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Pediatric surgery workforce: population and economic issues.

Don K Nakayama1, Kurt D Newman

  • 1Mercer University School of Medicine, Macon, GA 31201, USA. nakayama.don@mccg.org

Journal of Pediatric Surgery
|August 5, 2008
PubMed
Summary
This summary is machine-generated.

A shortage of pediatric surgeons exists in the US, impacting training and care. Analysis of American Pediatric Surgical Association (APSA) membership and population data reveals a critical need for more pediatric surgeons.

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Area of Science:

  • Surgical Workforce Analysis
  • Pediatric Surgery
  • Public Health

Background:

  • The existence of a pediatric surgeon shortage is crucial for decisions on training, credentialing, and reimbursement.
  • Previous observations indicated shortages in the general physician and surgical workforces.

Purpose of the Study:

  • To update information on the demand and supply of pediatric surgeons in the United States.
  • To assess the current distribution and potential shortage of pediatric surgeons.

Main Methods:

  • Utilized the American Pediatric Surgical Association (APSA) online membership directory to count pediatric surgeons by metropolitan statistical area (MSA).
  • Collected population and economic data from US government agencies.
  • Correlated APSA membership numbers with MSA population and birth rates.

Main Results:

  • A strong correlation was found between APSA membership numbers and MSA population (R² = 0.836) and 2006 births (R² = 0.767).
  • MSAs without an APSA member had significantly smaller populations and birth rates (P = .0001).
  • Predicted need for pediatric surgeons ranged from 82 to 1344, indicating a potential membership increase of 10% to 168%.

Conclusions:

  • Current population estimates and APSA membership data indicate a shortage of pediatric surgeons.
  • Urgent measures are needed to address this pediatric surgical workforce issue.