Surgical workforce since the 1975 study of surgical services in the United States : An update

Published on Oct 1, 2007in Annals of Surgery12.969
路 DOI :10.1097/SLA.0B013E3181571CA1
George F. Sheldon31
Estimated H-index: 31
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Abstract
馃摉 Papers frequently viewed together
20072.47JAMA
1 Author (Josef E. Fischer)
References3
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#1George F. Sheldon (UNC: University of North Carolina at Chapel Hill)H-Index: 31
Healthcare in the 21st century will be characterized by an aging population, increased costs, and scientific and technological advances. It will be characterized by a physician shortage, especially of specialists. Healthcare will be increasingly provided by caregivers with a spectrum of diverse educational backgrounds other than M.D. graduates of United States medical schools, such as international medical graduates, Doctors of Osteopathy, and Non-Physicians Clinicians. General surgery and other...
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#1Karyn B. Stitzenberg (UNC: University of North Carolina at Chapel Hill)H-Index: 20
#2George F. Sheldon (UNC: University of North Carolina at Chapel Hill)H-Index: 31
Background Although most general surgeons receive comparable training leading to Board certification, the services they provide in practice may be highly variable. Progressive specialization is the voluntary narrowing of scope of practice from the breadth of skills acquired during training; it occurs in response to patient demand, rapid growth of medical knowledge, and personal factors. Progressive specialization is increasingly linked to fellowship training, which generally abruptly narrows a s...
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#1Olga Jonasson (ACS: American College of Surgeons)H-Index: 41
#2Francis KwakwaH-Index: 5
Last. George F. SheldonH-Index: 1
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Objective. 鈥擳o provide a reasonable estimate of the patient care and resident physician workforce practicing general surgery in 1994. Design. 鈥擠ata regarding general surgical residents and practicing general surgeons were obtained from four sources and compared with previously published numbers. Data Sources. 鈥擨nformation was derived from the American College of Surgeons'Longitudinal Study of Surgical Residents: 1992-1993; the American Medical Association'sPhysician Characteristics and Distribut...
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Cited By41
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#1Eric Fichtel (VT: Virginia Tech)H-Index: 2
#2Nathan Lau (VT: Virginia Tech)H-Index: 10
Last. Shawn D. Safford (VT: Virginia Tech)H-Index: 19
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Background Eye-gaze metrics derived from areas of interest (AOIs) have been suggested to be effective for surgical skill assessment. However, prior research is mostly based on static images and simulated tasks that may not translate to complex and dynamic surgical scenes. Therefore, eye-gaze metrics must advance to account for changes in the location of important information during a surgical procedure.
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Purpose Our objective was to determine if there was an association between subspecialist supply and a specific sub-set of procedures performed by pediatric surgeons over a 10-year period.
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#1E. Christopher Ellison (OSU: Ohio State University)H-Index: 42
#2Timothy M. Pawlik (OSU: Ohio State University)H-Index: 121
Last. Thomas E. Williams (OSU: Ohio State University)H-Index: 23
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Abstract Background In 2008, we projected that a deficit in the general surgical workforce would grow to 19% by 2050. We reexamined population-based general surgical workforce projections to determine the impact of recent changes in population estimates and trends in certification and General Surgery Residency. Methods We reviewed the Census Bureau data and the potential pool of general surgeons defined by American Board of Surgery certificates, residents completing Accreditation Council for Gra...
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#1E. Christopher Ellison (OSU: Ohio State University)H-Index: 42
#2Timothy M. Pawlik (OSU: Ohio State University)H-Index: 121
Last. Thomas E. Williams (OSU: Ohio State University)H-Index: 23
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Abstract Background Assessments of the future general surgery workforce continue to project substantial shortages of general surgeons. The general surgery workforce is targeted currently to maintain a surgeon/population ratio of 6.5鈥7.5/100,000. Methods We examined population and age-associated incidence of cancer to estimate the number of general surgeons needed for initial surgical treatment of the patient with cancer in the year 2035 compared with 2010. We hypothesized that the number of gene...
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#1Maria Baimas-George (Tulane University)H-Index: 6
#2Brian Fleischer (Tulane University)H-Index: 3
Last. Christopher DuCoin (Tulane University)H-Index: 7
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Objective It is believed that spending additional years gaining expertise in surgical subspecialization leads to higher lifetime revenue. Literature shows that more surgeons are pursuing fellowship training and dedicated research years; however, there are no data looking at the aggregate economic impact when training time is accounted for. It is hypothesized that there will be a discrepancy in lifetime income when delay to practice is considered. Design Data were collected from the Medical Group...
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#1Knut Magne Augestad (Oslo University Hospital)H-Index: 20
#2H. Han (Southern Illinois University School of Medicine)H-Index: 1
Last. John D. Mellinger (Southern Illinois University School of Medicine)H-Index: 29
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Background Surgical telementoring (ST) was introduced in the sixties, promoting videoconferencing to enhance surgical education across large distances. Widespread use of ST in the surgical community is lacking. Despite numerous surveys assessing ST, there remains a lack of high-level scientific evidence demonstrating its impact on mentorship and surgical education. Despite this, there is an ongoing paradigm shift involving remote presence technologies and their application to skill development a...
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#1Richard A. Falcone (Cincinnati Children's Hospital Medical Center)H-Index: 30
#2William J. Milliken (St Mary's Hospital)H-Index: 1
Last. Victor F. Garcia (Cincinnati Children's Hospital Medical Center)H-Index: 38
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Pediatric trauma centers (PTCs) are concentrated in urban areas, leaving large areas where children do not have access. Although adult trauma centers (ATCs) often serve to fill the gap, disparities exist. Given the limited workforce in pediatric subspecialties, many adult centers that are called upon to care for children cannot sufficiently staff their program to meet the requirements of verification as a PTC. We hypothesized that ATCs in collaboration with a PTC could achieve successful America...
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#1Stephen C. GaleH-Index: 13
#2Dena Arumugam (RU: Rutgers University)H-Index: 4
Last. Viktor Y. DombrovskiyH-Index: 26
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Traditionally, general surgeons provide emergency general surgery (EGS) coverage by assigned call. The acute care surgery (ACS) model is new and remains confined mostly to academic centers. Some argue that in busy trauma centers, on-call trauma surgeons may be unable to also care for EGS patients. In New Jersey, all three Level 1 Trauma Centers (L1TC) have provided ACS services for many years. Analyzing NJ state inpatient data, we sought to determine whether outcomes in one common surgical illne...
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#1Eric W. Fonkalsrud (UCLA Medical Center)H-Index: 7
#2James A. O'Neill (Monroe Carell Jr. Children's Hospital at Vanderbilt)H-Index: 40
Last. James C.Y. Dunn (UCLA Medical Center)H-Index: 49
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Abstract Background Physician workforce studies indicate that more specialists contribute to higher average costs. The closely monitored pediatric surgery specialty may reflect what is occurring in other specialties. Methods This report reviews the number of complex operations performed on infants and children in 1970, with Results In 2010, approximately 10,710 complex index operations were performed on children in the United States by certified pediatric surgeons, resulting in 9.5 per surgeon a...
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#1Karen E. Deveney (OHSU: Oregon Health & Science University)H-Index: 27
#2Mark DeatherageH-Index: 1
Last. John G. Hunter (OHSU: Oregon Health & Science University)H-Index: 72
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Importance Although projections of surgical workforce predict an increased need for general surgeons, especially in rural areas, graduates of residency programs increasingly enter urban or metropolitan specialty practice. Objective To determine whether fourth-year residents at a hospital in a rural setting were more likely to enter general surgery practice than a specialty. Design, Setting, and Participants In 2002, we initiated a year-long program for fourth-year residents. The records of all s...
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