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Related Experiment Videos

Orthopaedic workforce studies: 1980 to 1985.

R B Greer1

  • 1Department of Orthopaedic Surgery, Pennsylvania State University College of Medicine, Hershey, USA.

Clinical Orthopaedics and Related Research
|April 17, 2001
PubMed
Summary
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The American Academy of Orthopaedic Surgeons

Area of Science:

  • Orthopaedic Surgery Workforce Analysis
  • Medical Education and Training
  • Public Health Policy

Background:

  • The American Academy of Orthopaedic Surgeons established a committee in 1981 to assess the orthopaedic workforce.
  • Between 1970 and 1982, a significant increase in orthopaedic surgery residents led to a young workforce, with half of certified orthopaedists under 45.
  • An annual graduation rate of 700 orthopaedists was observed, projected to increase the per capita ratio for decades.

Purpose of the Study:

  • To analyze the orthopaedic surgery workforce trends and project future supply.
  • To evaluate the impact of reducing resident output on the orthopaedic surgeon-to-population ratio.
  • To assess the effectiveness of a geographic distribution map in influencing resident practice location choices.

Main Methods:

Related Experiment Videos

  • Analysis of orthopaedic residency graduation rates from 1970-1982.
  • Projection modeling of future orthopaedic surgeon supply based on graduation rates.
  • Development and distribution of a US zip code map detailing orthopaedist density.
  • Post-certification examination interviews to gauge map influence on practice location.

Main Results:

  • A 10% reduction in resident output was implemented, aligning current orthopaedist ratios with predictions.
  • The projected increase in orthopaedists per 100,000 population was largely realized.
  • The distributed geographic map had minimal impact on correcting workforce maldistribution among new orthopaedic surgeons.

Conclusions:

  • Workforce projections based on graduation rates proved accurate.
  • Policy interventions, like reducing resident output, can influence workforce size.
  • Geographic distribution strategies using informational maps are ineffective in guiding practice location decisions for orthopaedic surgeons.