The Coming Shortage of Surgeons: Why They Are Disappearing and What That Means for Our Health

by Williams, Thomas E., Jr., M.D., Ph.D.; Satiani, Bhagwan, M.D.; Ellison, E. Christopher; Russell, Thomas R., M.D.

• ISBN13: 9780313380709
• ISBN10: 0313380708
• Edition: 1st
• Format: Hardcover
• Copyright: 2009-09-15
• Publisher: Greenwood Pub Group

Summary

The Coming Shortage of Surgeons: Why They Are Disappearing and What That Means for Our Health is the only quantitative analysis of the workforce in orthopedic and thoracic surgery, otolaryngology, obstetrics and gynecology, general surgery, neurosurgery, and urology. It analyzes the demand and supply for these surgeons and gives the causes and remedies for these shortages.The Coming Shortage of Surgeons quantifies the demand for the surgical workforce, then examines the constraints to supply, which include soaring tuition and medical students' debts, the demand for a controllable or scheduled lifestyle, malpractice premium expenses, early retirement, and perhaps the most difficult hurdle to overcome: the provision in the Balanced Budget Act of 1997 that caps all medical and surgical residencies at 1996 levels.

Table of Contents

List of Figures	p. ix
List of Tables	p. xiii
Series Foreword	p. xv
Foreword	p. xvii
Preface	p. xix
Acknowledgments	p. xxi
Acronyms	p. xxiii
The Problem	p. 1
Demand for a Surgical/Medical Workforce	p. 10
Surgical Supply: Residents-The Future Surgeons	p. 22
Constraints to Supply: Pertinent Issues	p. 32
Calculating Physician Supply: The Model-Assumptions, Relevant Parameters, and the Algorithm	p. 54
Orthopedic Surgery	p. 67
Cardiothoracic Surgery	p. 72
Otolaryngology	p. 78
Obstetrics and Gynecology	p. 85
General Surgery	p. 93
Neurosurgery	p. 103
Urology	p. 108
The Last Hurdle: The Balanced Budget Act of 1997 and Graduate Medical Education Funding	p. 114
Is There a Solution? Numerical Projections, and Improving Physicians' Productivity	p. 127
Challenges and Consequences	p. 144
Epilogue	p. 156
Appendix	p. 159
Notes	p. 165
Index	p. 187
About the Authors	p. 193
About the Series Editor	p. 195
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