Competitive forces and academic plastic surgery

Plastic and Reconstructive Surgery
S H Miller

Abstract

Economic constraints developing as a result of rising health care costs in the United States pose significant challenges for and threats to the survival of academic plastic surgery. Declining clinical revenues, competition for patients and resources from other health care providers, and reductions in support of its education and research efforts necessitate a paradigm shift if it is to survive. Questionnaires were used to collect data from 92 of the 100 postgraduate training program directors of plastic surgery in the United States. The most common source of clinical income on a national basis was indemnity insurance. Sources of clinical income varied by region. The majority of programs, 80 percent, report that at least 75 percent of the income support for faculty came from practice income. Financial support for ancillary and research personnel, in large part, came from this same source. Resident salaries and benefits came largely from other resources. Generally as population density within the metropolitan area in which a program was located increased, so too did the number of competing plastic surgeons, including graduates of the program and nonacademic cosmetic and hand surgeons. However, levels of competition for cosmetic s...Continue Reading

References

Nov 1, 1991·Academic Medicine : Journal of the Association of American Medical Colleges·J M Corrigan, L M Thompson
Apr 1, 1982·Scientific American·J Wennberg, A Gittelsohn
Dec 28, 1995·The New England Journal of Medicine·R Fein
Nov 17, 1994·The New England Journal of Medicine·J P Kassirer

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Citations

Mar 7, 2003·Plastic and Reconstructive Surgery·Jeffrey UmanskyHenry K Kawamoto
May 6, 2008·Plastic and Reconstructive Surgery·Eleonore ZetrenneJames H Wells
Jun 4, 2008·Annals of Plastic Surgery·Eleonore ZetrenneJames H Wells
Mar 20, 2008·Plastic and Reconstructive Surgery·Salvatore J PacellaWilliam M Kuzon
Mar 3, 2010·Plastic and Reconstructive Surgery·Charles Etienne FerronJean-Paul Brutus
Feb 2, 2000·Plastic and Reconstructive Surgery·L M Krieger, W W Shaw
May 28, 2011·Plastic and Reconstructive Surgery·Philip L MarJack C Yu
Dec 14, 2007·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Tien-Yi TzungMing-Rea Kao

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