Physician Specialty Data: A Chart Book

. .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . 9 Figure 8.Proportion ofActive Physicians with DO Degrees by Specialty .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> .10 Figure 9.Proportion ofActive Physicians with Foreign Medical Degrees by Specialty . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .11 Figure 10.Proportion ofActive Physicians Practicing in the State Where They Trained by Specialty .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> .1 2 Figure 11.Percent Change in the Number ofActive Physicians by Specialty . . .<br><br> . . .<br><br> . . .13 Figure 12.Production Rate ofPhysicians by Specialty .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . .14 Figure 13.Number ofFirst-Year ACGME Residents/Fellows by Specialty . .<br><br> . . .<br><br> . . .<br><br> . . .15 Figure 14.Proportion ofACGME Residents/Fellows Who Are Female by Specialty .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . .16 Figure 15.Proportion ofACGME Residents/Fellows Who Are Black,American Indian/Alaskan Native,or Native Hawaiian/Pacific Islander by Specialty . .<br><br> . . .<br><br> . . .<br><br> . . .17 Figure 16.Proportion ofACGME Residents/Fellows Who Are ofHispanic Origin by Specialty .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . .18 Figure 17.Proportion ofACGME Residents/Fellows with US Medical Doctorates (MD) by Specialty . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> .19 Figure 18.Proportion ofACGME Residents/Fellows with DO Degrees by Specialty . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .20 Figure 19.Proportion ofACGME Residents/Fellows with Foreign Medical Degrees by Specialty .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . .21 Figure 20.Percent Change in Number ofFirst-Year ACGME Residents/Fellows by Specialty . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .<br><br> . . .22 Table of Contents © 2006 AAMC.<br><br> May not be reproduced without permission. I 1 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Introduction This report compares a range ofcharacteristics ofpracticing physicians and physicians in training across the largest specialties.The AAMC has compiled this report for the medical education community,specialty associations,health researchers,policy makers and the public,who often request data on the physician workforce by specialty.This report is a companion to cKey Physician Data by State dwhich ranks states according to various physician characteristics. This publication provides readers with easily understandable characteristics ofactive physicians and residents/fellows in Graduate Medical Education (GME) training programs.With the exception ofthe first two figures,which present data for the nation as a whole,the figures in the report rank each ofthe largest specialties on a variety ofcharacteristics.In most charts,the national average is also provided.Figures 3 through 11 present data on active physicians;figures 13 through 20 present data on physicians in training in ACGME accredited residency/fellowship programs.Figure 12 compares the number ofphysicians entering training in a specialty to the total number ofactive physicians in the specialty.<br><br> Data sources include the American Medical Association (AMA) Physician Masterfile (January 2006), AMA Physician Characteristic and Distribution (PCD) (1996/97 and 2006 editions), Journal ofAmerican Medical Association (JAMA) Medical Education theme issues (1996 and 2005),and reports ofthe National Resident Matching Program (1995 and 2004).US population counts are based on the US Census Bureau.In all figures except Figures 11 and 12,all active physicians,regardless the type ofdegree or country ofundergraduate medical education,are included.Figures 11 and 12 do not include osteopaths (DOs).In addition,DOs and other physicians in non-ACGME accredited training programsare not included in the analyses ofresidents/fellows,whereas DOs in ACGME-accredited programs are included. For the purpose ofthis report,terms were defined as follows: Active Physicians: Includes federal and non-federal physicians who are working more than 20 hours per week,are not in graduate medical training,are residing in one ofthe 50 states or District ofColumbia,and report their primary specialty as one ofthe 36 largest specialties or combination ofspecialties in the 2006 AMA Masterfile.Physicians who are retired, semi-retired,or otherwise inactive are excluded as are US physicians living outside ofthe 50 states and the District of Columbia.Specialties are self-reported in the MasterFile. USMD: Physicians who received medical doctorates (MD) from US medical schools.<br><br> DO: Physicians who received their Doctor ofOsteopathy (DO) degrees from US osteopathic schools. IMGs (International Medical Graduates):Physicians who received their medical degrees from schools outside the US or Canada,including US citizens receiving their medical education outside ofthe US. Primary Care Physicians: Active physicians who self-reported their primary specialty as General Internal Medicine, Family Medicine/Family Practice/General Practice,General Pediatrics,Geriatric Medicine,or Internal Medicine-Pediatrics (Combined).For residents,this includes physicians in ACGME-accredited programs in Internal Medicine (Categorical), Family Medicine/Family Practice,Pediatrics,and Internal Medicine-Pediatrics (Combined) though many may eventually subspecialize.Fellows in Geriatrics are also considered primary care for the purpose ofthese analyses.Primary care specialties are highlighted in the figures.<br><br> To simplify the analysis,we combined several specialties where classification changed over time or in order to maintain consistency in specialty classification between active physicians (Masterfile) and residents/fellows (JAMA).These special- ties include: I 2 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Family Medicine/General Practice: Includes Family Medicine,Family Practice,and General Practice; Hematology and Oncology: Includes Hematology (Internal Medicine),Hematology/Oncology,and Medical Oncology; Obstetrics and Gynecology: Includes Gynecology,Obstetrics,and Obstetrics & Gynecology; Preventive Medicine: Includes General Preventive Medicine,Occupational Medicine,Aerospace Medicine,and Public Health; Pulmonary Disease and Critical Care Medicine: Includes Critical Care (Internal Medicine),Pulmonary Disease,and Pulmonary Disease/Critical Care Medicine; Radiology and Diagnostic Radiology: Includes Radiology and Diagnostic Radiology; Thoracic Surgery: Includes Thoracic Surgery,Cardiac Surgery,and Cardiothoracic Surgery. The AAMC Center for Workforce Studies gratefully acknowledges the AMA for granting use oftheir data.Any ques- tions/comments regarding these analyses should be directed to: Hisashi Yamagata,PhD hyamagata@aamc.org I 3 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 1. Characteristics ofActive Physicians in the United States Source: AMA Physician Masterfile,January 2006.<br><br> * Excludes 574 physicians whose sex is unknown. 0%10%20%30%40%50%60%70%80%90%100% Male-Female* Age In-State GME Retention Medical School Type Male (537,340, 73%)Female (195,373, 27%) 54 or Younger (488,836, 66%)55 or Older (244,451, 33%) Practicing in the State of Graduate Medical Education Not Practicing in the State of Graduate Medical Education (405,742, 55%) IMG (172,675, 24%) DO (45,797, 6%) US MD (514,815, 70%) I 4 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 2. Characteristics ofResidents/Fellows in ACGME-Accredited Programs Source: Graduate Medical Education (Appendix II,Tables 1 & 8) JAMA.2005;294:1129-33,1137-40.<br><br> * Excludes 54 physicians whose sex is unknown. + Excludes 440 physicians who graduated from Canadian medical schools (413),23 whose medical school type is unknown,and 4 who g raduated from unaccredited US medical schools. 0%10%20%30%40%50%60%70%80%90%100% Male-Female* Race Hispanic Origin Medical School Type+ Male (58,874, 58%) Black (5,330, 5%) Women (42,363, 42%) Asian (25,182, 25%)White (55,202, 54%) Other/Unknown (14,676, 14%) American Indian/Alaskan Native Native Hawaiian/Pacific Islander (901, 0.9%) 6,419, 6%) IMG (26,720, 26%) DO (5,675, 6%) US MD (68,456, 68%) I 5 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 3.<br><br> Specialties with the Largest Number ofActive Physicians* Source: AMA Masterfile,January 2006 * See Introduction for notes on specialty classification and the definition of cActive Physicians. d The number in parentheses is the number ofactive physicians in the specialty. Family Medicine/General Practice General Internal Medicine General Pediatrics (51,915) Obstetrics & Gynecology (38,783) Psychiatry (37,556) Anesthesiology (37,134) Emergency Medicine (28,313) Radiology & Diagnostic Radiology (26,779) General Surgery (26,323) Cardiovascular Disease (21,117) Orthopedic Surgery (19,865) Ophthalmology (18,183) Pathology (13,936) Neurology (12,057) Gastroenterology (11,450) Hematology & Oncology (11,106) Pulmonary & Critical Care Med. (10,891) Dermatology (9,961) Urology (9,864) Otolaryngology (9,077) Physical Medicine & Rehab.<br><br> (7,595) Preventive Medicine (7,190) Child & Adolescent Psychiatry (7,057) Nephrology (6,891) Plastic Surgery (6,104) Infectious Diseases (5,923) Thoracic Surgery (4,838) Neurological Surgery (4,814) Endocrinology/Diabetes (4,703) Rheumatology (4,248) Radiation Oncology (4,079) Neonatal/Perinatal Medicine (3,825) Allergy & Immunology (2,954) Geriatric Medicine (2,848) Internal Medicine-Pediatrics (Combined) (2,672) Vascular Surgery (2,452) Family Medicine/General Practice: 100,152 General Internal Medicine: 99,913 Primary Care Specialties 010,00020,00030,00040,00050,00060,000 I 6 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 4. Number ofPeople per Active Physician by Specialty* Sources: AMA Masterfile,January 2006 U.S.Census Bureau,U.S.Interim Projections by Age,Sex,Race,and Hispanic Origin * See Introduction for notes on specialty classification and the definition of cActive Physicians. d Vascular Surgery Internal Medicine-Pediatrics (Combined) Geriatric Medicine Allergy & Immunology Neonatal/Perinatal Medicine Radiation Oncology Rheumatology Endocrinology/Diabetes Neurological Surgery Thoracic Surgery Infectious Diseases Plastic Surgery Nephrology Child & Adolescent Psychiatry Preventive Medicine Physical Medicine & Rehab. Otolaryngology Urology Dermatology Pulmonary & Critical Care Med.<br><br> Hematology & Oncology Gastroenterology Neurology Pathology Ophthalmology Orthopedic Surgery Cardiovascular Disease General Surgery Radiology & Diagnostic Radiology Emergency Medicine Anesthesiology Psychiatry Obstetrics & Gynecology General Pediatrics General Internal Medicine Family Medicine/General Practice Primary Care Specialties 121,600 111,600 104,700 101,000 78,000 73,100 70,200 63,400 61,900 61,900 50,300 48,900 43,300 42,300 41,500 39,300 32,900 30,200 29,900 27,400 26,000 26,900 24,700 21,400 16,400 15,000 14,100 11,300 11,100 10,500 8,000 7,900 7,700 5,700 3,000 3,000 020,00040,00060,00080,000100,000120,000140,000 I 7 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 5. Proportion ofActive Physicians Who are Female by Specialty* Sources: AMA Masterfile,January 2006 * Excludes 574 physicians whose sex is unknown.See Introduction for notes on specialty classification and the definition of cActive Physicians. d General Pediatrics Internal Medicine-Pediatrics (Combined) Child & Adolescent Psychiatry Geriatric Medicine Neonatal/Perinatal Medicine Obstetrics & Gynecology Dermatology Endocrinology/Diabetes Physical Medicine & Rehab. Infectious Diseases Psychiatry Pathology General Internal Medicine Rheumatology Family Medicine/General Practice Allergy & Immunology Preventive Medicine Radiation Oncology Hematology & Oncology Neurology Anesthesiology Emergency Medicine Nephrology Radiology & Diagnostic Radiology Ophthalmology Pulmonary & Critical Care Med.<br><br> General Surgery Plastic Surgery Otolaryngology Gastroenterology Cardiovascular Disease Vascular Surgery Neurological Surgery Urology Orthopedic Surgery Thoracic Surgery Average=26.7% Primary Care Specialties 0%10%20%30%40%50%60% I 8 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 6. Proportion ofActive Physicians Aged 55 or Older by Specialty* Sources: AMA Masterfile,January 2006 * See Introduction for notes on specialty classification and the definition of cActive Physicians. d Preventive Medicine Psychiatry Pathology Urology Thoracic Surgery Orthopedic Surgery General Surgery Radiology & Diagnostic Radiology Plastic Surgery Ophthalmology Neurological Surgery Otolaryngology Cardiovascular Disease Rheumatology Dermatology Child & Adolescent Psychiatry Neurology Endocrinology/Diabetes Hematology & Oncology Obstetrics & Gynecology Gastroenterology Vascular Surgery Allergy & Immunology Radiation Oncology Family Medicine/General Practice Nephrology General Pediatrics Pulmonary & Critical Care Med. Neonatal/Perinatal Medicine Anesthesiology General Internal Medicine Infectious Diseases Emergency Medicine Physical Medicine & Rehab.<br><br> Geriatric Medicine Internal Medicine-Pediatrics (Combined) Average=33.3% Primary Care Specialties 0%20%40%60% I 9 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 7. Proportion ofActive Physicians with US Medical Doctorates (MD) by Specialty* Sources: AMA Masterfile,January 2006 * See Introduction for notes on specialty classification and the definition of cActive Physicians. d Dermatology Ophthalmology Orthopedic Surgery Otolaryngology Plastic Surgery Internal Medicine-Pediatrics (Combined) Neurological Surgery Vascular Surgery Radiology & Diagnostic Radiology Urology Emergency Medicine Preventive Medicine Obstetrics & Gynecology Radiation Oncology Thoracic Surgery General Surgery Rheumatology Infectious Diseases Gastroenterology Allergy & Immunology General Pediatrics Child & Adolescent Psychiatry Cardiovascular Disease Hematology & Oncology Neurology Family Medicine/General Practice Psychiatry Anesthesiology Endocrinology/Diabetes Pulmonary & Critical Care Med. Pathology General Internal Medicine Physical Medicine & Rehab.<br><br> Nephrology Neonatal/Perinatal Medicine Geriatric Medicine Average=70.2% Primary Care Specialties 0%20%40%60%80%100% I 10 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 8. Proportion ofActive Physicians with DO Degrees by Specialty* Sources: AMA Masterfile,January 2006 * See Introduction for notes on specialty classification and the definition of cActive Physicians. d Family Medicine/General Practice Emergency Medicine Physical Medicine & Rehab. Preventive Medicine Anesthesiology General Internal Medicine Obstetrics & Gynecology Internal Medicine-Pediatrics (Combined) Orthopedic Surgery Neurology Dermatology Rheumatology Pulmonary & Critical Care Med.<br><br> Otolaryngology Radiology & Diagnostic Radiology Child & Adolescent Psychiatry Nephrology General Pediatrics Allergy & Immunology Psychiatry General Surgery Geriatric Medicine Gastroenterology Cardiovascular Disease Vascular Surgery Neonatal/Perinatal Medicine Infectious Diseases Hematology & Oncology Ophthalmology Pathology Urology Radiation Oncology Neurological Surgery Thoracic Surgery Endocrinology/Diabetes Plastic Surgery Average=6.2% Primary Care Specialties 0%5%10%15%25% I 11 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 9. Proportion ofActive Physicians with Foreign Medical Degrees by Specialty* Sources: AMA Masterfile,January 2006 * See Introduction for notes on specialty classification and the definition of cActive Physicians. d Geriatric Medicine Neonatal/Perinatal Medicine Nephrology General Internal Medicine Endocrinology/Diabetes Pathology Pulmonary & Critical Care Med. Hematology & Oncology Psychiatry Physical Medicine & Rehab.<br><br> Neurology Cardiovascular Disease Child & Adolescent Psychiatry Anesthesiology General Pediatrics Allergy & Immunology Gastroenterology Infectious Diseases Rheumatology General Surgery Thoracic Surgery Radiation Oncology Family Medicine/General Practice Obstetrics & Gynecology Urology Vascular Surgery Radiology & Diagnostic Radiology Neurological Surgery Plastic Surgery Preventive Medicine Internal Medicine-Pediatrics (Combined) Otolaryngology Ophthalmology Emergency Medicine Orthopedic Surgery Dermatology Average=23.5% Primary Care Specialties 0%10%20%30%40%50% I 12 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 10. Proportion ofActive Physicians Practicing in the State Where They Trained by Specialty* Sources: AMA Masterfile,January 2006 * See Introduction for notes on specialty classification and the definition of cActive Physicians. dPhysicians 9primary practice s tate or their preferred mailing address state was used to determine the state in which they practice. Child & Adolescent Psychiatry Internal Medicine-Pediatrics (Combined) Psychiatry General Internal Medicine Geriatric Medicine General Pediatrics Family Medicine/General Practice Obstetrics & Gynecology Anesthesiology Pathology Infectious Diseases Pulmonary & Critical Care Med.<br><br> Rheumatology General Surgery Emergency Medicine Physical Medicine & Rehab. Dermatology Endocrinology/Diabetes Radiology & Diagnostic Radiology Nephrology Neonatal/Perinatal Medicine Hematology & Oncology Gastroenterology Neurology Allergy & Immunology Cardiovascular Disease Preventive Medicine Urology Ophthalmology Orthopedic Surgery Otolaryngology Radiation Oncology Vascular Surgery Plastic Surgery Neurological Surgery Thoracic Surgery Average=44.7% Primary Care Specialties 0%10%20%30%40%50%60% I 13 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 11. Percent Change in the Number ofActive Physicians by Specialty (1995-2004)* Source: AMA Physician Characteristics and Distribution,1996/7 (Table B-8,pp.56-58) and 2005 (Table 1.9,pp.20-24) * See Introduction for notes on specialty classification and the definition of cActive Physicians. dExcludes physicians with prim ary specialty in Internal Medicine-Pediatrics (combined),which is not reported in the 1996/97 PCD.<br><br> The number in parentheses reflects the absolute change in physician count between 1995 and 2004. Geriatric Medicine (912) Emergency Medicine (7276) Hematology & Oncology (3106) Nephrology (1804) Vascular Surgery (658) Preventive Medicine (1885) Infectious Diseases (1537) Physical Medicine & Rehab. (1677) Allergy & Immunology (682) Endocrinology/Diabetes (1030) General Pediatrics (11587) General Internal Medicine (21391) Pulmonary & Critical Care Med.<br><br> (2344) Neonatal/Perinatal Medicine (752) Child & Adolescent Psychiatry (1270) Gastroenterology (2062) Dermatology (1718) Family Medicine/General Practice (14397) Radiation Oncology (657) Plastic Surgery (941) Rheumatology (626) Cardiovascular Disease (3173) Neurology (1603) Anesthesiology (4686) Otolaryngology (1124) Obstetrics & Gynecology (4590) Radiology & Diagnostic Radiology (2505) Ophthalmology (1588) Neurological Surgery (405) Urology (675) Orthopedic Surgery (1168) Psychiatry (1564) General Surgery (262) Pathology (127) Thoracic Surgery (-70) Primary Care Specialties 0%10%20%30%40%50%60%70 % I 14 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 12. Production Rate ofPhysicians by Specialty (August,2004)* Sources: AMA Physician Characteristics and Distribution (Table 1.9.,pp.20-24),Graduate Medical Education (Appendix II,Tables 3 & 9) JAMA 2005;294:1133-35,1141-42. * Defined as the ratio of 8First-Year Residents/Fellows 9in ACGME-accredited training to 8Active Physicians. 9While first-year res idents/fellows include physicians with DO degrees,active physicians do not because DO physicians are not reported in the AMA Physician Characteristics and Distribution .<br><br> + Includes physicians matched in Internal Medicine-Categorical via NRMP,including those who may subspecialize in the future.Man y current residents in General Surgery,Internal Medicine,Pediatrics,and Psychiatry will eventually practice another subspecialty. ** Number ofphysicians completing training. Clinical Neurophysiology Interventional Cardiology Cardiac Electrophysiology Internal Medicine-Pediatrics (Combined) Pain Medicine (Anesthesiology) Neuroradiology Surgery-General Geriatric Medicine Emergency Medicine Nephrology Neonatal-Perinatal Medicine Pediatrics Physical Medicine & Rehab.<br><br> Infectious Diseases Child & Adolescent Psychiatry Internal Medicine+ Endocrinology/Diabetes & Metabolism Pulmonary & Critical Care Med. Pathology Allergy & Immunology Vascular Surgery Hematology & Oncology Radiology & Diagnostic Radiology Anesthesiology Rheumatology Neurological Surgery Neurology Family Practice Radiation Oncology Dermatology Psychiatry Obstetrics & Gynecology Cardiovascular Disease Gastroenterology Orthopedic Surgery Plastic Surgery** Thoracic Surgery Otolaryngology Preventive Medicine Ophthalmology Urology Primary Care Specialties Average=4.5% Clinical Neurophysiology: 44.4% Interventional Cardiology: 44.0% Cardiac Electrophysiology: 20.5% 0%5%10%15%20% I 15 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 13. Number ofFirst-Year ACGME Residents/Fellows by Specialty (August,2004)* Sources: Graduate Medical Education (Appendix II,Tables 3 & 9) JAMA 2005;294:1133-35,1141-42.<br><br> AAMC, National Resident Matching Program: Results and Data 42005 Match April 2005. * Includes physicians who are in Program Year 1 positions ofACGME-accredited graduate medical training as ofAugust 1,2004. + Includes physicians matched in Internal Medicine-Categorical via NRMP,including those who may subspecialize in the future.Man y current residents in General Surgery,Internal Medicine,Pediatrics,and Psychiatry will eventually practice another subspecialty.<br><br> ** The number offellows completing training. Internal Medicine+ Family Practice Pediatrics General Surgery Emergency Medicine Anesthesiology Obstetrics & Gynecology Psychiatry Radiolgy-Diagnostic Cardiovascular Disease Orthopedic Surgery Pathology Pulmonary & Critical Care Med. Hematology & Oncology Ophthalmology Neurology Internal Medicine-Pediatrics (Combined) Gastroenterology Physical Medicine & Rehab.<br><br> Nephrology Child & Adolescent Psychiatry Dermatology Infectious Diseases Geriatric Medicine Otolaryngology Endocrinology/Diabetes Urology Interventional Cardiology Pain Medicine Neonatal-Perinatal Medicine Preventive Medicine Neurological Surgery Neuroradiology Plastic Surgery** Rheumatology Clinical Neurophysiology Radiation Oncology Thoracic Surgery Allergy & Immunology Cardiac Electrophysiology Primary Care Specialties 01,0002,0003,0004,0005,000 I 16 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 14. Proportion ofACGME Residents/Fellows Who Are Female by Specialty (August,2004)* Source: Graduate Medical Education (Appendix II,Table 1) JAMA .2005;294:1129-32. * Includes physicians on duty in ACGME-accredited graduate medical training as ofAugust 1,2004.<br><br> + Includes both residents in Internal Medicine-Preliminary and Internal Medicine-Categorical. Obstetrics & Gynecology Pediatrics Rheumatology Dermatology Endocrinology/Diabetes Child & Adolescent Psychiatry Neonatal-Perinatal Medicine Geriatric Medicine Internal Medicine-Pediatrics (Combined) Psychiatry Family Practice Pathology Preventive Medicine Infectious Disease Allergy & Immunology Clinical Neurophysiology Internal Medicine+ Hematology & Oncology Neurology Physical Medicine & Rehab. Ophthalmology Emergency Medicine Radiation Oncology Nephrology Anesthesiology Radiology-Diagnostic General Surgery Pulmonary & Critical Care Med.<br><br> Gastroenterology Otolaryngology Plastic Surgery Cardiovascular Disease Pain Medicine Neuroradiology Urology Neurological Surgery Cardiac Electrophysiology Orthopedic Surgery Interventional Cardiology Thoracic Surgery Primary Care Specialties Average=41.8% 0%10%20%30%40%50%60%70%80% I 17 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 15. Proportion ofACGME Residents/Fellows Who Are Black,American Indian/Alaskan Native,or Native Hawaiian/Pacific Islander by Specialty (August,2004)* Source: Graduate Medical Education (Appendix II,Table 8) JAMA .2005;294:1137-40. * Includes physicians on duty in ACGME-accredited graduate medical training as ofAugust 1,2004.<br><br> + Includes both residents in Internal Medicine-Preliminary and Internal Medicine-Categorical. The number in parentheses indicates the number ofresidents reporting their race as Black,American Indian/Alaskan Native,or Nati ve Hawaiian/Pacific Islanders. Obstetrics & Gynecology (616) Preventive Medicine (40) Child & Adolescent Psychiatry (74) Family Practice (782) Physical Medicine & Rehab.<br><br> (88) Internal Medicine-Pediatrics (Combined) (110) Neonatal-Perinatal Medicine (38) Geriatric Medicine (21) Psychiatry (320) Pain Medicine (13) Pediatrics (533) Infectious Diseases (44) Thoracic Surgery (19) Surgery-General (488) Nephrology (48) Internal Medicine+ (1,266) Neurological Surgery (46) Endocrinology/Diabetes (26) Emergency Medicine (219) Anesthesiology (244) Pulmonary & Critical Care Med. (64) Pathology (109) Plastic Surgery (26) Hematology & Oncology (57) Orthopedic Surgery (136) Gastroenterology (45) Dermatology (41) Allergy & Immunology (10) Cardiovascular Disease (82) Ophthalmology (45) Urology (35) Radiation Oncology (18) Interventional Cardiology (7) Clinical Neurophysiology (5) Otolaryngology (32) Radiology-Diagnostic (119) Neurology (31) Rheumatology (7) Neuroradiology (4) Cardiac Electrophysiology (2) Primary Care Specialties Average=6.3% 0%2%4%6%8%10%12%14% I 18 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 16. Proportion ofACGME Residents/Fellows Who Are ofHispanic Origin by Specialty (August,2004)* Source: Graduate Medical Education (Appendix II,Table 8) JAMA .2005;294:1137-40.<br><br> * Includes physicians on duty in ACGME-accredited graduate medical training as ofAugust 1,2004. + Includes both residents in Internal Medicine-Preliminary and Internal Medicine-Categorical. The number in parentheses indicates the number ofphysicians indicating that they are ofHispanic Origin.<br><br> Pain Medicine (17) Infectious Diseases (59) Pediatrics (675) Cardiac Electrophysiology (11) Psychiatry (373) Neonatal-Perinatal Medicine (39) Obstetrics & Gynecology (360) Rheumatology (25) Physical Medicine & Rehab. (83) Thoracic Surgery (22) Neurology (98) Pulmonary & Critical Care Med. (75) Family Practice (651) Anesthesiology (316) Child & Adolescent Psychiatry (44) Neurological Surgery (54) Endocrinology/Diabetes (31) Surgery-General (492) Neuroradiology (13) Internal Medicine+ (1,316) Gastroenterology (63) Plastic Surgery (33) Geriatric Medicine (16) Cardiovascular Disease (117) Nephrology (42) Interventional Cardiology (11) Ophthalmology (68) Pathology (118) Emergency Medicine (209) Urology (49) Radiology-Diagnostic (201) Dermatology (46) Allergy & Immunology (11) Hematology & Oncology (41) Radiation Oncology (21) Otolaryngology (40) Orthopedic Surgery (111) Internal Medicine-Pediatrics (Combined) (50) Clinical Neurophysiology (5) Preventive Medicine (9) Primary Care Specialties Average=6.3% 0%2%4%6%8%10% I 19 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 17.<br><br> Proportion ofACGME Residents/Fellows with US Medical Doctorates (MD) by Specialty (August,2004)* Source: Graduate Medical Education (Appendix II,Table 1) JAMA .2005;294:1129-32. * Includes physicians on duty in ACGME-accredited graduate medical training as ofAugust 1,2004. + Includes both residents in Internal Medicine-Preliminary and Internal Medicine-Categorical.<br><br> Orthopedic Surgery Otolaryngology Urology Dermatology Radiation Oncology Plastic Surgery Ophthalmology Neurological Surgery Radiology-Diagnostic Emergency Medicine Allergy & Immunology Internal Medicine-Pediatrics (Combined) Thoracic Surgery Neuroradiology General Surgery Preventive Medicine Obstetrics & Gynecology Anesthesiology Gastroenterology Pediatrics Cardiovascular Disease Cardiac Electrophysiology Endocrinology/Diabetes Interventional Cardiology Psychiatry Hematology & Oncology Physical Medicine & Rehab. Pathology Rheumatology Neonatal-Perinatal Medicine Neurology Infectious Diseases Nephrology Internal Medicine+ Family Practice Pulmonary & Critical Care Med. Child & Adolescent Psychiatry Clinical Neurophysiology Pain Medicine Geriatric Medicine Primary Care Specialties Average=67.6% 0%20%40%60%80%100% I 20 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 18.<br><br> Proportion ofACGME Residents/Fellows with DO Degrees by Specialty (August,2004)* Source: Graduate Medical Education (Appendix II,Table 1) JAMA .2005;294:1129-32. * Includes physicians on duty in ACGME-accredited graduate medical training as ofAugust 1,2004. + Includes both residents in Internal Medicine-Preliminary and Internal Medicine-Categorical.<br><br> Physical Medicine & Rehab. Family Practice Anesthesiology Rheumatology Emergency Medicine Pain Medicine Preventive Medicine Neurology Obstetrics & Gynecology Psychiatry Child & Adolescent Psychiatry Pediatrics Pulmonary & Critical Care Med. Internal Medicine+ Nephrology Neonatal-Perinatal Medicine Geriatric Medicine Pathology Internal Medicine-Pediatrics (Combined) Hematology & Oncology Gastroenterology Cardiovascular Disease Infectious Diseases Endocrinology/Diabetes Radiology-Diagnostic Allergy & Immunology Cardiac Electrophysiology Neuroradiology General Surgery Clinical Neurophysiology Dermatology Radiation Oncology Thoracic Surgery Ophthalmology Urology Otolaryngology Orthopedic Surgery Interventional Cardiology Plastic Surgery Neurological Surgery Primary Care Specialties Average=5.6% 0%5%10%15%20% I 21 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 19.<br><br> Proportion ofACGME Residents/Fellows with Foreign Medical Degrees by Specialty (August,2004)* Source: Graduate Medical Education (Appendix II,Table 1) JAMA .2005;294:1129-32. * Includes physicians on duty in ACGME-accredited graduate medical training as ofAugust 1,2004. + Includes both residents in Internal Medicine-Preliminary and Internal Medicine-Categorical.<br><br> Geriatric Medicine Clinical Neurophysiology Pain Medicine Child & Adolescent Psychiatry Pulmonary & Critical Care Med. Internal Medicine+ Infectious Diseases Nephrology Neonatal-Perinatal Medicine Interventional Cardiology Pathology Neurology Hematology & Oncology Family Practice Endocrinology/Diabetes Rheumatology Psychiatry Cardiac Electrophysiology Cardiovascular Disease Pediatrics Gastroenterology Physical Medicine & Rehab. Obstetrics & Gynecology General Surgery Anesthesiology Thoracic Surgery Neuroradiology Preventive Medicine Internal Medicine-Pediatrics (Combined) Allergy & Immunology Neurological Surgery Ophthalmology Radiology-Diagnostic Plastic Surgery Emergency Medicine Radiation Oncology Urology Dermatology Otolaryngology Orthopedic Surgery Primary Care Specialties Average=26.4% 0%10%20%30%40%50%60% I 22 I Association ofAmericanMedicalColleges 2006 Key Specialty Data: A Chart Book Figure 20.<br><br> Percent Change in Number ofFirst-Year ACGME Residents/Fellows by Specialty (1995-2004)* Sources: Graduate Medical Education (Appendix II,Tables 3 & 9) JAMA .2005;294:1133-35,1141-42 and (Appendix II,(Tables 3 & 8) 1996;276:739-42,744-45. AAMC, National Resident Matching Program: Results and Data 42005 Match and 1995 Match . * Includes residents on duty in ACGME-accredited graduate medical training as ofAugust 1,2004.Interventional cardiology was exc luded because it was not an ACGME-accredited program in 1995.<br><br> ** The number offellows completing training. + Excludes residents in Internal Medicine-Preliminary match and includes those matched in Internal Medicine-Categorical via NRM P,including those who may subspecialize in the future. The number in parentheses indicates the net change in the number offirst-year resident/fellows between 1995 and 2004.<br><br> Physical Medicine & Rehab. (-6) Family Practice (-101) Cardiovascular Disease (-26) Psychiatry (-74) Obstetrics & Gynecology (-82) Preventive Medicine (-13) Surgery-General (-203) Neurology (-46) Radiation Oncology (-24) Thoracic Surgery (-23) Plastic Surgery** (-33) Otolaryngology (-53) Urology (-47) Gastroenterology (-82) Pathology (-134) Ophthalmology (-104) Cardiac Electrophysiology (97) Geriatric Medicine (148) Emergency Medicine (393) Pain Medicine (54) Neuroradiology (43) Neonatal-Perinatal Medicine (44) Rheumatology (33) Nephrology (60) Endocrinology/Diabetes (35) Dermatology (47) Allergy & Immunology (18) Infectious Diseases (34) Hematology & Oncology (49) Internal Medicine-Pediatrics (Combined) (43) Internal Medicine+ (432) Pulmonary & Critical Care Med. (28) Anesthesiology (76) Pediatrics (126) Child & Adolescent Psychiatry (14) Radiology-Diagnostic (16) Orthopedic Surgery (9) Neurological Surgery (1) Primary Care Specialties Cardiac Electrophysiology: 441% Geriatric Medicine: 140% 0%20%40%60%80%100% -20% -40%<br><br>

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