The medical genetics workforce: An analysis of clinical geneticist subgroups
The medical genetics workforce: An analysis of clinical geneticist subgroups
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DOI：
10.1097/01.gim.0000242307.83900.77
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发表时间：
2006-10-01
影响因子：
8.8
通讯作者：
Blitzer, Miriam G.
中科院分区：
文献类型：
--
作者：
Cooksey, Judith A.;Forte, Gaetano;Blitzer, Miriam G.
目的：拥有医学博士学位的临床遗传学家面临着满足人口对遗传服务不断增长的需求的挑战。本研究旨在通过确定临床相关的遗传学家亚群并描述他们的专业特征和临床实践，协助专业人士进行劳动力规划。遗传学家的患者护理效率在亚组和其他医学专家之间进行比较。方法：作为全国遗传服务和卫生人力综合研究的一部分，本研究使用了 2003 年经美国医学遗传学委员会认证的遗传学家调查的数据。这项研究包括 610 名临床遗传学家，他们至少将 5% 的时间花在直接患者护理服务上。根据新患者的类型，采用迭代方法确定了五个亚组。我们根据人口统计、培训、专业和实践特征对亚组进行了描述性分析。结果：亚组包括普通遗传学家（36%）、儿科遗传学家（28%）、生殖遗传学家（15%）、代谢遗传学家（14%）和成人遗传学家（7%）。在培训、专业和实践参数中注意到不同亚组的临床相关差异。亚组因患者护理时间（中位数，每周 15-33 小时）和每周总工作时间（52-60 小时）而异。除代谢遗传学家外，所有亚组的新患者就诊次数（平均 222-900 人次/年）均高于随访患者就诊次数（平均 155-405 人次）。结论：尽管许多遗传学家都是通才遗传学家，但这项研究为区分临床相关的遗传学家亚组提供了证据基础。与其他医学专家相比，遗传学家提供的新患者就诊次数相似，但随访次数却少得多。这些发现与遗传学家劳动力规划相关。
Purpose: Clinical geneticists with a Doctor of Medicine degree face challenges to meet the growing population demand for genetic services. This study was designed to assist the profession with workforce planning by identifying clinically relevant subgroups of geneticists and describing their professional characteristics and clinical practices. Geneticists' patient care productivity is compared across subgroups and other medical specialists. Methods: Part of a comprehensive national study of genetic services and the health workforce, this study uses data from a 2003 survey of geneticists certified by the American Board of Medical Genetics. This study includes 610 clinical geneticists who spend at least 5% of their time in direct patient-care services. An iterative approach was used to identify five subgroups based on the types of new patients seen. We conducted a descriptive analysis of subgroups by demographic, training, professional, and practice characteristics. Results: The subgroups include general (36%), pediatric (28%), reproductive (15%), metabolic (14%), and adult (7%) geneticists. Clinically relevant variations across subgroups were noted in training, professional, and practice parameters. Subgroups vary across patient care hours (median, 15-33 hours/week) and total weekly work hours (52-60 hours). New patient visits (mean, 222-900/year) are higher than follow-up patient visits (mean, 155-405) for all subgroups except metabolic geneticists. Conclusion: Although many geneticists practice as generalist geneticists, this study provides an evidence base for distinguishing clinically relevant subgroups of geneticists. Geneticists provide similar numbers of new patient visits and far fewer follow-up visits than other medical specialists. These findings are relevant to geneticist workforce planning.