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Related Experiment Videos

Gastroenterology workforce modeling

G S Meyer1, I Jacoby, H Krakauer

  • 1Division of Health Services Administration, Center for Health Care Quality Assessment, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4999, USA.

JAMA
|September 4, 1996
PubMed
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The US has a surplus of gastroenterologists, with ratios double that of health maintenance organizations. Evidence suggests reducing gastroenterology training programs may benefit the healthcare system.

Area of Science:

  • Gastroenterology Workforce Analysis
  • Healthcare Workforce Planning
  • Medical Education Reform

Background:

  • The number of gastroenterologists in the US has grown rapidly.
  • Current gastroenterologist supply exceeds typical health maintenance organization (HMO) staffing ratios.
  • Primary care physicians and other specialists perform many gastroenterology tasks, except for specific procedures.

Purpose of the Study:

  • To analyze the current supply and distribution of gastroenterologists.
  • To project future supply under various scenarios.
  • To provide a framework for gastroenterology workforce reform.

Main Methods:

  • Demographic modeling using 1992 gastroenterology workforce data as a baseline.
  • Analysis of current practices and distribution.

Related Experiment Videos

  • Comparison of supply, distribution, and practice profiles with historical data and future projections using multiple data sources (Area Resource File, Medicare data, Bureau of Health Professions, managed care patterns, National Survey of Internal Medicine Manpower, Bureau of the Census).

    • Main Results:

    • The gastroenterologist-to-population ratio has doubled, exceeding HMO averages.
    • Gastroenterologists' work is significantly shared by primary care physicians and other specialists.
    • This indicates a potential oversupply in the field.

    Conclusions:

    • Empirical evidence supports reducing gastroenterology training programs.
    • The Gastroenterology Leadership Council aims for a 25-50% trainee reduction over 5 years.
    • This study offers a model for medical specialty workforce planning.