Mapping endocrine surgery: Workforce analysis from the last six decades

Vikram D. Krishnamurthy; Judy Jin; Allan Siperstein; Joyce J. Shin

doi:10.1016/j.surg.2015.08.024

Thyroid Clinical| Volume 159, ISSUE 1, P102-112, January 2016

Mapping endocrine surgery: Workforce analysis from the last six decades

Vikram D. Krishnamurthy, MD
Vikram D. Krishnamurthy
Correspondence
Reprint requests: Vikram D. Krishnamurthy, MD, Department of Endocrine Surgery, Endocrinology and Metabolism Institute, The Cleveland Clinic, 9500 Euclid Ave F20, Cleveland, OH 44195.
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Affiliations
Department of Endocrine Surgery, Endocrinology and Metabolism Institute, The Cleveland Clinic, Cleveland, OH
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Judy Jin, MD
Judy Jin
Affiliations
Department of Endocrine Surgery, Endocrinology and Metabolism Institute, The Cleveland Clinic, Cleveland, OH
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Allan Siperstein, MD
Allan Siperstein
Affiliations
Department of Endocrine Surgery, Endocrinology and Metabolism Institute, The Cleveland Clinic, Cleveland, OH
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Joyce J. Shin, MD
Joyce J. Shin
Affiliations
Department of Endocrine Surgery, Endocrinology and Metabolism Institute, The Cleveland Clinic, Cleveland, OH
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Published:October 05, 2015DOI:https://doi.org/10.1016/j.surg.2015.08.024

Background

We analyzed the demographics of high-volume surgeons (HVS) for endocrine operations.

Methods

We characterized HVS by region, specialty, gender, teaching-affiliation, American Association of Endocrine Surgeons (AAES) membership, and decade they entered practice. Providers were general surgeons (GS) and otolaryngologists (ENT); fellowship trained (FT) or not FT (NFT).

Results

We identified 395 HVS in 47 states entering practice between 1958 and 2011. Sixty-eight percent were GS, 35% were FT, and 35% were AAES members. GS, FT surgeons, and endocrine surgery FT surgeons (ES) performed more operations per surgeon. More FT surgeons were in Northeast, West (W), and Midwest than Southeast (SE) and Southwest (SW; P < .0001). More teaching surgeons and AAES members were in the Northeast and Midwest than SE, W, and SW (P < .0001). FT-GS increased over decades (P < .0001) but not FT-ENT (P = .3). Representation of ES, AAES members, and females increased over decades (P < .0001).

Conclusion

The workforce for endocrine operations displayed increased representation of GS, FT surgeons, and women, correlating with the profile of recent AAES fellowship graduates. More insight is needed to understand why most HVS were not AAES members. Regional disparities can guide the placement of endocrine surgeons into both academic and community practices, increasing trainee exposure and patient access to specialty care.

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Article info

Publication history

Published online: October 05, 2015

Accepted: August 15, 2015

Identification

DOI: https://doi.org/10.1016/j.surg.2015.08.024

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