The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Oren K Fix - One of the best experts on this subject based on the ideXlab platform.
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modeling the Hepatology workforce in the united states a predicted critical shortage
Hepatology, 2020Co-Authors: Mark W Russo, Oren K Fix, Ayman Koteish, Katie Duggan, Marcia M Ditmyer, Michael Fuchs, Raymond T Chung, Gautham ReddyAbstract:Background and aims Liver disease is prevalent in the United States, and as the population ages, an increasing number of patients are anticipated to present for care. The state of the current Hepatology workforce and future demand for Hepatology providers is not known. The aim of this study was to model future projections for Hepatology workforce demand. Approach and results A workforce study of Hepatology providers in the United States was completed using primary and secondary data sources. An integrated workforce framework model was used that combined socioeconomic factors that drive economic demand, epidemiological factors that drive need, and utilization rates of health care services. Supply and demand projections were calculated for adult and pediatric Hepatology professionals. Sensitivity analyses were conducted to cover the feasible range of these assumptions. An electronic survey of American Association for the Study of Liver Diseases (AASLD) members whose practice included 50% or more Hepatology was conducted. In 2018, the adult and pediatric workforce included 7,296 and 824 Hepatology providers, respectively, composed of hepatologists, gastroenterologists, and advanced practice providers whose practice was ≥50% Hepatology. The modeling analysis projects that in 2023, 2028, and 2033, there will be shortages of 10%, 23%, and 35% adult Hepatology providers, respectively, and 19%, 20%, and 16% pediatric Hepatology providers, respectively. In sensitivity analyses, a shortage of Hepatology providers is predicted even under optimistic assumptions. Among the respondents to the survey, the median age was higher among gastroenterologists and general hepatologists compared with transplant hepatologists. The most common category treated by transplant hepatologists was general Hepatology. Conclusions There is an impending critical shortage of adult and pediatric Hepatology providers. Strategies are needed to encourage clinicians to pursue Hepatology, especially in areas outside of transplant centers.
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workforce in Hepatology update and a critical need for more information
Hepatology, 2017Co-Authors: Mark W Russo, Ayman Koteish, Michael Fuchs, Gautham K Reddy, Oren K FixAbstract:The field of Hepatology has experienced dramatic changes since the last workforce study in Hepatology over 15 years ago. Hepatology practice has been dominated by hepatitis C but is now being overtaken by patients with nonalcoholic fatty liver disease. Expertise once attainable only through informal training, Hepatology now has an accredited fellowship pathway and is recognized as a distinct discipline from gastroenterology with its own board certification. These changes that have occurred since the last workforce study in the prevalence and therapy of liver diseases and training may impact workforce needs. The time has come to conduct an updated analysis of the state of the Hepatology workforce. The purpose of this article is to discuss the current issues facing training and workforce in Hepatology and propose the next steps in conducting a workforce study. (Hepatology 2017;65:336-340).
Mark W Russo - One of the best experts on this subject based on the ideXlab platform.
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modeling the Hepatology workforce in the united states a predicted critical shortage
Hepatology, 2020Co-Authors: Mark W Russo, Oren K Fix, Ayman Koteish, Katie Duggan, Marcia M Ditmyer, Michael Fuchs, Raymond T Chung, Gautham ReddyAbstract:Background and aims Liver disease is prevalent in the United States, and as the population ages, an increasing number of patients are anticipated to present for care. The state of the current Hepatology workforce and future demand for Hepatology providers is not known. The aim of this study was to model future projections for Hepatology workforce demand. Approach and results A workforce study of Hepatology providers in the United States was completed using primary and secondary data sources. An integrated workforce framework model was used that combined socioeconomic factors that drive economic demand, epidemiological factors that drive need, and utilization rates of health care services. Supply and demand projections were calculated for adult and pediatric Hepatology professionals. Sensitivity analyses were conducted to cover the feasible range of these assumptions. An electronic survey of American Association for the Study of Liver Diseases (AASLD) members whose practice included 50% or more Hepatology was conducted. In 2018, the adult and pediatric workforce included 7,296 and 824 Hepatology providers, respectively, composed of hepatologists, gastroenterologists, and advanced practice providers whose practice was ≥50% Hepatology. The modeling analysis projects that in 2023, 2028, and 2033, there will be shortages of 10%, 23%, and 35% adult Hepatology providers, respectively, and 19%, 20%, and 16% pediatric Hepatology providers, respectively. In sensitivity analyses, a shortage of Hepatology providers is predicted even under optimistic assumptions. Among the respondents to the survey, the median age was higher among gastroenterologists and general hepatologists compared with transplant hepatologists. The most common category treated by transplant hepatologists was general Hepatology. Conclusions There is an impending critical shortage of adult and pediatric Hepatology providers. Strategies are needed to encourage clinicians to pursue Hepatology, especially in areas outside of transplant centers.
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workforce in Hepatology update and a critical need for more information
Hepatology, 2017Co-Authors: Mark W Russo, Ayman Koteish, Michael Fuchs, Gautham K Reddy, Oren K FixAbstract:The field of Hepatology has experienced dramatic changes since the last workforce study in Hepatology over 15 years ago. Hepatology practice has been dominated by hepatitis C but is now being overtaken by patients with nonalcoholic fatty liver disease. Expertise once attainable only through informal training, Hepatology now has an accredited fellowship pathway and is recognized as a distinct discipline from gastroenterology with its own board certification. These changes that have occurred since the last workforce study in the prevalence and therapy of liver diseases and training may impact workforce needs. The time has come to conduct an updated analysis of the state of the Hepatology workforce. The purpose of this article is to discuss the current issues facing training and workforce in Hepatology and propose the next steps in conducting a workforce study. (Hepatology 2017;65:336-340).
Ayman Koteish - One of the best experts on this subject based on the ideXlab platform.
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modeling the Hepatology workforce in the united states a predicted critical shortage
Hepatology, 2020Co-Authors: Mark W Russo, Oren K Fix, Ayman Koteish, Katie Duggan, Marcia M Ditmyer, Michael Fuchs, Raymond T Chung, Gautham ReddyAbstract:Background and aims Liver disease is prevalent in the United States, and as the population ages, an increasing number of patients are anticipated to present for care. The state of the current Hepatology workforce and future demand for Hepatology providers is not known. The aim of this study was to model future projections for Hepatology workforce demand. Approach and results A workforce study of Hepatology providers in the United States was completed using primary and secondary data sources. An integrated workforce framework model was used that combined socioeconomic factors that drive economic demand, epidemiological factors that drive need, and utilization rates of health care services. Supply and demand projections were calculated for adult and pediatric Hepatology professionals. Sensitivity analyses were conducted to cover the feasible range of these assumptions. An electronic survey of American Association for the Study of Liver Diseases (AASLD) members whose practice included 50% or more Hepatology was conducted. In 2018, the adult and pediatric workforce included 7,296 and 824 Hepatology providers, respectively, composed of hepatologists, gastroenterologists, and advanced practice providers whose practice was ≥50% Hepatology. The modeling analysis projects that in 2023, 2028, and 2033, there will be shortages of 10%, 23%, and 35% adult Hepatology providers, respectively, and 19%, 20%, and 16% pediatric Hepatology providers, respectively. In sensitivity analyses, a shortage of Hepatology providers is predicted even under optimistic assumptions. Among the respondents to the survey, the median age was higher among gastroenterologists and general hepatologists compared with transplant hepatologists. The most common category treated by transplant hepatologists was general Hepatology. Conclusions There is an impending critical shortage of adult and pediatric Hepatology providers. Strategies are needed to encourage clinicians to pursue Hepatology, especially in areas outside of transplant centers.
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workforce in Hepatology update and a critical need for more information
Hepatology, 2017Co-Authors: Mark W Russo, Ayman Koteish, Michael Fuchs, Gautham K Reddy, Oren K FixAbstract:The field of Hepatology has experienced dramatic changes since the last workforce study in Hepatology over 15 years ago. Hepatology practice has been dominated by hepatitis C but is now being overtaken by patients with nonalcoholic fatty liver disease. Expertise once attainable only through informal training, Hepatology now has an accredited fellowship pathway and is recognized as a distinct discipline from gastroenterology with its own board certification. These changes that have occurred since the last workforce study in the prevalence and therapy of liver diseases and training may impact workforce needs. The time has come to conduct an updated analysis of the state of the Hepatology workforce. The purpose of this article is to discuss the current issues facing training and workforce in Hepatology and propose the next steps in conducting a workforce study. (Hepatology 2017;65:336-340).
Michael Fuchs - One of the best experts on this subject based on the ideXlab platform.
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modeling the Hepatology workforce in the united states a predicted critical shortage
Hepatology, 2020Co-Authors: Mark W Russo, Oren K Fix, Ayman Koteish, Katie Duggan, Marcia M Ditmyer, Michael Fuchs, Raymond T Chung, Gautham ReddyAbstract:Background and aims Liver disease is prevalent in the United States, and as the population ages, an increasing number of patients are anticipated to present for care. The state of the current Hepatology workforce and future demand for Hepatology providers is not known. The aim of this study was to model future projections for Hepatology workforce demand. Approach and results A workforce study of Hepatology providers in the United States was completed using primary and secondary data sources. An integrated workforce framework model was used that combined socioeconomic factors that drive economic demand, epidemiological factors that drive need, and utilization rates of health care services. Supply and demand projections were calculated for adult and pediatric Hepatology professionals. Sensitivity analyses were conducted to cover the feasible range of these assumptions. An electronic survey of American Association for the Study of Liver Diseases (AASLD) members whose practice included 50% or more Hepatology was conducted. In 2018, the adult and pediatric workforce included 7,296 and 824 Hepatology providers, respectively, composed of hepatologists, gastroenterologists, and advanced practice providers whose practice was ≥50% Hepatology. The modeling analysis projects that in 2023, 2028, and 2033, there will be shortages of 10%, 23%, and 35% adult Hepatology providers, respectively, and 19%, 20%, and 16% pediatric Hepatology providers, respectively. In sensitivity analyses, a shortage of Hepatology providers is predicted even under optimistic assumptions. Among the respondents to the survey, the median age was higher among gastroenterologists and general hepatologists compared with transplant hepatologists. The most common category treated by transplant hepatologists was general Hepatology. Conclusions There is an impending critical shortage of adult and pediatric Hepatology providers. Strategies are needed to encourage clinicians to pursue Hepatology, especially in areas outside of transplant centers.
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workforce in Hepatology update and a critical need for more information
Hepatology, 2017Co-Authors: Mark W Russo, Ayman Koteish, Michael Fuchs, Gautham K Reddy, Oren K FixAbstract:The field of Hepatology has experienced dramatic changes since the last workforce study in Hepatology over 15 years ago. Hepatology practice has been dominated by hepatitis C but is now being overtaken by patients with nonalcoholic fatty liver disease. Expertise once attainable only through informal training, Hepatology now has an accredited fellowship pathway and is recognized as a distinct discipline from gastroenterology with its own board certification. These changes that have occurred since the last workforce study in the prevalence and therapy of liver diseases and training may impact workforce needs. The time has come to conduct an updated analysis of the state of the Hepatology workforce. The purpose of this article is to discuss the current issues facing training and workforce in Hepatology and propose the next steps in conducting a workforce study. (Hepatology 2017;65:336-340).
Gautham K Reddy - One of the best experts on this subject based on the ideXlab platform.
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workforce in Hepatology update and a critical need for more information
Hepatology, 2017Co-Authors: Mark W Russo, Ayman Koteish, Michael Fuchs, Gautham K Reddy, Oren K FixAbstract:The field of Hepatology has experienced dramatic changes since the last workforce study in Hepatology over 15 years ago. Hepatology practice has been dominated by hepatitis C but is now being overtaken by patients with nonalcoholic fatty liver disease. Expertise once attainable only through informal training, Hepatology now has an accredited fellowship pathway and is recognized as a distinct discipline from gastroenterology with its own board certification. These changes that have occurred since the last workforce study in the prevalence and therapy of liver diseases and training may impact workforce needs. The time has come to conduct an updated analysis of the state of the Hepatology workforce. The purpose of this article is to discuss the current issues facing training and workforce in Hepatology and propose the next steps in conducting a workforce study. (Hepatology 2017;65:336-340).
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novel educational interventions in residency increase knowledge of chronic liver disease and career interest in Hepatology
Hepatology, 2016Co-Authors: Adam E Mikolajczyk, Gautham K Reddy, Jeanne M Farnan, John F Mcconville, Donald M Jensen, Nancy Reau, Andrew AronsohnAbstract:There is an increasing burden of chronic liver disease (CLD) in the United States but a significant shortage of hepatologists. Thus, it is necessary to develop new recruitment strategies to the field of Hepatology as well as ensure that non-gastroenterology-trained physicians are able to capably assist in the care of CLD. We established a novel, nonelective, inpatient Hepatology rotation that uses required modules in the American Association for the Study of Liver Diseases Curriculum and Training-First Hepatitis B and C curriculums as well as in LiverLearning. A paper-based anonymous assessment was distributed to the inaugural 25 postgraduate years 2 and 3 internal medicine residents before and after the 2-week rotation over the course of 1 year. Both the prerotation and postrotation assessments included validated multiple-choice questions and Likert-type questions, which evaluated self-perceived knowledge and comfort with managing CLD. The mean comfort level (1 = not at all comfortable/strongly disagree, 5 = very comfortable/strongly agree) of managing several common liver diseases increased significantly after completion of the rotation (i.e., cirrhosis 2.8 versus 3.8, P < 0.001; hepatitis B 2.4 versus 3.4, P = 0.001; hepatitis C 2.6 versus 3.7, P = 0.002; nonalcoholic steatohepatitis 3.0 versus 4.0, P < 0.001; liver transplant care 2.1 versus 3.4, P < 0.001). There was also a significantly increased interest in Hepatology as a career (2.6 versus 3.0, P = 0.03). Finally, the mean percentage of multiple-choice questions answered correctly on the pretest was 62% and posttest was 77% (P = 0.02). Conclusion: Our novel curriculum and nonelective Hepatology rotation has effectively demonstrated improvement in internal medicine residents' comfort with and knowledge of CLD, and increased career interest in Hepatology was also observed after completion of the curriculum, which suggests that more exposure to CLD could positively impact recruitment to the workforce; larger, multicenter studies are needed to validate these results. (Hepatology 2016;64:2210-2218).
