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Projecting the Urology Workforce Over the Next 20 Years
Maxim J McKibben1, E Will Kirby1, Joshua Langston2
1Department of Urology, University of North Carolina, Chapel Hill, NC.
The urology workforce is projected to see a decline in urologists but a significant rise in advanced care providers (ACPs). This shift may not meet future demand, indicating a potential workforce shortage within the next 20 years.
Area of Science:
- Urology Workforce Analysis
- Healthcare Professional Forecasting
- Medical Staffing Projections
Background:
- The urology field faces evolving workforce dynamics.
- Understanding future staffing needs is crucial for patient care.
- Current trends suggest potential imbalances in the urology workforce.
Purpose of the Study:
- To forecast the size and composition of the urologist and advanced care provider (ACP) workforce over the next two decades.
- To project the future supply of urologists and ACPs.
- To identify potential workforce shortages in urology.
Main Methods:
- Utilized American Board of Urology certification and AUA Census data for current urologist estimates.
- Incorporated AUA residency match data for incoming urologists.
- Extracted ACP workforce data from the 2012 AUA Physician Survey.
- Employed a stock and flow population model for workforce projections.
- Calculated full-time equivalents (FTEs) based on workforce surveys.
Main Results:
- Overall urology workforce FTEs are expected to slightly increase from 14,792 in 2015 to 15,160 in 2035.
- A significant decline in urologist FTEs is projected, from 11,221 in 2015 to 8859 in 2035.
- ACP FTEs are anticipated to increase substantially, from 8,710 in 2015 to 15,369 in 2035.
- The proportion of female urologists is expected to rise from 7.0% to 18.6% by 2035.
- Forecasted workforce shortages range from 12% to 46% by 2035.
Conclusions:
- A projected decrease in urologists, coupled with increasing demand, suggests a potential inability to meet future healthcare needs.
- The study highlights an impending urology workforce shortage.
- Urgent discussion and strategic planning among urology leadership are necessary to address these challenges and develop innovative solutions.
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