Supply and Demand Analysis of the Orthopaedic Trauma Surgeon Workforce in the United States
Supply and Demand Analysis of the Orthopaedic Trauma Surgeon Workforce in the United States
复制标题
DOI：
10.1097/bot.0000000000000540
复制
发表时间：
2016-05-01
影响因子：
2.3
通讯作者：
Mir, Hassan R.
中科院分区：
文献类型：
--
作者：
Sielatycki, John A.;Sawyer, Jeffrey R.;Mir, Hassan R.
目的：探讨骨科创伤劳动力的最新趋势，并评估骨科创伤外科医生（OTS）的供应是否符合其skills.Methods的需求：估计供应使用骨科创伤协会（OTA）的会员资格和美国骨科医师学会的普查数据。美国外科医师学会在国家创伤数据库（NTDB）中证实的创伤中心报告的每年骨盆和髋臼骨折手术数量被用作需求的替代品。由于使用代理人，OTA会员的年变化率与NTDB center.Results的手术损伤的变化率进行了比较：从2002年到2012年，报告的手术骨盆和髋臼损伤平均每年增加21.0%。报告创伤中心的数量每年增加27.2%。除2009年外，OTA成员数量每年都在增加，平均年增长率为9.8%。每个NTDB中心的平均骨科医生人数从7.98增加到8.58，平均每年增加1.5%。每个NTDB中心每年手术骨盆和髋臼骨折的数量从2002年的27.1例下降到2012年的19.03例，每年下降2.0%.Conclusions：在美国，从2002年到2012年，OTS的数量呈上升趋势，而每个NTDB中心报告的骨盆和髋臼手术病例则下降。这些趋势表明，在这一期间，每一海外法庭的此类案件净减少。
Objective:To investigate recent trends in the orthopaedic trauma workforce and to assess whether supply of orthopaedic trauma surgeons (OTS) matches the demand for their skills.Methods:Supply estimated using Orthopaedic Trauma Association (OTA) membership and American Academy of Orthopaedic Surgeons census data. The annual number of operative pelvic and acetabular fractures reported by American College of Surgeons verified trauma centers in the National Trauma Data Bank (NTDB) was used as a surrogate of demand. Because surrogates were used, the annual rate of change in OTA membership versus rate of change in operative injuries per NTDB center was compared.Results:From 2002 to 2012, reported operative pelvic and acetabular injuries increased by an average of 21.0% per year. The number of reporting trauma centers increased by 27.2% per year. The number of OTA members increased each year except in 2009, with mean annual increase of 9.8%. The mean number of orthopaedic surgeons per NTDB center increased from 7.98 to 8.58, an average of 1.5% per year. The annual number of operative pelvic and acetabular fractures per NTDB center decreased from 27.1 in 2002 to 19.03 in 2012, down 2.0% per year.Conclusions:In the United States, from 2002 to 2012, the number of OTS trended upward, whereas operative pelvic and acetabular cases per reporting NTDB center declined. These trends suggest a net loss of such cases per OTS over this period.