months in advance. All coordination handled by our team.
Medical Operations and Clinical Oversight
Direct clinical oversight from our physician-led operations group. Real-time support, best practice implementation, and outcomes-based performance monitoring throughout every engagement.
Conflict Resolution and Retention
When friction arises between a physician and a facility, we intervene directly. Issues are surfaced to our medical operations team, not left to the hospital to manage. Retention is proactive, not reactive.
Travel and Logistics
We manage all physician travel and logistics end to end. Hospitals free up resources and focus on patient care.
Consolidated Billing and Financial Transparency
Single invoice. Detailed accounting. Transparent reporting that minimizes administrative workload and gives your leadership team a clear picture of program performance.
Fair Market Value Analysis
FMV should not be the tool someone uses against you in a rate negotiation. We bring clinical insight and operational data together so the compensation framework you build is competitive, defensible, and yours to stand behind.
Protecting patient access is not an HR initiative. It is a system-wide strategy.
- Every staffing decision is an access decision
- When a service line goes dark, patients leave and revenue follows
- We start by asking what the community actually needs, not what positions are open
- Coverage is built around patient demand, not the hiring calendar
- Operational support is designed around the program, not the placement
- Success is measured over time, not at the moment of hire
Clinical competence gets you in the room. Cultural fit gets you placed.
- Every candidate personally evaluated by our physician-led medical operations group
- Clinical competence is the floor, not the ceiling
- Emotional intelligence, temperament, and adaptability are assessed in every interview
- The standard: your team should not be able to tell our physicians are not permanent employees
- Three to four hand-selected candidates presented, not a stack of CVs
- By the time you review a name, we have already done the work
From Urgent Coverage Gaps to a Sustainable Care Model in 90 Days
Strategic assessment
Market analysis, service line evaluation, cultural review, and third-party demand data. We learn before we place.
Physician selection
Our physician-led medical operations group personally evaluates every candidate for clinical competence and cultural fit. You receive three to four hand-selected physicians, not a stack of CVs.
Full operational support
Credentialing, scheduling, compliance, logistics, and ongoing clinical oversight. One partner. One point of accountability.
Ongoing Service Line Growth
Outcome tracking, workflow optimization, and long-term sustainability planning. We do not disappear after placement. We stay.
Most hospitals don't know what traditional staffing is actually costing them.
WHAT’S INSIDE
✓ True cost of a failed physician search
✓ What fragmented vendors leave unaccounted
✓ Program stability vs. shift coverage, side by side
✓The financial case for a single program partner
How we’ll work together
For Hospitals
You need a program that lasts, not a vendor who fills a gap. We build the infrastructure behind specialty care that your community can depend on.
For Physicians
You want work that matters to a community, not a schedule. We place physicians in long-term engagements where the relationships run deep.
Common Questions
Traditional staffing firms match availability to openings. We build programs.
Before we place anyone, we analyze your market, assess your facility, and understand what it takes to succeed in your specific environment. Every physician we place has been personally evaluated by our physician-led medical team for clinical competency and cultural fit. We then stay involved monthly with oversight, check-ins, and program development. Most staffing firms disappear after placement. We stay.
We focus on hospital-based surgical and procedural specialties: vascular surgery, cardiothoracic surgery, and general surgery. For specialties not listed, contact us. Our model can be applied to any service line that requires physician-led, long-term program management.
For immediate coverage needs, initial placement typically follows within two to four weeks of our assessment. For program building engagements, our full 90-day arc delivers the strategic foundation and physician consistency needed for long-term success.
Still have questions?
Ready to build something that lasts?
Whether you are a hospital that has been trying to solve this for years or a physician looking for work with real roots, the first step is a conversation.