Escolar Documentos
Profissional Documentos
Cultura Documentos
Table of Contents
Introduction ........................................................................................................................................ 1 Acknowledgments................................................................................................................................ 1 Key Findings......................................................................................................................................... 2 Key Denitions.................................................................................................................................... 3 Commonly Used Acronyms ............................................................................................................... 3 Practice Specialty................................................................................................................................. 4 List of Figures Figure 1. Characteristics of Active Physicians in the United States, 2010 ...................................... 7 Figure 2. Characteristics of Residents/Fellows in ACGME-Accredited Programs, 2010 ............... 8 Figure 3. Specialties with the Largest Number of Active Physicians, 2010 ..................................... 9 Figure 4. Number of People per Active Physician, by Specialty, 2010 ......................................... 11 Figure 5. Percentage of Active Physicians Who Are Female, by Specialty, 2010 .......................... 13 Figure 6. Percentage of Active Physicians Who Are Age 55 or Older, by Specialty, 2010 ........... 15 Figure 7. Percentage of Active Physicians with U.S. Medical Doctorates (M.D.), by Specialty, 2010 .............................................................................................................................. 17 Figure 8. Percentage of Active Physicians with Doctor of Osteopathy (D.O.) Degrees, by Specialty, 2010 .............................................................................................................................. 19 Figure 9. Percentage of Active Physicians with International Medical Degrees, by Specialty, 2010 .............................................................................................................................. 21 Figure 10. Percentage of Active Physicians Practicing in the Same State Where They Trained, by Specialty, 2010 .............................................................................................................................. 23 Figure 11. Percent Change in the Number of Active Physicians, by Specialty, 2000-2010.......... 25 Figure 12. Number of First-Year ACGME Residents/Fellows, by Specialty, 2010 ....................... 27 Figure 13. Percentage of ACGME Residents/Fellows Who Are Female, by Specialty, 2010......... 29 Figure 14. Percentage of ACGME Residents/Fellows with U.S. Medical Doctorates (M.D.), by Specialty, 2010 .............................................................................................................................. 31 Figure 15. Percentage of ACGME Residents/Fellows with Doctor of Osteopathy (D.O.) Degrees, by Specialty, 2010 .............................................................................................................. 33
2012 AAMC. May not be reproduced without permission. I ii I Association of AmericanMedicalColleges 2012
Figure 16. Percentage of ACGME Residents/Fellows with International Medical Degrees, by Specialty, 2010 ................................................................................................................................... 35 Figure 17. Percent Change in Number of First-Year ACGME Residents/Fellows, by Specialty, 2005-2010 .......................................................................................................................................... 37 List of Tables Table 1. Number of Physicians in the Largest Specialties by Major Professional Activity, 2010 ................................................................................................................................................... 10 Table 2. Number of People per Active Physician, by Specialty, 2010 ........................................... 12 Table 3. Number and Percentage of Active Physicians, by Sex and Specialty, 2010 .................... 14 Table 4. Number and Percentage of Active Physicians, by Age and Specialty, 2010 ................... 16 Table 5. Number and Percentage of Active Physicians with U.S. Medical Doctorates (M.D.), by Specialty, 2010 .............................................................................................................................. 18 Table 6. Number and Percentage of Active Physicians with Doctor of Osteopathy (D.O.) Degrees, by Specialty, 2010 .............................................................................................................. 20 Table 7. Number and Percentage of Active Physicians Who Graduated from an International Medical School, by Specialty, 2010 .................................................................................................. 22 Table 8. Number and Percentage of Active Physicians Practicing in the State Where They Completed Graduate Medical Education (GME), by Specialty, 2010 ........................................... 24 Table 9. Percent Change in the Number of Active Physicians, by Specialty, 2000-2010 ............. 26 Table 10. Number of First-Year ACGME Residents/Fellows, by Specialty, 2010 ......................... 28 Table 11. Number and Percentage of ACGME Residents/Fellows, by Sex and Specialty, 2010 ............................................................................................................... 30 Table 12. Number and Percentage of ACGME Residents/Fellows with a U.S. M.D., by Specialty, 2010 .............................................................................................................................. 32 Table 13. Number and Percentage of ACGME Residents/Fellows with Doctor of Osteopathy (D.O.) Degrees, by Specialty, 2010 .................................................................................................. 34 Table 14. Number and Percentage of ACGME Residents/Fellows Who Graduated from an International Medical School, by Specialty, 2010 ........................................................................... 36 Table 15. Percent Change in Number of First-Year ACGME Residents/Fellows, by Specialty, 2005-2010 .......................................................................................................................................... 38 Table 16. Averages for Key Physician Workforce Measures, 2007 and 2010................................. 39
I iii I
Introduction
This publication, prepared by the Center for Workforce Studies at the Association of American Medical Colleges (AAMC), provides detailed statistics about active physicians and physicians in training in the specialties with the largest number of active physicians (i.e., specialties with more than 2,500 active physicians) in the United States. The 2012 Physician Specialty Data Book, an update of the 2008 edition, provides the most current data available about the physician workforce across specialties in a series of gures and tables. Additionally, the 2012 edition provides a summary table comparing the means in 2007 and 2010. This Data Book is divided into two sections: Section 1: Active Physicians. This section provides data on active physicians in the United States, including general characteristics; specialties with the largest numbers of physicians; number of people per active physician by specialty; age, gender, and type of degree data by specialty; state retention by specialty; and percent change in the number of active physicians by specialty (2000-2010). Data on race and ethnicity were not available. Section 2: Graduate Medical Education. This section presents data on physicians in residency and fellowship programs, including the number by specialty, the percentage who are female by specialty, degree information by specialty, and the percent change in the number of residents and fellows by specialty (2005-2010). The primary data sources for this report include: The American Medical Association (AMA) 2011 Physician Masterle (data as of Dec. 31, 2010), population estimates from the U.S. Census Bureau, and the AAMC/AMA National GME Census.
Clese Erikson, M.P.Aff. Director Center for Workforce Studies Karen Jones, M.Ap.Stat. Senior Data Analyst Center for Workforce Studies Casey Tilton Program Specialist Center for Workforce Studies
Acknowledgments
We would like to express our appreciation to our AAMC colleagues for their collaborative efforts. We would also like to thank the AMA for making the Masterle data available to the AAMC for purposes of data analysis.
Note
In Figures 3-17, primary care specialties (internal medicine, family medicine/general practice, pediatrics, and internal medicine/ pediatrics) are shaded differently for easy reference.
I1I
I2I
Key Denitions
Active physicians: Physicians (federal and non-federal) who are licensed by a state are considered active, provided they are working at least 20 hours per week. Physicians who are retired, semi-retired, temporarily not in practice, not active for other reasons, or who have not completed their graduate medical education are excluded. Active physicians include those working in direct patient care, administration, medical teaching, research, or other non-patient care activities. Active physicians include physicians with a Doctorate of Medicine (M.D.) and physicians with a Doctor of Osteopathy (D.O.). The total number of active physicians may differ between tables in this report, as a result of missing information in the data le. For example, to determine the percentage of active physicians who are female, the total number of active physicians excludes people whose gender was not reported in the data le. U.S. M.D.: Physicians who received their Doctor of Medicine from a U.S. allopathic medical school. D.O.: Physicians who received their Doctor of Osteopathy from a U.S. osteopathic school. First-year residents/fellows: Physicians who are in their rst year of a graduate medical education (GME) in their specialty are considered rst-year residents or fellows. In some cases, the resident or fellow may have had prior GME training in a different specialty. International medical graduate: An individual with an M.D. or related degree who graduated from a medical school outside the United States or Canada is considered an international medical graduate (IMG). This includes U.S. citizens who have gone outside of the United States to attend medical school. To be eligible for licensure and practice in the United States, all IMGs must complete accredited graduate training in the United States or its equivalent.
I3I
Practice Specialty
This report presents data on the specialties with the largest number of active physicians in 2010, dened as having more than 2,500 active physicians. Specialty designations for active physicians rely on the primary specialty selected by the physician on the Census of Physicians, which is administered by the AMA. Specialty designations for residents and fellows reect the ACGME training program in which the physician is training. The AMA Physician Masterle lists more than 200 specialty categories and there are more than 140 ACGME specialties and subspecialties. To give a more comprehensive and informative view of the specialty category, we grouped some related specialties together. Because of differences in the specialty designations between the AMA Physician Masterle and the ACGME, specialty groupings used in this report will sometimes vary for active physicians and trainees as indicated below.
AMA Physician Masterle ACGME Specialties and Specialties Included Subspecialties Included Allergy and Immunology
Allergy & Immunology Allergy Allergy and Immunology Immunology Anatomic/Clinical Pathology Anatomic Pathology Anatomic/Clinical Pathology Chemical Pathology Clinical Pathology Anesthesiology Anesthesiology Cardiovascular Disease Cardiovascular Disease
Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Pediatrics/Psych/Child & Adolescent Psych
Endocrinology, Diabetes & Diabetes Endocrinology, Diabetes & Metabolism Metabolism Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Family Medicine Family Medicine General Practice Gastroenterology Gastroenterology Gastroenterology General Surgery General Surgery General Surgery
I4I
Geriatric Medicine (Family Practice) Geriatric Medicine (Family Practice) Geriatric Medicine (Internal Medicine) Geriatric Medicine (Internal Medicine) Hematology (Internal Medicine) Medical Oncology Hematology and Oncology (Internal Medicine) Infectious Disease Hematology/Oncology Hematology (Internal Medicine) Oncology (Internal Medicine) Infectious Disease Internal Medicine Internal Medicine/Family Practice Internal Medicine/Pediatrics Neonatal-Perinatal Medicine
Internal Medicine Internal Medicine Internal Medicine/ Pediatrics Neonatal-Perinatal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine
Neurology Neurology Neurology Obstetrics & Gynecology Gynecology Obstetrics & Gynecology Obstetrics Obstetrics & Gynecology Ophthalmology Ophthalmology Ophthalmology Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery
Otolaryngology Otolaryngology Otolaryngology Pediatrics Pediatrics Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Physical Medicine & Rehabilitation Facial Plastic Surgery Plastic Surgery Plastic Surgery Within The Head & Neck Aerospace Medicine General Preventive Medicine Occupational Medicine Public Health & General Preventive Medicine Physical Medicine & Rehabilitation Plastic Surgery
Preventive Medicine
I5I
Psychiatry
Addiction Medicine Addiction Psychiatry Psychiatry Psychiatry Psychoanalysis Psychosomatic Medicine (Psychiatry) Psychosomatic Medicine Addiction Psychiatry (Psychiatry) Critical Care Medicine (Internal Medicine) Pulmonary Disease (Internal Pulmonary Disease and Critical Care Medicine (Internal Medicine) Radiation Oncology Radiology
Pulmonary Disease & Critical Critical Care Medicine (Internal Care Medicine Medicine) Medicine) Pulmonary & Critical Care Medicine Pulmonary Disease Radiation Oncology Radiation Oncology Radiology & Diagnostic Radiology Diagnostic Radiology Radiology-Diagnostic
Rheumatology Rheumatology Rheumatology Thoracic Surgery Cardiothoracic Surgery Congenital Cardiac Surgery (Thoracic Cardiovascular Surgery Surgery) Thoracic Surgery Thoracic Surgery Urology Urology Urology Vascular Surgery Vascular Surgery Vascular Surgery (General Surgery) Vascular Surgery-Integrated
I6I
US MD 552,027 69.1%
I7I
US MD 72,473 65.0%
I8I
Figure 3. Specialties with the Largest Number of Active Physicians, 2010 Figure 3. Specialties with the Largest Number of Active Physicians, 2010
Internal Medicine Family Medicine/General Practice Pediatrics Obstetrics & Gynecology Anesthesiology Psychiatry Emergency Medicine Radiology & Diagnostic Radiology General Surgery Cardiovascular Disease Orthopedic Surgery Ophthalmology Anatomic/Clinical Pathology
Neurology
Gastroenterology Hematology & Oncology Pulmonary Disease & Critical Care Med. Dermatology Urology Otolaryngology Physical Medicine & Rehabilitation Nephrology Child & Adolescent Psychiatry Preventive Medicine
Infectious Disease
Plastic Surgery Endocrinology, Diabetes & Metabolism Neurological Surgery Rheumatology Thoracic Surgery Radiation Oncology Allergy & Immunology Neonatal-Perinatal Medicine Geriatric Medicine Internal Medicine/Pediatrics Primary Care
Vascular Surgery
0 15,000 30,000 45,000 60,000 75,000 115,000 90,000 100,000
I9I
Table 1. Number in the Largest Specialties by Major Activity, 2010 Table of 1. Physicians Number of Physicians in the Largest Specialties byProfessional Major Professional Activity, 2010
Total Active Physicians
4,325 14,975 40,123 21,819 7,706 10,820 33,984 5,891 106,549 12,852 26,314 4,278 12,743 7,149 109,048 3,844 4,404 8,362 5,047 12,916 40,377 17,943 19,822 9,232 55,509 8,503 6,822 6,824 38,289 12,526 4,459 27,986 4,917 4,682 9,826 2,853
Specialty
Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery
1
Patient Care
3,668 11,231 36,462 19,637 6,449 10,101 30,094 4,502 97,779 11,550 21,896 3,367 10,261 5,007 93,381 3,182 3,503 7,020 4,505 10,748 36,978 16,598 18,625 8,636 49,001 7,435 6,379 4,060 32,332 10,486 4,032 24,887 4,069 4,222 9,180 2,582
Teaching
40 316 470 301 138 80 321 138 1,588 158 258 92 155 232 1,268 35 102 119 37 207 442 123 119 71 812 44 40 152 559 249 24 352 94 40 68 32
Research
310 600 203 644 124 102 104 585 259 313 156 111 945 737 1,604 25 195 355 35 675 195 138 74 26 715 47 21 527 830 444 32 171 269 56 45 18
Other1
307 2,828 2,988 1,237 995 537 3,465 666 6,923 831 4,004 708 1,382 1,173 12,795 602 604 868 470 1,286 2,762 1,084 1,004 499 4,981 977 382 2,085 4,568 1,347 371 2,576 485 364 533 221
Other includes physicians whose self-designated major professional activity was "Administration,"
I 10 I
Rheumatology
Neurological Surgery Endocrinology, Diabetes & Metabolism Plastic Surgery
Preventive Medicine
Infectious Disease Child & Adolescent Psychiatry Nephrology
Sources: AMA Physician Masterfile (December 2010) and Annual Estimates of the Population of the United States, Regions, States and Puerto Rico: April 1, 2000 to July 2010 (NST_PEST2010-01). Population Division, U.S. Census Bureau
I 11 I
Table 2. Number of People per2. Active Physician by Specialty, 2010 by Specialty, 2010 Table Number of People per Active Physician
Total Active Physicians
4,325 14,975 40,123 21,819 7,706 10,820 33,984 5,891 106,549 12,852 26,314 4,278 12,743 7,149 109,048 3,844 4,404 8,362 5,047 12,916 40,377 17,943 19,822 9,232 55,509 8,503 6,822 6,824 38,289 12,526 4,459 27,986 4,917 4,682 9,826 2,853
Specialty
Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery
Sources: AMA Physician Masterfile (December 2010) and Annual Estimates of the Population of the United States, Regions, States and Puerto Rico: April 1, 2000 to July 2010 (NST_PEST2010-01). Population Division, U.S. Census Bureau.
I 12 I
Infectious Disease
Psychiatry Internal Medicine Family Medicine/General Practice Physical Medicine & Rehabilitation Anatomic/Clinical Pathology Allergy & Immunology Preventive Medicine Hematology & Oncology Neurology
Radiation Oncology
Emergency Medicine Nephrology Anesthesiology Radiology & Diagnostic Radiology Ophthalmology Pulmonary Disease & Critical Care Med. General Surgery Plastic Surgery Gastroenterology Otolaryngology Cardiovascular Disease Vascular Surgery Neurological Surgery Urology Thoracic Surgery Orthopedic Surgery 0% 10% 20% 30% 40% 50% 60% Primary Care
Average = 30.4%
I 13 I
Table 3. Number Percentage of Active of Physicians by Sex and Specialty, 2010 2010 Tableand 3. Number and Percentage Active Physicians by Sex and Specialty,
Specialty
All Specialties Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery Source: AMA Physician Masterfile (December 2010)
Number
Male Percent
69.6 69.8 66.2 77.0 89.2 51.8 58.7 76.5 60.3 66.0 87.1 84.6 53.4 72.6 64.5 65.9 50.3 54.8 76.5 93.5 75.0 52.6 80.0 96.0 87.3 41.9 66.2 87.0 71.1 65.2 83.2 75.1 78.0 63.4 95.4 94.2 92.2
Number
Female Percent
30.4 30.2 33.8 23.0 10.8 48.2 41.3 23.5 39.7 34.0 12.9 15.4 46.6 27.4 35.5 34.1 49.7 45.2 23.5 6.5 25.0 47.4 20.0 4.0 12.7 58.1 33.8 13.0 28.9 34.8 16.8 24.9 22.0 36.6 4.6 5.8 7.8
555,974 3,019 9,910 30,852 19,435 3,986 6,346 25,972 3,545 70,210 11,173 22,255 2,282 9,241 4,601 71,747 1,933 2,412 6,390 4,716 9,677 21,222 14,342 19,019 8,055 23,256 5,608 5,933 4,850 24,946 10,405 3,348 21,805 3,110 4,464 9,257 2,629
242,424 1,304 5,056 9,227 2,365 3,715 4,467 7,983 2,336 36,181 1,661 4,041 1,990 3,483 2,532 37,070 1,909 1,988 1,959 328 3,225 19,123 3,593 801 1,170 32,200 2,867 886 1,970 13,324 2,104 1,108 6,165 1,794 217 567 223
Note: Figures exclude 1,104 active physicians for whom sex was not indicated.
I 14 I
Figure 6. Percentage of Active Physicians Who are Age 55 or Older by Specialty, 2010
Preventive Medicine Anatomic/Clinical Pathology Psychiatry Thoracic Surgery Cardiovascular Disease Allergy & Immunology Orthopedic Surgery Urology Radiology & Diagnostic Radiology Neurology Plastic Surgery Ophthalmology Rheumatology Otolaryngology Gastroenterology General Surgery Neonatal-Perinatal Medicine Neurological Surgery
Figure 6. Percentage of Active Physicians Who are Age 55 or Older by Specialty, 2012
Internal Medicine
Pediatrics Nephrology Infectious Disease Emergency Medicine Physical Medicine & Rehabilitation Geriatric Medicine Internal Medicine/Pediatrics 0% 10% 20% 30% 40% 50% 60% 70% Primary Care
I 15 I
Table 4. Number and Percentage of Active Physicians by Age and Specialty, 2010 Table 4. Number and Percentage of Active Physicians by Age and Specialty, 2010
Specialty
All Specialties Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery Source: AMA Physician Masterfile (December 2010)
I 16 I
Figure 7. Percentage of Active Physicians with a U.S. Medical Doctorate (M.D.) by Specialty, 2010
Figure 7. Percentage of Active Physicians with a U.S. Medical Doctorate (MD) by Specialty, 2010
Ophthalmology Dermatology Orthopedic Surgery Plastic Surgery Otolaryngology Neurological Surgery Urology Internal Medicine/Pediatrics
I 17 I
Table 5. Number and Percentage of Active Physicians with a U.S. Medical Doctorate (M.D.) by Specialty, Specialty, 2010 Table 5. Number and Percentage of Active Physicians with a U.S. Medical Doctorate (M.D.) by 2010
Specialty
All Specialties Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery Canadian medical schools are also excluded. Source: AMA Physician Masterfile (December 2010)
Active US M.D.s
552,027 3,193 9,875 27,370 14,697 5,158 9,747 27,908 3,756 67,873 8,958 19,731 2,007 8,294 4,834 63,417 3,225 2,560 4,564 4,297 8,435 31,809 16,168 17,627 8,079 38,665 5,144 5,987 5,459 25,305 7,713 3,644 23,300 3,380 3,641 8,256 2,291
Percent
69.0 73.8 65.9 68.2 67.4 66.9 90.1 82.1 63.8 63.7 69.7 75.0 46.9 65.1 67.6 58.2 83.9 58.1 54.6 85.1 65.3 78.8 90.1 88.9 87.5 69.7 60.5 87.8 80.0 66.1 61.6 81.7 83.3 68.7 77.8 84.0 80.3
Note: Excludes 30 active physicians whose medical school information is unknown. Graduates of
I 18 I
Pediatrics
Psychiatry General Surgery Radiology & Diagnostic Radiology Gastroenterology Cardiovascular Disease Vascular Surgery Neonatal-Perinatal Medicine Infectious Disease Allergy & Immunology Hematology & Oncology
Ophthalmology
Endocrinology, Diabetes & Metabolism Anatomic/Clinical Pathology Urology Radiation Oncology Neurological Surgery Thoracic Surgery Plastic Surgery 0% Source: AMA Physician Masterfile (December 2010) 5% 10% 15% 20% Primary Care
I 19 I
Table 6. Number and Percentage of Active Physicians with a Doctorate of Osteopathy (D.O.) Degree by Table 6. Number and Percentage of Active Physicians with a Doctorate of Osteopathy Speciality, 2010 (D.O.) Degree by Specialty, 2010
Specialty
All Specialties Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery Source: AMA Physician Masterfile (December 2010)
Active D.O.s
55,269 118 321 2,424 706 309 485 3,686 134 17,529 428 934 193 335 206 5,458 185 138 334 81 564 2,169 413 923 371 2,117 1,069 84 556 1,400 524 80 967 220 71 201 92
Percent
6.9 2.7 2.1 6.0 3.2 4.0 4.5 10.8 2.3 16.5 3.3 3.5 4.5 2.6 2.9 5.0 4.8 3.1 4.0 1.6 4.4 5.4 2.3 4.7 4.0 3.8 12.6 1.2 8.1 3.7 4.2 1.8 3.5 4.5 1.5 2.0 3.2
I 20 I
Figure 9. Percentage of Active Physicians with an International Medical Degree by Specialty, 2010
Figure 9. Percentage of Active Physicians with an International Medical Degree by Specialty, 2010 Geriatric Medicine Nephrology Neonatal-Perinatal Medicine Internal Medicine Pulmonary Disease & Critical Care Med. Endocrinology, Diabetes & Metabolism Hematology & Oncology Anatomic/Clinical Pathology Neurology Psychiatry Infectious Disease Cardiovascular Disease Child & Adolescent Psychiatry Gastroenterology Physical Medicine & Rehabilitation
Rheumatology Pediatrics
Anesthesiology Allergy & Immunology General Surgery Thoracic Surgery Family Medicine/General Practice Radiation Oncology Vascular Surgery Obstetrics & Gynecology Urology Radiology & Diagnostic Radiology Neurological Surgery Preventive Medicine Internal Medicine/Pediatrics Plastic Surgery Otolaryngology Ophthalmology Emergency Medicine Orthopedic Surgery Dermatology 0% Source: AMA Physician Masterfile (December 2010) 10% 20% 30% 40% 50% Primary Care
Average = 24.0%
I 21 I
Table 7. Number and Percentage of Active Physicians who Graduated from an International Medical School by Table 7. Number and Percentage of Active Physicians who Graduated from an Specialty, 2010
International Medical School by Specialty, 2010 Specialty
All Specialties Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery Source: AMA Physician Masterfile (December 2010)
Active IMGs
192,202 1,014 4,779 10,331 6,416 2,239 588 2,392 2,001 21,151 3,466 5,648 2,078 4,114 2,109 40,181 434 1,706 3,464 669 3,916 6,400 1,362 1,272 782 14,728 2,290 751 809 11,584 4,289 735 3,719 1,317 970 1,369 470
Percent
24.0 23.4 31.9 25.7 29.4 29.1 5.4 7.0 34.0 19.9 27.0 21.5 48.6 32.3 29.5 36.8 11.3 38.7 41.4 13.3 30.3 15.9 7.6 6.4 8.5 26.5 26.9 11.0 11.9 30.3 34.2 16.5 13.3 26.8 20.7 13.9 16.5
I 22 I
Figure 10. Percentage of Active Physicians Practicing in the Same State Where They Trained by Specialty, 2010
Figure 10. Percentage of Active Physicians Practicing in the Same State Where They Trained by Specialty, 2010
Child & Adolescent Psychiatry Psychiatry Family Medicine/General Practice Internal Medicine/Pediatrics Geriatric Medicine Internal Medicine Pediatrics Infectious Disease Anesthesiology Obstetrics & Gynecology Anatomic/Clinical Pathology Endocrinology, Diabetes & Metabolism Rheumatology General Surgery Emergency Medicine Neonatal-Perinatal Medicine Nephrology Pulmonary Disease & Critical Care Med. Hematology & Oncology Physical Medicine & Rehabilitation Radiology & Diagnostic Radiology Dermatology Gastroenterology Preventive Medicine Cardiovascular Disease Neurology Allergy & Immunology Ophthalmology Urology Otolaryngology Orthopedic Surgery
Average = 47.9%
I 23 I
Table 8. Number and Percentage of Active Physicians Practicing in the State Where They Completed Graduate Table 8. Number Active Physicians Practicing in the State Where They Completed Medical Education (GME)and by Percentage Specialty,of 2010
Total Active Physicians
756,688 4,213 14,626 39,101 21,210 7,657 10,576 32,486 5,694 96,116 12,574 25,612 4,163 12,412 7,044 106,510 3,838 4,319 8,164 4,891 12,629 39,488 17,501 19,050 8,940 54,605 8,408 6,681 6,408 37,660 12,301 4,364 27,239 4,802 4,552 9,608 2,796
Specialty
All Specialties Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery
Percent
47.9 40.4 46.8 48.3 41.4 57.4 43.2 45.5 46.3 56.3 42.9 45.6 54.5 44.1 48.7 52.9 56.0 45.3 45.2 33.7 41.4 47.9 38.4 37.9 38.0 51.5 43.7 34.1 42.0 56.4 45.2 36.4 43.3 45.8 32.0 38.1 34.9
Note: Total active physicians are those active anywhere in the United States. Figures exclude 42,814 active physicians whose GME program information is unknown. Source: AMA Physician Masterfile (December 2010)
I 24 I
Figure 11. Percent Change in the Number of Active Physicians by Specialty, 2000-2010
Internal Medicine/Pediatrics Geriatric Medicine Emergency Medicine Nephrology Infectious Disease Vascular Surgery Endocrinology, Diabetes & Metabolism Hematology & Oncology Pulmonary Disease & Critical Care Med. Physical Medicine & Rehabilitation Rheumatology Neonatal-Perinatal Medicine Gastroenterology Child & Adolescent Psychiatry Internal Medicine Pediatrics Radiation Oncology
Figure 11. Percent Change in the Number of Active Physicians by Specialty, 2000-2010
Neurology
Dermatology Anesthesiology Family Medicine/General Practice Plastic Surgery Neurological Surgery Radiology & Diagnostic Radiology Obstetrics & Gynecology Otolaryngology Allergy & Immunology Cardiovascular Disease Orthopedic Surgery Urology Ophthalmology Psychiatry General Surgery Anatomic/Clinical Pathology Thoracic Surgery Preventive Medicine -50% Source: AMA Physician Masterfile (December 2010) 0% 50% 100% 150% 200% 200% 250% Primary Care
I 25 I
Table 9. Percent Change in the Number of Active Physicians by Specialty, 2000-2010 Percent Change
22.2 5.5 -7.4 14.4 5.4 18.9 14.9 44.6 27.5 13.4 20.5 -7.0 71.6 26.8 38.2 17.7 232.9 23.0 43.1 10.2 16.0 7.8 0.9 3.4 5.7 17.1 26.1 13.3 -10.1 -2.0 26.3 16.9 8.2 23.9 -8.3 1.8 33.6
2000
718,045 3,770 14,271 30,969 19,336 5,651 8,683 19,429 4,165 76,570 9,856 23,725 2,112 9,009 4,466 80,393 934 3,119 5,196 4,159 9,851 33,854 16,606 17,676 8,017 43,288 5,565 5,700 6,713 35,075 8,765 3,498 23,432 3,547 4,722 9,132 1,942
2010
877,233 3,976 13,214 35,424 20,386 6,718 9,974 28,092 5,312 86,816 11,872 22,061 3,624 11,422 6,172 94,641 3,109 3,837 7,435 4,583 11,430 36,507 16,763 18,281 8,477 50,688 7,016 6,457 6,036 34,361 11,072 4,088 25,357 4,394 4,329 9,298 2,594
Sources: Physician Characteristics and Distribution in the US, 2002-2003 Edition and Physician Characteristics and Distribution in the US, 2012 Edition
I 26 I
Figure 12. Number of First-Year ACGME Residents/Fellows by Specialty, 2010 Figure 12. Number of First-Year ACGME Residents/Fellows by Specialty, 2010
Internal Medicine Family Medicine/General Practice Pediatrics General Surgery Anesthesiology Emergency Medicine Psychiatry Obstetrics & Gynecology Radiology & Diagnostic Radiology Cardiovascular Disease Orthopedic Surgery Anatomic/Clinical Pathology Neurology Pulmonary Disease & Critical Care Med. Hematology & Oncology Nephrology Ophthalmology Gastroenterology Child & Adolescent Psychiatry Physical Medicine & Rehabilitation Dermatology Internal Medicine/Pediatrics Infectious Disease Otolaryngology Endocrinology, Diabetes & Metabolism Geriatric Medicine Neurological Surgery Urology Plastic Surgery
Neonatal-Perinatal Medicine
Rheumatology Radiation Oncology Allergy & Immunology Preventive Medicine Vascular Surgery Thoracic Surgery 0 Source: 2010 AAMC/AMA National GME Census 1000 2000 3000 4000
Primary Care
5000 8000
6000 9000
I 27 I
Table 10. Number of First-Year ACGME Residents/Fellows by Specialty, 2010 PY1 Residents and Fellows
134 617 1,621 770 389 377 1,641 260 3,246 444 2,199 299 560 357 8,551 368 202 420 195 611 1,241 386 679 269 2,696 380 201 121 1,403 604 160 1,111 197 106 245 148
I 28 I
Figure 13. Percentage of ACGME Residents/Fellows Who Are Female by Specialty, August 2010
Figure 13. Percentage of ACGME Residents/Fellows Who Are Female by Specialty, 2010
Obstetrics & Gynecology Pediatrics Endocrinology, Diabetes & Metabolism Rheumatology Neonatal-Perinatal Medicine Dermatology Allergy & Immunology Child & Adolescent Psychiatry Preventive Medicine Geriatric Medicine Internal Medicine/Pediatrics Infectious Disease Family Medicine/General Practice Psychiatry Anatomic/Clinical Pathology Neurology Internal Medicine Hematology & Oncology Ophthalmology Physical Medicine & Rehabilitation Emergency Medicine Anesthesiology Nephrology General Surgery Radiation Oncology Otolaryngology Gastroenterology Pulmonary Disease & Critical Care Med. Radiology & Diagnostic Radiology Plastic Surgery Urology Cardiovascular Disease Vascular Surgery Thoracic Surgery Neurological Surgery Orthopedic Surgery 0% Source: 2010 AAMC/AMA National GME Census 10% 20% 30% 40% 50% 60% 70% 80% 90% Primary Care Average = 46.1%
I 29 I
Table 11. Number and Percentage of ACGME Residents/Fellows by Sex and Specialty, 2010 Table 11. Number and Percentage of ACGME Residents/Fellows by Sex and Specialty, 2010
Specialty
All Specialties Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery Source: 2010 AAMC/AMA National GME Census
Number
Male Percent
53.9 38.3 46.2 62.9 77.8 38.3 36.2 59.9 33.5 44.7 68.1 63.8 43.2 55.3 43.8 55.3 43.4 34.9 63.2 86.1 54.4 18.6 58.6 86.8 67.7 27.3 59.7 73.7 43.0 45.5 68.8 66.6 72.4 34.0 81.3 76.9 78.6
59,871 114 1,086 3,424 1,891 321 418 3,034 199 4,286 923 4,826 139 891 347 12,217 613 218 581 974 1,034 904 746 2,945 950 2,215 730 513 105 2,249 1,109 402 3,279 143 204 830 243
I 30 I
Figure 14. Percentage of ACGME Residents/Fellows with a U.S. M.D. by Specialty, 2010
Otolaryngology Radiation Oncology Orthopedic Surgery Urology Dermatology Ophthalmology Plastic Surgery Neurological Surgery Radiology & Diagnostic Radiology Emergency Medicine General Surgery Anesthesiology Allergy & Immunology Internal Medicine/Pediatrics Vascular Surgery Obstetrics & Gynecology Thoracic Surgery Preventive Medicine Pediatrics Gastroenterology Child & Adolescent Psychiatry Anatomic/Clinical Pathology Cardiovascular Disease Psychiatry Neonatal-Perinatal Medicine Neurology Physical Medicine & Rehabilitation Hematology & Oncology Infectious Disease Rheumatology Endocrinology, Diabetes & Metabolism Internal Medicine Pulmonary Disease & Critical Care Med. Family Medicine/General Practice Nephrology Geriatric Medicine 0% Source: 2010 AAMC/AMA National GME Census 20% 40% 60%
Figure 14. Percentage of ACGME Residents/Fellows with a U.S. M.D. by Specialty, 2010
Average = 65.0%
Primary Care
80%
100%
I 31 I
Table 12. Number and Percentage of ACGME Residents/Fellows with a U.S. M.D. by Specialty, 2010 Table 12. Number and Percentage of ACGME Residents/Fellows with a US M.D. by Specialty, 2010
Total Residents and Fellows 111,436
298 2,377 5,461 2,444 839 1,155 5,083 596 9,593 1,356 7,597 324 1,612 793 22,164 1,416 626 920 1,135 1,929 4,869 1,273 3,402 1,407 8,120 1,226 698 246 4,990 1,616 605 4,552 422 251 1,080 309
Specialty
All Specialties Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery Source: 2010 AAMC/AMA National GME Census
Percent 65.0
78.5 62.0 79.1 59.3 62.3 94.8 80.5 48.7 44.1 64.9 79.2 24.7 52.9 51.7 48.3 76.8 55.9 36.1 88.9 55.2 74.2 92.4 96.0 96.8 66.4 55.0 91.1 70.7 57.0 45.0 96.0 87.7 50.5 72.9 95.1 76.7
I 32 I
Figure 15. Percentage of ACGME Residents/Fellows with a D.O. by Specialty, 2010 Figure 15. Percentage of ACGME Residents/Fellows with a D.O. by Specialty, 2010
Physical Medicine & Rehabilitation Family Medicine/General Practice Preventive Medicine Emergency Medicine Obstetrics & Gynecology Psychiatry Pediatrics Anesthesiology Neurology Child & Adolescent Psychiatry Internal Medicine/Pediatrics Anatomic/Clinical Pathology Internal Medicine Rheumatology Pulmonary Disease & Critical Care Med. Geriatric Medicine Infectious Disease Neonatal-Perinatal Medicine Allergy & Immunology Gastroenterology Endocrinology, Diabetes & Metabolism Radiology & Diagnostic Radiology Nephrology Cardiovascular Disease Hematology & Oncology Average = 7.3%
Vascular Surgery
Thoracic Surgery General Surgery Dermatology Orthopedic Surgery Ophthalmology Plastic Surgery Radiation Oncology Urology Otolaryngology Neurological Surgery
Primary Care
0%
Source: 2010 AAMC/AMA National GME Census
5%
10%
15%
20%
25%
30%
I 33 I
Table 13. Number and Percentage of ACGME Residents/Fellows with a D.O. by Specialty, 2010
Total Residents and Fellows
111,436 298 2,377 5,461 2,444 839 1,155 5,083 596 9,593 1,356 7,597 324 1,612 793 22,164 1,416 626 920 1,135 1,929 4,869 1,273 3,402 1,407 8,120 1,226 698 246 4,990 1,616 605 4,552 422 251 1,080 309
Table 13. Number and Percentage of ACGME Residents/Fellows with a D.O. by Specialty, 2010 D.O. Residents and Fellows
8,172 14 155 451 94 67 16 603 25 1,606 60 211 17 58 41 1,444 109 32 37 4 156 469 13 38 5 763 315 7 31 480 101 6 185 27 8 10 11
Specialty
All Specialties Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery Source: 2010 AAMC/AMA National GME Census
Percent
7.3 4.7 6.5 8.3 3.8 8.0 1.4 11.9 4.2 16.7 4.4 2.8 5.2 3.6 5.2 6.5 7.7 5.1 4.0 0.4 8.1 9.6 1.0 1.1 0.4 9.4 25.7 1.0 12.6 9.6 6.3 1.0 4.1 6.4 3.2 0.9 3.6
I 34 I
Figure 16. Percentage of ACGME Residents/Fellows with an International Medical Degree by Specialty, 2010 Figure 16. Percentage of ACGME Residents/Fellows with an International Medical Degree by Specialty, 2010
Geriatric Medicine Nephrology Pulmonary Disease & Critical Care Med. Endocrinology, Diabetes & Metabolism Internal Medicine Hematology & Oncology Rheumatology Infectious Disease Family Medicine/General Practice Neonatal-Perinatal Medicine Neurology Cardiovascular Disease Psychiatry Anatomic/Clinical Pathology Gastroenterology Child & Adolescent Psychiatry Pediatrics Thoracic Surgery Physical Medicine & Rehabilitation Vascular Surgery General Surgery Allergy & Immunology Preventive Medicine Obstetrics & Gynecology Internal Medicine/Pediatrics Anesthesiology Neurological Surgery Radiology & Diagnostic Radiology Plastic Surgery Emergency Medicine Ophthalmology Urology Dermatology Radiation Oncology Orthopedic Surgery Otolaryngology 0% Source: 2010 AAMC/AMA National GME Census 10% 20% 30% 40% 50% 60% 70% 80% Primary Care Average = 27.4%
I 35 I
Table 14. Number and Percentage of ACGME Residents/Fellows who Graduated from an International Medical School by Specialty, 2010 Table 14. Number and Percentage of ACGME Residents/Fellows who Graduated from an
Total Residents and Fellows
111,436 298 2,377 5,461 2,444 839 1,155 5,083 596 9,593 1,356 7,597 324 1,612 793 22,164 1,416 626 920 1,135 1,929 4,869 1,273 3,402 1,407 8,120 1,226 698 246 4,990 1,616 605 4,552 422 251 1,080
Specialty
All Specialties Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology
Percent
27.4 16.4 31.4 12.5 36.5 29.1 3.7 7.5 47.0 39.0 30.3 17.9 69.1 43.1 42.2 45.0 15.4 38.8 59.3 10.7 36.6 16.1 6.5 2.9 2.6 24.0 19.2 7.6 16.3 33.1 48.1 3.0 8.0 42.4 23.5 3.9 18.1
Vascular Surgery 309 56 Note: Figures exclude two residents whose medical school is unknown. Graduates of Canadian medical schools and graduates of the Fifth Pathway program are also excluded. Source: 2010 AAMC/AMA National GME Census
I 36 I
Figure 17. Percent inChange the Number of First-Year ACGME Residents/Fellow Specialty, 2005-2010 FigureChange 17. Percent in the Number of First-Year ACGME Residents/Fellow byby Specialty, 2005-2010
Neurological Surgery
Vascular Surgery
Urology Neurology Gastroenterology Endocrinology, Diabetes & Metabolism Pulmonary Disease & Critical Care Med. Allergy & Immunology Infectious Disease Emergency Medicine Radiation Oncology Hematology & Oncology Rheumatology Physical Medicine & Rehabilitation Radiology & Diagnostic Radiology Neonatal-Perinatal Medicine Cardiovascular Disease Nephrology Anesthesiology Ophthalmology
Dermatology
Orthopedic Surgery Otolaryngology Psychiatry Child & Adolescent Psychiatry Internal Medicine Obstetrics & Gynecology Family Medicine/General Practice Pediatrics Anatomic/Clinical Pathology Internal Medicine/Pediatrics General Surgery Geriatric Medicine Thoracic Surgery Preventive Medicine Plastic Surgery -45% and JAMA 2011;306(9)1015-1030 -30% -15% 0% 15% 30% 45% 60% Primary Care
I 37 I
Table 15. Percent Change the Number of First-Year ACGMEACGME Residents/Fellows by Specialty, 2005-2010 Table 15.in Percent Change in the Number of First-Year Residents/Fellows by Specialty, 2005-2010
Total Residents and Fellows Specialty
All Specialties Allergy & Immunology Anatomic/Clinical Pathology Anesthesiology Cardiovascular Disease Child & Adolescent Psychiatry Dermatology Emergency Medicine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Gastroenterology General Surgery Geriatric Medicine Hematology & Oncology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Nephrology Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Pulmonary Disease & Critical Care Med. Radiation Oncology Radiology & Diagnostic Radiology Rheumatology Thoracic Surgery Urology Vascular Surgery on the specialties and subspecialties shown here. Sources: 2010 AAMC/AMA National GME Census as reported in JAMA 2006;296(9)1154-1169 and JAMA 2011;306(9)1015-1030
2005
35,728 108 636 1,333 687 366 329 1,376 197 3,173 345 2,465 296 468 288 8,555 376 177 372 120 390 1,234 349 629 259 2,697 311 179 156 1,286 474 131 968 168 115 156 95
2010
39,492 132 629 1,489 779 394 364 1,669 258 3,270 454 2,375 279 557 350 8,825 370 207 419 191 576 1,272 387 687 281 2,728 365 125 117 1,395 604 158 1,133 198 95 234 146
Percent Change
10.5 22.2 -1.1 11.7 13.4 7.7 10.6 21.3 31.0 3.1 31.6 -3.7 -5.7 19.0 21.5 3.2 -1.6 16.9 12.6 59.2 47.7 3.1 10.9 9.2 8.5 1.1 17.4 -30.2 -25.0 8.5 27.4 20.6 17.0 17.9 -17.4 50.0 53.7
Note: Figures include first year residents and first year fellows. See page 4 for more details
I 38 I
Table 16. Averages for Key Physician Workforce Measures, 2007 and 2010
Table 16. Averages for Key Physician Workforce Measures, 2007 and 2010
Average 2007 Average 2010
Physician Supply Percentage of Active Physicians Who are Female by Specialty Percentage of Active Physicians Who are Age 55 or Older by Specialty Percentage of Active Physicians with a U.S. Medical Doctorate (M.D.) by Specialty Percentage of Active Physicians with a D.O. Degree by Specialty Percentage of Active Physicians with an International Medical Degree by Specialty Percentage of Active Physicians Practicing in the Same State Where They Trained by Specialty Graduate Medical Education Percentage of ACGME Residents/Fellows Who Are Female by Specialty Percentage of ACGME Residents/Fellows with a U.S. M.D. by Specialty Percentage of ACGME Residents/Fellows with a D.O. by Specialty Percentage of ACGME Residents/Fellows with an International Medical Degree by Specialty 44.6% 65.9% 6.4% 27.4% 46.1% 65.0% 7.3% 27.4% 28.3% 37.6% 69.5% 6.5% 24.0% 47.4% 30.4% 40.3% 69.0% 6.9% 24.0% 47.9%
I 39 I