Bobby R Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
Otol Neurotol. 2013 Jun;34(4):755-61. doi: 10.1097/MAO.0b013e318280492b.
To analyze current ratio of neurotologists to the population and examine regional variation.
Population survey examining hospital referral regions (HRRs) as defined in the Dartmouth Atlas of Health Care Project and location of members of the American Neurotology Society.
Ratio of neurotologists to the population within designated HRRs.
The national estimate of practicing neurotologists per population in 2006 was 1:922664 persons. The ratio is not uniform across HRRs, indicating that referral patterns for neurotologic care are wider than the care for indicators used in designating HRRs. Distribution of specialists is closely correlated with population. Estimated procedures per population are stable or declining for lateral cranial base surgery, implying current or impending oversupply of neurotologists.
The number of specialists in Neurotology likely exceeds projected needs. The current supply of trainees predicts this trend will continue for decades. Development and maintenance of lateral cranial base surgical skills will be difficult for some practitioners.
分析神经耳科医师与人口的比例，并研究其地域差异。
人群调查，以达特茅斯医疗保健项目中的医院转诊区域（HRR）和美国神经耳科学会成员的所在地为研究范围。
指定 HRR 内的神经耳科医师与人口的比例。
2006 年全国每百万人中有执业神经耳科医师 1 名。该比例在 HRR 之间并不均匀，表明神经耳科护理的转诊模式比用于指定 HRR 的指标的护理模式更广泛。专家的分布与人口密切相关。每百万人的预计手术量对于侧颅底手术来说是稳定或下降的，这意味着神经耳科医师的供应目前或即将过剩。
神经耳科专家的数量可能超过预期需求。目前的受训者人数表明，这种趋势将持续数十年。对于一些从业者来说，发展和维持侧颅底手术技能将变得困难。
