The Israeli anesthesiology workforce crisis: a reassessment survey.
Anesthesiology
Israel
Physician workforce
Residency
Workforce shortage
Journal
Israel journal of health policy research
ISSN: 2045-4015
Titre abrégé: Isr J Health Policy Res
Pays: England
ID NLM: 101584158
Informations de publication
Date de publication:
17 Sep 2024
17 Sep 2024
Historique:
received:
23
08
2023
accepted:
16
06
2024
medline:
18
9
2024
pubmed:
18
9
2024
entrez:
17
9
2024
Statut:
epublish
Résumé
Anesthesiologists provide crucial anesthesiology services in the operating room and non-operating room locations. Combined with an aging and growing Israeli population, there is an increasing demand for anesthesiology services. A previous study performed in 2005 showed that most anesthesiologists are immigrant physicians with few Israeli medical school graduates. Since then, physician immigration decreased, many have retired and demand for anesthesia services has increased while insufficient numbers of new anesthesiologists were trained, leading to a shortage, limiting surgeries and other procedures in many hospitals. The present study examined the composition of the Israeli anesthesiology workforce in 2021and compared it to the 2005 workforce. A cross-sectional survey of demographic and professional information about each Israeli hospital anesthesiologists was solicited from 34 anesthesiology department chairs responsible for 36 Israeli acute care hospitals. There are 1313 anesthesiologists in the 36 hospitals, resulting in a ratio of 14.2 anesthesiologists per 100,000 population. 22.6% of anesthesiologists will reach retirement age over the next ten years. The proportion of female anesthesiologists was 28.7%. While Israeli medical school graduates increased to 18.1% from 12.2% in 2005, non-Israeli citizens and non-permanent residents comprised 8.5% of the workforce. Despite growth in the ratio of anesthesiologists per population, a workforce shortage is expected to worsen over the next ten years due to retirements, shortened call hours, and the Yatziv reform which bans graduates of certain overseas medical schools from obtaining Israeli Medical Licenses. The current workforce has compensated for the existing shortage of anesthesiologists by enlisting non-Israeli trainees from overseas. Yet, it is crucial to maintain and enlarge the local Israeli workforce to forestall a worsening shortage.
Sections du résumé
BACKGROUND
BACKGROUND
Anesthesiologists provide crucial anesthesiology services in the operating room and non-operating room locations. Combined with an aging and growing Israeli population, there is an increasing demand for anesthesiology services. A previous study performed in 2005 showed that most anesthesiologists are immigrant physicians with few Israeli medical school graduates. Since then, physician immigration decreased, many have retired and demand for anesthesia services has increased while insufficient numbers of new anesthesiologists were trained, leading to a shortage, limiting surgeries and other procedures in many hospitals. The present study examined the composition of the Israeli anesthesiology workforce in 2021and compared it to the 2005 workforce.
METHODS
METHODS
A cross-sectional survey of demographic and professional information about each Israeli hospital anesthesiologists was solicited from 34 anesthesiology department chairs responsible for 36 Israeli acute care hospitals.
RESULTS
RESULTS
There are 1313 anesthesiologists in the 36 hospitals, resulting in a ratio of 14.2 anesthesiologists per 100,000 population. 22.6% of anesthesiologists will reach retirement age over the next ten years. The proportion of female anesthesiologists was 28.7%. While Israeli medical school graduates increased to 18.1% from 12.2% in 2005, non-Israeli citizens and non-permanent residents comprised 8.5% of the workforce.
CONCLUSIONS
CONCLUSIONS
Despite growth in the ratio of anesthesiologists per population, a workforce shortage is expected to worsen over the next ten years due to retirements, shortened call hours, and the Yatziv reform which bans graduates of certain overseas medical schools from obtaining Israeli Medical Licenses. The current workforce has compensated for the existing shortage of anesthesiologists by enlisting non-Israeli trainees from overseas. Yet, it is crucial to maintain and enlarge the local Israeli workforce to forestall a worsening shortage.
Identifiants
pubmed: 39289757
doi: 10.1186/s13584-024-00620-0
pii: 10.1186/s13584-024-00620-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
48Subventions
Organisme : Israel National Institute for Health Policy Research
ID : א2021/380/
Investigateurs
Haled Abd-Al-Halim
(H)
Hakeem Abu-Rais
(H)
Chaim Berkenstadt
(C)
Ilya Chernoy
(I)
Maruan Armaly
(M)
Yaakov Duvdivani
(Y)
Leonid Eidelman
(L)
Shai Fine
(S)
Brian Fredman
(B)
Yulia Gadulov
(Y)
Zeev Goldik
(Z)
Yaakov Gozal
(Y)
Zoya Haituv
(Z)
Alex Izakson
(A)
Yaakov Katz
(Y)
Idit Matot
(I)
Noam Mubada
(N)
Reuven Pizov
(R)
Aeyal Raz
(A)
Gefen Revaz
(G)
Igor Reznikof
(I)
Nogzar Rigzny
(N)
Michael Rudin
(M)
Vladimir Rukinglass
(V)
Albert Sabatnitzki
(A)
Eran Segal
(E)
Eric Siton
(E)
Mustafa Somri
(M)
Riad Tome
(R)
Jacob Turban
(J)
Nathan Weksler
(N)
Dafna Wilner
(D)
Yossi Witchelevsky
(Y)
Alex Zlotnik
(A)
Informations de copyright
© 2024. The Author(s).
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