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PubMedDate not supplied

International medical graduates and the primary care workforce for rural underserved areas.

The proportion of international medical graduates (IMGs) serving as primary care physicians in rural underserved areas (RUAs) has important policy implications. We analyzed the 2000 American Medical Association Masterfile and Area Resource File to calculate the percentage of primary care IMGs, relative to U.S. medical graduates (USMGs), working in RUAs. We found that 2.1 percent of both primary care USMGs and IMGs were in RUAs, where USMGs were more likely to be family physicians but less likely to be internists or pediatricians. IMGs appear to have been no more likely than USMGs were to practice primary care in RUAs, but the distribution by specialty differs.

American Medical Association↗
PubMedDate not supplied

The physician workforce: a medical school dilemma.

Richard Cooper has advanced a projection of a sizable deficit in physicians in the United States, requiring the training of as many as 10,000 additional physicians annually by the year 2025. He questions the ability of U.S. medical schools to "fill the gap." This challenge presents another important dilemma for medical education. Could the applicant pool be enlarged sufficiently to increase qualified applicants? Would medical schools be able to accommodate this increase in students? The impact of these increases could be an ultimate decrease in the quality of health care and the production of physicians who are not current with research findings, particularly in the area of genetics.

Forecasting↗
PubMedDate not supplied

Cardiology workforce: a shortage, not a surplus.

The United States faces a serious shortage of cardiologists as our population ages and the burden of heart disease grows. The problem is compounded by a cutback in the number of cardiology training positions a decade ago. Dramatic scientific, technological, and procedural advances fueled the growth of cardiology during the second half of the twentieth century. Patients benefited from access to specialists who transformed new knowledge into longer and better lives. Demand for cardiologists is strong and growing. An adequate supply of highly trained cardiologists is necessary to promote discovery and innovation and to help deliver state-of-the-art care to a growing number of cardiac patients.

Cardiology↗
PubMed1998

Demand-based assessment of workforce requirements for orthopaedic services.

On the basis of an analysis of the supply of and demand for orthopaedic surgeons, we projected that there will be 21,134 full-time-equivalent orthopaedists in the year 2010 if training continues at current levels. We estimated a demand-based requirement of 17,012 full-time-equivalent orthopaedic surgeons, indicating a surplus of 4122 full-time equivalents. In terms of orthopaedist-to-population ratios, we estimated that there will be 7.5 full-time-equivalent orthopaedists per 100,000 population in 2010 compared with a demand-based requirement of 6.0 full-time equivalents. However, we did not include estimates of the demand for orthopaedic surgeons as assistants in the operating room in our model. If an assistant orthopaedic surgeon is required for all procedures, an additional 3906 full-time-equivalent orthopaedists would be demanded, thus eliminating the surplus. The demand for an assistant orthopaedic surgeon in only half of the procedures would still lead to a sizable reduction in the surplus.

Emergency Service, Hospital↗