Workforce Shortage for General Surgeons: Results from the Society for Surgery of the Alimentary Track (SSAT) Surgeon Shortage Survey

Journal of Gastrointestinal Surgery

Volumn 18, Issue 12, 2014, Pages 2061-2073

  Reid Lombardo, KMarie ^a   Glass, Charity Celeste ^b   Marcus, Stuart G ^c   Liesinger, Juliette ^a   Jones, Daniel B ^b   the Public Policy and Advocacy Committee of the SSAT, ^d  

^a MAYO CLINIC   (United States)

^b BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^c ST VINCENT S MEDICAL CENTER   (United States)

^d Society for Surgery of the Alimentary Tract   (United States)

Author keywords

Physician workforce; Public policy; SSAT; Surgeon shortage; Survey

Indexed keywords

ABDOMINAL SURGERY; ADULT; DECISION MAKING; EDUCATION; FEMALE; GENERAL SURGERY; HUMAN; MALE; MANPOWER; MEDICAL EDUCATION; MEDICAL SOCIETY; MEDICAL STUDENT; MIDDLE AGED; QUESTIONNAIRE; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; SUPPLY AND DISTRIBUTION; SURGEON; UNITED STATES; YOUNG ADULT;

ADULT; CAREER CHOICE; DIGESTIVE SYSTEM SURGICAL PROCEDURES; FEMALE; GENERAL SURGERY; HUMANS; INTERNSHIP AND RESIDENCY; MALE; MIDDLE AGED; QUESTIONNAIRES; RETROSPECTIVE STUDIES; SOCIETIES, MEDICAL; STUDENTS, MEDICAL; SURGEONS; UNITED STATES; YOUNG ADULT;

EID: 84911985933     PISSN: 1091255X     EISSN: 18734626     Source Type: Journal    
DOI: 10.1007/s11605-014-2636-8     Document Type: Article

References (43)

1. Williams, T.E., Jr. and E.C. Ellison, Population analysis predicts a future critical shortage of general surgeons. Surgery, 2008. 144(4): p. 548–54; discussion 554–6.
2. Williams, T.E., Jr., B. Satiani, and E.C. Ellison, A comparison of future recruitment needs in urban and rural hospitals: the rural imperative. Surgery, 2011. 150(4): p. 617–25.
3. Health Resources and Services Administration, Physician Supply and Demand: Projections to 2020. 2006.
4. Fischer, J., The impending disappearance of the general surgeon. JAMA, 2007. 298(18): p. 2191–2193.
5. Sheldon, G.F., Access to care and the surgeon shortage: American Surgical Association forum. Annals of Surgery, 2010. 252(4): p. 582–90.
6. The World Bank. Health expenditure, total (% of GDP) 2014 [cited 2014]; Available from: http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS. Accessed 25 Mar 2014
7. Executive Office of the President of the United States, The Economic Case for Health Care Reform, Executive Office of the President Council of Economic Advisers, Editor 2009: Washington D.C.
8. United States Senate and House of Representatives. 105th Congress. H.R. 2015; Pages: 111, STAT. 251, Public Law 105-33: An Act to provide for reconciliation pursuant to subsections (b)(1) and (c) of section 105 of the concurrent resolution on the budget for fiscal year 1998. Short title: The Balanced Budget Act of 1997. Washington: Government Printing Office, 1997. http://www.gpo.gov/fdsys/pkg/PLAW-105publ33/html/PLAW-105publ33.htm. Accessed 24 Apr 2014
9. Program for uninsured cuts ED visits, admissions. Hospital Case Management, 2012. 20(10): p. 154–5.
10. DeHaven, M., et al., The effects of a community-based partnership, Project Access Dallas (PAD), on emergency department utilization and costs among the uninsured. Journal of Public Health, 2012. 34(4): p. 577–83.
11. Henningsen, J.A., Why the numbers are dropping in general surgery: the answer no one wants to hear–lifestyle! Archives of Surgery, 2002. 137(3): p. 255–6.
12. Borman, K.R., et al., Changing demographics of residents choosing fellowships: longterm data from the American Board of Surgery. Journal of the American College of Surgeons, 2008. 206(5): p. 782–8; discussion 788–9.
13. American Medical Association. AMA Physician Masterfile. 2009 [cited 2012 10/29/2012]; Available from: http://www.ama-assn.org/ama/pub/about-ama/physician-data-resources/physician-masterfile.page. Accessed 25 Mar 2014
14. American Association of Colleges of Osteopathic Medicine, 2011–2012 Osteopathic Medical College Total Enrollment, by State of Legal Residence, American Association of Colleges of Osteopathic Medicine, Editor 2012: Chevy Chase, MD.
15. Charles, A.G., et al., Increasing the number of trainees in general surgery residencies: is there capacity? Academic Medicine, 2011. 86(5): p. 599–604.
16. Youngclaus, J. and J. Fresne, Physician Education Debt and the Cost to Attend Medical School, 2013, Association of American Medical Colleges.
17. Work, S.C.S.f.S. National Health Service Corporation—State Loan Repayment Program. 2014.
18. Akl, E.A., et al., The United States physician workforce and international medical graduates: trends and characteristics. Journal of General Internal Medicine, 2007. 22(2): p. 264–8.
19. Council on Graduate Medical Education, Summary of Third Report: Improving Access to Health Care Through Physician Workforce Reform: Directions for the 21st Century Council on Graduate Medical Education 1992, U.S. Department of Health and Human Services: Washington DC
20. Mitchell, D. and S. Lassiter, Addressing health care disparities and increasing workforce diversity: the next step for dental, medical, and public health professions. American Journal of Public Health, 2006. 96(12): p. 2093–2097.
21. Armstrong, K., et al., Prior experiences of racial discrimination and racial differences in health care system distrust. Med Care, 2013. 51(2): p. 144–150.
22. Norris, K., et al., Historically black medical schools: addressing the minority health professional pipeline and the public mission of care for vulnerable populations. Journal of the National Medical Association, 2009. 101(9): p. 864–872.
23. Stewart, R.M., et al., Tort reform is associated with more medical board complaints and disciplinary actions. Journal of the American College of Surgeons, 2012. 214(4): p. 567–71; discussion 572–3.
24. Stewart, R.M., et al., Malpractice Risk and Cost Are Significantly Reduced after Tort Reform. Journal of the American College of Surgeons, 2011. 212(4): p. 463–467.e42.
25. Glass, C., et al., American College of Surgeons/Association for Surgical Education medical student simulation-based surgical skills curriculum needs assessment. American Journal of Surgery, 2014. 207(2): p. 165–169.
26. American College of Surgeons and Association for Surgical Education. ACS/ASE Medical Student Simulation-Based Surgical Skills Curriculum. 2013 [cited 2013]; Available from: http://www.facs.org/education/medicalstudents-MODULES.html. Accessed 25 Mar 2014
27. Deslich, S. and A. Coustasse, Expanding technology in the ICU: the case for the utilization of telemedicine. Telemed J E Health, 2014. 20(5): p. 485–92
28. Reynolds, E., et al., Utilization of robotic “remote presence” technology within North American intensive care units. Telemed J E Health, 2012. 18(7): p. 507–515.
29. Marcin, J., et al., Use of telemedicine to provide pediatric critical care inpatient consultations to underserved rural Northern California. J Pediatr, 2004. 144(3): p. 375–380.
30. Davis, L., et al., Teleneurology: Successful delivery of chronic neurologic care to 354 patients living remotely in a rural state. Telemed J E Health, 2014. 20(5): p.473–7.
31. Goldberg, R., et al., Will there be a good general surgeon when you need one? J Gastrointest Surg, 2013. 18(5): p. 1032–9.
32. Pub. L. 74-271; Pages: The Social Security Act of 1935. Short title: The Social Security Act of 1935. Washington: Government Printing Office, 1935. http://www.ssa.gov/OP_Home/ssact/title18/1848.htm. Accessed 24 Apr 2014
33. United States Senate and House of Representatives. 109th Congress. H.R.6111 Pages: 120, STAT. 2922, Public Law 120-432: An Act to amend the Internal Revenue Code of 1986 to extend expiring provisions, and for other purposes. Short title: Tax Relief and Health Care Act of 2006. Washington: Government Printing Office, 2006. http://www.gpo.gov/fdsys/pkg/PLAW-109publ432/html/PLAW-109publ432.htm. Accessed 24 Apr 2014
34. United States Senate and House of Representatives. 110th Congress. S. 2499; Pages: 121, STAT. 2942, Public Law 110-173: An act to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and SCHIP programs, and for other purposes. Short title: Medicare, Medicaid, and SCHIP Extension Act of 2007. Washington: Government Printing Office, 2007. http://www.gpo.gov/fdsys/pkg/PLAW-110publ173/html/PLAW-110publ173.htm. Accessed 24 Apr 2014
35. United States Senate and House of Representatives. 110th Congress. H.R. 6331; Pages: 122, STAT. 2494, Public Law 110-275: An Act to amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes. Short title: Medicare Improvements for Patients and Providers Act of 2008. Washington: Government Printing Office, 2008. http://www.gpo.gov/fdsys/pkg/PLAW-110publ275/pdf/PLAW-110publ275.pdf. Accessed 24 Apr 2014
36. United States Senate and House of Representatives. 111th Congress. H.R. 4691; Pages: 124, STAT. 42, Public Law 111-144: An Act to provide a temporary extension of certain programs, and for other purposes. Short title: Public Law 111-144: An Act to provide a temporary extension of certain programs, and for other purposes. Washington: Government Printing Office, 2010. http://www.copyright.gov/legislation/pl111-144.pdf. Accessed 24 Apr 2014
37. United States Senate and House of Representatives. 111th Congress, 2D Session. H.R. 4851 Amendment; Pages: 124, STAT. 1116, Public Law 111-157: An Act to suspend the Rules and Pass the Bill, H.R. 4851 “To provide a temporary extension of certain programs, and for other purposes”, with An Amendment. Short title: Continuing Extensions Act of 2010. Washington: Government Printing Office, 2010. http://npl.ly.gov.tw/pdf/7208.pdf. Accessed 24 Apr 2014
38. United States Senate and House of Representatives. 111th Congress. H.R. 3962; Pages: 124, STAT. 1280, Public Law 111-192: An act to provide a physician payment update, to provide pension funding relief, and for other purposes. Short title: Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010. Washington: Government Printing Office, 2010. http://www.gpo.gov/fdsys/pkg/PLAW-111publ192/html/PLAW-111publ192.htm. Accessed 24 Apr 2014
39. United States Senate and House of Representatives. 111th Congress, 2D Session. H.R. 4994; Pages: Public Law 111-309: An Act to amend the Internal Revenue Code of 1986 to reduce taxpayer burdens and enhance taxpayer protections, and for other purposes. Short title: Medicare and Medicaid Extenders Act of 2010. Washington: Government Printing Office, 2010. http://www.gpo.gov/fdsys/pkg/BILLS-111hr4994eas/html/BILLS-111hr4994eas.htm. Accessed 24 Apr 2014
40. United States Senate and House of Representatives. 112th Congress. H.R. 3630; Pages: 126, STAT. 156, Public Law 112-96: An Act to provide incentives for the creation of jobs, and for other purposes. Short title: Middle Class Tax Relief and Job Creation Act of 2012. Washington: Government Printing Office, 2012. http://www.gpo.gov/fdsys/pkg/PLAW-112publ96/pdf/PLAW-112publ96.pdf. Accessed 24 Apr 2014
41. United States Senate and House of Representatives. 112th Congress. H.R. 8; Pages: 126, STAT. 2313, Public Law 112-240: An Act to extend certain tax relief provisions enacted in 2001 and 2003, and to provide for expedited consideration of a bill providing for comprehensive tax reform, and for other purposes. Short title: American Taxpayer Relief Act of 2012. Washington: Government Printing Office, 2013. http://www.gpo.gov/fdsys/pkg/BILLS-112hr8eas/pdf/BILLS-112hr8eas.pdf. Accessed 24 Apr 2014
42. United States Senate and House of Representatives. 113th Congress. H.R. 4302; Pages: Public Law 113-93: An Act to amend the Social Security Act to extend Medicare payments to physicians and other provisions of the Medicare and Medicaid programs, and for other purposes. Short title: Protecting Access to Medicare Act of 2014. Washington: Government Printing Office, 2014. http://beta.congress.gov//bill/113th-congress/house-bill/4302/text. Accessed 24 Apr 2014
43. United States Senate and House of Representatives. 113th Congress, 2D Session. Pages: An Act to amend title XVIII of the Social Security Act to repeal the Medicare sustainable growth rate and improve Medicare payments for physicians and other professionals, and for other purposes. Short title: SGR Repeal and Medicare Provider Payment Modernization Act of 2014. Washington: Government Printing Office, 2014. http://energycommerce.house.gov/sites/republicans.energycommerce.house.gov/files/BILLS-113hr4015ih.pdf. Accessed 24 Apr 2014