Breaking News
April 20, 2018 - Long-term exposure to cold temperatures reduces diabetes and obesity, shows study
April 20, 2018 - Metabolic Syndrome Common With Chronic Hep B Infection
April 20, 2018 - Tracking quality of life during prostate cancer treatment
April 20, 2018 - Study shows presence of beta-amyloid dimers in the brains of Alzheimer’s patients
April 20, 2018 - Researchers identify link between physical inactivity and increased risk of dying from cancer
April 20, 2018 - Breathtaking evolution amongst Indonesian tribe
April 20, 2018 - Study shows testosterone deficiency in men is associated with chronic diseases
April 20, 2018 - Simple one-page form helps improve satisfaction of patients with care
April 20, 2018 - Researchers evaluate accuracy of simple blood test to predict lung cancer
April 20, 2018 - Study looks at sperm producing ability in testicular cancer patients
April 20, 2018 - Exercise In, Vitamin D Out for Preventing Falls: U.S. Panel
April 20, 2018 - Skin cancers associated with decreased risk of developing AD
April 20, 2018 - Preserving fertility during chemotherapy
April 20, 2018 - Teva and Procter & Gamble Company terminate PGT Healthcare partnership
April 20, 2018 - People diagnosed with traumatic brain injury may have increased risk of Parkinson’s disease, shows study
April 20, 2018 - Researchers use smartphone to diagnose people infected with Loa loa worm
April 20, 2018 - College students with autism have high rate of suicidal thoughts
April 20, 2018 - Study sheds light on how the HSC niche is maintained
April 20, 2018 - Drug test spurs frank talk between hypertension patients and doctors
April 19, 2018 - Low-cost deworming drug improves female farmers’ physical fitness
April 19, 2018 - Genome editing identifies neural circuit behind leptin’s anti-obesity and anti-diabetes effects
April 19, 2018 - Many European countries lack comprehensive policy to eliminate viral hepatitis
April 19, 2018 - Young people with ADHD ‘more likely’ to come from deprived neighbourhoods
April 19, 2018 - SLU professor discovers new biomarkers for chlorine gas exposure
April 19, 2018 - Study proposes new mechanism that may contribute to gender differences in weight control
April 19, 2018 - Sleep restriction therapy does not interfere with insomnia patient’s driving ability, research shows
April 19, 2018 - Deep brain stimulation offers relief to UTHealth patient with treatment-resistant depression
April 19, 2018 - Study shows fatty fish and camelina oil boost HDL and IDL cholesterol
April 19, 2018 - FDA Alert: Euphoric Capsules by Epic Products: Recall
April 19, 2018 - Researchers identify peptide produced during cartilage deterioration as a potential source of osteoarthritis pain
April 19, 2018 - New breakthrough may allow scientists to orchestrate tissue regeneration in humans
April 19, 2018 - SYGNIS AG introduces new TruePrime apoptotic cell free DNA amplification kit
April 19, 2018 - Innovative device shows promise in capturing and releasing circulating tumor cells
April 19, 2018 - Researchers shed light on role of striosomal neurons in reinforcement learning
April 19, 2018 - Genetic make-up impacts long-term effectiveness of phobia treatment
April 19, 2018 - Novel biomarker can distinguish malignant lung nodules
April 19, 2018 - Study reports promising novel approach to treat therapy resistant pediatric brain tumors
April 19, 2018 - One-Hour Plasma Glucose Useful Predictor of Diabetic Retinopathy
April 19, 2018 - Hydroxychloroquine no more effective than placebo for relieving osteoarthritis hand pain
April 19, 2018 - Transplanted livers have a protective effect and reduce potential for organ rejection
April 19, 2018 - Researchers develop new method to study activity of inflammatory cells
April 19, 2018 - Researchers discover highly antibiotic resistant superbugs in Gulf States
April 19, 2018 - Smart-tooth technology shows promise in detecting certain diseases in high-risk patients
April 19, 2018 - Interaction between dioxin and HLA gene variant activates events associated with rheumatoid arthritis
April 19, 2018 - Eyes of adolescents could be associated with increased risk of cardiovascular disease in later life
April 19, 2018 - U.S. Women Less Likely Than Men to Get Statins After Heart Attack
April 19, 2018 - Health Canada grants cannabis cultivation license to High Park Farms
April 19, 2018 - Atypical brain development observed in preschoolers with ADHD symptoms
April 19, 2018 - SC Johnson releases annual Sustainability Report
April 19, 2018 - Positive attitudes about aging reduce risk of dementia in older adults
April 19, 2018 - Environmental pollutants found to worsen rheumatoid arthritis
April 19, 2018 - UT Southwestern scientists discover protein linked to metastatic breast cancer
April 19, 2018 - Study highlights need for further evidence to improve symptom management in end of life care
April 19, 2018 - Detecting diminished dopamine-firing cells inside brain could reveal earliest signs of Alzheimer’s
April 19, 2018 - Uniqsis offers high-power LED light unit for scalable flow photochemistry reactions
April 19, 2018 - Case study shows how intravascular ultrasound imaging helps detect acute aortic syndrome
April 19, 2018 - Research reveals new mechanism by which HIV evades the immune system
April 19, 2018 - Nanodisc-delivered cancer treatment helps eliminate tumors
April 19, 2018 - Functional connectivity MRI could help detect brain disorders and diseases
April 19, 2018 - Finding better way to quantify neuropathy symptoms and treatment efficacy
April 19, 2018 - Study examines effectiveness of caregiver education about sickle cell trait
April 19, 2018 - High-resolution images of tumor vasculature using new technology
April 19, 2018 - Lack of sleep may be linked to risk factor for Alzheimer’s disease
April 19, 2018 - Study finds neurotransmitter may play a role in alcohol relapse, addiction
April 19, 2018 - Researchers build molecular networks of calcific aortic valve disease
April 19, 2018 - Researchers develop highly specific apoptosis assay for pharmacodynamic analyses of tumor specimens
April 19, 2018 - Scientists decipher mechanism of chemotherapy induced female infertility
April 19, 2018 - New insight may allow researchers to design drugs that improve immune responses to vaccines
April 19, 2018 - FDA Approves Crysvita (burosumab-twza) for X-Linked Hypophosphatemia
April 19, 2018 - Researchers uncover origin of virus-fighting plasma B cells
April 19, 2018 - Study finds no evidence of lower intelligence in young children who had anesthesia
April 19, 2018 - Baboons break out of research facility briefly
April 19, 2018 - Study shows how deployment time increases risk of suicide attempt in soldiers
April 19, 2018 - Specific odors from malaria infected individuals attract more mosquitoes
April 19, 2018 - FDA Alert: Rhino 69 Extreme 50000 by AMA Wholesale: Recall
April 19, 2018 - Top HIV cure research team refutes major recent results on how to identify HIV persistence
April 19, 2018 - Experts propose new solutions to increase benefit, affordability of targeted cancer medicines
April 19, 2018 - Deficiency of innate immune adaptor TRIF shortens survival time of ALS mice
April 19, 2018 - New machine learning method offers better way to detect heart disease
April 19, 2018 - CNIO researchers determine structure of protein complex related to cell survival
Studies find alarming shortage of rheumatology workforce in future

Studies find alarming shortage of rheumatology workforce in future

image_pdfDownload PDFimage_print

Two new articles provide insights on the outlook of rheumatology in the United States, noting that the need for rheumatologists will greatly exceed the projected growth of the rheumatology workforce over the next 15 years. As noted in Arthritis Care & Research, this is due to an increasing aging patient population, a wave of impending baby boomer rheumatologists retiring, and changing practice trends for new rheumatologists. In Arthritis & Rheumatology, experts note that there has been an increase in the number of rheumatology fellowship programs and an increase in the number of fellows being trained in these programs; however, even a doubling of the number of fellows being trained would not meet the projected rheumatology workforce needs in 2030.

In the Arthritis Care & Research study, investigators used a modeling approach incorporating primary and secondary data sources to project supply and demand of the rheumatology workforce–including physicians, nurse practitioners, and physician assistants who diagnose and treat conditions including osteoarthritis, gout, rheumatoid arthritis, lupus, vasculitis, and other autoimmune diseases–through 2030.

The 2015 adult workforce was estimated to be 6013 providers (5415 clinical full-time equivalent [FTE] providers). Estimating the clinical FTE of rheumatology providers is important to better reflect rheumatology providers working full-time seeing patients versus other rheumatology providers who may work as part-time clinicians in private practice or in an academic rheumatology teaching practice. Clinical FTE describes the percentage of work effort devoted to clinical care to reflect a more realistic picture of patient access to care (e.g., two providers each caring for patients 50% of the time would together equate to 1.0 total clinical FTE). By 2030, the supply of rheumatology clinical providers is projected to fall to 4882 providers or 4051 clinical FTE, and demand is projected to exceed supply by 4133 clinical FTE.

The investigators also noted that there is a geographic maldistribution of adult rheumatologists across the United States, and this will worsen in the coming years. For example, 21% of adult rheumatologists were in the Northeast in 2015, compared with only 3.9% in the Southwest. In 2015, the ratio of rheumatology providers per 100,000 patients by region ranged from 3.07 in the Northeast to 1.28 in the Southwest. By 2025, there is an anticipated decrease in this ratio in all regions ranging from 1.61 in the Northeast to 0.50 in the Northwest.

“Decreasing insurance barriers and healthcare regulations may allow more rapid, timely, and creative solutions to offset the projected rheumatologist shortage and the maldistribution of rheumatologists in the United States,” said senior author Seetha Monrad, MD, of the University of Michigan. “Based on our projected rheumatology workforce shortages, innovative strategies will be needed to address access to patient care, as it will not be possible to solve the supply-demand gap by training more rheumatologists alone.”

In their Arthritis & Rheumatology study, the investigators applied similar modeling methods to adult rheumatology training programs and graduates entering the adult rheumatology workforce. “The supply of rheumatologists in the workforce is dependent upon the training of new rheumatologists to join our specialty,” said lead author Marcy Bolster, MD, of Massachusetts General Hospital. “It is imperative to create innovative ways to expand the rheumatology workforce, and this will involve new ways to fund graduate medical education training.”

The study found that in 2015, there were 113 adult rheumatology programs with 431 of 468 available positions filled. The projected clinical FTE number entering the workforce each year was 107; this number was impacted significantly by gender and generational trends. For example, men currently comprise 59% of the rheumatology workforce, but the proportion is expected to drop to 43% by 2030. Also, millennials comprise 6% of the current workforce but by 2030, the percentage will rise to 44%. Prior studies have demonstrated that women work 7 fewer hours per week and see 30% fewer patients than men, and both male and female millennials in 2015 saw fewer patients compared with their counterparts in 2005. The study also found that 17% of current fellows who are international medical graduates say they plan to practice outside the United States.

“It is apparent that the workforce expansion innovations will require resources devoted to education and training, and it may be helpful to consider incentives to attract new entrants in the workforce to areas in greatest need of rheumatologists,” said senior author Daniel Battafarano, DO, MACP, of the San Antonio Military Medical Center. “Clearly other workforce expansion tactics such as care provided by nurse practitioners and physician assistants, telemedicine, and ensuring that current rheumatology care providers remain in the workforce will be needed as we create a multi-faceted approach to addressing rheumatology workforce needs over the next decade.”

Tagged with:

About author

Related Articles