Ensuring Quality Cancer Care Through the Oncology Workforce Sustaining Care in the 21st Century: Workshop Summary (2009) / Chapter Skim
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Supply and Demand in the Oncology Workforce
Supply and Demand in the Oncology Workforce
Pages 13-22
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From page 13... ...
Dr. Lawrence Shulman, Chief Medical Officer, Senior Vice President for Medical Affairs, and Chief, Division of General Oncology, Division of General Oncology, at Dana-Farber Cancer Institute, stated that the demand for cancer services is not just related to the number of cancer patients but is even more substantially impacted by the increasing complexity of cancer care.
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From page 14... ...
. Data from Dana-Farber reveal that the num ber of physician visits per patient, per year, during the first year of therapy at this cancer center have increased by 25 percent between 2001 and 2007, and the number of infusion visits have more than doubled (Shulman et 60 Parenteral Drugs 50 Number of Approved Drugs PO Drugs 40 30 20 10 0 1949 1954 1959 1964 1969 1974 1979 1984 1989 1994 1999 2004 Year FIGURE 6 This graph depicts the cumulative number of FDA-approved oncology drugs by year and route of administration.
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From page 15... ...
. Cancer survivors may also require medical attention for % Change FY01–07: 140,000 MD Visits Number of Visits or Patients 120,000 ↑ 65% 100,000 80,000 Infusion Visits ↑ 85% 60,000 40,000 Total Unique Patients ↑ 62% 20,000 Remained for 0 Treatment 2001 2002 2003 2004 2005 2006 2007 ↑ 16% Year FIGURE 7 MD and infusion visits are growing at a faster rate than unique patients and new patients remaining for treatment.
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From page 16... ...
More than half of currently practicing oncologists are age 50 or older and will be retirement age by 2020, pointed out Dr. Edward Benz, President of the Dana-Farber Cancer Institute and President of the Association of American Cancer Institutes.
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From page 17... ...
A large percentage of cancer patients are seen by primary care physicians, rather than oncologists, and internal medicine is one of main methods of becoming a primary care physician. A survey of 4th-year medical students found that many medical students have a number of concerns about pursuing postgraduate training in internal medicine.
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From page 18... ...
Maureen Lichtveld, Professor and Chair of the Department of Environmental Health Sciences at Tulane University, School of Public Health and Tropical Medicine, and Associate Director of Population S ciences at the Louisiana Cancer Research Consortium, reported. Radia TABLE 1 Visits per Oncologist (weekly)
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From page 19... ...
. Shortage of Other Oncology Health Care Workers A shortage of other health care professionals involved in providing oncology care, such as public health workers, social workers, pharmacists, and laboratory workers and technicians, will also affect the quality of cancer care throughout the entire continuum, from prevention to late-stage disease (see Table 2)
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From page 20... ...
As is true for the physician and nursing population, the public health workforce is aging, and 23 percent of the current workforce will be eligible to retire by 2012. The Association of Schools of Public Health estimates that 250,000 more public health workers will be needed by 2020.
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From page 21... ...
Advances in the clinical care of cancer patients are often based on academic research, so ensuring adequate support for such research is part and parcel of providing quality cancer care. Despite recognizing the importance of academic research in cancer, many academic institutions lack sufficient funds for research.
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From page 22... ...
22 ENSURING QUALITY CANCER CARE of these M.D./Ph.D.s indicated they are pursuing specialties that have more manageable lifestyles than oncology research, such as dermatology, n eurology, ophthalmology, pathology, pediatrics, and radiology. All of these specialties have hours that are more controllable than general oncology care, Dr.
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