A Consensus Study: Generational Differences in Neurosurgeons' Perception of Retirement and Practice Limits

Rajagopal, Megan; Boyle, Joseph; Patel, Vishal C.; Opalak, Charles; Rivet, Dennis J.; Reavey‐Cantwell, John

doi:10.1016/j.wneu.2021.08.129

Cited by 3 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…29 However, among other surgical subspecialties, there is a reported trend toward later retirement. 30,31 Though this has not yet been shown within general surgery, an older average age of retirement could delay the steep rise in demand for new rural general surgeons. 29 Our predictive model was limited in its ability to reflect the changing work habits of general surgeons, though the career span sensitivity analysis attempts to provide more accurate representation within the limitations of current data.…”

Section: Limitationsmentioning

confidence: 99%

Characterizing Canadian rural general surgeons: trends over time and 10-year replacement needs

Ma,

Verhoeff,

Purich

et al. 2023

cjs

View full text Add to dashboard Cite

Background: Recruiting residents to practise rurally begins with an accurate characterization of rural surgeons. We sought to identify and analyze demographic trends among rural surgeons in Canada and to predict the rural workforce requirements for the next decade. Methods:In this retrospective observational study, we assessed the demographic and practice characteristics of rural general surgeons in Canada, defined as surgeons working in cities with a population of 100 000 or less. Surgeons were identified using the websites of provincial colleges of physicians and surgeons. Demographic characteristics included year and country of medical degree achievement, fellowship status and primary practice location. We developed a model predicting future rural workforce requirements based on the following assumptions: that the current ratio of rural surgeons to rural patients is adequate, that the rural population will increase by 1.1% annually, that a rural surgeon's career length is 36 years, and that 85 graduates will enter the workforce annually.Results: Our study sample included 760 rural general surgeons. The majority graduated after 1989 (75%), were Canadian medical graduates (73%) and did not complete a fellowship (82%). There was a significant shift toward rural surgeons being trained in Canada, from 37% of surgeons graduating before 1969 to 91% of those graduating after 2009 (p < 0.001). Modelling predicts 282 rural general surgeons will retire by 2031, with 88 new surgeons needed to account for the population growth. Therefore, we predict a demand for 370 rural surgeons over the next decade, meaning 43% of general surgery graduates will need to enter rural practice. Conclusion:Rural general surgeons in Canada vary widely in their background demographic characteristics. Future opportunities in rural general surgery are projected to increase. Recruitment and training of general surgery graduates to serve Canada's rural communities remains essential.Contexte : Le recrutement des résidents destinés à la pratique en milieu rural commence par une bonne caractérisation des chirurgiennes et chirurgiens en pratique rurale. Nous avons voulu identifier et analyser les tendances démographiques de la main-d'oeuvre en milieu rural au Canada afin de pouvoir en prédire les besoins pour la prochaine décennie.

show abstract

Section: Limitationsmentioning

confidence: 99%

Characterizing Canadian rural general surgeons: trends over time and 10-year replacement needs

Ma,

Verhoeff,

Purich

et al. 2023

cjs

View full text Add to dashboard Cite

show abstract

Trends in Leadership Among Neurosurgical Oncology Fellowships

et al. 2023

View full text Add to dashboard Cite

Typology of predictors of limitations to professionalization of physicians over working age in national health systems

Krom,

Sapogova,

Rebrova

et al. 2024

Sociology of Medicine

View full text Add to dashboard Cite

For modern national healthcare systems, the problem of personnel crisis and shortage of medical personnel is relevant. In recent decades, the professional activities of physicians in healthcare systems have become more complex. Social requirements for physicians are increasing, regulation of professional activities of physicians is becoming more and more rigid, and responsibility is increasing. However, the topic of professionalization of physicians of older working age in modern health care systems has so far remained on the periphery of research interests. The study aims to typologize the limitations of the professionalization of doctors over working age in modern healthcare systems. Due to the trend of demographic shift common to developed countries and the increase in the age range of professional life of the population in national health care systems, there is an increase in the number of working doctors of pre-retirement and retirement age. Physicians over working age of various medical specialties often face age-related problems of professional life, deteriorating health, and cognitive problems. The typology developed by the authors examines 2 groups of predictors of restrictions on the professionalization of doctors over working age: institutional (legislative decisions defining age restrictions on professional activity, conditions of professional activity, relationships in the team and with patients) and individual-personal (gender and age characteristics of doctors, somatic, cognitive and professional deprivation, psycho-emotional stress, financial ability to complete work, desire to change lifestyle and family circumstances). In the conditions of deficit and suboptimal structure of medical personnel in the Russian health care system, prolongation of effective professionalization of doctors is discussed as one of the directions of overcoming the personnel crisis. The development and adoption of managerial decisions aimed at overcoming the limitations of professionalization of doctors older than working age seems relevant. In this regard, the typology of predictors of the limitations of professionalization of physicians over working age is an important theoretical and applied task.

show abstract

A Consensus Study: Generational Differences in Neurosurgeons' Perception of Retirement and Practice Limits

Cited by 3 publications

References 17 publications

Characterizing Canadian rural general surgeons: trends over time and 10-year replacement needs

Characterizing Canadian rural general surgeons: trends over time and 10-year replacement needs

Trends in Leadership Among Neurosurgical Oncology Fellowships

Typology of predictors of limitations to professionalization of physicians over working age in national health systems

Contact Info

Product

Resources

About