Surgical care and career opportunities in a changing practice paradigm

Joseph J. Tepas; Tyler G. Hughes; David S. Aaronson; James L. Kesler; Richard J. Buckley; Anthony J. Dippolito; Matthew J. Wall; Nipun B. Merchant; Walter C. Dandridge; Mika N. Sinanan; Dale Buchbinder; Howard L. Sussman; Andrea Hayes-Jordan; John C. Chen; Lewis Wetstein; David R. Arbutina; James C. Dennehy; Adnan Alseidi; Robert V. Rege; Aaron S. Fink; Linda M. Barney; David W. Cloyd; Mary E. Fallat; Deborah S. Loeff; Kevin E. Behrns; Selwyn M. Vickers; Joseph J. Teppas; Selwyan M. Vickers

doi:10.1016/j.jamcollsurg.2013.05.031

Surgical care and career opportunities in a changing practice paradigm

Joseph J. Tepas, Tyler G. Hughes, David S. Aaronson, James L. Kesler, Richard J. Buckley, Anthony J. Dippolito, Matthew J. Wall, Nipun B. Merchant, Walter C. Dandridge, Mika N. Sinanan, Dale Buchbinder, Howard L. Sussman, Andrea Hayes-Jordan, John C. Chen, Lewis Wetstein, David R. Arbutina, James C. Dennehy, Adnan Alseidi, Robert V. Rege, Aaron S. FinkLinda M. Barney, David W. Cloyd, Mary E. Fallat, Deborah S. Loeff, Kevin E. Behrns, Selwyn M. Vickers, Joseph J. Teppas, Selwyan M. Vickers

Research output: Contribution to journal › Article › peer-review

Abstract

The American health care system is changing rapidly and radically. The Patient Protection and Affordable Care Act (P.L.111-148) was set in motion by an unsustainable growth in medical expenditures that eventually consumed 16% of our gross domestic product or nearly $3 million annually. Left unattended, this would nearly bankrupt our economy. ¹ In addition, the Affordable Care Act will allow the enrollment of nearly 20 to 30 million currently uninsured Americans into expanded Medicaid and Medicare programs. Coverage to many additional patients will become more marketplace driven through the establishment of health insurance exchanges. ² These expanded programs, in concert with the rapid increase of Americans that are older than 65 year of age, and the now 13-year freeze of Medicare support for graduate medical education, are expected to produce a projected shortfall of some 91,000 physicians by 2020, including a nearly 7% decrease in such critical surgical subspecialties as urology, thoracic surgery, and rural general surgery. ^{3 and 4}

Original language	English
Pages (from-to)	711-717.e1
Journal	Journal of the American College of Surgeons
Volume	217
Issue number	4
DOIs	https://doi.org/10.1016/j.jamcollsurg.2013.05.031
State	Published - Oct 1 2013

ASJC Scopus Subject Areas

Surgery

Disciplines

Medical Specialties
Medicine and Health Sciences
Surgery

Access to Document

10.1016/j.jamcollsurg.2013.05.031

Cite this

Tepas, J. J., Hughes, T. G., Aaronson, D. S., Kesler, J. L., Buckley, R. J., Dippolito, A. J., Wall, M. J., Merchant, N. B., Dandridge, W. C., Sinanan, M. N., Buchbinder, D., Sussman, H. L., Hayes-Jordan, A., Chen, J. C., Wetstein, L., Arbutina, D. R., Dennehy, J. C., Alseidi, A., Rege, R. V., ... Vickers, S. M. (2013). Surgical care and career opportunities in a changing practice paradigm. Journal of the American College of Surgeons, 217(4), 711-717.e1. https://doi.org/10.1016/j.jamcollsurg.2013.05.031

Tepas, JJ, Hughes, TG, Aaronson, DS, Kesler, JL, Buckley, RJ, Dippolito, AJ, Wall, MJ, Merchant, NB, Dandridge, WC, Sinanan, MN, Buchbinder, D, Sussman, HL, Hayes-Jordan, A, Chen, JC, Wetstein, L, Arbutina, DR, Dennehy, JC, Alseidi, A, Rege, RV, Fink, AS, Barney, LM, Cloyd, DW, Fallat, ME, Loeff, DS, Behrns, KE, Vickers, SM, Teppas, JJ & Vickers, SM 2013, 'Surgical care and career opportunities in a changing practice paradigm', Journal of the American College of Surgeons, vol. 217, no. 4, pp. 711-717.e1. https://doi.org/10.1016/j.jamcollsurg.2013.05.031

@article{f93df1f7d7994d3589e8cf0228c1913a,

title = "Surgical care and career opportunities in a changing practice paradigm",

abstract = " The American health care system is changing rapidly and radically. The Patient Protection and Affordable Care Act (P.L.111-148) was set in motion by an unsustainable growth in medical expenditures that eventually consumed 16% of our gross domestic product or nearly $3 million annually. Left unattended, this would nearly bankrupt our economy. 1 In addition, the Affordable Care Act will allow the enrollment of nearly 20 to 30 million currently uninsured Americans into expanded Medicaid and Medicare programs. Coverage to many additional patients will become more marketplace driven through the establishment of health insurance exchanges. 2 These expanded programs, in concert with the rapid increase of Americans that are older than 65 year of age, and the now 13-year freeze of Medicare support for graduate medical education, are expected to produce a projected shortfall of some 91,000 physicians by 2020, including a nearly 7% decrease in such critical surgical subspecialties as urology, thoracic surgery, and rural general surgery. 3 and 4 ",

author = "Tepas, {Joseph J.} and Hughes, {Tyler G.} and Aaronson, {David S.} and Kesler, {James L.} and Buckley, {Richard J.} and Dippolito, {Anthony J.} and Wall, {Matthew J.} and Merchant, {Nipun B.} and Dandridge, {Walter C.} and Sinanan, {Mika N.} and Dale Buchbinder and Sussman, {Howard L.} and Andrea Hayes-Jordan and Chen, {John C.} and Lewis Wetstein and Arbutina, {David R.} and Dennehy, {James C.} and Adnan Alseidi and Rege, {Robert V.} and Fink, {Aaron S.} and Barney, {Linda M.} and Cloyd, {David W.} and Fallat, {Mary E.} and Loeff, {Deborah S.} and Behrns, {Kevin E.} and Vickers, {Selwyn M.} and Teppas, {Joseph J.} and Vickers, {Selwyan M.}",

year = "2013",

month = oct,

day = "1",

doi = "10.1016/j.jamcollsurg.2013.05.031",

language = "English",

volume = "217",

pages = "711--717.e1",

journal = "Journal of the American College of Surgeons",

issn = "1072-7515",

number = "4",

}

TY - JOUR

T1 - Surgical care and career opportunities in a changing practice paradigm

AU - Tepas, Joseph J.

AU - Hughes, Tyler G.

AU - Aaronson, David S.

AU - Kesler, James L.

AU - Buckley, Richard J.

AU - Dippolito, Anthony J.

AU - Wall, Matthew J.

AU - Merchant, Nipun B.

AU - Dandridge, Walter C.

AU - Sinanan, Mika N.

AU - Buchbinder, Dale

AU - Sussman, Howard L.

AU - Hayes-Jordan, Andrea

AU - Chen, John C.

AU - Wetstein, Lewis

AU - Arbutina, David R.

AU - Dennehy, James C.

AU - Alseidi, Adnan

AU - Rege, Robert V.

AU - Fink, Aaron S.

AU - Barney, Linda M.

AU - Cloyd, David W.

AU - Fallat, Mary E.

AU - Loeff, Deborah S.

AU - Behrns, Kevin E.

AU - Vickers, Selwyn M.

AU - Teppas, Joseph J.

AU - Vickers, Selwyan M.

PY - 2013/10/1

Y1 - 2013/10/1

N2 - The American health care system is changing rapidly and radically. The Patient Protection and Affordable Care Act (P.L.111-148) was set in motion by an unsustainable growth in medical expenditures that eventually consumed 16% of our gross domestic product or nearly $3 million annually. Left unattended, this would nearly bankrupt our economy. 1 In addition, the Affordable Care Act will allow the enrollment of nearly 20 to 30 million currently uninsured Americans into expanded Medicaid and Medicare programs. Coverage to many additional patients will become more marketplace driven through the establishment of health insurance exchanges. 2 These expanded programs, in concert with the rapid increase of Americans that are older than 65 year of age, and the now 13-year freeze of Medicare support for graduate medical education, are expected to produce a projected shortfall of some 91,000 physicians by 2020, including a nearly 7% decrease in such critical surgical subspecialties as urology, thoracic surgery, and rural general surgery. 3 and 4

AB - The American health care system is changing rapidly and radically. The Patient Protection and Affordable Care Act (P.L.111-148) was set in motion by an unsustainable growth in medical expenditures that eventually consumed 16% of our gross domestic product or nearly $3 million annually. Left unattended, this would nearly bankrupt our economy. 1 In addition, the Affordable Care Act will allow the enrollment of nearly 20 to 30 million currently uninsured Americans into expanded Medicaid and Medicare programs. Coverage to many additional patients will become more marketplace driven through the establishment of health insurance exchanges. 2 These expanded programs, in concert with the rapid increase of Americans that are older than 65 year of age, and the now 13-year freeze of Medicare support for graduate medical education, are expected to produce a projected shortfall of some 91,000 physicians by 2020, including a nearly 7% decrease in such critical surgical subspecialties as urology, thoracic surgery, and rural general surgery. 3 and 4

UR - http://www.scopus.com/inward/record.url?scp=84884527711&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84884527711&partnerID=8YFLogxK

UR - https://corescholar.libraries.wright.edu/surg/77

U2 - 10.1016/j.jamcollsurg.2013.05.031

DO - 10.1016/j.jamcollsurg.2013.05.031

M3 - Article

AN - SCOPUS:84884527711

SN - 1072-7515

VL - 217

SP - 711-717.e1

JO - Journal of the American College of Surgeons

JF - Journal of the American College of Surgeons

IS - 4

ER -

Surgical care and career opportunities in a changing practice paradigm

Abstract

ASJC Scopus Subject Areas

Disciplines

Access to Document

Other files and links

Cite this