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The Pathologist Workforce in the United States: II. An Interactive Modeling Tool for Analyzing Future Qualitative and Quantitative Staffing Demands for Services.

Publication ,  Journal Article
Robboy, SJ; Gupta, S; Crawford, JM; Cohen, MB; Karcher, DS; Leonard, DGB; Magnani, B; Novis, DA; Prystowsky, MB; Powell, SZ; Gross, DJ ...
Published in: Arch Pathol Lab Med
November 2015

CONTEXT: Pathologists are physicians who make diagnoses based on interpretation of tissue and cellular specimens (surgical/cytopathology, molecular/genomic pathology, autopsy), provide medical leadership and consultation for laboratory medicine, and are integral members of their institutions' interdisciplinary patient care teams. OBJECTIVE: To develop a dynamic modeling tool to examine how individual factors and practice variables can forecast demand for pathologist services. DESIGN: Build and test a computer-based software model populated with data from surveys and best estimates about current and new pathologist efforts. RESULTS: Most pathologists' efforts focus on anatomic (52%), laboratory (14%), and other direct services (8%) for individual patients. Population-focused services (12%) (eg, laboratory medical direction) and other professional responsibilities (14%) (eg, teaching, research, and hospital committees) consume the rest of their time. Modeling scenarios were used to assess the need to increase or decrease efforts related globally to the Affordable Care Act, and specifically, to genomic medicine, laboratory consolidation, laboratory medical direction, and new areas where pathologists' expertise can add value. CONCLUSIONS: Our modeling tool allows pathologists, educators, and policy experts to assess how various factors may affect demand for pathologists' services. These factors include an aging population, advances in biomedical technology, and changing roles in capitated, value-based, and team-based medical care systems. In the future, pathologists will likely have to assume new roles, develop new expertise, and become more efficient in practicing medicine to accommodate new value-based delivery models.

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Published In

Arch Pathol Lab Med

DOI

EISSN

1543-2165

Publication Date

November 2015

Volume

139

Issue

11

Start / End Page

1413 / 1430

Location

United States

Related Subject Headings

  • United States
  • Patient Care Management
  • Pathology, Clinical
  • Pathology
  • Needs Assessment
  • Models, Theoretical
  • Male
  • Humans
  • Health Workforce
  • Health Services Needs and Demand
 

Citation

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Chicago
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Robboy, S. J., Gupta, S., Crawford, J. M., Cohen, M. B., Karcher, D. S., Leonard, D. G. B., … Black-Schaffer, W. S. (2015). The Pathologist Workforce in the United States: II. An Interactive Modeling Tool for Analyzing Future Qualitative and Quantitative Staffing Demands for Services. Arch Pathol Lab Med, 139(11), 1413–1430. https://doi.org/10.5858/arpa.2014-0559-OA
Robboy, Stanley J., Saurabh Gupta, James M. Crawford, Michael B. Cohen, Donald S. Karcher, Debra G. B. Leonard, Barbarajean Magnani, et al. “The Pathologist Workforce in the United States: II. An Interactive Modeling Tool for Analyzing Future Qualitative and Quantitative Staffing Demands for Services.Arch Pathol Lab Med 139, no. 11 (November 2015): 1413–30. https://doi.org/10.5858/arpa.2014-0559-OA.
Robboy SJ, Gupta S, Crawford JM, Cohen MB, Karcher DS, Leonard DGB, et al. The Pathologist Workforce in the United States: II. An Interactive Modeling Tool for Analyzing Future Qualitative and Quantitative Staffing Demands for Services. Arch Pathol Lab Med. 2015 Nov;139(11):1413–30.
Robboy, Stanley J., et al. “The Pathologist Workforce in the United States: II. An Interactive Modeling Tool for Analyzing Future Qualitative and Quantitative Staffing Demands for Services.Arch Pathol Lab Med, vol. 139, no. 11, Nov. 2015, pp. 1413–30. Pubmed, doi:10.5858/arpa.2014-0559-OA.
Robboy SJ, Gupta S, Crawford JM, Cohen MB, Karcher DS, Leonard DGB, Magnani B, Novis DA, Prystowsky MB, Powell SZ, Gross DJ, Black-Schaffer WS. The Pathologist Workforce in the United States: II. An Interactive Modeling Tool for Analyzing Future Qualitative and Quantitative Staffing Demands for Services. Arch Pathol Lab Med. 2015 Nov;139(11):1413–1430.

Published In

Arch Pathol Lab Med

DOI

EISSN

1543-2165

Publication Date

November 2015

Volume

139

Issue

11

Start / End Page

1413 / 1430

Location

United States

Related Subject Headings

  • United States
  • Patient Care Management
  • Pathology, Clinical
  • Pathology
  • Needs Assessment
  • Models, Theoretical
  • Male
  • Humans
  • Health Workforce
  • Health Services Needs and Demand