The Journal of Bone and Joint Surgery (American). 2008;90:1598-1605.
doi:10.2106/JBJS.H.00067
© 2008 The Journal of Bone and Joint Surgery, Inc.
Orthopaedic Surgeon Workforce and Volume Assessment for Total Hip and Knee Replacement in the United States: Preparing for an Epidemic
Richard Iorio, MD1,
William J. Robb, MD2,
William L. Healy, MD1,
Daniel J. Berry, MD3,
William J. Hozack, MD4,
Richard F. Kyle, MD5,
David G. Lewallen, MD3,
Robert T. Trousdale, MD3,
William A. Jiranek, MD6,
Van P. Stamos, MD2 and
Brian S. Parsley, MD7
1 Department of Orthopaedic Surgery, Lahey Clinic, 41 Mall Road, Burlington, MA 01805. E-mail address for R. Iorio: Richard.Iorio@Lahey.org
2 Illinois Bone and Joint Institute, 2401 Ravine Way, Glenview, IL 60025
3 Mayo Clinic, 200 First Street S.W., Rochester, MN 55905
4 Rothman Institute of Orthopedics, Thomas Jefferson Hospital, 925 Chestnut Street, Philadelphia, PA 19107
5 Hennepin County Medical Center, 701 Park Avenue South, Minneapolis, MN 55415
6 Virginia Commonwealth University Health System, 1007 Peachtree Boulevard, Richmond, VA 23226
7 Department of Orthopaedic Surgery, Baylor College of Medicine, 6620 Main Street, Suite 1325, Houston, TX 77030
Investigation performed at the Department of Orthopaedic Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts
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Introduction
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The demand for health-care services in general, and musculoskeletal care in particular, is expected to increase substantially in the United States because of the growth of the population, aging of the population, public expectations, economic growth, investment in health-care interventions, and improved diagnosis and treatment. The impact of an aging population is demonstrated by the fact that, in 2000, the eleven most costly medical conditions in the United States were far more prevalent among the elderly, and the population of elderly Americans is increasing. It is not clear that the future supply of physicians will be sufficient to meet the increasing demand for health care. The supply of American physicians is limited by the aging and retirement of current physicians, medical school graduation class size of allopathic medical doctors and osteopathic physicians, and United States immigration policies, which limit the number of physicians entering the country. Furthermore, among active physicians, . . . [Full Text of this Article]

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- Orthopaedic Surgeon Workforce...Epidemic
- Glenn D Wera
- JBJS Online, 21 Jul 2008
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