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J Thorac Cardiovasc Surg 1995;110:570-585
© 1995 Mosby, Inc.

REPORTS OF INTEREST TO THORACIC SURGEONS

THORACIC SURGERY WORKFORCE REPORTThe fourth report of the ThoracicSurgery Workforce Committee of The American Association for Thoracic Surgery andThe Society of Thoracic Surgeons

Received for publication March 10, 1995. Accepted for publication March 15, 1995. Address for reprints: Lawrence H. Cohn, MD, Department of Surgery,Division of Cardiac Surgery, Harvard Medical School, Brigham and Women'sHospital, Boston, MA 02115.

Abstract

To determine demographics, practicepatterns, and work volume of North American thoracic surgeons, we sent adetailed survey to all members of The American Association for Thoracic Surgeryand The Society of Thoracic Surgeons between January and May 1993 to determinedata for 1992; 3049 of 3487 (87%) thoracic surgeons responded and 2677 (88%)were in active practice. Ninety-seven percent were male and 3% female, with amean age of 52 years. Sixty-five percent considered fee-for-service as theirprimary compensation mode. Only 24% do isolated subspecialty work: 2% pediatriccardiac surgery, 10% general thoracic surgery, and 12% adult cardiac surgery.Seventy-six percent of respondents do both cardiac and thoracic operations.Workload data for adult cardiac, pediatric cardiac, general thoracic, peripheralvascular, and pacemaker operations were requested. Volume data werecross-correlated with age, 10 geographic regions including Canada, type ofpractice, and type of compensation and were cross-checked by hospital dischargedata for 1992. These data were compared with data from similar surveys performedin 1976, 1980, and 1985, under the auspices of the same two societies; theselatter surveys used diplomates of the American Board of Thoracic Surgery astheir database. Workloads have increased over previous surveys. Most surgeons doa wide variety of thoracic operations, and exclusive designations are in theminority. (J THORAC CARDIOVASCSURG 1995;110:570-85)

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