An Update to the Physician Shortage Problem

The AAMC (Association of American Medical Colleges) has released new projections indicating a physician shortage of up to 86,000 physicians in the United States by 2036. This underscores the critical need for sustained and increased investments in training new physicians to address the country’s healthcare needs. The report, conducted by GlobalData Plc, includes various scenarios based on trends in healthcare delivery and the workforce. While the projected shortfall is smaller than previous estimates, it still highlights the necessity for additional investments in graduate medical education (GME). Demographics, particularly population growth and aging, are driving the increasing demand for physicians. The report also notes a significant portion of the physician workforce nearing retirement age, which will further decrease the physician supply. Addressing underserved communities could require approximately 202,800 more physicians than current estimates. Lifting the federal cap on Medicare support for GME and bipartisan legislation like the Resident Physician Shortage Reduction Act aim to alleviate the shortage, but further efforts are needed to meet future healthcare demands.

 

Rural Americans’ Healthcare Challenges

Rural Americans face significant healthcare challenges, with fewer available doctors compared to urban areas, exacerbating existing health issues. Dr. Bruce A. Scott, President of the American Medical Association, emphasizes the urgent need for policymakers to address these disparities. Rural communities experience higher rates of various illnesses, exacerbated by economic pressures and limited access to healthy living conditions. The shortage of specialists and the closure of rural hospitals further compound the problem. Insufficient access to primary care physicians is a pressing issue, with inadequate residency spots and decreasing applications from rural areas. The AMA advocates for changes to the Medicare physician payment system, which has seen a decline in rates over the years. Administrative burdens, such as prior authorizations, are also contributing to physician burnout and compromising patient care. To combat the doctor shortage and rural health challenges, the AMA advocates for healthcare reforms, including overhauling the Medicare payment system, expanding telehealth, increasing residency positions, incentivizing rural practice, and addressing workforce stresses.

hospitals in rural America

Radiology Is Being Hit, Too

Radiology departments are grappling with worsening staffing shortages alongside declining reimbursements. During the RSNA 2023 meeting, Ashish Sant from Merge by Merative discussed key trends and challenges. Staffing and cost management remain top concerns due to burnout and insufficient replacements for retiring radiologists. To address these issues, there’s a push towards cloud-based solutions, with a modular approach easing concerns about data security and patient information management. The pandemic has accelerated the shift towards cloud adoption, highlighting benefits such as accessibility and cost reduction. Integrating AI into radiology workflows is another focus, though challenges persist in seamlessly embedding AI solutions. Merge’s partnership with Microsoft Azure aims to provide customers with cloud solutions tailored to their needs.

 

Radiology Support for the US

Addressing radiology staffing shortages is crucial for ensuring efficient and effective healthcare delivery. Whether you’re a hospital, outpatient center, or part of the Indian Health Service (IHS), Vesta is here to help. Our team can provide on-site radiologists or teleradiologists to meet the specific needs of your facility. By partnering with us, you can ensure timely and accurate radiology services, ultimately improving patient care and outcomes. Don’t let staffing shortages hinder your operations – reach out today to learn how we can support your radiology department.

 

Sources:

Aamc.org
dtnpf.com
Healthimaging.com
openai.com

 

 

 

Healthcare Strikes Can Burden Hospitals this Fall

Around 75,000 healthcare workers, including radiology professionals, were on strike at Kaiser Permanente across five states and Washington, D.C. This strike is considered one of the largest in U.S. healthcare history. Unions had been negotiating since April and overwhelmingly voted to authorize the strike if no resolution was reached by September 30. The strike affected regions in California, Oregon, Washington, Colorado, Virginia, and Washington, D.C. On October 7, the strike ended without a resolution after three days per federal rules.

Why Do Healthcare Strikes Like This Happen?

The Kaiser Permanente workers were on strike due to pay as well as for ensuring increases in staffing levels and protections against job outsourcing. Just a week ago, 600 registered nurses and medical support staff from St. Francis Medical Center issued a 10-day strike notice warning of walking off the job October 9 through October 13 if the hospital fails to deliver a contract for safe staffing levels. As of today, healthcare workers from St. Francis Medical Center and three other Southern California medical facilities initiated a five-day strike to protest what they perceive as unfair labor conditions and unsafe patient care practices. The strike involves nurses and other medical staff at St. Francis, Centinela Hospital Medical Center, Garden Grove Hospital Medical Center, and Encino Hospital Medical Center, all of which are under Prime Healthcare’s management. The unions representing approximately 1,800 workers, UNAC/UHCP and SEIU-UHWH, argue that chronic understaffing has led to hazardous patient care situations, exacerbated by layoffs resulting from Prime Healthcare’s acquisition of St. Francis during the pandemic.

labor strike

Other reasons healthcare strikes occur:

Workplace Safety: Workers may strike when they feel that their safety is compromised due to inadequate safety protocols, insufficient personal protective equipment (PPE), or exposure to hazardous conditions, such as infectious diseases.

Contract Disputes: Labor unions representing healthcare workers negotiate employment contracts with healthcare facilities. If these negotiations fail to address the concerns of workers, strikes may occur.

Patient Care: Healthcare workers are often deeply committed to patient well-being. Strikes may result from concerns that cost-cutting measures or management decisions compromise patient care quality.

Workload and Burnout: Heavy workloads, excessive overtime, and insufficient breaks contribute to burnout among healthcare workers. Strikes can be a way to address these issues and improve work-life balance.

staffing and labor shortage

 

Retirement and Pension Plans: Disagreements over retirement benefits and pension plans can lead to labor disputes among healthcare workers, particularly as they plan for their future financial security.

Lack of Resources: Inadequate resources, including medical supplies, equipment, and technology, can hinder healthcare workers’ ability to provide quality care. Strikes may aim to secure better resources.

Job Security: Concerns about job security may arise due to outsourcing, facility closures, or layoffs. Healthcare workers may strike to protect their employment.

Union Organizing Rights: Workers may go on strike to assert their rights to form or join labor unions, address unfair labor practices, or challenge anti-union policies and actions by employers.

 

It’s important to note that healthcare worker strikes can have significant implications for patient care and public health. Patient care cannot be compromised so if your hospital or healthcare center is in immediate need of radiologists to fill any shortages or gaps, please reach out to Vesta Teleradiology today.

 

Sources:

Radiologybusiness.com
npr.org
Medscape.com
healthcaredive.com
abc7.com
Openai.com