The Coming Shortage of Surgeons PDF Download
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Author: Thomas E. Williams Jr., M.D., Ph.D.
Publisher: Bloomsbury Publishing USA
ISBN: 0313380716
Category : Medical
Languages : en
Pages : 220
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Book Description
A critical, quantitative look at the future supply and demand of surgical specialists that may foretell rationing of surgical services. The Coming Shortage of Surgeons: Why They Are Disappearing and What That Means for Our Health is the only quantitative analysis of the workforce in orthopedic and thoracic surgery, otolaryngology, obstetrics and gynecology, general surgery, neurosurgery, and urology. It analyzes the demand and supply for these surgeons and gives the causes and remedies for these shortages. The Coming Shortage of Surgeons quantifies the demand for the surgical workforce, then examines the constraints to supply, which include soaring tuition and medical students' debts, the demand for a controllable or scheduled lifestyle, malpractice premium expenses, early retirement, and perhaps the most difficult hurdle to overcome: the provision in the Balanced Budget Act of 1997 that caps all medical and surgical residencies at 1996 levels.
Author: Thomas E. Williams Jr., M.D., Ph.D.
Publisher: Bloomsbury Publishing USA
ISBN: 0313380716
Category : Medical
Languages : en
Pages : 220
Get Book Here
Book Description
A critical, quantitative look at the future supply and demand of surgical specialists that may foretell rationing of surgical services. The Coming Shortage of Surgeons: Why They Are Disappearing and What That Means for Our Health is the only quantitative analysis of the workforce in orthopedic and thoracic surgery, otolaryngology, obstetrics and gynecology, general surgery, neurosurgery, and urology. It analyzes the demand and supply for these surgeons and gives the causes and remedies for these shortages. The Coming Shortage of Surgeons quantifies the demand for the surgical workforce, then examines the constraints to supply, which include soaring tuition and medical students' debts, the demand for a controllable or scheduled lifestyle, malpractice premium expenses, early retirement, and perhaps the most difficult hurdle to overcome: the provision in the Balanced Budget Act of 1997 that caps all medical and surgical residencies at 1996 levels.
Author: Tony Bartelme
Publisher: Beacon Press
ISBN: 080704492X
Category : Biography & Autobiography
Languages : en
Pages : 290
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Book Description
A “lyrical, inspirational” story of doctors who changed the health care of an African nation (Tom Brokaw, author of The Greatest Generation) Dr. Dilan Ellegala arrives in Tanzania, shocked to find the entire country has just three brain surgeons for its population of forty-two million. Haydom Lutheran Hospital lacks even the most basic surgical tools, not even a saw to open a patient’s skull. Here, people with head injuries or brain tumors heal on their own or die. When confronted with a villager suffering from a severe head trauma, Dilan buys a tree saw from a farmer, sterilizes it, and then uses it to save the man’s life. Yet Dilan realizes that there are far too many neurosurgery patients for one person to save, and of course he will soon be leaving Tanzania. He needs to teach someone his skills. He identifies a potential student in Emmanuel Mayegga, a stubborn assistant medical officer who grew up in a mud hut. Though Mayegga has no medical degree, Dilan sees that Mayegga has the dexterity, intelligence, and determination to do brain surgery. Over six months, he teaches Mayegga how to remove tumors and treat hydrocephalus. And then, perhaps more important, Dilan teaches Mayegga how to pass on his newfound skills. Mayegga teaches a second Tanzanian, who teaches a third. It’s a case of teach-a-man-to-fish meets brain surgery. As he guides these Tanzanians to do things they never thought possible, Dilan challenges the Western medical establishment to do more than send vacationing doctors on short-term medical missions. He discovers solutions that could transform health care for two billion people across the world. A Surgeon in the Village is the incredible and riveting account of one man’s push to “train-forward”—to change our approach to aid and medical training before more lives are needlessly lost. His story is a testament to the transformational power of teaching and the ever-present potential for change. As many as seventeen million people die every year because of a shortage of surgeons, more than die from AIDS, malaria, and tuberculosis combined. Dilan Ellegala and other visionaries are boldly proposing ways of saving lives.
Author: Paul A. Ruggieri M.D.
Publisher: Penguin
ISBN: 0698143817
Category : Business & Economics
Languages : en
Pages : 230
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Book Description
Why is surgery so expensive? Surgeon Paul A. Ruggieri reveals little-known truths about his profession—and the hidden flaws of our healthcare system—in this compelling and troubling account of real patients, real doctors, and how money influences medical decisions behind the scenes. Even many well-informed patients have no idea what may be contributing to the cost of their surgery. With up-to-date research and stories from his practice, Ruggieri shows how business arrangements among hospitals, insurance companies, and surgeons affect who gets treatment—and whether they get the right treatment. Pulling back the curtain from the hospital bed, he explains how to safeguard one’s own health (and finances), and how America can make surgery more affordable for all without sacrificing quality care.
Author: David W. Page MD
Publisher: Bloomsbury Publishing USA
ISBN:
Category : Medical
Languages : en
Pages : 321
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Book Description
Written by a surgeon with 40 years' experience in practice and instruction, this book provides vital, up-to-date information that explains the strengths and weaknesses of the laparoscopic surgery field to enable potential surgical patients to make the best decisions and choose a surgeon wisely. More than 30 years ago, laparoscopic or "keyhole" surgery suddenly appeared as an operative technique. Laparoscopy quickly grew in the U.S. surgical field, where now more than two million operations annually use the technique. But is the training surgeons receive in laparoscopy sufficient to ensure patient safety? What are the specific situations where laparoscopy is beneficial and justified, and when is it ill-advised due to the additional complexity and risk factors? This is the first book written for general readers—avoiding medical jargon wherever possible—to expose the gritty history and downsides of "minimally invasive surgery." Additionally, it provides the perspective and insights of an esteemed surgeon who was working at the inception of laparoscopy and has a full understanding of this now widely popular procedure across its development and lifespan. Readers will learn about the emergence of laparoscopic techniques in the 1990s, understand how minimally invasive surgery has been a boon to the business of surgery and to patient health and recovery overall, appreciate how the complexity involved in laparoscopic surgery has led to a higher incidence of surgeon "incompetence," and grasp the responsibility of a patient to take steps to assure that the surgeon is qualified before going into the operating room. Examination of eye-opening statistics on the outcomes of laparoscopic procedures documents the high level of capability of most surgeons, as well as the lack of appropriate ability with certain laparoscopic operations in the hands of some surgeons. The author also spells out how informed patients can be prepared to discuss and consider all aspects of an operation—and the surgeon's training and experience—to assure the best outcome for their health.
Author: LD Britt
Publisher: Lippincott Williams & Wilkins
ISBN: 1451153937
Category : Medical
Languages : en
Pages : 849
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Book Description
Acute Care Surgery is a comprehensive textbook covering the related fields of trauma, critical care, and emergency general surgery. The full spectrum of Acute Care Surgery is expertly addressed, with each chapter highlighting cutting-edge advances in the field and underscoring state-of-the-art management paradigms. In an effort to create the most definitive reference on Acute Care Surgery, an evidence-based approach is emphasized for all content included. Also, notable controversies are discussed in detail often accompanied by data-driven resolutions.
Author: United States. Congress. House. Committee on Small Business
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 128
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Book Description
Author: Katherine C. Kellogg
Publisher: University of Chicago Press
ISBN: 0226430014
Category : Medical
Languages : en
Pages : 244
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Book Description
In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.
Author: Andrew Michael Flescher
Publisher: Georgetown University Press
ISBN: 1626165440
Category : Law
Languages : en
Pages : 188
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Book Description
Nearly 120,000 people are in need of healthy organs in the United States.. Every ten minutes a new name is added to this list, while each day eight people die waiting for an organ to become available. Worse, the gap between those in need of an organ and the number of available donors is growing: our traditional reliance on cadaveric organ donation is insufficient, and in recent years there has been a decline in the number of living donors as well as in the percentage of living donors relative to overall kidney donors. Some transplant surgeons and policy advocates suggest a market solution and legalizing the sale of organs, Andrew Michael Flescher objects to this approach, citing concerns about social justice, commodification, and patient safety. Given that, what is the most efficacious means of attracting prospective living kidney donors? Flescher, drawing on scores of interviews with donors and patients, suggests that inculcating a sense of altruism and civic duty is a more effective means of increasing donor participation than purely financial incentives. He encourages individuals to spend time with patients on dialysis, advocating donor "chains" in order to facilitate relationships between donors and recipients, and creating sacred spaces in hospitals such as a "wall of heroes" to recognize those who sacrifice their body parts for others.
Author: American Medical Association
Publisher:
ISBN:
Category : Electronic journals
Languages : en
Pages : 1214
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Book Description
Author: Institute of Medicine (U.S.). Committee on the Governance and Financing of Graduate Medical Education
Publisher:
ISBN: 9780309303552
Category : Medical
Languages : en
Pages : 0
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Book Description
Intro -- FrontMatter -- Reviewers -- Foreword -- Acknowledgments -- Contents -- Boxes, Figures, and Tables -- Summary -- 1 Introduction -- 2 Background on the Pipeline to the Physician Workforce -- 3 GME Financing -- 4 Governance -- 5 Recommendations for the Reform of GME Financing and Governance -- Appendix A: Abbreviations and Acronyms -- Appendix B: U.S. Senate Letters -- Appendix C: Public Workshop Agendas -- Appendix D: Committee Member Biographies -- Appendix E: Data and Methods to Analyze Medicare GME Payments -- Appendix F: Illustrations of the Phase-In of the Committee's Recommendations.
