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Planning for the Rheumatologist Workforce: Factors Associated With Work Hours and Volumes.

Claire E H Barber, Mina Nasr1, Cheryl Barnabe

  • 1Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta.

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Community practice and male sex are associated with higher patient volumes for rheumatologists. These factors, along with increasing female rheumatologist numbers, impact workforce planning.

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Area of Science:

  • Rheumatology Workforce Analysis
  • Health Services Research

Background:

  • Understanding factors influencing rheumatologist workload is crucial for effective healthcare planning.
  • The demographics and practice patterns of rheumatologists are evolving.

Purpose of the Study:

  • To identify factors associated with clinical work hours and patient volumes among rheumatologists.
  • To inform rheumatology workforce needs assessment based on a national survey.

Main Methods:

  • Analysis of data from a 2015 national workforce survey of 255 adult rheumatologists.
  • Univariate and multiple linear regression models assessed relationships between demographics, practice type, and workload/patient volume.

Main Results:

  • Community-based rheumatologists reported higher patient volumes and more clinics per week compared to academic settings.
  • Male rheumatologists saw more new patients and held more clinics than females.
  • Workload was not significantly associated with age, years in practice, or retirement plans.

Conclusions:

  • Practice type (community vs. academic) and rheumatologist sex are key considerations for workforce planning.
  • The increasing proportion of female rheumatologists and evolving billing practices necessitate adaptive workforce strategies.