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Hulsman L, Bradley PK, Caldwell A, Christman M, Rusk D, Shanks A. Impact of the Dobbs v Jackson Women's Health Organization decision on retention of Indiana medical students for residency. Am J Obstet Gynecol MFM 2023; 5:101164. [PMID: 37783276 DOI: 10.1016/j.ajogmf.2023.101164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 09/05/2023] [Accepted: 09/09/2023] [Indexed: 10/04/2023]
Abstract
BACKGROUND As medical students consider residency training programs, access to comprehensive training in abortion care and the legal climate influencing abortion care provision are likely to affect their decision process. OBJECTIVE This study aimed to determine medical students' desire to stay in a state with an abortion ban for residency. STUDY DESIGN A cross-sectional survey was distributed to all medical students at a large allopathic medical school. Anonymous survey questions investigated the likelihood of seeking residency training in states with abortion restrictions and the likelihood of considering obstetrics and gynecology as a specialty. Qualitative responses were also captured. RESULTS The survey was distributed to 1424 students, and 473 responses yielded a 33.2% completion rate; 66.8% of students were less likely to pursue residency training in Indiana following a proposed abortion ban. Moreover, 70.0% of students were less likely to pursue residency in a state with abortion restrictions. Approximately half of respondents (52.2%) were less likely to pursue obstetrics and gynecology as a specialty after proposed abortion restrictions. Qualitative remarks encompassed 6 themes: comprehensive health care access, frustration with the political climate, impact on health care providers, relocation, advocacy, and personal beliefs and ethical considerations. CONCLUSION Most medical students expressed decreased likelihood of remaining in Indiana or in states with abortion restrictions for residency training. The field of obstetrics and gynecology has been negatively affected, with medical students indicating lower likelihood to pursue obstetrics and gynecology. Regardless of specialty, the physician shortage may be exacerbated in states with abortion restrictions. The overturn of Roe v Wade has the potential for significant effects on medical student plans for residency training location, thereby shaping the future of the physician workforce.
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Affiliation(s)
- Luci Hulsman
- Department of Graduate Medical Education, Indiana University School of Medicine, Indianapolis, IN (Ms Hulsman); Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN (Drs Bradley, Caldwell, Christman, and Shanks); Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN (Dr Rusk)
| | - Paige K Bradley
- Department of Graduate Medical Education, Indiana University School of Medicine, Indianapolis, IN (Ms Hulsman); Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN (Drs Bradley, Caldwell, Christman, and Shanks); Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN (Dr Rusk)
| | - Amy Caldwell
- Department of Graduate Medical Education, Indiana University School of Medicine, Indianapolis, IN (Ms Hulsman); Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN (Drs Bradley, Caldwell, Christman, and Shanks); Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN (Dr Rusk)
| | - Megan Christman
- Department of Graduate Medical Education, Indiana University School of Medicine, Indianapolis, IN (Ms Hulsman); Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN (Drs Bradley, Caldwell, Christman, and Shanks); Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN (Dr Rusk)
| | - Debra Rusk
- Department of Graduate Medical Education, Indiana University School of Medicine, Indianapolis, IN (Ms Hulsman); Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN (Drs Bradley, Caldwell, Christman, and Shanks); Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN (Dr Rusk)
| | - Anthony Shanks
- Department of Graduate Medical Education, Indiana University School of Medicine, Indianapolis, IN (Ms Hulsman); Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN (Drs Bradley, Caldwell, Christman, and Shanks); Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN (Dr Rusk).
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Bolino G, D’Antonio G, Sorace L, Fazio ND, Volonnino G, Russa RL, Arcangeli M, Frati P. The "Criminal Shield": Criminal Liability for Healthcare Professionals during the COVID-19 Pandemic. Healthcare (Basel) 2023; 11:2661. [PMID: 37830698 PMCID: PMC10572230 DOI: 10.3390/healthcare11192661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 09/19/2023] [Accepted: 09/29/2023] [Indexed: 10/14/2023] Open
Abstract
The Sars-CoV-2 pandemic has had important economic, health, political, and jurisprudential implications all over the world. According to innovations already introduced by Law 24/2017, with Decree Law no. 44 of 1 April 2021 and the subsequent conversion law no. 71 of 2021, Italy is the only country in which ad hoc rules have been introduced to limit the professional liability of healthcare professionals during the health emergency. The "criminal shield" can be defined as the Legislator response to the extreme pressure on healthcare professionals during the pandemic.
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Affiliation(s)
- Giorgio Bolino
- Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University of Rome, 00128 Rome, Italy; (G.B.); (G.D.); (L.S.); (G.V.); (P.F.)
| | - Gianpiero D’Antonio
- Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University of Rome, 00128 Rome, Italy; (G.B.); (G.D.); (L.S.); (G.V.); (P.F.)
| | - Letizia Sorace
- Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University of Rome, 00128 Rome, Italy; (G.B.); (G.D.); (L.S.); (G.V.); (P.F.)
| | - Nicola Di Fazio
- Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University of Rome, 00128 Rome, Italy; (G.B.); (G.D.); (L.S.); (G.V.); (P.F.)
| | - Gianpietro Volonnino
- Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University of Rome, 00128 Rome, Italy; (G.B.); (G.D.); (L.S.); (G.V.); (P.F.)
| | - Raffaele La Russa
- Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy;
| | - Mauro Arcangeli
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy;
| | - Paola Frati
- Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University of Rome, 00128 Rome, Italy; (G.B.); (G.D.); (L.S.); (G.V.); (P.F.)
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Hattori S, Sakata N, Ishimaru M, Tamiya N. Consolidation of the perinatal care system and workload of obstetricians: an ecological study in Japan. Front Glob Womens Health 2023; 4:1030443. [PMID: 37187592 PMCID: PMC10175585 DOI: 10.3389/fgwh.2023.1030443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 03/07/2023] [Indexed: 05/17/2023] Open
Abstract
Objectives We examined the relationship between consolidation of delivery and the workload of obstetricians working at perinatal centers. Methods We conducted a descriptive analysis using perinatal care areas classified into three types (metropolitan, provincial, and rural). We calculated the Herfindahl-Hirschman Index (HHI) as an index of consolidation and the proportion of the deliveries at clinics as an indicator of the low-risk deliveries and the deliveries per center obstetrician as an indicator of obstetricians' workload. We used >150 deliveries yearly as an excess indicator. The correlation between the HHI and obstetricians' workload and the proportion of deliveries at clinics was examined using the Pearson correlation coefficient. Results The proportion of areas with >150 deliveries yearly was higher in the consolidated areas. In provincial areas, obstetricians' workload was positively correlated with the HHI and was negatively correlated with the proportion of deliveries at clinics. Conclusions The obstetricians' workload may be increasing where more consolidation occurs. In provincial areas, the center obstetrician's workload could be reduced not only by consolidation but also by sharing the role of handling low-risk deliveries with clinics and hospitals with obstetric units other than perinatal centers.
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Affiliation(s)
- Sanae Hattori
- Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan
| | - Nobuo Sakata
- Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan
- Health Services Research and Development Center, University of Tsukuba, Ibaraki, Japan
- Correspondence: Nobuo Sakata
| | - Miho Ishimaru
- Department of Oral Health Promotion, Graduated School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan
| | - Nanako Tamiya
- Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan
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Lee FK, Yang ST, Wang PH. No-fault compensation systems of childbirth accidents in Taiwan. Taiwan J Obstet Gynecol 2022; 61:409-410. [PMID: 35595428 DOI: 10.1016/j.tjog.2022.03.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/27/2022] [Indexed: 12/01/2022] Open
Affiliation(s)
- Fa-Kung Lee
- Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan
| | - Szu-Ting Yang
- Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Peng-Hui Wang
- Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Female Cancer Foundation, Taipei, Taiwan; Department of Medical Research, China Medical University Hospital, Taichung, Taiwan.
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5
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Hedden L, Ahuja MA, Lavergne MR, McGrail KM, Law MR, Cheng L, Barer ML. How long does it take patients to find a new primary care physician when theirs retires: a population-based, longitudinal study. HUMAN RESOURCES FOR HEALTH 2021; 19:92. [PMID: 34301249 PMCID: PMC8305864 DOI: 10.1186/s12960-021-00633-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Accepted: 07/13/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND The retirement of a family physician can represent a challenge in accessibility and continuity of care for patients. In this population-based, longitudinal cohort study, we assess whether and how long it takes for patients to find a new majority source of primary care (MSOC) when theirs retires, and we investigate the effect of demographic and clinical characteristics on this process. METHODS We used provincial health insurance records to identify the complete cohort of patients whose majority source of care left clinical practice in either 2007/2008 or 2008/2009 and then calculated the number of days between their last visit with their original MSOC and their first visit with their new one. We compared the clinical and sociodemographic characteristics of patients who did and did not find a new MSOC in the three years following their original physician's retirement using Chi-square and Fisher's exact test. We also used Cox proportional hazards models to determine the adjusted association between patient age, sex, socioeconomic status, location and morbidity level (measured using Johns Hopkins' Aggregated Diagnostic Groupings), and time to finding a new primary care physician. We produce survival curves stratified by patient age, sex, income and morbidity. RESULTS Fifty-four percent of patients found a new MSOC within the first 12 months following their physician's retirement. Six percent of patients still had not found a new physician after 36 months. Patients who were older and had higher levels of morbidity were more likely to find a new MSOC and found one faster than younger, healthier patients. Patients located in more urban regional health authorities also took longer to find a new MSOC compared to those in rural areas. CONCLUSIONS Primary care physician retirements represent a potential threat to accessibility; patients followed in this study took more than a year on average to find a new MSOC after their physician retired. Providing programmatic support to retiring physicians and their patients, as well as addressing shortages of longitudinal primary care more broadly could help to ensure smoother retirement transitions.
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Affiliation(s)
- Lindsay Hedden
- Faculty of Health Sciences, Simon Fraser University, Blusson Hall, Room 11300, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada.
| | - Megan A Ahuja
- Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, 201-2206 East Mall, Vancouver, BC, V6T 1Z3, Canada
| | - M Ruth Lavergne
- Faculty of Health Sciences, Simon Fraser University, Blusson Hall, Room 11300, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada
| | - Kimberlyn M McGrail
- Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, 201-2206 East Mall, Vancouver, BC, V6T 1Z3, Canada
| | - Michael R Law
- Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, 201-2206 East Mall, Vancouver, BC, V6T 1Z3, Canada
| | - Lucy Cheng
- Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, 201-2206 East Mall, Vancouver, BC, V6T 1Z3, Canada
| | - Morris L Barer
- Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, 201-2206 East Mall, Vancouver, BC, V6T 1Z3, Canada
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The factors affecting the obstetricians-gynecologists workforce planning: A systematic review. CLINICAL EPIDEMIOLOGY AND GLOBAL HEALTH 2020. [DOI: 10.1016/j.cegh.2019.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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The future of population medicine: Investigating the role of advanced practice providers and simulation education in special patient populations. Dis Mon 2018; 65:221-244. [PMID: 30583793 DOI: 10.1016/j.disamonth.2018.09.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Advanced practice providers (APPs) have come to play an increasingly significant role in the United States healthcare system in the past five decades, particularly in primary care. The first portion of this paper will explore the utilization of APPs in specific patient populations: pediatrics, obstetrics, geriatrics, and psychiatry. After a brief discussion of the demand for these specialties, the authors will outline the educational preparation and competencies that nurse practitioners and physician assistants must achieve before working with these special populations. Finally, the authors will discuss the current and future roles of APPs in pediatric, obstetric, geriatric, and psychiatric populations. Simulated patient interactions and scenarios have become integrated into clinical education for many health care providers. Although traditionally utilized only in emergency medicine education, medical simulation has grown to become a staple of training in nearly every area of medicine. Healthcare providers of all levels can benefit from both individual and team-based training designed to improve everything from patient communication to procedural competence. The flexible nature of simulation training allows for customized teaching that is directly relevant to a specific specialty. The second half of this paper will demonstrate simulation's versatilite applications in the specialty areas of urgent care, pediatrics, mental health, geriatrics, and obstetrics.
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Chang WT, Leu HI, Chen HP, Lin MH, Chen TJ, Hwang SJ, Chou LF, Wang PH. Temporal availability of obstetrics and gynecology clinics in Taiwan: A nationwide survey. Taiwan J Obstet Gynecol 2017; 56:636-641. [DOI: 10.1016/j.tjog.2017.08.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2016] [Indexed: 10/18/2022] Open
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Teixeira-Poit SM, Halpern MT, Kane HL, Keating M, Olmsted M. Factors influencing professional life satisfaction among neurologists. BMC Health Serv Res 2017. [PMID: 28629403 PMCID: PMC5477134 DOI: 10.1186/s12913-017-2343-8] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background Predicted shortages in the supply of neurologists may limit patients’ access to and quality of care for neurological disorders. Retaining neurologists already in practice provides one opportunity to support the overall supply of practicing neurologists. Understanding factors associated with professional life satisfaction (and dissatisfaction) and implementing policies to enhance satisfaction may encourage neurologists to remain in clinical practice. In this paper, we present results from the first study examining factors associated with professional life satisfaction among a large sample of U.S, neurologists. Methods We collaborated with the AAN to survey a sample of U.S. neurologists about their professional life satisfaction. Analyses examined the association of physician and practice characteristics with aspects of professional life satisfaction, including satisfaction with their career in medicine, medical specialty, current position, relationship with colleagues, relationship with patients, work/life balance, and pay. Results The study population consisted of 625 neurologists. In multivariate regression analyses, no single group or population stratum indicated high (or low) responses to all aspects of satisfaction. Older neurologists reported higher satisfaction with career, specialty, and relationship with patients than younger neurologists. Female neurologists had significantly lower satisfaction with pay than male neurologists. Neurologists who spent more time in research and teaching had greater satisfaction with specialty, relationship with colleagues, and relationship with patients than those spending no time in research. Neurologists who practiced in small cities/rural areas reported lower satisfaction across multiple dimensions than those practicing in large urban areas. Neurologists in solo practice had greater satisfaction with the relationship with their patients, but lower satisfaction with pay. Conclusions Satisfaction is a multidimensional construct that is associated with physician and practice characteristics. Enhancing professional life satisfaction among neurologists requires multiple strategies, such as promoting comparable wages for men and women, providing collaboration and research opportunities, and providing resources for small and rural practices. Electronic supplementary material The online version of this article (doi:10.1186/s12913-017-2343-8) contains supplementary material, which is available to authorized users.
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Affiliation(s)
| | - Michael T Halpern
- RTI International, Washington, DC, USA. .,Health Services Administration and Policy, Temple University College of Public Health, Philadelphia, PA, USA.
| | - Heather L Kane
- RTI International, Research Triangle Park, Durham, NC, USA
| | | | - Murrey Olmsted
- RTI International, Research Triangle Park, Durham, NC, USA
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Silver MP, Hamilton AD, Biswas A, Warrick NI. A systematic review of physician retirement planning. HUMAN RESOURCES FOR HEALTH 2016; 14:67. [PMID: 27846852 PMCID: PMC5109800 DOI: 10.1186/s12960-016-0166-z] [Citation(s) in RCA: 71] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Accepted: 11/01/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Physician retirement planning and timing have important implications for patients, hospitals, and healthcare systems. Unplanned early or late physician retirement can have dire consequences in terms of both patient safety and human resource allocations. This systematic review examined existing evidence on the timing and process of retirement of physicians. Four questions were addressed: (1) When do physicians retire? (2) Why do some physicians retire early? (3) Why do some physicians delay their retirement? (4) What strategies facilitate physician retention and/or retirement planning? METHODS English-language studies were searched in electronic databases MEDLINE, Web of Science, Scopus, CINAHL, AgeLine, Embase, HealthSTAR, ASSA, and PsycINFO, from inception up to and including March 2016. Included studies were peer-reviewed primary journal articles with quantitative and/or qualitative analyses of physicians' plans for, and opinions about, retirement. Three reviewers independently assessed each study for methodological quality using the Newcastle-Ottawa Scale for quantitative studies and Critical Appraisal Tool for qualitative studies, and a fourth reviewer resolved inconsistencies. RESULTS In all, 65 studies were included and analyzed, of which the majority were cross-sectional in design. Qualitative studies were found to be methodologically strong, with credible results deemed relevant to practice. The majority of quantitative studies had adequate sample representativeness, had justified and satisfactory sample size, used appropriate statistical tests, and collected primary data by self-reported survey methods. Physicians commonly reported retiring between 60 and 69 years of age. Excessive workload and burnout were frequently cited reasons for early retirement. Ongoing financial obligations delayed retirement, while strategies to mitigate career dissatisfaction, workplace frustration, and workload pressure supported continuing practice. CONCLUSIONS Knowledge of when physicians plan to retire and how they can transition out of practice has been shown to aid succession planning. Healthcare organizations might consider promoting retirement mentorship programs, resource toolkits, education sessions, and guidance around financial planning for physicians throughout their careers, as well as creating post-retirement opportunities that maintain institutional ties through teaching, mentoring, and peer support.
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Affiliation(s)
- Michelle Pannor Silver
- Department of Anthropology/Health Studies, University of Toronto Scarborough Campus, 1265 Military Trail, Toronto, Ontario, M1C 1A4, Canada.
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
| | - Angela D Hamilton
- Department of Anthropology/Health Studies, University of Toronto Scarborough Campus, 1265 Military Trail, Toronto, Ontario, M1C 1A4, Canada
| | - Aviroop Biswas
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Natalie Irene Warrick
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
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Tomblin Murphy G, Birch S, MacKenzie A, Bradish S, Elliott Rose A. A synthesis of recent analyses of human resources for health requirements and labour market dynamics in high-income OECD countries. HUMAN RESOURCES FOR HEALTH 2016; 14:59. [PMID: 27687611 PMCID: PMC5043532 DOI: 10.1186/s12960-016-0155-2] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Accepted: 09/13/2016] [Indexed: 05/07/2023]
Abstract
BACKGROUND Recognition of the importance of effective human resources for health (HRH) planning is evident in efforts by the World Health Organization (WHO) and the Global Health Workforce Alliance (GHWA) to facilitate, with partner organizations, the development of a global HRH strategy for the period 2016-2030. As part of efforts to inform the development of this strategy, the aims of this study, the first of a pair, were (a) to conduct a rapid review of recent analyses of HRH requirements and labour market dynamics in high-income countries who are members of the Organisation for Economic Co-operation and Development (OECD) and (b) to identify a methodology to determine future HRH requirements for these countries. METHODS A systematic search of peer-reviewed literature, targeted website searches, and multi-stage reference mining were conducted. To supplement these efforts, an international Advisory Group provided additional potentially relevant documents. All documents were assessed against predefined inclusion criteria and reviewed using a standardized data extraction tool. RESULTS In total, 224 documents were included in the review. The HRH supply in the included countries is generally expected to grow, but it is not clear whether that growth will be adequate to meet health care system objectives in the future. Several recurring themes regarding factors of importance in HRH planning were evident across the documents reviewed, such as aging populations and health workforces as well as changes in disease patterns, models of care delivery, scopes of practice, and technologies in health care. However, the most common HRH planning approaches found through the review do not account for most of these factors. CONCLUSIONS The current evidence base on HRH labour markets in high-income OECD countries, although large and growing, does not provide a clear picture of the expected future HRH situation in these countries. Rather than HRH planning methods and analyses being guided by explicit HRH policy questions, most of the reviewed studies appeared to derive HRH policy questions based on predetermined planning methods. Informed by the findings of this review, a methodology to estimate future HRH requirements for these countries is described.
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Affiliation(s)
| | - Stephen Birch
- McMaster University, 1280 Main Street West, Hamilton, ON L8S 4K1 Canada
| | - Adrian MacKenzie
- Dalhousie University, 5869 University Avenue, Halifax, NS B3H 4R2 Canada
| | - Stephanie Bradish
- Dalhousie University, 5869 University Avenue, Halifax, NS B3H 4R2 Canada
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Rayburn WF, Strunk AL, Petterson SM. Considerations about retirement from clinical practice by obstetrician-gynecologists. Am J Obstet Gynecol 2015; 213:335.e1-4. [PMID: 25794630 DOI: 10.1016/j.ajog.2015.03.027] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2015] [Accepted: 03/12/2015] [Indexed: 11/25/2022]
Abstract
Retirement of obstetrician-gynecologists is becoming a matter of increasing concern in light of an expected shortage of practicing physicians. Determining a retirement age is often complex. We address what constitutes a usual retirement age range from general clinical practice for an obstetrician-gynecologist, compare this with practitioners in other specialties, and suggest factors of importance to obstetrician-gynecologists before retirement. Although the proportion of obstetrician-gynecologists ≥55 years old is similar to other specialists, obstetrician-gynecologists retire at younger ages than male or female physicians in other specialties. A customary age range of retirement from obstetrician-gynecologist practice would be 59-69 years (median, 64 years). Women, who constitute a growing proportion of obstetrician-gynecologists in practice, retire earlier than men. The large cohort of "baby boomer" physicians who are approaching retirement (approximately 15,000 obstetrician-gynecologists) deserves tracking while an investigation of integrated women's health care delivery models is conducted. Relevant considerations would include strategies to extend the work longevity of those who are considering early retirement or desiring part-time employment. Likewise volunteer work in underserved community clinics or teaching medical students and residents offers continuing personal satisfaction for many retirees and preservation of self-esteem and medical knowledge.
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Tessmer-Tuck JA, Rayburn WF. Roles of Obstetrician-Gynecologist Hospitalists with Changes in the Obstetrician-Gynecologist Workforce and Practice. Obstet Gynecol Clin North Am 2015; 42:447-56. [PMID: 26333634 DOI: 10.1016/j.ogc.2015.05.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Obstetrician-gynecologists (OB-GYNs) are the fourth largest group of physicians and the only specialty dedicated solely to women's health care. The specialty is unique in providing 24-hour inpatient coverage, surgical care and ambulatory preventive health care. This article identifies and reviews changes in the OB-GYN workforce, including more female OB-GYNs, an increasing emphasis on work-life balance, more sub-specialization, larger group practices with more employed physicians and, finally, an emphasis on quality and performance improvement. It then describes the evolution of the OB-GYN hospitalist movement to date and the role of OB-GYN hospitalists in the future with regard to these workforce changes.
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Affiliation(s)
- Jennifer A Tessmer-Tuck
- Department of Obstetrics and Gynecology, North Memorial Medical Center, Robbinsdale, MN, USA.
| | - William F Rayburn
- Department of Obstetrics and Gynecology, The University of New Mexico School of Medicine, Albuquerque, NM, USA
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Lai LJ, Chou CL, Su HI, Chen TJ, Chou LF, Chou YC, Hwang SJ, Yu HC. No gynecologist in town: the gynecological care of women in rural Taiwan. Patient Prefer Adherence 2015; 9:1077-83. [PMID: 26251581 PMCID: PMC4524465 DOI: 10.2147/ppa.s64731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND A shortage of gynecologists exists in many countries. Even within an affluent country, gynecological clinics might not be evenly distributed. The purpose of the study was to investigate the disparity in gynecological care between adult women living in towns with and without gynecologists in Taiwan. METHODS Data sources were the cohort datasets of the National Health Insurance Research Database, with claims data of 1 million beneficiaries in 2010. A woman's residency was operationally inferred from the locations where she had most frequently visited physicians' clinics or local community hospitals within the year. RESULTS In Taiwan, 145 (39.4%) of 368 towns had no practicing gynecologist. Of 382,167 women with health care use in the datasets, 21,794 (5.7%) lived in towns without a gynecologist. The overwhelming majority of these towns lay in sparsely populated, rural areas. During the year, 132,702 women (34.7%) had sought medical help for gynecological diseases and 113,698 (29.8%) had visited gynecologists for gynecological diseases. Women in towns without a gynecologist were less likely to consult for gynecological diseases (23.8% versus 35.4%; P<0.001) and visit gynecologists (18.7% versus 30.4%; P<0.001) than women in towns with a gynecologist. The disparity existed in each age group. Among 5,189 adult women living in towns without a gynecologist and having gynecological diseases, 78.5% (number [n]=4,074) visited gynecologists out of town, especially for infertility, benign disorders of the uterus and ovaries, gynecological examinations, and contraceptive problems, and by contrast 23.3% (n=1,209) visited nongynecologists in town, most commonly for menopausal disorders, endometriosis and pelvic pain, menstrual disorders and hormonal dysfunction, and genital dysplasia. CONCLUSION Gynecological care of rural women was adversely affected by the shortage of gynecologists. The consequences of accessibility in underserved areas deserve further investigation.
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Affiliation(s)
- Li-Jung Lai
- Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
| | - Chia-Lin Chou
- Department of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan
| | - H Irene Su
- Department of Reproductive Medicine, University of California, San Diego, CA, USA
| | - Tzeng-Ji Chen
- Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
- Institute of Hospital and Health Care Administration, School of Medicine, National Yang-Ming University, Taipei, Taiwan
| | - Li-Fang Chou
- Department of Public Finance, National Chengchi University, Taipei, Taiwan
| | - Yueh-Ching Chou
- Department of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan
- Department and Institute of Pharmacology, National Yang-Ming University, Taipei, Taiwan
- College of Pharmacy, Taipei Medical University, Taipei, Taiwan
| | - Shinn-Jang Hwang
- Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
- Department of Family Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan
| | - Hann-Chin Yu
- Taipei Veterans General Hospital Hsinchu Branch, Hsinchu County, Taiwan
- Department of Healthcare Management, Yuanpei University, Hsinchu, Taiwan
- Correspondence: Hann-Chin Yu, Taipei Veterans General Hospital Hsinchu Branch, No 81, Sec 1, Zhongfeng Road, Zhudong Township, Hsinchu County 310, Taiwan, Tel +886 359 611 86, Fax +886 359 695 91, Email
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Kaimal AJ. Practice and progress in obstetrics. EVIDENCE-BASED MEDICINE 2013; 19:70. [PMID: 24009333 DOI: 10.1136/eb-2013-101369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Anjali J Kaimal
- Department of Obstetrics and Gynecology, Massachusetts General Hospital, , Boston, Massachusetts, USA
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Link-Gelles R, Chamberlain AT, Schulkin J, Ault K, Whitney E, Seib K, Omer SB. Missed opportunities: a national survey of obstetricians about attitudes on maternal and infant immunization. Matern Child Health J 2013; 16:1743-7. [PMID: 22198260 DOI: 10.1007/s10995-011-0936-0] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The recent reoccurrence of several vaccine-preventable diseases demonstrates the need for new techniques to promote childhood vaccination. Many mothers make decisions regarding vaccination of their children during pregnancy. As a result, obstetricians have a unique opportunity to influence maternal decisions on this crucial component of child health. Our objective was to understand OB/GYNs' attitudes, beliefs, and current practices toward providing vaccinations to pregnant patients and providing information about routine childhood immunizations during standard prenatal care. We surveyed OB/GYNs in the United States about their vaccination practices and perceptions during the 2009 H1N1 outbreak. Most (84%) respondents indicated their practice would be administering H1N1 vaccines to pregnant patients. While a majority (98%) of responding providers felt childhood vaccination is important, relatively few (47%) felt that they could influence mothers' vaccination choices for their children. Discussion of routine childhood immunization between obstetricians and their patients is an area for future improvements in childhood vaccination.
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Affiliation(s)
- Ruth Link-Gelles
- Emory Preparedness and Emergency Response Research Center, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA 30322, USA.
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McNeil DA, Vekved M, Dolan SM, Siever J, Horn S, Tough SC. A qualitative study of the experience of CenteringPregnancy group prenatal care for physicians. BMC Pregnancy Childbirth 2013; 13 Suppl 1:S6. [PMID: 23445867 PMCID: PMC3561144 DOI: 10.1186/1471-2393-13-s1-s6] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Background This study sought to understand the central meaning of the experience of group prenatal care for physicians who were involved in providing CenteringPregnancy through a maternity clinic in Calgary, Canada. Method The study followed the phenomenological qualitative tradition. Three physicians involved in group prenatal care participated in a one-on-one interview between November and December 2009. Two physicians participated in verification sessions. Interviews followed an open ended general guide and were audio recorded and transcribed. The purpose of the analysis was to identify meaning themes and the core meaning experienced by the physicians. Results Six themes emerged: (1) having a greater exchange of information, (2) getting to knowing, (3) seeing women get to know and support each other, (4) sharing ownership of care, (5) having more time, and (6) experiencing enjoyment and satisfaction in providing care. These themes contributed to the core meaning for physicians of “providing richer care.” Conclusions Physicians perceived providing better care and a better professional experience through CenteringPregnancy compared to their experience of individual prenatal care. Thus, CenteringPregnancy could improve work place satisfaction, increase retention of providers in maternity care, and improve health care for women.
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Affiliation(s)
- Deborah A McNeil
- Public Health Innovation and Decision Support, Population and Public Health, Alberta Health Services, 10101 Southport Rd SW, Calgary, Alberta T2W 3N2, Canada.
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Chang Pecci C, Mottl-Santiago J, Culpepper L, Heffner L, McMahan T, Lee-Parritz A. The Birth of a Collaborative Model. Obstet Gynecol Clin North Am 2012; 39:323-34. [DOI: 10.1016/j.ogc.2012.05.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Shen J, Fukui O, Hashimoto H, Nakashima T, Kimura T, Morishige K, Saijo T. A cost-benefit analysis on the specialization in departments of obstetrics and gynecology in Japan. HEALTH ECONOMICS REVIEW 2012; 2:2. [PMID: 22828120 PMCID: PMC3402928 DOI: 10.1186/2191-1991-2-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/25/2011] [Accepted: 03/27/2012] [Indexed: 06/01/2023]
Abstract
In April 2008, the specialization in departments of obstetrics and gynecology was conducted in Sennan area of Osaka prefecture in Japan, which aims at solving the problems of regional provision of obstetrical service. Under this specialization, the departments of obstetrics and gynecology in two city hospitals were combined as one medical center, whilst one hospital is in charge of the department of gynecology and the other one operates the department of obstetrics. In this paper, we implement a cost-benefit analysis to evaluate the validity of this specialization. The benefit-cost ratio is estimated at 1.367 under a basic scenario, indicating that the specialization can generate a net benefit. In addition, with a consideration of different kinds of uncertainty in the future, a number of sensitivity analyses are conducted. The results of these sensitivity analyses suggest that the specialization is valid in the sense that all the estimated benefit-cost ratios are above 1.0 in any case.
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Affiliation(s)
- Junyi Shen
- Faculty of International Studies, Hiroshima City University, 3-4-1 Ozuka-Higashi, Asa-Minami-Ku, Hiroshima 7313194, Japan
| | - On Fukui
- Department of Obstetrics and Gynecology, Izumisano City Hospital, 2-23, Rinku Ourai Kita, Izumisanoshi, Osaka 5988577, Japan
| | - Hiroyuki Hashimoto
- Department of Obstetrics and Gynecology, Kaizuka City Hospital, 3-10-20, Hori, Kaizukashi, Osaka 5970015, Japan
| | - Takako Nakashima
- Faculty of Service Industries, University of Marketing and Distribution Sciences, 3-1, Gakuen-Nishimachi, Nishi-ku, Kobe, Hyogo 651-2188, Japan
| | - Tadashi Kimura
- Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita, Osaka 5650871, Japan
| | - Kenichiro Morishige
- Graduate School of Medicine, Gifu University, 1-1, Yanagido, Gifu City 501-1193, Japan
| | - Tatsuyoshi Saijo
- Institute of Social and Economic Research, Osaka University, 6-1, Mihogaoka, Ibaraki, Osaka 5670047, Japan
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Grayson MS, Newton DA, Patrick PA, Smith L. Impact of AOA status and perceived lifestyle on career choices of medical school graduates. J Gen Intern Med 2011; 26:1434-40. [PMID: 21837375 PMCID: PMC3235601 DOI: 10.1007/s11606-011-1811-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2010] [Revised: 05/02/2011] [Accepted: 07/14/2011] [Indexed: 10/17/2022]
Abstract
BACKGROUND Based upon student ratings of such factors as predictable work hours and personal time, medical specialties have been identified as lifestyle friendly, intermediate, or unfriendly. Lifestyle friendly programs may be more desirable, more competitive, and for students elected to the Alpha Omega Alpha (AOA) Honor Medical Society, more attainable. OBJECTIVE The objective of this study was to evaluate whether AOA students increasingly entered lifestyle friendly residency programs and whether trends in program selection differed between AOA and non-AOA graduates. DESIGN This retrospective cohort study examined PGY-2 data from the Association of American Medical Colleges and the 12 allopathic schools in the Associated Medical Schools of New York. PARTICIPANTS Data on 1987-2006 graduates from participating schools were evaluated. MAIN MEASURES Residency program selection over the 20-year period served as the main outcome measure. KEY RESULTS AOA graduates increasingly entered lifestyle-friendly residencies--from 12.9% in 1987 to 32.6% in 2006 (p < 0.01). There was also a significant decrease in AOA graduates entering lifestyle unfriendly residencies, from 31.6% in 1987 to 12.6% in 2006 (p < 0.01). Selection of lifestyle intermediate residencies among AOA graduates remained fairly stable at an average of 53%. Similar trends were found among non-AOA students. However, within these categories, AOA graduates increasingly selected radiology, dermatology, plastic surgery and orthopedics while non-AOA graduates increasingly selected anesthesiology and neurology. CONCLUSIONS While lifestyle factors appear to influence residency program selection, AOA graduates differentially were more likely to either choose or attain certain competitive, lifestyle-friendly specialties. Health care reform should be targeted to improve lifestyle and decrease income disparities for specialties needed to meet health manpower needs.
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Affiliation(s)
- Martha S Grayson
- Office of Medical Education and Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
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Ethical concerns and career satisfaction in obstetrics and gynecology: a review of recent findings from the Collaborative Ambulatory Research Network. Obstet Gynecol Surv 2011; 66:572-9. [PMID: 22088234 DOI: 10.1097/ogx.0b013e3182391240] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
UNLABELLED Obstetricians-gynecologists (ob-gyns) are frequently confronted with situations that have ethical implications (e.g., whether to accept gifts or samples from drug companies or disclosing medical errors to patients). Additionally, various factors, including specific job-related tasks, costs, and benefits, may impact ob-gyns' career satisfaction. Ethical concerns and career satisfaction can play a role in the quality of women's health care. This article summarizes the studies published between 2005 and 2009 by the Research Department of the American College of Obstetricians and Gynecologists, which encompass ethical concerns regarding interactions with pharmaceutical representatives and patient safety/medical error reporting, as well as ob-gyn career satisfaction. Additionally, a brief discussion regarding ethical concerns in the ob-gyn field, in general, highlights key topics for the last 30 years. Ethical dilemmas continue to be of concern for ob-gyns. Familiarity with guidelines on appropriate interactions with industry is associated with lower percentages of potentially problematic relationships with pharmaceutical industries. Physicians report that the expense of patient safety initiatives is one of the top barriers for improving patient safety, followed by fear of liability. Overall, respondents reported being satisfied with their careers. However, half of the respondents reported that they were extremely concerned about the impact of professional liability costs on the duration of their careers. Increased familiarity with guidelines may lead to a decreased ob-gyn reliance on pharmaceutical representatives and free samples, whereas specific and practical tools may help them implement patient safety techniques. The easing of malpractice insurance and threat of litigation may enhance career satisfaction among ob-gyns. This article will discuss related findings in recent years. TARGET AUDIENCE Obstetricians & Gynecologists and Family Physicians. LEARNING OBJECTIVES After the completing the CME activity, physicians should be better able to analyze how interactions with pharmaceutical industry may pose ethical dilemmas, examine current barriers to implementing patient safety initiatives, and evaluate the factors that influence career satisfaction among obstetrician-gynecologists.
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Chervenak JL, Chervenak FA, McCullough LB. A new approach to professional liability reform: placing obligations of stakeholders ahead of their interests. Am J Obstet Gynecol 2010; 203:203.e1-7. [PMID: 20451889 DOI: 10.1016/j.ajog.2010.03.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2009] [Revised: 01/31/2010] [Accepted: 03/05/2010] [Indexed: 10/19/2022]
Abstract
The authors utilize stakeholder theory to provide a new analysis of the professional liability crisis, by identifying the major stakeholders in our current system of professional liability, their respective obligations and self-interests, and how these interests are advanced and constrained by the current system. This stakeholder analysis reveals a core ethical obligation of all stakeholders: the preservation of the integrity of our current judicial system. The adverse impact of the pursuit of stakeholder self-interests, rather than fulfillment of their core, shared ethical obligation, on achievement of the goals of the current system, the deterrence of unsafe practice and compensation of injured patients, is then identified. The authors argue that approaches to reform of professional liability in obstetrics be based upon the common obligation of the stakeholders to fulfill the goals of the system, because attempts to align the myriad self-interests of the stakeholders will be futile.
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Berkowitz CD, Frintner MP, Cull WL. Pediatric resident perceptions of family-friendly benefits. Acad Pediatr 2010; 10:360-6. [PMID: 20692217 DOI: 10.1016/j.acap.2010.06.013] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2010] [Revised: 06/18/2010] [Accepted: 06/22/2010] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The aim of this study was to examine the importance of family-friendly features in residency program selection, benefits offered to and used by residents, and importance of benefits in future job selection. METHODS A survey of a random, national sample of 1000 graduating pediatric residents in 2008 was mailed and e-mailed. RESULTS Survey response rate for graduating resident respondents was 59%. Among the respondents, 76% were women. Thirty-seven percent of men and 32% of women were parents. Residents with children were more likely than residents without children to rate family-friendly characteristics as very important in their residency selection (P < .05). Many residents reported that their programs offered maternity leave (88%), paternity leave (59%), individual flexibility with schedule (63%), and lactation rooms (55%), but fewer reported on-site child care (24%), care for ill children (19%), and part-time residency positions (12%). Among residents reporting availability, 77% of women with children used maternity leave and lactation rooms. Few held part-time residency positions (2%), but many expressed interest (23% of women with children). The majority of residents with and without children reported that flexibility with schedule was important in their future job selection. Most women with children (71%) and many women without children (52%) considered part-time work to be very important in their job selection. CONCLUSIONS Family-friendly benefits are important to residents, particularly those with children. The data provides a benchmark for the availability and use of family-friendly features at pediatric training programs. The data also shows that many residents are unaware if benefits are offered, which suggests a need to make available benefits more transparent to residents.
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Affiliation(s)
- Carol D Berkowitz
- Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, Calif, USA
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Funk C, Anderson BL, Schulkin J, Weinstein L. Survey of obstetric and gynecologic hospitalists and laborists. Am J Obstet Gynecol 2010; 203:177.e1-4. [PMID: 20579954 DOI: 10.1016/j.ajog.2010.04.050] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2009] [Revised: 04/03/2010] [Accepted: 04/29/2010] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The objective of the study was to obtain descriptive information about obstetricians/gynecologists who currently are practicing as hospitalists or laborists. STUDY DESIGN A survey was emailed to all actively practicing member Fellows of the American College of Obstetricians and Gynecologists in April 2009. A second emailing of the survey was sent in May 2009. RESULTS Obstetrician/gynecologist hospitalists and laborists are significantly younger than the rest of the obstetrician/gynecologist sample by age and years in residency and have a high rate of career satisfaction. There was a great deal of variation in work schedules and compensation of the respondents. CONCLUSION We analyzed the rapidly growing hospitalist/laborist model of care within the obstetrician/gynecologist specialty. The laborists and hospitalists model provides an alternative type of practice for obstetricians/gynecologists, and it is associated with high career satisfaction. It is important that we continue to monitor the needs of this burgeoning field of clinical practice.
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Affiliation(s)
- Catrina Funk
- The University of Tennessee Physician Executive MBA Program, Knoxville, TN, USA
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Wang PH, Sheu BC, Yeh JY. The Sunset Industry: obstetrics and gynecology concerns about the shortage of obstetricians and gynecologists. Am J Obstet Gynecol 2009; 201:e12. [PMID: 19527901 DOI: 10.1016/j.ajog.2009.04.044] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2008] [Accepted: 04/22/2009] [Indexed: 10/20/2022]
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The influence of national society annual scientific meetings on publication in general obstetrics and gynecology literature: a urogynecology perspective. Int Urogynecol J 2009; 20:1463-7. [PMID: 19727535 DOI: 10.1007/s00192-009-0980-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2009] [Accepted: 07/29/2009] [Indexed: 10/20/2022]
Abstract
INTRODUCTION AND HYPOTHESIS The objective of the study was to determine urogynecology publication rates in obstetrics and gynecology literature. METHODS Original scientific articles from American Journal of Obstetrics and Gynecology (AJOG) and Obstetrics and Gynecology (Obstet Gynecol) from 1996-2007 were reviewed. RESULTS A total of 10,192 articles were evaluated. Two trends were noted in the AJOG: percentage of urogynecology articles increased (correlation with year r = 0.845; p < 0.05) and percentage of obstetric articles decreased (negative correlation r = -0.589; p < 0.05). Similarly for Obstet Gynecol, the number of urogynecology articles increased with time with a strong positive correlation of r = 0.743 and p < 0.05. There was a significant difference in the number of articles published in the AJOG in months with an annual scientific meeting compared to months without (t = -6.34; p < 0.001). CONCLUSIONS The numbers of urogynecology articles published in the general literature has increased and may be related to presentation at national meetings.
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Stumpf PG, Anderson B, Lawrence H, Schulkin J. Obstetrician-Gynecologists' Opinions about Patient Safety. Womens Health Issues 2009; 19:8-13. [DOI: 10.1016/j.whi.2008.07.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2008] [Revised: 07/18/2008] [Accepted: 07/25/2008] [Indexed: 11/16/2022]
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