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Trends in Israel's Medical Administration subspecialty, 1987-2022.

Yoel Angel1,2, Hadar Goldshtein3, Nevo Barel4,5

  • 1Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. yangel.md@gmail.com.

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Keywords:
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Area of Science:

  • Medical Administration
  • Physician Specialization
  • Healthcare Leadership

Background:

  • Israel mandates Medical Administration subspecialty for senior physician roles.
  • Limited data exists on the prevalence and characteristics of these specialists.

Purpose of the Study:

  • To analyze the prevalence, characteristics, and leadership roles of Medical Administration subspecialists in Israel.
  • To assess the sustainability of the Israeli Medical Administration subspecialty model.

Main Methods:

  • Utilized national registry data for physicians completing the subspecialty by December 2022.
  • Extracted licensing, specialty, and geographic data.
  • Sampled public health organization websites for leadership qualifications.

Main Results:

  • 277 physicians completed the subspecialty since 1987, with significant annual growth (4.5 in 2015 to 13 in 2022).
  • Most specialists (97.1%) hold additional primary specialties (Internal Medicine, Pediatrics, Family Medicine, Public Health).
  • Specialists are concentrated in major metropolitan areas and show over-representation in Public Health and under-representation in Anesthesiology.

Conclusions:

  • The Medical Administration subspecialty model in Israel is sustainable and scalable, potentially serving as a global template.
  • Limited representation in senior roles and geographic/specialty concentration highlight areas for policy intervention to improve leadership diversity and reduce health disparities.