Department of Surgery, The Ohio State University College of Medicine, Columbus, OH, USA.
J Am Coll Surg. 2011 Sep;213(3):345-51. doi: 10.1016/j.jamcollsurg.2011.05.011.
The trend for choosing to work part-time (PT) in medicine is increasing. We hypothesize that strategies to employ PT surgeons and prolong the duration of practice might reduce the surgeon shortage considerably. We calculated the effects of PT employment on the surgical workforce.
We estimated the surgical workforce in obstetrics and gynecology, general surgery, thoracic surgery, ENT, orthopaedic surgery, urology, and neurosurgery to be 99,000 in 2005. We assumed 3,635 Board Certificates would be granted each year and surgeons will practice for 30 years, with 3,300 retiring each year. Scenarios were constructed with one-quarter (scenario 1), one-half (scenario 2), or three-quarters (scenario 3) of potential retirees working half-time for an additional 10 years.
By 2030, with other variables unchanged, the United States would have 4,125; 8,250; and 12,375 additional PT surgeons under scenario 1 (4% increase), scenario 2 (8% increase), and scenario 3 (12% increase), respectively, with a corresponding reduction in the shortage of surgeons.
An opportunity exists to reduce the shortage of surgeons by offering models for PT employment particularly to mid-career women and retiring surgeons. Employment models should address flexible work schedules, malpractice premium adjustments, academic promotion, maintenance of certification and licensure, and employment benefits.
选择兼职工作的趋势在医学领域日益增加。我们假设采用兼职外科医生并延长执业时间的策略可能会大大减少外科医生短缺的问题。我们计算了兼职就业对外科医生队伍的影响。
我们估计了妇产科、普通外科、胸外科、耳鼻喉科、骨科、泌尿科和神经外科的外科医生队伍在 2005 年将达到 99000 人。我们假设每年将授予 3635 个委员会认证，外科医生将执业 30 年，每年有 3300 人退休。我们构建了以下三种情景：四分之一（情景 1）、二分之一（情景 2）或四分之三（情景 3）的潜在退休人员将在剩余的 10 年中兼职工作。
在其他变量不变的情况下，到 2030 年，美国将分别有 4125、8250 和 12375 名额外的兼职外科医生，分别在情景 1（增加 4%）、情景 2（增加 8%）和情景 3（增加 12%），这将相应减少外科医生短缺的情况。
通过提供兼职就业模式，特别是为中年女性和退休外科医生提供这种机会，有可能减少外科医生短缺的问题。就业模式应解决灵活的工作时间表、医疗事故保险费调整、学术晋升、维持认证和执照以及就业福利等问题。
