Download presentation
Presentation is loading. Please wait.
Published byFrancine McCarthy Modified over 9 years ago
1
Comparisons between Family Medicine and Ob-Gyn William F. Rayburn MD, MBA Professor and Chair, Dept. of Obstetrics & Gynecology University of New Mexico Consultant, Workforce Studies and Planning American Congress of Obstetricians & Gynecologists Anticipated Shortages of Physicians
3
Objectives After today’s session, the participant will gain more knowledge in comparing between family medicine and general ob-gyn for: m Pursuit of residencies m Resident demographics m Residency graduates m Demographics of practitioners m Access to care m Consequences of shortages
4
American College of Surgeons m General surgery m Obstetrics and gynecology m Orthopedics m Otolaryngology m Opthalmology m Neurosurgery m Urology m Plastic surgery
5
Data Sets AAMC Association of American Medical Colleges ACOG American College of Obstetricians and Gynecologists AHA American Hospital Association Merritt Hawkins Search Firm NRMP National Resident Matching Program U.S. Census Bureau
6
Percent U.S. Medical Graduates and Specialty Salary AAMC
7
Residency Programs, 2011 ProgramsPositions Family medicine4532,708 General surgery2961,179 Ob-gyn2371,205 NRMP
8
Ob-Gyn Residents and Programs NRMP
9
Female Residents in Accredited Programs Average46.0% Family medicine55.6% Ob-gyn79.7% General surgery35.0% NRMP
10
African American, American Indian or Alaska Native, or Native Hawaiian or Pacific Islander Residents in Accredited Programs Average6.3% Family medicine8.0% Ob-gyn11.2% General surgery7.2% NRMP
11
Hispanic Residents in Accredited Programs Average8.0% Family medicine9.7% Ob-gyn9.0% General surgery8.3% NRMP
12
Abdominal hysterectomy Vaginal hysterectomy Laparoscopic hysterectomy Treatment of incontinence/pelvic floor repair Laparoscopy Operative hysterectomy Abortion Treatment on invasive cancer Gyn Procedures Performed by Residents ACOG
13
Active Physicians Practicing in Same State as Residency Training Average47.4% Family medicine55.6% Ob-gyn47.4% General surgery44.4% AAMC
14
Trends in Graduates from Residency Programs in Ob-Gyn Year Graduates (N) U.S. Population (100,000) Graduates per 100,000 Population (n) 19951,2482,6704.7 20001,2342,8204.4 20051,1072,9603.7 20101,1683,1003.8 AAMC
15
Patients in the General Population Per Active Physician Internal medicine2,875 Family medicine2,919 Pediatrics5,579 Ob-Gyn7,600 Psychiatry7,661
16
Specialties With the Largest Numbers of Active Physicians Internal medicine104,904 Family medicine103,315 Pediatrics54,061 Ob-Gyn39,689 Psychiatry39,371
17
per 10,000 women ACOG
18
per 10,000 women Densities of Ob-Gyns per 10,000 women ACOG
19
Active Female Physicians by Medical Specialty, 2007 Average28.3% Family medicine31.3% Ob-gyn43.2% General surgery13.6% AAMC
20
Average Age at Which Fellows Stop Practicing Obstetrics Year All Fellows (Years) Males (Years) Females (Years) 198549.4No data 1987 49.3No data 1990 49.8No data 199248.950.239.5 199646.648.439.2 199948.251.240.8 200348.051.042.0 200648.051.743.1 200948.051.943.8 ACOG
21
Hospitals with Maternity Services AHA
22
Hospitals with Maternity Services 60-Minute Drive AHA USCB
23
Hospitals with Maternity Services 30-Minute Drive AHA USCB
24
Mean Ages of Male/Female Fellows at ACOG ACOG
25
Age Intervals of the Fellows of ACOG ACOG
26
Active Physicians Aged 55 Years or Older Categorized by Medical Specialty, 2007 Average37.6% Family medicine36.7% Ob-gyn38.5% General surgery42.4% AAMC
27
Change in Number of Active Physicians 1996-2006 General surgery-1.0% Ob-gyn10.2% Family medicine33.0% AAMC
28
Physician Revenue by Payment Source Medical Specialty Medicare (%) Medicaid (%) Insurance (%) Self-pay (%) Other (%) All physicians291243124 Family practice231244174 Surgery35843122 Obstetrics and gynecology112054132 MH
29
Topics Assessed at a Typical Women’s Annual Visit Cervical cytology Breast examination Pelvic examination Alcohol, tobacco, or drug use Sexuality concerns Fitness and nutrition Psychologic well-being Cardiovascular risk factors Immunizations ACOG
30
Year Shortest Time Longest Time Average Time Accepting Medicaid (%) 2004 2009 3.0 days 2.5 days 65.1 days 98.7 days 23.3 days 27.5 days 60 41 15 cities, 17 offices per city Wait Times Before Next Well-Woman Gynecologic Examination MH
31
Ten Most Sought After Physicians 1. Family practice 2. Internal medicine 3. Hospitalist 4. Radiology 5. Orthopedic surgery 6. Obstetrics and gynecology 7. Cardiology 8. General surgery 9. Emergency medicine 10. Psychiatry MH
32
ACOG
33
Advanced Ob-Gyn Training Maternal-Child health fellowship Women’s Health training in internal medicine Re-entry of Ob-Gyns in the workforce
34
Nonphysician Practitioners Types of Nonphysician Practitioners Training Programs in the United States (N) Estimated Nonphysician Practitioners (N) Certified nurse- midwives3811,546 Nurse practitioners350135,000 Physician assistants14085,345 ACOG
36
Visits to Retail Clinics URI, sinusitis32% Immunizations24% Pharyngitis16% Otitis8% UTI5% Conjunctivitis4% BP check2% Other10% Claims: National Ambulatory Medical Care Survey National Hospital Ambulatory Medical Care Survey, 2007
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.