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Biomedical subjects

W H Pearse

Publications and source records attributed to W H Pearse.

At least 55 records · Page 3Linked to original sources
PubMed1979

Academic manpower for obstetrics and gynecology in the United States.

All 119 medical schools in the United States provided information for a study of academic manpower conducted by the Association of Professors of Gynecology and Obstetrics (APGO). The average number of full-time faculty members per medical school is 13.2, with 2 positions vacant per school. Subspecialists are concentrated in university medical school departments, which also have large residency programs. A perceived need for 46% more faculty over the next 5 years will probably aggravate the shortage.

Canada↗
PubMed1979

Consolidation of hospital obstetric services--is it a reality?

Despite efforts toward regional planning of maternity services and consolidation of small hospital units, the number of US hospitals with maternity services has increased every year since 1973. Only 2 states have significantly reduced the number of hospitals performing less than 500 deliveries annually. The average number of annual deliveries per hospital is 728. No state has achieved an average number of deliveries as high as the 1500 deliveries called for in national guidelines for health planning.

Delivery, Obstetric↗
PubMed1978

Manpower for obstetrics-gynecology. I. Demographic considerations and practice work load.

A cooperative study between the University of Southern California Division of Research in Medical Education and the American College of Obstetricians and Gynecologists represents one subset of a large-scale study of manpower supply in obstetrics-gynecology. A stratified random sample of all obstetrician-gynecologists was obtained from the AMerican Medical Association's "Master File of Physicians." A total of 879 respondents (56 per cent of the sample) completed a detailed, one-week log of practice activities and self-descriptive questionnaire. This initial report describes these physicians by practice arrangement as related to age and geography. Practice work load is identified by encounter time per patient, work hours per day and week, and variations related to geographic location and population served. The descriptive findings may have important implications for manpower planning.

Adult↗
PubMed1978

Subspecialization manpower in obstetrics and gynecology.

Growing interest in the emergence of subspecialties within obstetrics and gynecology prompted a survey of all Junior Fellows of the ACOG. That survey, representing the attitudes and expectations of 1702 housestaff and practitioners, disclosed that nearly 31% of obstetric-gynecologic residents planned to subspecialize as contrasted to 19.5% of postresidency obstetrician-gynecologists who either engaged in or plan to engage in subspecialty training/practice. The highest demand areas seemed to be in endocrinology and perinatology, and most subspecialists either limit or plan to limit their practice to the area specified. There was, in addition, a general feeling that subspecialists should confine their activities to major medical centers, and an unfavorable attitude was expressed toward subspecialty-board-imposed practice restrictions. Details regarding the factors influencing Junior Fellows' response to subspecialization are discussed.

Attitude of Health Personnel↗
PubMed1977

Subspecialization in obstetrics and gynecology.

The formal development of subspecialities with obstetrics and gynecology has focused attention on problems of physician supply and demand. The need for subspecalized practitioners appears to be 750 in maternal-fetal medicine and 350 each in reproductive endocrinology and gynecologic oncology. Taken together, this number represents about 10 per cent of presently certified specialists. As supply is now developing, the demand in gynecologic oncology should soon be saturated, but there will be a longer term demand in maternal-fetal medicine and in reproductive endocrinology. However, the expectation of 30 per cent of present residents that they will enter subspecialities is far in excess of available fellowships or ultimate need. Fellowships leading to subspecialty certification should be approved by the Residency Review Committee, and numbers should be limited to best estimate of need.

Certification↗
PubMed1976

Doctors and patients in obstetrics and gynecology: the next 15 years.

The major impact on the development of obstetrics-gynecology during the next 15 years will come from the substantially increased number of of practicing physicians in the specialty and less rapidly increasing patient population they will serve. Even at present record low fertility rates, the annual number of births in the United States will increase slowly to a level near 4 million by the early 1980's; children already born will contribute to a 16 per cent increase in the female population 15 to 44 years of age between now and 1990. Over the same time interval, the number of practicing specialists will increase dramatically, based on rising numbers of medical school graduates and more Ob-Gyn residents; there will be a 52 per cent increase in certified specialists per unit population over the next 15 years.

Adolescent↗