Projecting Surgeon Supply Using a Dynamic Model

Fraher, Erin; Knapton, Andy; Sheldon, George F.; Meyer, Anthony A.; Ricketts, Thomas C.

doi:10.1097/sla.0b013e31826fccfa

Cited by 61 publications

(41 citation statements)

References 23 publications

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“…This may become necessary with a projected 18% decline in the number of surgeons by 2028, which could worsen this disparity. 34 Alternatively, other policy interventions may focus on attracting and retaining these much-needed physicians to and in these underserved communities. Relieving student loan debt for physicians who accept work in rural and other underserved areas could also serve as an incentive to attract and retain young surgeons and other specialists in these areas.…”

Section: Discussionmentioning

confidence: 99%

Rural-Urban Differences in Access to Specialist Providers of Colorectal Cancer Care in the United States

2014

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Section: Discussionmentioning

confidence: 99%

Rural-Urban Differences in Access to Specialist Providers of Colorectal Cancer Care in the United States

2014

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“…6 In addition, the growth and aging of the population suggest a significant need for additional generalist physicians in areas such as neurology, surgery, and in surgical specialties such as orthopaedic surgery and otolaryngology. [17][18][19][20][21] Our findings suggest that if current trends continue, these needs are unlikely to be met.…”

Section: Discussionmentioning

confidence: 71%

Patterns of Change in ACGME-Accredited Residency Programs and Positions: Implication for the Adequacy of GME Positions and Supply of Physicians in the United States

Holt¹,

Miller²,

Philibert³

et al. 2014

Journal of Graduate Medical Education

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Background Recent studies suggest that the supply of primary care physicians and generalist physicians in other specialties may be inadequate to meet the needs of the US population. Data on the numbers and types of physicians-in-training, such as those collected by the Accreditation Council for Graduate Medical Education (ACGME), can be used to help understand variables affecting this supply. Objective We assessed trends in the number and type of medical school graduates entering accredited residencies, and the impact those trends could have on the future physician workforce. Methods Since 2004, the ACGME has published annually its data on accredited institutions, programs, and residents to help the graduate medical education community understand major trends in residency education, and to help guide graduate medical education policy. We present key results and trends for the period between academic years 2003–2004 and 2012–2013. Results The data show that increases in trainees in accredited programs are not uniform across specialties, or the types of medical school from which trainees graduated. In the past 10 years, the growth in residents entering training that culminates in initial board certification (“pipeline” specialties) was 13.0%, the number of trainees entering subspecialty education increased 39.9%. In the past 5 years, there has been a 25.8% increase in the number of osteopathic physicians entering allopathic programs. Conclusions These trends portend challenges in absorbing the increasing numbers of allopathic and osteopathic graduates, and US international graduates in accredited programs. The increasing trend in subspecialization appears at odds with the current understanding of the need for generalist physicians.

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“…Therefore, this could be implied that fewer incidents were due to unexpected and unpreventable events and more failures occurred in routine procedures. About 89% of failures were regarded as potentially preventable in this study, and this was estimated from 37.9% to 85% in other studies [4,8,[20][21][22].…”

Section: Discussionmentioning

confidence: 99%

Research Paper: Risk Assessment of Surgical Procedures in a Referral Hospital

Rezaei

Yarmohammadian

Taleghani

et al. 2017

hdq

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Background: Adverse Events (AEs) due to failure in healthcare procedures are common. These procedures are often evaluated independently. The objectives of this study are to investigate the nature of the failures in healthcare procedures of the surgical patients, assessing the frequency of these failures and preventability, and exploring their consequences, underlying causes, and prevention strategies in a referral hospital in the center of Iran. Materials and Methods:This study is a prospective quantitative and qualitative research. Focus Group Discussion (FGD) meetings have been conducted to understand potential failures, their consequences, causes, and prevention strategies. Afterwards, the frequencies of these concepts have been determined separately in predefined subcategories in each step of the process. Results:The first phase of the patient care process was the most risk-prone phase. Temporary or permanent disability at the time of discharge (final impacts), inflammation/infection (injuries), the rule-based behavior associated with coordination (causes), information and communication, preventability more than 50 were the most frequent failures and had achieved the highest score. Conclusion:Failures of healthcare processes are preventable to a high degree, although patients injure frequently. Interventions to mitigate these failures will enhance the reliability of surgical procedures.

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Projecting Surgeon Supply Using a Dynamic Model

Cited by 61 publications

References 23 publications

Rural-Urban Differences in Access to Specialist Providers of Colorectal Cancer Care in the United States

Rural-Urban Differences in Access to Specialist Providers of Colorectal Cancer Care in the United States

Patterns of Change in ACGME-Accredited Residency Programs and Positions: Implication for the Adequacy of GME Positions and Supply of Physicians in the United States

Research Paper: Risk Assessment of Surgical Procedures in a Referral Hospital

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