scholarly journals Workforce demand for neurosurgeons in the United States of America: a 13-year retrospective study

1999 ◽  
Vol 6 (4) ◽  
pp. E1 ◽  
Author(s):  
Daniel L. Friedlich ◽  
Paul J. Feustel ◽  
A. John Popp
Keyword(s):  
United States ◽  
Retrospective Study ◽  
Standard Deviation ◽  
Retrospective Analysis ◽  
United States Of America ◽  
Private Practice ◽  
The United States ◽  
The Past ◽  
Practice Size ◽  
Group Practices

Object The workforce demand for neurosurgeons was quantified by a review and an analysis of journal recruitment advertisements published over the past 13 years. Methods A retrospective analysis of recruitment advertisements from July 1985 through June 1998 was performed by examining issues of the Journal of Neurosurgery and Neurosurgery. Advertisement information that appeared in each journal during the last 3 years was collected from alternating months (July to May); information that appeared prior to that time was collected from alternating recruitment years back to 1985. The authors examined the following workforce parameters: practice venue, subspecialization, and practice size. They found no significant decrease in neurosurgical recruitment advertisements. There was an average of 102.7 ± 22.4 (standard deviation) advertised positions per year during the most recent 3 years compared with 92.6 ± 17.9 advertised positions per year during the preceding decade. Similarly, there has been no decline in advertised positions either in academic (33 ± 6.1/year for the most recent 3 years compared with 32.8 ± 5.9/year for 1985–1995) or private practice (69.7 ± 21.6/year for the most recent 3 years compared with 59.8 ± 13.4/year for 1985–1995). A shift in demand toward subspecialty neurosurgery was observed. During the past 3 years, 31.2 ± 5.9% of advertised positions called for subspecialty expertise, compared with 18.5 ± 2.8% for the preceding decade (p < 0.05). The largest number of subspecialty advertisements designated positions for spine and pediatric neurosurgeons. Private practice advertisements increasingly sought to add neurosurgeons to group practices. Conclusions Contrary to previous reports and a prevailing myth, our data show no decrease in workforce demand for neurosurgeons in the United States over the past 3 years compared with the prior decade. A shift toward subspecialist recruitment, particularly for spine neurosurgeons, has been demonstrated in both academic and private practice venues.

Workforce demand for neurosurgeons in the United States of America: a 13-year retrospective study

1999 ◽  
Vol 90 (6) ◽  
pp. 993-997 ◽  
Author(s):  
Daniel L. Friedlich ◽  
Paul J. Feustel ◽  
A. John Popp
Keyword(s):  
United States ◽  
Retrospective Study ◽  
United States Of America ◽  
Private Practice ◽  
The United States ◽  
Content Type ◽  
The Past ◽  
Practice Size ◽  
Group Practices ◽  
Fine Print

Object. The workforce demand for neurosurgeons was quantified by a review and an analysis of journal recruitment advertisements published over the past 13 years.Methods. A retrospective analysis of recruitment advertisements from July 1985 through June 1998 was performed by examining issues of the Journal of Neurosurgery and Neurosurgery. Advertisement information that appeared in each journal during the last 3 years was collected from alternating months (July to May); information that appeared prior to that time was collected from alternating recruitment years back to 1985. The authors examined the following workforce parameters: practice venue, subspecialization, and practice size.They found no significant decrease in neurosurgical recruitment advertisements. There was an average of 102.7 ± 22.4 (standard deviation) advertised positions per year during the most recent 3 years compared with 92.6 ± 17.9 advertised positions per year during the preceding decade. Similarly, there has been no decline in advertised positions either in academic (33 ± 6.1/year for the most recent 3 years compared with 32.8 ± 5.9/year for 1985–1995) or private practice (69.7 ± 21.6/year for the most recent 3 years compared with 59.8 ± 13.4/year for 1985–1995). A shift in demand toward subspecialty neurosurgery was observed. During the past 3 years, 31.2 ± 5.9% of advertised positions called for subspecialty expertise, compared with 18.5 ± 2.8% for the preceding decade (p < 0.05). The largest number of subspecialty advertisements designated positions for spine and pediatric neurosurgeons. Private practice advertisements increasingly sought to add neurosurgeons to group practices.Conclusions. Contrary to previous reports and a prevailing myth, our data show no decrease in workforce demand for neurosurgeons in the United States over the past 3 years compared with the prior decade. A shift toward subspecialist recruitment, particularly for spine neurosurgeons, has been demonstrated in both academic and private practice venues.

scholarly journals Psycho-economics: managed care in mental health in the new millennium

2002 ◽  
Vol 25 (2) ◽  
pp. 199
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Care ◽  
Managed Care ◽  
United States Of America ◽  
Private Practice ◽  
The United States ◽  
New Millennium

Book Review - Psycho-economics: managed care in mental health in the new millennium Edited by Robert D WeitzThis book comprises ten separately authored chapters on the general theme of managed care, and the way that it has affected mental health care in the United States of America. The main focus is on the role of the psychologist in private practice.

scholarly journals On Legislation as to Life Insurance and Life Insurance Companies

1871 ◽  
Vol 16 (2) ◽  
pp. 77-98 ◽  
Author(s):  
T. B. Sprague
Keyword(s):  
United States ◽  
United Kingdom ◽  
Life Insurance ◽  
United States Of America ◽  
The United States ◽  
Insurance Companies ◽  
The Past ◽  
Life Assurance ◽  
The United Kingdom ◽  
The Law

The past session of Parliament has witnessed the passing of an Act for the regulation of Life Assurance Companies in the United Kingdom, which, while introducing great changes in the law, still stops very far short of the system of legislation which has been for several years in operation in a few of the United States of America, and which is warmly approved of and urgently recommended for adoption by some persons in this country. The present may therefore be considered a fitting time for reviewing what has been done and considering whether any further legislation is desirable, and if any, of what nature it should be.

scholarly journals Antimicrobial Resistance in Salmonella in the United States from 1948 to 1995

2016 ◽  
Vol 60 (4) ◽  
pp. 2567-2571 ◽  
Author(s):  
Daniel A. Tadesse ◽  
Aparna Singh ◽  
Shaohua Zhao ◽  
Mary Bartholomew ◽  
Niketta Womack ◽  
...  
Keyword(s):  
United States ◽  
Retrospective Study ◽  
Multidrug Resistance ◽  
Antimicrobial Resistance ◽  
Salmonella Enterica ◽  
Antimicrobial Agents ◽  
The United States ◽  
Content Type ◽  
The Past ◽  
The 1950S

ABSTRACTWe conducted a retrospective study of 2,149 clinicalSalmonellastrains to help document the historical emergence of antimicrobial resistance. There were significant increases in resistance to older drugs, including ampicillin, chloramphenicol, streptomycin, sulfamethoxazole, and tetracycline, which were most common inSalmonella entericaserotype Typhimurium. An increase in multidrug resistance was observed for each decade since the 1950s. These data help show howSalmonellaevolved over the past 6 decades, after the introduction of new antimicrobial agents.

Combined Chlorpromazine and Reserpine in the Treatment of Chronic Psychotics

1958 ◽  
Vol 104 (434) ◽  
pp. 201-205 ◽  
Author(s):  
E. S. Foote
Keyword(s):  
United States ◽  
Mental Illness ◽  
United States Of America ◽  
The United States ◽  
Psychiatric Practice ◽  
The Past

In the past few years many papers have appeared both in Europe and the United States of America demonstrating the value of Chlorpromazine and Reserpine in the treatment of mental illness. In the United States of America Kinross-Wright (1954) has reported on Chlorpromazine in the treatment of schizophrenia and claimed very satisfactory results; in this country Lomas (1955) and his collaborators have in several papers confirmed these results. With regard to Reserpine in the United States of America Kline (1954) has used the drug extensively with good results; in Europe, hopeful reports by Foote (1955) and McGrath et al. (1956) confirmed the value of this drug in psychiatric practice.

Introduction

2020 ◽  
pp. 1-8
Author(s):  
Matthew Kroenig
Keyword(s):  
United States ◽  
United States Of America ◽  
International Politics ◽  
Good Reason ◽  
The United States ◽  
Global Leadership ◽  
Great Power ◽  
The Past ◽  
The Face ◽  
The Subject

This chapter introduces the subject of the book and summarizes its basic argument and structure. It explains that the United States of America has been the world’s leading state for the past seven decades, but that great power rivalry has returned in recent years with Russia and China becoming more assertive on the international stage. Indeed, many believe the days of U.S. global leadership are coming to an end in the face of challenges from its leading autocratic rivals. In contrast, this chapter argues that democracies have systematic advantages in international politics and that there is good reason to believe that the American era of international preeminence will endure.

Retrospective Analysis of a Pediatric Vascular Access Program and Clinical Outcomes

2013 ◽  
Vol 18 (2) ◽  
pp. 114-120 ◽  
Author(s):  
Stephanie Pitts
Keyword(s):  
United States ◽  
Retrospective Analysis ◽  
Clinical Outcomes ◽  
Vascular Access ◽  
The United States ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Children's Hospitals ◽  
The Past ◽  
Children’S Hospitals

Abstract Background: The specialty of pediatric vascular access has grown rapidly during the past 5 years across the United States. The majority of children's hospitals have nurse-led vascular access teams that are providing comprehensive services, including the placement of peripherally inserted central catheters. A children's hospital in the southeastern United States conducted an Internal Review Board approved, retrospective analysis of 669 patients who had a peripherally inserted central catheter placed. Objective: The objective was to have a better understanding of the program and clinical outcomes as well as identify areas for improvement. Methods: A data collection tool was developed to review the medical records of patients receiving a peripherally inserted central catheter from January 2009 through June 2011. Variables of interest included patient age, admitting diagnosis, intended therapy, procedure location, sedation type and usage, procedure success, insertion attempts, vessel selected, catheter size and type, catheter tip location, reason for discontinuation, and infection. The data was collected and analyzed by a nurse researcher from the University of South Florida. Results: Using the Modified Seldinger Technique and ultrasound, the team inserted a full line of polyurethane catheters, including computed tomography-injectable catheters, with an insertion success rate of 94%. We identified a significant reduction in our hospital's infection rate—from 9.12 per 1,000 catheter line days to 2.0 per 1,000 catheter line days—during the first year and a half of the program. The use of sedation and anesthesia was significantly reduced, with 49% of patients receiving an oral anxiolytic dose of midazolam and the integration of certified child life specialists into the procedure. Conclusions: Pediatric vascular access is a rapidly growing specialty in nursing. Nurse-led vascular access teams have become commonplace in children's hospitals throughout the United States. Although the specialty has grown rapidly during the past 5 years, there is a need for data sharing to contribute to the knowledge base of pediatric vascular access.

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