A Critical Deficit of OBGYN Surgeons in the U.S by 2030
Bhagwan Satiani, Thomas Williams, Mark Landon, Christopher Ellison, Steven Gabbe
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DOI: 10.4236/ss.2011.22020   PDF    HTML     7,897 Downloads   13,155 Views   Citations

Abstract

Objective: To estimate the OB/GYN Surgical workforce needed in the U.S by 2030 to meet the needs of our population. Methods: Using a population based analysis, the net supply of OB/GYNs was calculated. Our assumptions included: a ratio of OB/GYN's to population of 27.10/100,000 women, practicing 25 years from Board Certification to retirement, 1200 graduates finishing from residency programs per year. Results: To maintain our current ratio per 100,000 population, we should have 50,135 OBGYN's practicing for a population of 364 million in 2030. We estimate the supply to be only 30,000 and hence a shortage of 20,135. To rectify the deficit 44,135 residents will require training in OBGYN with the cumulative cost exceeding $14 billion. Conclusions: 1) We estimate a 40% shortage of OB/GYN's as the best case scenario to meet the needs of the U.S population by 2030 if the current training paradigm stays constant. 2) The cumulative cost of training adequate numbers of OB/GYN’s is estimated at $14 billion and 3) In addition to revising the BBA of 1997 to permit more residents to be trained in the United States, additional strategies must be considered to provide an adequate workforce and ensure patient access to OBGYN's.

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B. Satiani, T. Williams, M. Landon, C. Ellison and S. Gabbe, "A Critical Deficit of OBGYN Surgeons in the U.S by 2030," Surgical Science, Vol. 2 No. 2, 2011, pp. 95-101. doi: 10.4236/ss.2011.22020.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] A. M. N. Healthcare, “2009 Survey of Hospital Chief Executive Officers”, Clinical workforce issues, http://www.amnhealthcare.com/PDF/09CEOSurvey.pdf.
[2] Health Care Advisory Board, “Physician Recruitment: Attracting Talent in a Competitive Market,” Washington, DC: The Advisory Board Company, 2008. http://www.advisory.com/members/default.asp?contentID73082&collectionID1021&program14&filename73082.xml.
[3] Merritt Hawkins & Associates, “2009 Review of Physician & CRNA Recruiting Incentives,” http://merritthawkins.com/compensation-surveys.aspx.
[4] “AAMC 2007 Workforce Charts,” http://www.aamc.org/workforce/, accessed 12/23/2009.
[5] http://www.abms.org/News_and_Events/Media_Newsroom/facts_and_background.aspx, accessed 12/23/2009.
[6] http://www.census.gov/population/www/projections/usinterimproj/, accessed 12/23/2009.
[7] W. H. Pearse, W. H. J. Haffner and Primack A, “Effect of Gender on the Obstetric-Gynecologic Workforce,” Obstetrics and Gynecology, Vol. 97, No. 5, 2001, pp. 794-797. doi:10.1016/S0029-7844(01)01191-7
[8] R. A. Cooper, “It's Time to Address the Problem of Physician Shortages Graduate Medical Education Is the Key,” Annals of Surgery, Vol. 246, No. 4, 2007, pp. 527-534. doi:10.1097/SLA.0b013e3181571bc1
[9] I. Jacoby, G. S. Meyer and W. Haffner, “Modeling the Future Workforce of Obstetrics and Gynecology,” Obstetrics and Gynecology, Vol. 92, No. 3, 1998, pp. 450-456. doi:10.1016/S0029-7844(98)00185-9
[10] D. Etzioni, J. Liu, M. Maggard and C.Y. Ko, “The Aging Population and Its Impact on the Surgery Workforce,” Annals of Surgery, Vol. 238, No. 2, 2003, pp. 170-176. doi:10.1097/01.SLA.0000081085.98792.3d
[11] R. A. Cooper, T. E. Getzen and P. Laud, “Economic Expansion Is a Major Determinant of Physician Supply and Utilization,” Health Services Research, Vol. 38, No. 2, 2003, pp. 675-696. doi:10.1111/1475-6773.00139
[12] U.S. Department of Health and Human Services, Health Resources and Services Administration Bureau of Health Professions, “Physician Supply and Demand: Projections to 2020,” ftp://ftp.hrsa.gov/bhpr/workforce/PhysicianForecastingPaperfinal.pdf.
[13] Council on Graduate Medical Education, “Physician Workforce Policy Guidelines for the United States, 2000-2020, January 2005,” Sixteenth Report, https://services.aamc.org/Publications/showfile.cfm?file=version111.pdf&prd_id=229&prv_id=279&pdf_id=111.
[14] R. D. Blackwell, T. E. Williams and A. Ayers, “Consumer Driven Health Care,” Book Publishing Associates, 2005, pp. 127-130.
[15] R. A. Cooper, “Weighing the Evidence for Expanding Physician Supply,” Annals of Internal Medicine, Vol. 141, No. 9, 2004, pp. 705-714.
[16] http://www.census.gov/population/www/projections/usinterimproj/, accessed 12/23/2009.
[17] American College of Obstetricians and Gynecologists, Resource Center, Manpower Statistics, Courtesy Mary A Hyde, Director.
[18] Congressional Budget Office, http://www.cbo.gov/budget/factsheets/2008b/medicare.pdf.
[19] R. P. McAlister, D. P. Andriole and S. A. Brotherton, “Are Entering Obstetrics/Gynecology Residents More Similar to the Entering Primary Care or Surgery Resident Workforce?” American Journal of Obstetrics and Gynecology, Vol. 197, No. 5, 2007, pp. 5361-5366.
[20] Association of Academic Medical Centers, “The Complexities of Physician Supply and Demand,” http://services.aamc.org/publications/showfile.cfm?file=version125.pdf&prd_id=244&prv_id=299&pdf_id=125.
[21] T. J. Benedetti, L. M. Baldwin and H. A. Andrilla, “The Productivity of Washington State’s Obstetrician-Gynecologist Workforce: Does Gender Make a Difference?” Obstetrics and Gynecology, Vol. 103, No. 3, 2004, pp. 499-505. doi:10.1097/01.AOG.0000113617.94134.fd
[22] E. M. Lambert and E. S. Holmboe, “The Relationship Between Specialty Choice and Gender of U.S. Medical Students, 1990-2003,” Academic Medicine, Vol. 80, 2005, pp. 791-796. doi:10.1097/00001888-200509000-00003
[23] K. Keeton, D. E. Fenner, T. R. B. Johnson and R. A. Hayward, “Predictors of physician career satisfaction, work-life balance, and burnout,” Obstetrics and Gynecology, Vol. 109, No. 4, 2007, pp. 949-955. doi:10.1097/01.AOG.0000258299.45979.37
[24] R. L. Kravitz, J. P. Leigh, S. J. Samuels, M. Schembi and W. M. Gilbert, “Tracking Career Satisfaction and Perceptions of Quality Among US Obstetricians and Gynecologists,” Obstetrics and Gynecology, Vol. 102, No. 3, 2003, pp. 463-470. doi:10.1016/S0029-7844(03)00666-5
[25] Association of Academic Medical Centers, “Physician Specialty Data: A Chart Book. Center for Workforce Studies,” 2006, https://services.aamc.org/publications/showfile.cfm?file=version67.pdf&prd_id=160&prv_id=190&pdf_id=67.
[26] H. Yamagata, “Retirement Behaviors of Physicians Based upon the Physicians over 50 Survey,” Paper presented at the 2006 AAMC physician workforce research conference, 2006.
[27] J. E. McMurray, G. Angus, M. Cohen, “Work Hours: Medicine: A Four Nation Comparison,” Journal of the American Medical Women's Association, Vol. 57, No. 4, 2002, pp. 185-190.
[28] W. H. Pearse and J. G. Felden, “The Young Obstetrician-Gyneco-Logic Academic Faculty Manpower,” Obstetrics and Gynecology, Vol. 86, No. 5, 1995, pp. 1018-1020. doi:10.1016/0029-7844(95)00333-M
[29] J. Merritt, J. Hawkins and P. B. Miller, “Will the Last Physician in America Please Turn Off the Lights?” Practice Support Publisher, Vol. 18, 2006.
[30] W. H. Pearse, N. F. Gant and A. P. Hagner, “Workforce Projections for Sub Specialists in Obstetrics and Gynecology,” Obstetrics and Gynecology, Vol. 95, No. 2, 2000, pp. 312-314. doi:10.1016/S0029-7844(99)00545-1v
[31] American Academy of Family Physicians, “Practice Profile I Survey,” 2008.
[32] T. E. Williams and E. C. Ellison, “Population Analysis Predicts A Future Critical Shortage of General Surgeons Surgery,” Vol. 144, No. 4, 2008, pp. 548-556.
[33] T. E. Williams, B. Satiani, A. Thomas and E. C. Christopher, “The Impending Shortage and the Estimated Cost of Training the Future Surgical Workforce,” Annals of Surgery, Vol. 250, No. 4, 2009, pp. 590-597.
[34] A. Salim, P. G. R. Texeira, L. Chan and D. Oncel, “Impact of the 80-Hour Workweek on Patient Care at a Level I Trauma Center,” Archives of Surgery, Vol. 142, No. 8, 2007, pp. 708-714.
[35] Cejka Search & American Medical Group Association, “2007 physician retention survey,” http://www.cejkasearch.com/media/news/physician-retention-survey-2007-pr.htm.
[36] W. F. Rayburn, B. L. Anderson, J. V. Johnson, M. A. McReynolds and J Schulkin, Obstetrics and Gynecology, Vol. 115, 2010, pp. 141-146. doi:10.1097/AOG.0b013e3181c3f513
[37] L. Weinstein, “The Laborist: A New Focus of Practice for the Obstetrician,” American Journal of Obstetrics and Gynecology, Vol. 188, No. 2, 2003, pp. 310-312. doi:10.1067/mob.2003.133
[38] J. P. Leigh, R. L. Kravitz, M. Schembri, S. J. Samuels and S. Mobley, “Physician Career Satisfaction Across Specialties,” Archives of Internal Medicine, Vol. 14, No. 162, 2002, pp. 1577-1584. doi:10.1001/archinte.162.14.1577
[39] K. E. Adams, R. Allen and J. M. Cain, “Physician Reentry. A Concept Whose Time Has Come,” Obstetrics and Gynecology, Vol. 111, No. 5, 2008, pp. 1195-1198.

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