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Otolaryngologists and Their Surgical Practice
Rita J. Nickerson, MA;
Walter W. Hauck, PhD;
Bernard S. Bloom, PhD;
Osler L. Peterson, MD, MPH;
BOBBY R. ALFORD, MD
Arch Otolaryngol. 1978;104(12):718-725.
Abstract
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• Practice characteristics of otolaryngologists, studied as part of a national survey of surgeon manpower, are compared with those of other surgical specialists. Otolaryngologists had relatively short workweeks and spent more professional time in their offices than in hospitals compared with other surgeons. Their California relative value (CRV)-weighted surgical work load ranked eighth among all surgeons. Although otolaryngologists performed, on the average, more operations annually than did other surgical specialists, their procedures were generally less complex (low CRV weights). The per capita rate for tonsillectomy, the procedure that comprised more than one third of the weighted work load of otolaryngologists, has declined precipitously. The conclusion drawn from this study is that a reduction in the number of trainees in otolaryngology would be in the best interest of the young and other otolaryngologists whose capabilities are now seriously underutilized.
(Arch Otolaryngol 104:718-725, 1978)
Author Affiliations
Houston
From the Department of Preventive and Social Medicine, Harvard Medical School, Boston (Ms Nickerson and Dr Hauck), the Department of Mathematics, Worcester Polytechnic Institute (Dr Hauck), and the Departments of Research Medicine (Dr Bloom) and Medicine (Dr Peterson) and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.
Footnotes
Accepted for publication April 14, 1978.
Reprint requests to Department of Preventive and Social Medicine, Harvard Medical School, 25 Shattuck St, Boston, MA 02115 (Ms Nickerson).
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