Estimates of physician requirements for 1990 for the specialties of neurology, anesthesiology, nuclear medicine, pathology, physical medicine and rehabilitation, and radiology. A further application of the GMENAC methodology

Abstract

The Graduate Medical Education National Advisory Committee (GMENAC) adjusted needs-based model for determining physician requirements was applied to the specialties of anesthesiology, neurology, nuclear medicine, pathology, physical medicine and rehabilitation, and radiology, which had not been completed at the time of the original GMENAC final report. Physical medicine and rehabilitation continues to be projected as a shortage specialty; anesthesiology is in near balance. Neurology and pathology are no longer projected to be specialties of oversupply, but rather to be in near balance. Diagnostic radiology continues to be projected as a specialty of oversupply; therapeutic radiology is projected to be in near balance, as is nuclear medicine. The GMENAC aggregate-requirements estimates are thus revised upward from 466,000 to 473,000 full-time equivalent physicians for 1990, reducing the projected surplus from 15.0% to 13.3%.

Pathologist Workforce in the United States: I. Development of a Predictive Model to Examine Factors Influencing Supply

“…The studies reported earlier, 10,11 while large in scope, were unable to comprehensively survey the entire specialty. Our study tried to account for and quantify as many variables as possible that are associated with the pathologist workforce supply, including (1) additions to the workforce in terms of residents, fellows, and IMGs; (2) separations from the workforce in the form of retirement, death, and emigration; and (3) the supply of extenders (PAs and PhD holders). We also were able to identify variables which, while present, were of much more limited influence (in particular, work effort as a function of sex or age).…”

“…ince the early 1970s, several high-level analyses have assessed the manpower needs of pathologists either broadly as a specialty, [1][2][3][4][5] or more narrowly in the community practice setting, 6,7 also referred to as private practice. Two analyses 8,9 have examined single pathology subspecialty needs, and two 10,11 have focused in depth on academic health centers (AHCs) (see Table 1 for a complete list of acronyms).…”

Clinical Telerehabilitation: Applications for Physiatrists

“…Physiatrists perform comprehensive diagnoses of impairments and disabilities, and design a multidisciplinary approach to care that maximizes function and minimizes secondary complications throughout a person's lifetime. Unfortunately, there are many challenges that limit the ability to deliver this comprehensive coordinated care to all those who might benefit from it [2‐4]. Not only is there a workforce shortage within the specialty of physiatrists to meet the needs of patients [4,5], but there also is a particular shortage of physiatrists who focus on the management of nonmusculoskeletal problems of patients.…”

“…Unfortunately, there are many challenges that limit the ability to deliver this comprehensive coordinated care to all those who might benefit from it [2‐4]. Not only is there a workforce shortage within the specialty of physiatrists to meet the needs of patients [4,5], but there also is a particular shortage of physiatrists who focus on the management of nonmusculoskeletal problems of patients. More graduating residents are pursuing musculoskeletal spine fellowships [6], which leads to lower numbers of physiatrists to provide care for children and adults with stroke, spinal cord injury, and other neuromuscular conditions.…”

Growing Academic Physiatry: The Impact of the Baruch′s Grants on Harvard Medical School and Columbia College of Physicians and Surgeons. Part II

“…The workforce study by the Graduate Medical Education National Advisory Committee (GMENAC) in the 1980s identified the need to fund undersupplied fields such as physiatry . The increased emphasis and funding for resident training by the GMENAC report facilitated an increase in the number and competency of young physiatrists .…”