Crisis in rheumatology manpower.

Manpower shortage in rheumatology.

Cardiovascular manpower: the looming crisis.

Less than 10 years ago, conventional wisdom taught that there was an oversupply of specialists in a managed care environment and that the majority of needs in cardiovascular prevention and care could be provided by generalists. Healthcare planners called for a reduction in specialty training,1–4 and a number of cardiovascular training programs went through a period of downsizing. The demand for...

Toward solving the critical care manpower crisis.

In this issue of RESPIRATORY CARE, Hoffman and colleagues1 describe an alternative model for providing critical care, by “extending” board-certified intensivists with critical care nurse practitioners. This study should be considered cautiously. It describes care of a relatively small number of patients, in only one center, and with only one intensivist-extender. Accordingly, the hypothesis is ...

Rheumatology in 2006: crossroads or crisis?

Rheumatology has made remarkable advances in patient treatment in the past decade related to the impressive array of new drugs that have been approved or are undergoing clinical trial. While this situation should engender optimism for the future, concerns about sustaining momentum have been raised. These concerns relate to uncertainty in the research agenda for major diseases such as osteoarthr...

The manpower crisis in academic radiology: don't kill the milk cow for meat.

There is a manpower crisis in academic radiology departments. These departments cannot sustain their academic missions from clinical revenues alone. Salaries can' t be competitive with private practice, and the recruitment and retention of faculty members are compromised. The education of medical students, residents, and fellows and the clinical and basic research that sustains the specialty su...