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Competitive forces and academic plastic surgery

S H Miller1

  • 1Scripps Clinic and Research Foundation, La Jolla, Calif, USA.

Plastic and Reconstructive Surgery
|April 7, 1998
PubMed
Summary
This summary is machine-generated.

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Academic plastic surgery faces economic challenges. To survive, programs must adapt to financial pressures and stakeholder needs, focusing on quality of life. This requires understanding revenue sources and competition.

Area of Science:

  • Medical Economics
  • Surgical Education
  • Healthcare Management

Background:

  • Rising US healthcare costs threaten academic plastic surgery survival.
  • Declining revenues, competition, and reduced support necessitate a paradigm shift.

Purpose of the Study:

  • To analyze the financial landscape and competitive environment of academic plastic surgery programs in the US.
  • To identify factors influencing program survival and suggest strategies for adaptation.

Main Methods:

  • Survey data collected from 92 US postgraduate plastic surgery training program directors.
  • Analysis of clinical income sources, faculty support, resident salaries, and competition levels.

Main Results:

  • Indemnity insurance was the most common national clinical income source; regional variations exist.

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  • Faculty and personnel support largely derived from practice income; resident salaries from other resources.
  • Increased population density correlated with more competing surgeons, but competition varied by region and specialty.

    • Conclusions:

    • Academic plastic surgery programs face significant financial and competitive pressures.
    • Understanding and meeting stakeholder needs, especially regarding quality of life, is crucial for survival.
    • Centers of excellence may be more prevalent in less competitive areas but did not substantially impact income sources or levels.