Custom Search
|
|
Pediatrics Physicians Suffer Deficiency Of Available Physicians And Growth In Caseloads
The ongoing saga of health reform having an impact on all specializations. Until it becomes apparent exactly what is being altered and how that will shape each party the marketplace will be restricted. Uncertainty affects spending on growth and hiring at all levels of health care. Some wordings of the bill are trying to attend to scarcities in general care. The Senate bill contains a measure that would fund a loan-forgiveness program for pediatric sub-specialists, easing the fiscal burden of med-school costs. The federal Medicare program funds instructional programs for adult medicine. Five years ago, Congress sanctioned funding for pediatric specialty training, but the funds must be re-approved every year. Pediatric organizations continue to press for to more funding for pediatric residents. The cost of training is upward bound (see California!) and yet the earnings for primary care is not up to speed with many other physician specializations. There may be a need to get reimbursement for education or higher reimbursement for residents specializing in pediatrics, in the hope of encouraging more doctors-in-training to enter the field. Specialization normally requires up to three years of training beyond a general pediatrics residency programs and traditionally can pay salaries 50% less than the usual of adult specialty medicine. HUGE DEMAND The demand for additional pediatric sub-specialists is continuing to increase for the following reasons: * More Educated parents requesting sub-specialists for treatment * Increased obesity rates among children * Fellowship programs not meeting the current small boom in number of children Many general pediatric residents are pursuing pediatric subspecialty training. The number of subspecialty post graduate training opportunities has not adequately opened during this last decade. RISING NEED EQUALS GROWING For a while time now there have been estimates of deficits of doctors of many specializations in the US. For pediatrics the issue seems to be with the subspecialties like neurology, gastroenterology, and developmental and behavioral medicine and surgeons. As a result of this shortage, salaries have leaped ahead of other medical specializations. The shortage is great enough that the remunerations for a number of of these sub specialties is about to reach that of adult specialties for the for the first time in history. According to the MGMA Physician Compensation Surveys pediatric sub-specialists incomes have risen momentously and for one of the first times, pediatric surgeons in all actuality earn more than their adult surgeon counterparts. DOCTOR DEFICIT This greater demand is on top of the fact that hospitals report that jobs for the chief Pediatric specialties are going unfilled; reporting vacancies in pediatric-rehabilitation medicine, hematology and oncology, and cardiology. For families, that often means waiting for months to see a specialist and incurring weighty travel costs to find the right care. DEMOGRAPHICS An enormous issue is the socioeconomic demographics of the US. The main bulk of the populace in the US is the baby boom generation which is now entering into retirement age. The "boomers" cause several problems; 1) this means the bulk of doctors are retiring just when they will be of the most value, 2) as we age we require more health care services. A larger demand for procedures will cause an even greater financial pressure on the government through increased dependence on Medicare. Finally, a "good news bad news" is they may live longer then any age bracket before but this will further straining the budget with weight on Social Security and Medicare. Even though the boomer issue does not directly impact pediatrics, it does indirectly in that their increased requisite will mean higher salaries for those specializations that provide care for them and less for pediatrics. To further mix up the issue there is a mini baby boom going on now that will directly increase demand for all pediatric specialties. ALTERNATIVES: To cope with the problem, many hospitals are turning to telemedicine : remote consultations using two-way video systems-and mobile vans that may drive hundreds of miles to set up temporary care centers in under-served areas. Hospitals are also more often utilizing to adult specialists instead of pediatricians to treat children, though not all are willing to do so since their post-graduate education is for adult physiology rather than childrens. Even with the health reform at long last signed into law its effect on our health care is not known. By 2014 their will be an increase in the enrollment into health care insurance programs. This increase when, combined with the long term aging of the populace, should force demand for services and consequently cost higher. However, no one yet knows what will happen to repayment rates from Medicare and this new program. The question is will there be rate a cut of repayment rates for different medical disciplines by Medicare and this new program that may conversely become a decreasing factor of the income of all specialties including Pediatrics, its related specialties, and subspecialties. Article Directory: http://www.articledashboard.com Pediatric Jobs Illinois , Pediatric Jobs New York and Pediatric Jobs Florida |
|
© 2005-2011 Article Dashboard