Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Otolaryngologists and Their Surgical Practice

Otolaryngologists and Their Surgical Practice Abstract • Practice characteristics of otolaryngologists, studied as part of a national survey of surgeon manpower, are compared with those of other surgical specialists. Otolaryngologists had relatively short workweeks and spent more professional time in their offices than in hospitals compared with other surgeons. Their California relative value (CRV)-weighted surgical work load ranked eighth among all surgeons. Although otolaryngologists performed, on the average, more operations annually than did other surgical specialists, their procedures were generally less complex (low CRV weights). The per capita rate for tonsillectomy, the procedure that comprised more than one third of the weighted work load of otolaryngologists, has declined precipitously. The conclusion drawn from this study is that a reduction in the number of trainees in otolaryngology would be in the best interest of the young and other otolaryngologists whose capabilities are now seriously underutilized. (Arch Otolaryngol 104:718-725, 1978) References 1. Nickerson RJ, Colton T: Area studies , in Zuidema GD (ed): Surgery in the United States: A Summary Report of the Study on Surgical Services for the United States . Baltimore, RR Donnelley & Sons, 1975, pp 36-55. 2. Hauck WW Jr, Colton T: Surgical manpower questionnaire , in Zuidema GD (ed): Surgery in the United States: A Summary Report of the Study on Surgical Services for the United States . Baltimore, RR Donnelley & Sons, 1975, pp 56-78. 3. Hauck WW Jr, Bloom BS, McPherson CK, et al: Surgeons in the United States: Activities, output and income . JAMA 236:1864-1871, 1976.Crossref 4. Nickerson RJ, Colton T, Peterson OL, et al: Doctors who perform operations: A study on inhospital surgery in four diverse geographic areas . N Engl J Med 295:921-926 and 982-989, 1976.Crossref 5. Bloom BS, Hauck WW Jr, Peterson OL, et al: Surgeons in the United States: Opinions on current issues related to surgical practice . Surgery 82:635-642, 1977. 6. Bloom BS, Hauck WW Jr, Peterson OL, et al: Surgeons in the United States: Practice characteristics . Arch Surg 113:188-193, 1978.Crossref 7. Manpower resources and needs in otolaryngology . American Council of Otolaryngology. Ann Otol Rhinol Laryngol 85( (suppl 24) , pt 2):1-96, 1976. 8. California Relative Value Studies 1969 . Committee on Relative Value Studies. San Francisco, California Medical Association, 1969. 9. Medical education in the United States, 1975-1976: 76th annual report . JAMA 236:2971-2992, 1976.Crossref 10. Surgical Operations in Short Stay Hospitals, United States, 1968 . Vital and Health Statistics, Series 13, No. (11) . US Department of Health, Education, and Welfare, Public Health Service, publication No. (HSM) 73-1762, 1973. 11. Ranofsky AL: Surgical Operations in Short-Stay Hospitals, United States, 1973 . Vital and Health Statistics, Series 13, No. (24) . Department of Health, Education, and Welfare, Public Health Service, publication No. (HRA) 75-1769, 1974. 12. Ranofsky AL: Utilization of Short-Stay Hospitals: Annual Summary for the United States, 1975 . Vital and Health Statistics, Series 13, No. (31) . Department of Health, Education, and Welfare, Public Health Service, publication No. (HRA) 77-1782, 1977. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Loading next page...
 
/lp/american-medical-association/otolaryngologists-and-their-surgical-practice-pDIxE08VJh
Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1978.00790120044007
Publisher site
See Article on Publisher Site

Abstract

Abstract • Practice characteristics of otolaryngologists, studied as part of a national survey of surgeon manpower, are compared with those of other surgical specialists. Otolaryngologists had relatively short workweeks and spent more professional time in their offices than in hospitals compared with other surgeons. Their California relative value (CRV)-weighted surgical work load ranked eighth among all surgeons. Although otolaryngologists performed, on the average, more operations annually than did other surgical specialists, their procedures were generally less complex (low CRV weights). The per capita rate for tonsillectomy, the procedure that comprised more than one third of the weighted work load of otolaryngologists, has declined precipitously. The conclusion drawn from this study is that a reduction in the number of trainees in otolaryngology would be in the best interest of the young and other otolaryngologists whose capabilities are now seriously underutilized. (Arch Otolaryngol 104:718-725, 1978) References 1. Nickerson RJ, Colton T: Area studies , in Zuidema GD (ed): Surgery in the United States: A Summary Report of the Study on Surgical Services for the United States . Baltimore, RR Donnelley & Sons, 1975, pp 36-55. 2. Hauck WW Jr, Colton T: Surgical manpower questionnaire , in Zuidema GD (ed): Surgery in the United States: A Summary Report of the Study on Surgical Services for the United States . Baltimore, RR Donnelley & Sons, 1975, pp 56-78. 3. Hauck WW Jr, Bloom BS, McPherson CK, et al: Surgeons in the United States: Activities, output and income . JAMA 236:1864-1871, 1976.Crossref 4. Nickerson RJ, Colton T, Peterson OL, et al: Doctors who perform operations: A study on inhospital surgery in four diverse geographic areas . N Engl J Med 295:921-926 and 982-989, 1976.Crossref 5. Bloom BS, Hauck WW Jr, Peterson OL, et al: Surgeons in the United States: Opinions on current issues related to surgical practice . Surgery 82:635-642, 1977. 6. Bloom BS, Hauck WW Jr, Peterson OL, et al: Surgeons in the United States: Practice characteristics . Arch Surg 113:188-193, 1978.Crossref 7. Manpower resources and needs in otolaryngology . American Council of Otolaryngology. Ann Otol Rhinol Laryngol 85( (suppl 24) , pt 2):1-96, 1976. 8. California Relative Value Studies 1969 . Committee on Relative Value Studies. San Francisco, California Medical Association, 1969. 9. Medical education in the United States, 1975-1976: 76th annual report . JAMA 236:2971-2992, 1976.Crossref 10. Surgical Operations in Short Stay Hospitals, United States, 1968 . Vital and Health Statistics, Series 13, No. (11) . US Department of Health, Education, and Welfare, Public Health Service, publication No. (HSM) 73-1762, 1973. 11. Ranofsky AL: Surgical Operations in Short-Stay Hospitals, United States, 1973 . Vital and Health Statistics, Series 13, No. (24) . Department of Health, Education, and Welfare, Public Health Service, publication No. (HRA) 75-1769, 1974. 12. Ranofsky AL: Utilization of Short-Stay Hospitals: Annual Summary for the United States, 1975 . Vital and Health Statistics, Series 13, No. (31) . Department of Health, Education, and Welfare, Public Health Service, publication No. (HRA) 77-1782, 1977.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Dec 1, 1978

References