2008 Physician Specialty Data Center for Workforce Studies November 2008 Association of American Medical Colleges 2008 Physician Specialty Data Table of Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 Key Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Commonly Used Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Practice Specialty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 List of Figures Figure 1. Characteristics of Active Physicians in the United States, 2007 . . . . . . . . . . . . . . . . . . . . .6 Figure 2. Characteristics of Residents/Fellows in ACGME-Accredited Programs, 2007 . . . . . . . . . .7 Figure 3. Specialties with the Largest Number of Active Physicians, 2007 . . . . . . . . . . . . . . . . . . . .8 Figure 4. Number of People per Active Physician by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . .10 Figure 5. Percentage of Active Physicians Who are Female by Specialty, 2007 . . . . . . . . . . . . . . . .12 Figure 6. Percentage of Active Physicians Who are Age 55 or Older by Specialty, 2007 . . . . . . . . .14 Figure 7. Percentage of Active Physicians with a US Medical Doctorate (MD) by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Figure 8. Percentage of Active Physicians with a Doctorate of Osteopathy (DO) by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Figure 9. Percentage of Active Physicians with International Medical Degrees by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Figure 10. Percentage of Active Physicians Practicing in the Same State Where They Trained by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Figure 11. Percent Change in the Number of Active Physicians by Specialty, 1996-2006 . . . . . . .24 Figure 12. Number of First-Year ACGME Residents/Fellows by Specialty, August 2007 . . . . . . . .26 Figure 13. Percentage of ACGME Residents/Fellows Who Are Female by Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Figure 14. Percentage of ACGME Residents/Fellows Who Are Black, American Indian/Alaska Native, or Native Hawaiian/Pacific Islander by Specialty, August 2007 . . . . . . . . . . . . .30 Figure 15. Percentage of ACGME Residents/Fellows Who Are Hispanic by Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 Figure 16. Percentage of ACGME Residents/Fellows with a U.S. M.D. by Specialty, August 2007 34 Figure 17. Percentage of ACGME Residents/Fellows with a D.O. by Specialty, August 2007 . . . . .36 © 2008 AAMC. May not be reproduced without permission. IiI Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 18. Percentage of ACGME Residents/Fellows with International Medical Degrees by Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Figure 19. Percent Change in Number of First-Year ACGME Residents/Fellows by Specialty, 2002-2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 List of Tables Table 1. Number of Physicians in the Largest Specialties by Major Professional Activity, 2007 . . .9 Table 2. Number of People per Active Physician by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . .11 Table 3. Number and Percentage of Active Physicians by Sex and Specialty, 2007 . . . . . . . . . . . . .13 Table 4. Number and Percentage of Active Physicians by Age and Specialty, 2007 . . . . . . . . . . . . .15 Table 5. Number and Percentage of Active Physicians with US Medical Doctorates (MD) by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Table 6. Number and Percentage of Active Physicians with a Doctorate of Osteopathy (D.O.) Degree by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Table 7. Number and Percentage of Active Physicians who Graduated from an International Medical School by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . . .21 Table 8. Number and Percentage of Active Physicians Practicing in the State Where They Completed Graduated Medical Education (GME) by Specialty, 2007 . . . . . . . . . . . . . . . .23 Table 9. Percent Change in the Number of Active Physicians by Specialty, 1996-2006 . . . . . . . . .25 Table 10. Number of First-Year ACGME Residents/Fellows by Specialty, August 2007 . . . . . . . . .27 Table 11. Number and Percentage of ACGME Residents/Fellows by Sex and Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Table 12. Percentage of ACGME Residents/Fellows by Race and Specialty, August 2007 . . . . . . .31 Table 13. Number and Percentage of ACGME Residents/Fellows by Hispanic Origin and Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Table 14. Number and Percentage of ACGME Residents/Fellows with a U.S. M.D. by Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Table 15. Number and Percentage of ACGME Residents/Fellows with a D.O. by Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 Table 16. Number and Percentage of ACGME Residents/Fellows who Graduated from an International Medical School by Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . .39 Table 17. Percent Change in Number of First-Year ACGME Residents/Fellows by Specialty, 2002-2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 I ii I Association of American Medical Colleges 2008 2008 Physician Specialty Data Introduction This publication, prepared by the Association of American Medical Colleges’ Center for Workforce Studies, provides detailed statistics about active physicians and physicians in training in the specialties with the largest number of active physicians (i.e., specialties with more than 2,500 active physicians). This report is an update and expansion of the 2006 Key Specialty Data: A Chart Book. An important addition to the report is a set of tables containing the data that are presented visually in the figures. This report is a companion to the 2007 State Physician Workforce Data Book, which presents data at the state level. Physician Specialty Data will be updated and published biennially. Effective decision making, whether at the national, regional, local or individual level, requires accurate information. This report is intended to provide the medical education community, specialty associations, health researchers, policy makers, and the public with data to better understand physician workforce trends and dynamics to inform their decision making. The primary data sources for this report include: • The American Medical Association (AMA) Physician Masterfile (January 2008); ©2008 by the American Medical Association • Population estimates from the U.S. Census Bureau; and • The AAMC/AMA National GME Census. Edward Salsberg, MPA Director Center for Workforce Studies Kerri L. Rivers, MS Senior Data Analyst Center for Workforce Studies Acknowledgments We would like to express our appreciation to our AAMC colleagues for their collaborative efforts, with additional thanks to the AMA for making the Masterfile data available to the AAMC for purposes of data analysis. I1I Association of American Medical Colleges 2008 2008 Physician Specialty Data Key Definitions Active physicians: Physicians (federal and non-federal) who are licensed by a state are considered active, provided they are working at least 20 hours per week. Physicians who are retired, semi-retired, temporarily not in practice, not active for other reasons, or who have not completed their graduate medical education are excluded. Active physicians include those working in direct patient care, administration, medical teaching, research, or other non-patient care activities. Active physicians include physicians with a Doctorate of Medicine (M.D.) and physicians with a Doctorate of Osteopathy (D.O.). The total number of active physicians may differ between tables in this report, as a result of missing information in the data file. For example, to determine the percentage of active physicians who are female, the total number of active physicians excludes people whose gender was not reported in the data file. US M.D.: Physicians who received their Doctorate of Medicine from a U.S. allopathic medical school. D.O.: Physicians who received their Doctor of Osteopathy from a U.S. osteopathic school. First-year residents/fellows: Physicians who are in their first year of graduate medical education (GME) in their specialty are considered first year residents or fellows. In some cases, the resident or fellow may have had prior GME training in a different specialty. International medical graduate: An individual with an M.D. or related degree who graduated from a medical school outside the United States or Canada is considered an international medical graduate (IMG). This includes U.S. citizens who have gone outside of the United States to attend medical school. To be eligible for licensure and practice in the United States, all IMGs must complete accredited graduate training in the United States or its equivalent. Commonly Used Acronyms AAMC Association of American Medical Colleges ACGME Accreditation Council for Graduate Medical Education AMA American Medical Association D.O. Doctor of Osteopathy GME Graduate medical education IMG International medical graduate M.D. Doctor of Medicine I2I Association of American Medical Colleges 2008 2008 Physician Specialty Data Practice Specialty This report presents data on the specialties with the largest number of active physicians in 2007, defined as having more than 2,500 active physicians. Specialty designations for active physicians rely on the primary specialty selected by the physician on the Census of Physicians, which is administered by the AMA. Specialty designations for residents and fellows reflect the ACGME training program in which the physician is training. The AMA Physician Masterfile lists more than 200 specialty categories and there are more than 140 ACGME specialties and subspecialties. To give a comprehensive and informative view of the specialty category, we grouped some related specialties together. Due to differences in the specialty designations between the AMA Physician Masterfile and the ACGME, specialty groupings for active physicians and trainees are as indicated below. Specialty In This Report AMA Physician Masterfile Specialties Included ACGME Specialties and Subspecialties Included Allergy & Immunology Allergy Allergy and Immunology Immunology Allergy and Immunology Anatomic/Clinical Pathology Anatomic Pathology Anatomic/Clinical Pathology Chemical Pathology Clinical Pathology Chemical Pathology (Pathology) Pathology-Anatomic & Clinical Anesthesiology Anesthesiology Anesthesiology Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Child & Adolescent Psychiatry Child & Adolescent Psychiatry Child & Adolescent Psychiatry Pediatrics/Psych/Child & Adolescent Psych Dermatology Dermatology Dermatology Emergency Medicine Emergency Medicine Emergency Medicine Endocrinology, Diabetes & Metabolism Diabetes Endocrinology, Diabetes & Metabolism Endocrinology, Diabetes & Metabolism Family Medicine/General Practice Family Medicine General Practice Family Medicine Gastroenterology Gastroenterology Gastroenterology General Surgery General Surgery General Surgery I3I Association of American Medical Colleges 2008 2008 Physician Specialty Data Geriatric Medicine Geriatric Medicine (Family Practice) Geriatric Medicine (Family Practice) Geriatric Medicine (Internal Medicine) Geriatric Medicine (Internal Medicine) Hematology & Oncology Hematology (Internal Medicine) Medical Oncology Hematology and Oncology (Internal Medicine) Hematology/Oncology Hematology (Internal Medicine) Oncology (Internal Medicine) Infectious Disease Infectious Disease Infectious Disease Internal Medicine Internal Medicine Internal Medicine Internal Medicine/Family Practice Internal Medicine/ Pediatrics Internal Medicine/Pediatrics Internal Medicine/Pediatrics Neonatal-Perinatal Medicine Neonatal-Perinatal Medicine Neonatal-Perinatal Medicine Nephrology Nephrology Nephrology Neurological Surgery Neurological Surgery Neurological Surgery Neurology Neurology Neurology Obstetrics & Gynecology Gynecology Obstetrics Obstetrics & Gynecology Obstetrics & Gynecology Ophthalmology Ophthalmology Ophthalmology Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Otolaryngology Otolaryngology Otolaryngology Pediatrics Pediatrics Pediatrics Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Plastic Surgery Facial Plastic Surgery Plastic Surgery Plastic Surgery Within The Head & Neck Plastic Surgery Preventive Medicine Aerospace Medicine General Preventive Medicine Occupational Medicine Public Health & General Preventive Medicine Preventive Medicine I4I Association of American Medical Colleges 2008 2008 Physician Specialty Data Psychiatry Addiction Medicine Psychiatry Psychoanalysis Psychosomatic Medicine Addiction Psychiatry (Psychiatry) Addiction Psychiatry Psychiatry Psychosomatic Medicine (Psychiatry) Pulmonary Disease & Critical Care Medicine Critical Care Medicine (Internal Medicine) Pulmonary & Critical Care Medicine Pulmonary Disease Critical Care Medicine (Internal Medicine) Pulmonary Disease (Internal Medicine) Pulmonary Disease and Critical Care Medicine (Internal Medicine) Radiation Oncology Radiation Oncology Radiation Oncology Radiology & Diagnostic Radiology Diagnostic Radiology Radiology-Diagnostic Radiology Rheumatology Rheumatology Rheumatology Thoracic Surgery Cardiothoracic Surgery Cardiovascular Surgery Thoracic Surgery Congenital Cardiac Surgery (Thoracic Surgery) Thoracic Surgery Urology Urology Urology Vascular Surgery Vascular Surgery Vascular Surgery (General Surgery) Vascular Surgery-Integrated I5I Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 1. Characteristics of Active Physicians in the United States, 2007 100% 80% Female 216,095 28.3% 55 or Older 287,095 37.6% IMG 183,643 24.0% Not Practicing in State of GME 380,024 52.6% DO 50,038 6.5% 60% 40% Male 548,688 71.7% 54 or Younger 477,244 62.4% US MD 532,013 69.5% Practicing in State of GME 342,734 47.4% 20% 0% Sex* Age+ Medical School Type In-State GME Retention++ Source: AMA Physician Masterfile (January 2008) * Excludes 905 active physicians whose sex is unknown. + Excludes 916 active physicians whose age is unknown. ++ Excludes 42,930 active physicians whose graduate medical education information is unknown. I6I Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 2. Characteristics of Residents/Fellows in ACGME-Accredited Programs, 2007 100% 90% 80% Other 6,045, 6.3% IMG 29,461 27.5% Female 47,836 44.6% DO 6,892, 6.4% 70% White 57,000 59.8% 60% Not Hispanic 65,182 90.1% 50% 40% 30% Male 59,403 55.4% US MD 70,799 66.1% Black 5,984 6.3% 20% Asian 26,223 27.5% 10% Hispani c 7,178 9.9% 0% Sex* Race+ Hispanic Origin** Medical School Type++ Source: AAMC/AMA National GME Census as of October 14, 2008 * Excludes 280 residents/fellows whose sex is unknown. + Excludes 12,267 residents/fellows whose race is unknown. Other includes American Indian/Alaska Native, Native Hawaiian/Pacific Islander, and Other race. People of any race can also be Hispanic. ** Excludes 35,159 residents/fellows whose Hispanic origin status is unknown. People of Hispanic origin can be any race. ++ Excludes 4 residents whose medical school is unknown. Not shown here are 353 residents/fellows who graduated from Canadian medical schools and 10 who graduated in the Fifth Pathway program. I7I Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 3. Specialties with the Largest Number of Active Physicians, 2007 Internal Medicine Family Medicine/General Practice Pediatrics Obstetrics & Gynecology Psychiatry Anesthesiology Emergency Medicine Radiology & Diagnostic Radiology General Surgery Cardiovascular Disease Orthopedic Surgery Ophthalmology Anatomic/Clinical Pathology Neurology Gastroenterology Hematology & Oncology Pulmonary Disease & Critical Care Med. Dermatology Urology Otolaryngology Physical Medicine & Rehabilitation Nephrology Child & Adolescent Psychiatry Preventive Medicine Plastic Surgery Infectious Disease Endocrinology, Diabetes & Metabolism Neurological Surgery Thoracic Surgery Rheumatology Allergy & Immunology Radiation Oncology Neonatal-Perinatal Medicine Geriatric Medicine Primary Care Internal Medicine/Pediatrics Vascular Surgery 0 10,000 20,000 30,000 40,000 50,000 60,000 100,000 110,000 Source: AMA Physician Masterfile (January 2008) I8I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 1. Number of Physicians in the Largest Specialties by Major Professional Activity, 2007 Specialty Alle rgy & I mmunology Ana tomic /C linic a l P a thology Ane s the s iology C a rdiov a s c ula r D is e a s e C hild & Adole s c e nt P s y c hia try D e rma tology E me rge nc y Me dic ine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice G a s troe nte rology G e ne ra l S urge ry G e ria tric Me dic ine H e ma tology & O nc ology I nfe c tious D is e a s e I nte rna l Me dic ine I nte rna l Me dic ine /P e dia tric s N e ona ta l-P e rina ta l Me dic ine N e phrology N e urologic a l S urge ry N e urology O bs te tric s & G y ne c ology O phtha lmology O rthope dic S urge ry O tola ry ngology P e dia tric s P hy s ic a l Me dic ine & R e ha bilita tion P la s tic S urge ry P re v e ntiv e Me dic ine P s y c hia try Pulmonary Disease & Critical Care Medicine R a dia tion O nc ology Radiology & Diagnostic Radiology R he uma tology T hora c ic S urge ry U rology V a s c ula r S urge ry Total Active Physicians Patient Care Teaching 4,222 15,568 38,724 21,511 7,312 10,390 30,742 5,448 103,315 12,086 26,769 3,769 11,802 6,424 104,904 3,183 4,054 7,550 4,921 12,620 39,689 17,846 20,032 9,220 54,061 8,084 6,671 7,084 39,371 11,567 4,209 27,562 4,568 4,820 9,916 2,610 3,594 11,898 35,461 19,476 6,318 9,799 27,981 4,112 95,627 10,998 22,852 2,995 9,584 4,567 91,457 2,714 3,299 6,359 4,480 10,597 36,827 16,616 18,912 8,711 48,111 7,168 6,307 4,224 33,935 9,829 3,896 24,899 3,786 4,388 9,308 2,392 42 346 514 322 141 82 312 150 1,618 167 278 94 172 231 1,296 38 109 128 46 217 466 129 135 86 850 48 49 166 577 258 30 368 104 53 81 38 Research 336 672 235 698 128 108 96 630 259 328 174 116 997 753 1,613 19 206 387 39 713 197 142 78 31 761 51 23 559 865 464 38 186 284 66 52 18 Other* 250 2,652 2,514 1,015 725 401 2,353 556 5,811 593 3,465 564 1,049 873 10,538 412 440 676 356 1,093 2,199 959 907 392 4,339 817 292 2,135 3,994 1,016 245 2,109 394 313 475 162 * Other includes physicians whose self-designated major professional activity was "Administration," "Not Classified," or "Other." Source: AMA Physician Masterfile (January 2008) I9I Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 4. Number of People per Active Physician by Specialty,* 2007 Neonatal-Perinatal Medicine Radiation Oncology Allergy & Immunology Rheumatology Thoracic Surgery Neurological Surgery Endocrinology, Diabetes & Metabolism Infectious Disease Plastic Surgery Preventive Medicine Child & Adolescent Psychiatry Nephrology Physical Medicine & Rehabilitation Otolaryngology Urology Dermatology Pulmonary Disease & Critical Care Med. Hematology & Oncology Gastroenterology Neurology Anatomic/Clinical Pathology Ophthalmology Orthopedic Surgery Cardiovascular Disease General Surgery Radiology & Diagnostic Radiology Emergency Medicine Anesthesiology Psychiatry Obstetrics & Gynecology Pediatrics Primary Care Family Medicine/General Practice Internal Medicine 0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 * Geriatric medicine, internal medicine/pediatrics, and vascular surgery are not shown in this figure, but are included in Table 2. Sources: AMA Physician Masterfile (January 2008) and Annual Estimates of the Population for the United States, Regions, States, and Puerto Rico: April 1, 2000 to July 1, 2007 (NST-EST2007-01). Population Division, U.S. Census Bureau. I 10 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 2. Number of People per Active Physician by Speciality, 2007 Specialty Alle rgy & I mmunology Ana tomic /C linic a l P a thology Ane s the s iology C a rdiov a s c ula r D is e a s e C hild & Adole s c e nt P s y c hia try D e rma tology E me rge nc y Me dic ine E ndoc rinology , D ia be te s & Me ta bolis m F a mily Me dic ine /G e ne ra l P ra c tic e G a s troe nte rology G e ne ra l S urge ry Geriatric Medicine H e ma tology & O nc ology I nfe c tious D is e a s e I nte rna l Me dic ine Internal Medicine/Pediatrics N e ona ta l-P e rina ta l Me dic ine N e phrology N e urologic a l S urge ry N e urology O bs te tric s & G y ne c ology O phtha lmology O rthope dic S urge ry O tola ry ngology P e dia tric s P hy s ic a l Me dic ine & R e ha bilita tion P la s tic S urge ry P re v e ntiv e Me dic ine P s y c hia try Pulmonary Disease & Critical Care Medicine R a dia tion O nc ology R a diology & D ia gnos tic R a diology R he uma tology T hora c ic S urge ry U rology Vascular Surgery Total Active Physicians 4,222 15,568 38,724 21,511 7,312 10,390 30,742 5,448 103,315 12,086 26,769 3,069 11,802 6,424 104,904 3,183 4,054 7,550 4,921 12,620 39,689 17,846 20,032 9,220 54,061 8,084 6,671 7,084 39,371 11,567 4,209 27,562 4,568 4,820 9,916 2,610 People Per Physician 71,440 19,374 7,789 14,022 41,250 29,030 9,811 55,364 2,919 24,956 11,268 8,027 25,557 46,952 2,875 94,760 74,401 39,950 61,293 23,900 7,600 16,901 15,057 32,714 5,579 37,311 45,214 42,578 7,661 26,076 71,661 10,943 66,029 62,577 30,418 115,564 Sources: AMA Physician Masterfile (January 2008) and Annual Estimates of the Population for the United States, Regions, States and Puerto Rico: April 1, 2000 to July 2007 (NST_EST2007-01). Population Division, U.S. Census Bureau. I 11 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 5. Percentage of Active Physicians Who are Female by Specialty, 2007 Pediatrics Internal Medicine/Pediatrics Child & Adolescent Psychiatry Geriatric Medicine Obstetrics and Gynecology Neonatal-Perinatal Medicine Dermatology Endocrinology, Diabetes & Metabolism Physical Medicine And Rehabilitation Infectious Disease Rheumatology Psychiatry Internal Medicine Anatomic/Clinical Pathology Family Medicine/General Practice Allergy And Immunology Preventive Medicine Hematology and Oncology Radiation Oncology Neurology Average = 28.3% Anesthesiology Emergency Medicine Nephrology Radiology and Diagnostic Radiology Ophthalmology Pulmonary Disease and Critical Care Medicine General Surgery Plastic Surgery Otolaryngology Gastroenterology Cardiovascular Disease Vascular Surgery Neurological Surgery Urology Primary Care Thoracic Surgery Orthopedic Surgery 0% 10% 20% 30% 40% 50% 60% Source: AMA Physician Masterfile (January 2008) I 12 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 3. Number and Percentage of Active Physicians by Sex and Specialty, 2007 Specialty Total Active P hys ic ians Male Number Percent All S pe c ia ltie s 764,783 548,688 Alle rgy & I mmunology 4,220 3,064 Ana tomic /C linic a l P a thology 15,562 10,561 Ane s the s iology 38,691 30,176 C a rdiov a s c ula r D is e a s e 21,497 19,418 C hild & Adole s c e nt P s y c hia try 7,310 3,961 D e rma tology 10,385 6,421 E me rge nc y Me dic ine 30,718 24,122 Endocrinology, Diabetes & Metabolism 5,441 3,527 Family Medicine/General Practice 103,182 70,854 G a s troe nte rology 12,083 10,749 G e ne ra l S urge ry 26,751 23,116 G e ria tric Me dic ine 3,767 2,122 H e ma tology & O nc ology 11,789 8,837 I nfe c tious D is e a s e 6,415 4,282 I nte rna l Me dic ine 104,699 70,982 I nte rna l Me dic ine /P e dia tric s 3,182 1,655 N e ona ta l-P e rina ta l Me dic ine 4,053 2,334 N e phrology 7,543 5,935 N e urologic a l S urge ry 4,918 4,641 N e urology 12,612 9,689 O bs te tric s & G y ne c ology 39,665 22,528 O phtha lmology 17,841 14,597 O rthope dic S urge ry 20,028 19,306 O tola ry ngology 9,218 8,184 P e dia tric s 54,016 24,097 Physical Medicine & Rehabilitation 8,068 5,364 P la s tic S urge ry 6,670 5,876 P re v e ntiv e Me dic ine 7,080 5,150 P s y c hia try 39,355 26,466 Pulmonary Disease & Critical Care Medicine 11,558 9,775 R a dia tion O nc ology 4,208 3,205 Radiology & Diagnostic Radiology 27,550 21,821 R he uma tology 4,559 3,058 T hora c ic S urge ry 4,820 4,639 U rology 9,915 9,452 V a s c ula r S urge ry 2,609 2,426 Note: Figures exclude 905 active physicians for whom sex was not indicated. Source: AMA Physician Masterfile (January 2008) I 13 I 71.7 72.6 67.9 78.0 90.3 54.2 61.8 78.5 64.8 68.7 89.0 86.4 56.3 75.0 66.7 67.8 52.0 57.6 78.7 94.4 76.8 56.8 81.8 96.4 88.8 44.6 66.5 88.1 72.7 67.2 84.6 76.2 79.2 67.1 96.2 95.3 93.0 Female Number P erc ent 216,095 1,156 5,001 8,515 2,079 3,349 3,964 6,596 1,914 32,328 1,334 3,635 1,645 2,952 2,133 33,717 1,527 1,719 1,608 277 2,923 17,137 3,244 722 1,034 29,919 2,704 794 1,930 12,889 1,783 1,003 5,729 1,501 181 463 183 28.3 27.4 32.1 22.0 9.7 45.8 38.2 21.5 35.2 31.3 11.0 13.6 43.7 25.0 33.3 32.2 48.0 42.4 21.3 5.6 23.2 43.2 18.2 3.6 11.2 55.4 33.5 11.9 27.3 32.8 15.4 23.8 20.8 32.9 3.8 4.7 7.0 Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 6. Percentage of Active Physicians Who are Age 55 or Older by Specialty, 2007 Preventive Medicine Psychiatry Anatomic/Clinical Pathology Allergy & Immunology Thoracic Surgery Urology Orthopedic Surgery Cardiovascular Disease Radiology & Diagnostic Radiology Rheumatology Plastic Surgery General Surgery Endocrinology, Diabetes & Metabolism Otolaryngology Neurology Ophthalmology Neurological Surgery Child & Adolescent Psychiatry Dermatology Hematology & Oncology Average = 37.6% Gastroenterology Obstetrics & Gynecology Vascular Surgery Neonatal-Perinatal Medicine Family Medicine/General Practice Radiation Oncology Pulmonary Disease & Critical Care Med. Nephrology Pediatrics Anesthesiology Internal Medicine Infectious Disease Emergency Medicine Physical Medicine & Rehabilitation Primary Care Geriatric Medicine Internal Medicine/Pediatrics 0% 10% 20% 30% 40% 50% 60% 70% Source: AMA Physician Masterfile (January 2008) I 14 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 4. Number and Percentage of Active Physicians by Age and Specialty, 2007 Specialty Total Active Physicians Under Age 55 Number Percent All Specialties 764,772 477,244 Alle rgy & I mmunology 4,222 2,152 Anatomic/Clinical Pathology 15,568 7,347 Ane s the s iology 38,724 25,771 C a rdiov a s c ula r D is e a s e 21,511 11,912 Child & Adolescent Psychiatry 7,312 4,335 D e rma tology 10,390 6,173 E me rge nc y Me dic ine 30,742 21,510 Endocrinology, Diabetes & Metabolism 5,448 3,165 Family Medicine/General Practice 103,315 65,388 G a s troe nte rology 12,086 7,370 G e ne ra l S urge ry 26,769 15,426 G e ria tric Me dic ine 3,769 2,798 H e ma tology & O nc ology 11,802 7,080 I nfe c tious D is e a s e 6,424 4,428 I nte rna l Me dic ine 104,904 71,041 I nte rna l Me dic ine /P e dia tric s 3,183 3,114 N e ona ta l-P e rina ta l Me dic ine 4,054 2,548 N e phrology 7,550 4,965 N e urologic a l S urge ry 4,921 2,890 N e urology 12,620 7,384 O bs te tric s & G y ne c ology 39,689 24,418 O phtha lmology 17,846 10,470 O rthope dic S urge ry 20,032 10,825 O tola ry ngology 9,220 5,392 P e dia tric s 54,061 35,917 Physical Medicine & Rehabilitation 8,084 5,889 P la s tic S urge ry 6,671 3,790 P re v e ntiv e Me dic ine 7,084 3,109 P s y c hia try 39,371 17,926 Pulmonary Disease & Critical Care Medicine 11,567 7,522 R a dia tion O nc ology 4,209 2,687 Radiology & Diagnostic Radiology 27,562 15,423 R he uma tology 4,568 2,595 T hora c ic S urge ry 4,820 2,482 U rology 9,916 5,186 V a s c ula r S urge ry 2,610 1,639 Note: Figures exclude 916 active physicians whose age is unknown. Source: AMA Physician Masterfile (January 2008) I 15 I 62.4 51.0 47.2 66.6 55.4 59.3 59.4 70.0 58.1 63.3 61.0 57.6 74.2 60.0 68.9 67.7 97.8 62.9 65.8 58.7 58.5 61.5 58.7 54.0 58.5 66.4 72.8 56.8 43.9 45.5 65.0 63.8 56.0 56.8 51.5 52.3 62.8 Age 55 or Older Number Percent 287,528 2,070 8,221 12,953 9,599 2,977 4,217 9,232 2,283 37,927 4,716 11,343 971 4,722 1,996 33,863 69 1,506 2,585 2,031 5,236 15,271 7,376 9,207 3,828 18,144 2,195 2,881 3,975 21,445 4,045 1,522 12,139 1,973 2,338 4,730 971 37.6 49.0 52.8 33.4 44.6 40.7 40.6 30.0 41.9 36.7 39.0 42.4 25.8 40.0 31.1 32.3 2.2 37.1 34.2 41.3 41.5 38.5 41.3 46.0 41.5 33.6 27.2 43.2 56.1 54.5 35.0 36.2 44.0 43.2 48.5 47.7 37.2 Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 7. Percentage of Active Physicians with a US Medical Doctorate (MD) by Specialty, 2007 Dermatology Ophthalmology Orthopedic Surgery Otolaryngology Plastic Surgery Internal Medicine/Pediatrics Neurological Surgery Urology Radiology & Diagnostic Radiology Emergency Medicine Vascular Surgery Preventive Medicine Radiation Oncology Obstetrics & Gynecology Thoracic Surgery General Surgery Allergy & Immunology Rheumatology Gastroenterology Average = 69.5% Infectious Disease Pediatrics Child & Adolescent Psychiatry Cardiovascular Disease Anesthesiology Psychiatry Hematology & Oncology Neurology Family Medicine/General Practice Anatomic/Clinical Pathology Endocrinology, Diabetes & Metabolism Pulmonary Disease & Critical Care Med. Physical Medicine & Rehabilitation Internal Medicine Neonatal-Perinatal Medicine Primary Care Nephrology Geriatric Medicine 0% 20% 40% 60% 80% 100% Source: AMA Physician Masterfile (January 2008) I 16 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 5. Number and Percentage of Active Physicians with a U.S. Medical Doctorate (M.D.) by Specialty, 2007 Specialty All S pe c ia ltie s Alle rgy & I mmunology Ana tomic /C linic a l P a thology Ane s the s iology C a rdiov a s c ula r D is e a s e C hild & Adole s c e nt P s y c hia try D e rma tology E me rge nc y Me dic ine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice G a s troe nte rology G e ne ra l S urge ry G e ria tric Me dic ine H e ma tology & O nc ology I nfe c tious D is e a s e I nte rna l Me dic ine I nte rna l Me dic ine /P e dia tric s N e ona ta l-P e rina ta l Me dic ine N e phrology N e urologic a l S urge ry N e urology O bs te tric s & G y ne c ology O phtha lmology O rthope dic S urge ry O tola ry ngology P e dia tric s P hy s ic a l Me dic ine & R e ha bilita tion P la s tic S urge ry P re v e ntiv e Me dic ine P s y c hia try Pulmonary Disease & Critical Care Medicine R a dia tion O nc ology R a diology & D ia gnos tic R a diology R he uma tology T hora c ic S urge ry U rology V a s c ula r S urge ry Source: AMA Physician Masterfile (January 2008) I 17 I Total Active Physicians 765,688 4,222 15,568 38,724 21,511 7,312 10,390 30,742 5,448 103,315 12,086 26,769 3,769 11,802 6,424 104,904 3,183 4,054 7,550 4,921 12,620 39,689 17,846 20,032 9,220 54,061 8,084 6,671 7,084 39,371 11,567 4,209 27,562 4,568 4,820 9,916 2,610 Active US M.D.s 532,013 3,076 10,091 25,804 14,444 4,915 9,346 25,161 3,527 67,464 8,500 19,917 1,869 7,806 4,488 62,761 2,688 2,337 4,272 4,137 8,313 31,218 16,015 17,718 8,005 37,422 4,854 5,786 5,654 26,108 7,332 3,335 22,687 3,226 3,703 8,188 2,130 Percent 69.5 72.9 64.8 66.6 67.1 67.2 90.0 81.8 64.7 65.3 70.3 74.4 49.6 66.1 69.9 59.8 84.4 57.6 56.6 84.1 65.9 78.7 89.7 88.4 86.8 69.2 60.0 86.7 79.8 66.3 63.4 79.2 82.3 70.6 76.8 82.6 81.6 Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 8. Percentage of Active Physicians with a Doctorate of Osteopathy (DO) by Specialty, 2007 Family Medicine/General Practice Physical Medicine & Rehabilitation Emergency Medicine Preventive Medicine Anesthesiology Obstetrics & Gynecology Geriatric Medicine Internal Medicine Internal Medicine/Pediatrics Orthopedic Surgery Neurology Dermatology Rheumatology Pulmonary Disease & Critical Care Med. Otolaryngology Child & Adolescent Psychiatry Nephrology Radiology & Diagnostic Radiology Pediatrics Average = 6.5% Psychiatry General Surgery Cardiovascular Disease Gastroenterology Vascular Surgery Infectious Disease Allergy & Immunology Neonatal-Perinatal Medicine Hematology & Oncology Ophthalmology Anatomic/Clinical Pathology Urology Radiation Oncology Endocrinology, Diabetes & Metabolism Neurological Surgery Primary Care Thoracic Surgery Plastic Surgery 0% 5% 10% 15% 20% Source: AMA Physician Masterfile (January 2008) I 18 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 6. Number and Percentage of Active Physicians with a D.O. by Speciality, 2007 (D.O.) Degree by Specialty, 2007 Specialty Total Active Physicians Active D.O.s All S pe c ia ltie s 765,688 Alle rgy & I mmunology 4,222 Ana tomic /C linic a l P a thology 15,568 Ane s the s iology 38,724 C a rdiov a s c ula r D is e a s e 21,511 C hild & Adole s c e nt P s y c hia try 7,312 D e rma tology 10,390 E me rge nc y Me dic ine 30,742 Endocrinology, Diabetes & Metabolism 5,448 Family Medicine/General Practice 103,315 G a s troe nte rology 12,086 G e ne ra l S urge ry 26,769 G e ria tric Me dic ine 3,769 H e ma tology & O nc ology 11,802 I nfe c tious D is e a s e 6,424 I nte rna l Me dic ine 104,904 I nte rna l Me dic ine /P e dia tric s 3,183 N e ona ta l-P e rina ta l Me dic ine 4,054 N e phrology 7,550 N e urologic a l S urge ry 4,921 N e urology 12,620 O bs te tric s & G y ne c ology 39,689 O phtha lmology 17,846 O rthope dic S urge ry 20,032 O tola ry ngology 9,220 P e dia tric s 54,061 Physical Medicine & Rehabilitation 8,084 P la s tic S urge ry 6,671 P re v e ntiv e Me dic ine 7,084 P s y c hia try 39,371 Pulmonary Disease & Critical Care Med. 11,567 R a dia tion O nc ology 4,209 Radiology & Diagnostic Radiology 27,562 R he uma tology 4,568 T hora c ic S urge ry 4,820 U rology 9,916 V a s c ula r S urge ry 2,610 Source: AMA Physician Masterfile (January 2008) I 19 I 50,038 106 304 2,127 655 256 413 3,228 84 16,914 366 846 181 278 162 4,856 143 101 261 70 507 1,908 385 879 343 1,792 889 68 569 1,263 433 75 920 178 66 190 72 Percent 6.5 2.5 2.0 5.5 3.0 3.5 4.0 10.5 1.5 16.4 3.0 3.2 4.8 2.4 2.5 4.6 4.5 2.5 3.5 1.4 4.0 4.8 2.2 4.4 3.7 3.3 11.0 1.0 8.0 3.2 3.7 1.8 3.3 3.9 1.4 1.9 2.8 Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 9. Percentage of Active Physicians with International Medical Degrees by Specialty, 2007 Geriatric Medicine Nephrology Neonatal-Perinatal Medicine Internal Medicine Endocrinology, Diabetes & Metabolism Anatomic/Clinical Pathology Pulmonary Disease & Critical Care Med. Hematology & Oncology Psychiatry Neurology Cardiovascular Disease Child & Adolescent Psychiatry Physical Medicine & Rehabilitation Anesthesiology Infectious Disease Pediatrics Gastroenterology Rheumatology Allergy & Immunology Average = 24.0% General Surgery Thoracic Surgery Radiation Oncology Family Medicine/General Practice Obstetrics & Gynecology Vascular Surgery Urology Neurological Surgery Radiology & Diagnostic Radiology Plastic Surgery Preventive Medicine Internal Medicine/Pediatrics Otolaryngology Ophthalmology Emergency Medicine Primary Care Orthopedic Surgery Dermatology 0% 10% 20% 30% 40% 50% Source: AMA Physician Masterfile (January 2008) I 20 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 7. Number and Percentage of Active Physicians who Graduated from an International Medical School by g y Specialty, 2007 International Medical School by Specialty, 2007 Specialty Total Active Physicians Active IMGs Percent All S pe c ia ltie s 765,673 183,643 24.0 Alle rgy & I mmunology 4,222 1,040 24.6 Ana tomic /C linic a l P a thology 15,568 5,173 33.2 Ane s the s iology 38,724 10,793 27.9 C a rdiov a s c ula r D is e a s e 21,511 6,412 29.8 C hild & Adole s c e nt P s y c hia try 7,312 2,141 29.3 D e rma tology 10,390 631 6.1 E me rge nc y Me dic ine 30,742 2,354 7.7 Endocrinology, Diabetes & Metabolism 5,448 1,837 33.7 Family Medicine/General Practice 103,315 18,941 18.3 G a s troe nte rology 12,086 3,220 26.6 G e ne ra l S urge ry 26,769 6,006 22.4 G e ria tric Me dic ine 3,769 1,719 45.6 H e ma tology & O nc ology 11,802 3,718 31.5 I nfe c tious D is e a s e 6,424 1,774 27.6 I nte rna l Me dic ine 104,900 37,288 35.5 I nte rna l Me dic ine /P e dia tric s 3,183 352 11.1 N e ona ta l-P e rina ta l Me dic ine 4,054 1,616 39.9 N e phrology 7,550 3,017 40.0 N e urologic a l S urge ry 4,921 714 14.5 N e urology 12,620 3,800 30.1 O bs te tric s & G y ne c ology 39,689 6,565 16.5 O phtha lmology 17,846 1,446 8.1 O rthope dic S urge ry 20,032 1,436 7.2 O tola ry ngology 9,220 872 9.5 P e dia tric s 54,061 14,848 27.5 Physical Medicine & Rehabilitation 8,084 2,341 29.0 P la s tic S urge ry 6,671 817 12.2 P re v e ntiv e Me dic ine 7,084 861 12.2 P s y c hia try 39,370 11,999 30.5 Pulmonary Disease & Critical Care Med. 11,567 3,802 32.9 R a dia tion O nc ology 4,209 799 19.0 Radiology & Diagnostic Radiology 27,562 3,955 14.3 R he uma tology 4,568 1,164 25.5 T hora c ic S urge ry 4,820 1,051 21.8 U rology 9,916 1,538 15.5 V a s c ula r S urge ry 2,610 408 15.6 Note: Excludes 5 active physicians whose medical school information is unknown. Graduates of Canadian medical schools are also excluded. Source: AMA Physician Masterfile (January 2008) I 21 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 10. Percentage of Active Physicians Practicing in the Same State Where They Trained by Specialty, 2007 Psychiatry Child & Adolescent Psychiatry Family Medicine/General Practice Internal Medicine/Pediatrics Geriatric Medicine Internal Medicine Pediatrics Anesthesiology Obstetrics & Gynecology Infectious Disease Anatomic/Clinical Pathology Emergency Medicine Rheumatology Endocrinology, Diabetes & Metabolism Nephrology Pulmonary Disease & Critical Care Med. General Surgery Physical Medicine & Rehabilitation Radiology & Diagnostic Radiology Dermatology Average = 47.4% Neonatal-Perinatal Medicine Hematology & Oncology Gastroenterology Neurology Cardiovascular Disease Preventive Medicine Allergy & Immunology Ophthalmology Urology Orthopedic Surgery Otolaryngology Radiation Oncology Vascular Surgery Plastic Surgery Primary Care Neurological Surgery Thoracic Surgery 0% 10% 20% 30% 40% 50% 60% 70% 80% Source: AMA Physician Masterfile (January 2008) I 22 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 8. Number and Percentage of Active Physicians Practicing in the State Where They Completed Graduate Medical Education (GME) by Specialty, 2007 Medical Education (GME) by Specialty, 2007 They Completed Graduate Specialty Total Active Physicians Practicing in Same State as GME Percent All Specialties 722,758 342,734 47.4 Alle rgy & I mmunology 4,090 1,625 39.7 Ana tomic /C linic a l P a thology 15,186 7,115 46.9 Ane s the s iology 37,636 17,971 47.7 C a rdiov a s c ula r D is e a s e 20,869 8,611 41.3 C hild & Adole s c e nt P s y c hia try 7,260 4,049 55.8 D e rma tology 10,157 4,410 43.4 E me rge nc y Me dic ine 29,226 13,180 45.1 Endocrinology, Diabetes & Metabolism 5,223 2,335 44.7 Family Medicine/General Practice 92,044 51,132 55.6 G a s troe nte rology 11,800 4,992 42.3 G e ne ra l S urge ry 26,021 11,541 44.4 G e ria tric Me dic ine 3,639 1,956 53.8 H e ma tology & O nc ology 11,441 4,937 43.2 I nfe c tious D is e a s e 6,310 2,966 47.0 I nte rna l Me dic ine 102,275 53,984 52.8 I nte rna l Me dic ine /P e dia tric s 3,179 1,718 54.0 N e ona ta l-P e rina ta l Me dic ine 3,959 1,714 43.3 N e phrology 7,343 3,262 44.4 N e urologic a l S urge ry 4,767 1,566 32.9 N e urology 12,331 5,095 41.3 O bs te tric s & G y ne c ology 38,751 18,381 47.4 O phtha lmology 17,375 6,711 38.6 O rthope dic S urge ry 19,254 7,364 38.2 O tola ry ngology 8,942 3,395 38.0 P e dia tric s 53,101 27,052 50.9 Physical Medicine & Rehabilitation 7,974 3,486 43.7 P la s tic S urge ry 6,530 2,260 34.6 P re v e ntiv e Me dic ine 6,633 2,734 41.2 P s y c hia try 38,669 21,643 56.0 Pulmonary Disease & Critical Care Med. 11,321 5,028 44.4 R a dia tion O nc ology 4,110 1,461 35.5 Radiology & Diagnostic Radiology 26,801 11,697 43.6 R he uma tology 4,444 1,993 44.8 T hora c ic S urge ry 4,678 1,509 32.3 U rology 9,709 3,727 38.4 V a s c ula r S urge ry 2,556 898 35.1 Note: Total active physicians are those active anywhere in the United States. Figures exclude 42,930 active physicians whose GME program information is unknown. Source: AMA Physician Masterfile (January 2008) I 23 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 11. Percent Change in the Number of Active Physicians by Specialty, 1996-2006 Geriatric Medicine Nephrology Emergency Medicine Infectious Disease Vascular Surgery Physical Medicine & Rehabilitation Pulmonary Disease & Critical Care Med. Hematology & Oncology Pediatrics Neonatal-Perinatal Medicine Child & Adolescent Psychiatry Internal Medicine Endocrinology, Diabetes & Metabolism Gastroenterology Rheumatology Neurology Dermatology Family Medicine/General Practice Radiation Oncology Plastic Surgery Anesthesiology Cardiovascular Disease Obstetrics & Gynecology Radiology & Diagnostic Radiology Otolaryngology Allergy & Immunology Neurological Surgery Orthopedic Surgery Urology Psychiatry Ophthalmology Anatomic/Clinical Pathology Thoracic Surgery Primary Care Preventive Medicine General Surgery -10% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Source: AMA Physician Masterfile (January 2008) I 24 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 9. Percent Change in the Number of Active Physicians by Specialty, 1996-2006 Specialt y Total Active Physicians 1996 2006 Percent Change All S pe c ia ltie s 641,423 824,802 28.6 Alle rgy & I mmunology 3,569 3,906 9.4 Ana tomic /C linic a l P a thology 13,924 14,172 1.8 Ane s the s iology 28,858 34,420 19.3 C a rdiov a s c ula r D is e a s e 17,369 20,336 17.1 C hild & Adole s c e nt P s y c hia try 5,109 6,677 30.7 D e rma tology 7,907 9,628 21.8 E me rge nc y Me dic ine 17,191 25,617 49.0 Endocrinology, Diabetes & Metabolism 3,798 4,926 29.7 Family Medicine/General Practice 70,103 84,280 20.2 G a s troe nte rology 8,915 11,210 25.7 G e ne ra l S urge ry 24,080 23,532 -2.3 G e ria tric Me dic ine 1,724 3,158 83.2 H e ma tology & O nc ology 7,995 10,690 33.7 I nfe c tious D is e a s e 3,868 5,679 46.8 I nte rna l Me dic ine 71,167 92,652 30.2 I nte rna l Me dic ine /P e dia tric s * 114 2,564 2149.1 N e ona ta l-P e rina ta l Me dic ine 2,758 3,609 30.9 N e phrology 4,462 6,680 49.7 N e urologic a l S urge ry 4,258 4,565 7.2 N e urology 9,282 11,333 22.1 O bs te tric s & G y ne c ology 31,954 36,432 14.0 O phtha lmology 15,990 16,748 4.7 O rthope dic S urge ry 17,546 18,727 6.7 O tola ry ngology 7,663 8,644 12.8 P e dia tric s 37,878 49,899 31.7 Physical Medicine & Rehabilitation 4,824 6,776 40.5 P la s tic S urge ry 5,304 6,345 19.6 P re v e ntiv e Me dic ine 6,471 6,384 -1.3 P s y c hia try 34,090 36,204 6.2 Pulmonary Disease & Critical Care Med. 7,677 10,335 34.6 R a dia tion O nc ology 3,264 3,918 20.0 Radiology & Diagnostic Radiology 22,472 25,397 13.0 R he uma tology 3,299 4,102 24.3 T hora c ic S urge ry 4,594 4,557 - 0.8 U rology 8,925 9,491 6.3 V a s c ula r S urge ry 1,671 2,368 41.7 * Internal Medicine/Pediatrics was not reported prior to the 1997/98 edition of Physician Characteristics and Distribution . Sources: Physician Characteristics and Distribution in the US, 1997/98 Edition and Physician Characteristics and Distribution in the US, 2008 Edition I 25 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 12. Number of First-Year ACGME Residents/Fellows by Specialty, August 2007 Internal Medicine Family Medicine/General Practice Pediatrics General Surgery Emergency Medicine Anesthesiology Psychiatry Obstetrics & Gynecology Radiology & Diagnostic Radiology Cardiovascular Disease Orthopedic Surgery Anatomic/Clinical Pathology Pulmonary Disease & Critical Care Med. Hematology & Oncology Neurology Gastroenterology Ophthalmology Internal Medicine/Pediatrics Child & Adolescent Psychiatry Nephrology Physical Medicine & Rehabilitation Dermatology Infectious Disease Otolaryngology Geriatric Medicine Endocrinology, Diabetes & Metabolism Urology Neonatal-Perinatal Medicine Rheumatology Plastic Surgery Neurological Surgery Radiation Oncology Allergy & Immunology Vascular Surgery Preventive Medicine Primary Care Thoracic Surgery 0 1,000 2,000 3,000 4,000 8,000 9,000 Source: AAMC/AMA National GME Census as reported in JAMA 2008;300(10)1228-1243. I 26 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 10. Number of First-Year ACGME Residents/Fellows by Specialty, August 2007 Specialty PY1 Residents and Fellows Alle rgy & I mmunology 128 Ana tomic /C linic a l P a thology 609 Ane s the s iology 1,432 C a rdiov a s c ula r D is e a s e 794 C hild & Adole s c e nt P s y c hia try 371 D e rma tology 337 E me rge nc y Me dic ine 1,449 E ndoc rinology , D ia be te s & Me ta bolis m 235 F a mily Me dic ine /G e ne ra l P ra c tic e 3,102 G a s troe nte rology 405 G e ne ra l S urge ry 2,439 G e ria tric Me dic ine 264 H e ma tology & O nc ology 530 I nfe c tious D is e a s e 328 I nte rna l Me dic ine 8,629 I nte rna l Me dic ine /P e dia tric s 384 N e ona ta l-P e rina ta l Me dic ine 201 N e phrology 366 N e urologic a l S urge ry 143 Neurology 494 O bs te tric s & G y ne c ology 1,214 O phtha lmology 398 O rthope dic S urge ry 634 O tola ry ngology 269 P e dia tric s 2,697 P hy s ic a l Me dic ine & R e ha bilita tion 358 P la s tic S urge ry 187 P re v e ntiv e Me dic ine 117 P s y c hia try 1,318 P ulmona ry D is e a s e & C ritic a l C a re Me dic ine 546 R a dia tion O nc ology 133 R a diology & D ia gnos tic R a diology 1,109 R he uma tology 193 T hora c ic S urge ry 99 Urology 214 V a s c ula r S urge ry 119 Source: AAMC/AMA National GME Census as reported in JAMA 2008;300(10)1228-1243. I 27 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 13. Percentage of ACGME Residents/Fellows Who Are Female by Specialty, August 2007 Obstetrics & Gynecology Pediatrics Endocrinology, Diabetes & Metabolism Dermatology Neonatal-Perinatal Medicine Child & Adolescent Psychiatry Rheumatology Allergy & Immunology Geriatric Medicine Internal Medicine/Pediatrics Family Medicine/General Practice Psychiatry Anatomic/Clinical Pathology Infectious Disease Neurology Internal Medicine Preventive Medicine Hematology & Oncology Ophthalmology Physical Medicine & Rehabilitation Average = 44.6% Emergency Medicine Nephrology Anesthesiology Radiation Oncology General Surgery Gastroenterology Radiology & Diagnostic Radiology Otolaryngology Pulmonary Disease & Critical Care Med. Plastic Surgery Urology Cardiovascular Disease Thoracic Surgery Vascular Surgery Primary Care Orthopedic Surgery Neurological Surgery 0% 10% 20% 30% 40% 50% 60% 70% 80% Source: AAMC/AMA National GME Census as of October 14, 2008 I 28 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 11. Number and Percentage of ACGME Residents/Fellows by Sex and Specialty, August 2007 Specialt y Total Residents and Fellows All S pe c ia ltie s 107,239 Alle rgy & I mmunology 289 Ana tomic /C linic a l P a thology 2,315 Ane s the s iology 5,136 C a rdiov a s c ula r D is e a s e 2,376 C hild & Adole s c e nt P s y c hia try 815 D e rma tology 1,076 E me rge nc y Me dic ine 4,494 Endocrinology, Diabetes & Metabolism 549 Family Medicine/General Practice 9,633 G a s troe nte rology 1,218 G e ne ra l S urge ry 7,655 G e ria tric Me dic ine 318 H e ma tology & O nc ology 1,515 I nfe c tious D is e a s e 736 I nte rna l Me dic ine 22,257 I nte rna l Me dic ine /P e dia tric s 1,497 N e ona ta l-P e rina ta l Me dic ine 560 N e phrology 803 N e urologic a l S urge ry 917 N e urology 1,598 O bs te tric s & G y ne c ology 4,802 O phtha lmology 1,236 O rthope dic S urge ry 3,201 O tola ry ngology 1,326 P e dia tric s 8,171 Physical Medicine & Rehabilitation 1,193 P la s tic S urge ry 659 P re v e ntiv e Me dic ine 282 P s y c hia try 4,835 Pulmonary Disease & Critical Care Medicine 1,463 R a dia tion O nc ology 585 Radiology & Diagnostic Radiology 4,396 R he uma tology 405 T hora c ic S urge ry 255 U rology 1,005 V a s c ula r S urge ry 218 Note: Excludes 280 residents/fellows whose sex was not indicated. Source: AAMC/AMA National GME Census as of October 14, 2008 I 29 I Male Number Percent 59,403 123 1,109 3,321 1,925 322 390 2,750 175 4,346 855 5,297 140 865 385 12,457 671 216 514 813 889 1,123 719 2,803 961 2,214 727 513 160 2,208 1,080 380 3,171 167 217 789 189 55.4 43 48 65 81 40 36 61 32 45 70 69 44 57 52 56 45 39 64 89 56 23 58 88 72 27 61 78 57 46 74 65 72 41 85 79 87 Female Number Percent 47,836 166 1,206 1,815 451 493 686 1,744 374 5,287 363 2,358 178 650 351 9,800 826 344 289 104 709 3,679 517 398 365 5,957 466 146 122 2,627 383 205 1,225 238 38 216 29 44.6 57.4 52.1 35.3 19.0 60.5 63.8 38.8 68.1 54.9 29.8 30.8 56.0 42.9 47.7 44.0 55.2 61.4 36.0 11.3 44.4 76.6 41.8 12.4 27.5 72.9 39.1 22.2 43.3 54.3 26.2 35.0 27.9 58.8 14.9 21.5 13.3 Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 14. Percentage of ACGME Residents/Fellows Who Are Black, American Indian/Alaska Native, or Native Hawaiian/Pacific Islander by Specialty, August 2007 Preventive Medicine Obstetrics & Gynecology Geriatric Medicine Thoracic Surgery Neonatal-Perinatal Medicine Child & Adolescent Psychiatry Physical Medicine & Rehabilitation Internal Medicine/Pediatrics Psychiatry Family Medicine/General Practice Pediatrics Infectious Disease Nephrology General Surgery Internal Medicine Allergy & Immunology Anesthesiology Emergency Medicine Rheumatology Anatomic/Clinical Pathology Average =7.1% Neurological Surgery Plastic Surgery Radiation Oncology Orthopedic Surgery Neurology Cardiovascular Disease Endocrinology, Diabetes & Metabolism Hematology & Oncology Urology Dermatology Ophthalmology Pulmonary Disease & Critical Care Med. Gastroenterology Otolaryngology Primary Care Vascular Surgery Radiology & Diagnostic Radiology 0% 2% 4% 6% 8% 10% 12% 14% 16% Source: AAMC/AMA National GME Census as of October 14, 2008 I 30 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 12. Percentage of ACGME Residents/Fellows by Race and Specialty, August 2007 Specialty All S pe c ia ltie s Alle rgy & I mmunology Ana tomic /C linic a l P a thology Ane s the s iology C a rdiov a s c ula r D is e a s e C hild & Adole s c e nt P s y c hia try D e rma tology E me rge nc y Me dic ine Endocrinology, Diabetes & Metabolism Family Medicine/General Practice G a s troe nte rology G e ne ra l S urge ry G e ria tric Me dic ine H e ma tology & O nc ology I nfe c tious D is e a s e I nte rna l Me dic ine I nte rna l Me dic ine /P e dia tric s N e ona ta l-P e rina ta l Me dic ine N e phrology N e urologic a l S urge ry N e urology O bs te tric s & G y ne c ology O phtha lmology O rthope dic S urge ry O tola ry ngology P e dia tric s Physical Medicine & Rehabilitation P la s tic S urge ry P re v e ntiv e Me dic ine P s y c hia try Pulmonary Disease & Critical Care Medicine R a dia tion O nc ology Radiology & Diagnostic Radiology R he uma tology T hora c ic S urge ry U rology V a s c ula r S urge ry Total Residents and Fellows 95,252 260 2,147 4,442 2,031 692 890 4,234 475 9,068 1,090 6,923 259 1,283 644 19,515 1,390 508 715 829 1,310 4,424 1,049 2,940 1,215 7,341 997 597 207 4,299 1,284 505 3,875 344 228 903 187 Asian 27.5 26.9 25.9 23.0 30.5 23.8 17.1 13.7 31.8 26.9 34.1 21.4 39.8 36.1 31.2 42.5 20.3 26.8 43.9 18.0 32.1 15.6 29.6 12.7 23.0 23.7 25.6 20.6 19.3 26.9 31.1 29.1 25.1 36.9 23.7 17.5 29.4 Black 6.3 4.2 4.7 5.6 4.2 8.7 3.8 5.3 3.6 7.8 3.2 6.8 8.9 3.7 7.5 6.5 9.0 8.1 6.3 4.8 4.3 12.0 3.0 4.2 3.0 7.6 8.9 4.9 14.0 8.3 3.0 3.4 2.4 4.1 9.2 3.9 2.7 AIAN or NHPI* White 0.8 2.3 0.8 0.7 0.5 1.7 0.6 0.9 1.1 1.4 * 0.7 2.3 0.9 * 0.7 0.7 2.4 1.7 0.6 0.5 0.7 0.9 0.7 0.4 0.7 1.0 * * 1.0 0.8 1.6 0.7 1.5 * 0.6 * Other 59.8 58.1 65.0 66.7 55.9 57.4 73.8 76.6 54.3 59.0 52.8 64.8 33.6 52.9 53.6 45.5 66.4 55.7 39.4 67.1 54.8 66.5 60.6 76.2 69.0 63.6 60.2 69.2 58.9 58.3 55.5 59.2 66.5 49.4 54.4 73.9 60.4 5.5 8.5 3.6 3.9 8.9 8.4 4.7 3.6 9.3 4.8 * 6.3 15.4 6.5 * 4.8 3.6 7.1 8.7 9.5 8.3 5.3 5.9 6.1 4.6 4.4 4.3 * * 5.5 9.7 6.7 5.4 8.1 * 4.2 * * AIAN = American Indian/Alaska Native. NHPI = Native Hawaiian/Pacific Islander. For specialties where there were less than 5 residents/fellows in the AIAN or NHPI race group, data are not shown for the either “AIAN or NHPI” race group or the “Other” race group. Note: Figures exclude 12,267 residents/fellows whose race is unknown. Source: AAMC/AMA National GME Census as of October 14, 2008 I 31 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 15. Percentage of ACGME Residents/Fellows Who Are Hispanic Origin by Specialty, August 2007 Geriatric Medicine Thoracic Surgery Infectious Disease Rheumatology Psychiatry Family Medicine/General Practice Neonatal-Perinatal Medicine Physical Medicine & Rehabilitation Pediatrics Pulmonary Disease & Critical Care Med. General Surgery Child & Adolescent Psychiatry Obstetrics & Gynecology Neurology Internal Medicine Endocrinology, Diabetes & Metabolism Neurological Surgery Anatomic/Clinical Pathology Cardiovascular Disease Anesthesiology Average =9.9% Dermatology Gastroenterology Plastic Surgery Radiology & Diagnostic Radiology Vascular Surgery Hematology & Oncology Emergency Medicine Urology Radiation Oncology Ophthalmology Otolaryngology Preventive Medicine Nephrology Orthopedic Surgery Primary Care Internal Medicine/Pediatrics Allergy & Immunology 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% Source: AAMC/AMA National GME Census as of October 14, 2008 I 32 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 13. Number and Percentage of ACGME Residents/Fellows by Hispanic Origin and Specialty, August 2007 Specialt y Total Residents and F ellows Not Hispanic Number Percent All S pe c ia ltie s 72,360 65,182 90.1 Alle rgy & I mmunology 175 166 95 Ana tomic /C linic a l P a thology 1,503 1,365 91 Ane s the s iology 2,983 2,719 91 C a rdiov a s c ula r D is e a s e 1,392 1,267 91 C hild & Adole s c e nt P s y c hia try 461 410 89 D e rma tology 518 473 91 E me rge nc y Me dic ine 3,169 2,936 93 Endocrinology, Diabetes & Metabolism 367 331 90 Family Medicine/General Practice 6,922 6,099 88 G a s troe nte rology 749 685 91 G e ne ra l S urge ry 5,159 4,586 89 G e ria tric Me dic ine 159 131 82 H e ma tology & O nc ology 901 834 93 I nfe c tious D is e a s e 448 389 87 I nte rna l Me dic ine 16,978 15,259 90 I nte rna l Me dic ine /P e dia tric s 1,035 980 95 N e ona ta l-P e rina ta l Me dic ine 436 385 88 N e phrology 535 501 94 N e urologic a l S urge ry 534 483 90 N e urology 1,077 967 90 O bs te tric s & G y ne c ology 3,344 2,985 89 O phtha lmology 702 655 93 O rthope dic S urge ry 2,012 1,893 94 O tola ry ngology 947 884 93 P e dia tric s 6,133 5,423 88 P hy s ic a l Me dic ine & R e ha bilita tion 660 583 88 P la s tic S urge ry 401 367 92 P re v e ntiv e Me dic ine 168 157 93 P s y c hia try 3,378 2,961 88 Pulmonary Disease & Critical Care Medicine 877 776 88 R a dia tion O nc ology 264 245 93 Radiology & Diagnostic Radiology 2,302 2,107 92 R he uma tology 237 207 87 T hora c ic S urge ry 139 117 84 U rology 579 537 93 V a s c ula r S urge ry 119 110 92 Note: Figures exclude 35,159 residents/fellows whose Hispanic origin status is unknown. Source: AAMC/AMA National GME Census as of October 14, 2008 I 33 I Hispanic Number P erc ent 7,178 9 138 264 125 51 45 233 36 823 64 573 28 67 59 1,719 55 51 34 51 110 359 47 119 63 710 77 34 11 417 101 19 195 30 22 42 9 9.9 5.1 9.2 8.9 9.0 11.1 8.7 7.4 9.8 11.9 8.5 11.1 17.6 7.4 13.2 10.1 5.3 11.7 6.4 9.6 10.2 10.7 6.7 5.9 6.7 11.6 11.7 8.5 6.5 12.3 11.5 7.2 8.5 12.7 15.8 7.3 7.6 Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 16. Percentage of ACGME Residents/Fellows with U.S. M.D. by Specialty, August 2007 Orthopedic Surgery Otolaryngology Radiation Oncology Dermatology Urology Plastic Surgery Ophthalmology Radiology & Diagnostic Radiology Neurological Surgery Emergency Medicine Allergy & Immunology Internal Medicine/Pediatrics General Surgery Anesthesiology Preventive Medicine Vascular Surgery Obstetrics & Gynecology Thoracic Surgery Pediatrics Gastroenterology Average =65.9% Cardiovascular Disease Child & Adolescent Psychiatry Anatomic/Clinical Pathology Psychiatry Endocrinology, Diabetes & Metabolism Rheumatology Physical Medicine & Rehabilitation Hematology & Oncology Neurology Infectious Disease Neonatal-Perinatal Medicine Internal Medicine Pulmonary Disease & Critical Care Med. Family Medicine/General Practice Primary Care Nephrology Geriatric Medicine 0% 20% 40% 60% 80% 100% Source: AAMC/AMA National GME Census as of October 14, 2008 I 34 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 14. Number and Percentage of ACGME Residents/Fellows with a U.S. M.D. by Specialty, August 2007 Specialty, August 2007 Specialty Total Residents and Fellows All S pe c ia ltie s 107,515 Alle rgy & I mmunology 288 Ana tomic /C linic a l P a thology 2,318 Ane s the s iology 5,155 C a rdiov a s c ula r D is e a s e 2,377 C hild & Adole s c e nt P s y c hia try 815 D e rma tology 1,083 E me rge nc y Me dic ine 4,499 Endocrinology, Diabetes & Metabolism 549 F a mily Me dic ine /G e ne ra l P ra c tic e 9,651 G a s troe nte rology 1,222 G e ne ra l S urge ry 7,669 G e ria tric Me dic ine 321 H e ma tology & O nc ology 1,515 I nfe c tious D is e a s e 738 I nte rna l Me dic ine 22,318 I nte rna l Me dic ine /P e dia tric s 1,511 N e ona ta l-P e rina ta l Me dic ine 561 N e phrology 813 N e urologic a l S urge ry 920 N e urology 1,609 O bs te tric s & G y ne c ology 4,805 O phtha lmology 1,236 O rthope dic S urge ry 3,206 O tola ry ngology 1,327 P e dia tric s 8,187 Physical Medicine & Rehabilitation 1,194 P la s tic S urge ry 659 P re v e ntiv e Me dic ine 282 P s y c hia try 4,840 Pulmonary Disease & Critical Care Med. 1,467 R a dia tion O nc ology 585 R a diology & D ia gnos tic R a diology 4,402 R he uma tology 408 T hora c ic S urge ry 255 U rology 1,008 V a s c ula r S urge ry 218 Note: Figures exclude 4 residents whose medical school is unknown. Source: AAMC/AMA National GME Census as of October 14, 2008 I 35 I US M.D. Residents and Fellows 70,799 235 1,501 3,909 1,553 528 1,025 3,823 326 4,351 799 5,975 86 861 392 10,972 1,203 293 359 811 901 3,412 1,122 3,097 1,268 5,619 681 617 205 2,962 689 558 3,925 235 181 953 155 Percent 65.9 81.6 64.8 75.8 65.3 64.8 94.6 85.0 59.4 45.1 65.4 77.9 26.8 56.8 53.1 49.2 79.6 52.2 44.2 88.2 56.0 71.0 90.8 96.6 95.6 68.6 57.0 93.6 72.7 61.2 47.0 95.4 89.2 57.6 71.0 94.5 71.1 Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 17. Percentage of ACGME Residents/Fellows with a D.O. by Specialty, August 2007 Physical Medicine & Rehabilitation Family Medicine/General Practice Anesthesiology Emergency Medicine Preventive Medicine Obstetrics & Gynecology Psychiatry Rheumatology Pediatrics Nephrology Neonatal-Perinatal Medicine Vascular Surgery Child & Adolescent Psychiatry Endocrinology, Diabetes & Metabolism Internal Medicine/Pediatrics Neurology Pulmonary Disease & Critical Care Med. Internal Medicine Anatomic/Clinical Pathology Gastroenterology Infectious Disease Average =6.4% Hematology & Oncology Cardiovascular Disease Allergy & Immunology Radiology & Diagnostic Radiology General Surgery Geriatric Medicine Thoracic Surgery Dermatology Radiation Oncology Urology Ophthalmology Orthopedic Surgery Otolaryngology Primary Care Plastic Surgery Neurological Surgery 0% 5% 10% 15% 20% 25% 30% Source: AAMC/AMA National GME Census as of October 14, 2008 I 36 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 15. Number and Percentage of ACGME Residents/Fellows with a D.O. by Specialty, August 2007 (D.O.) by Specialty, August 2007 Specialty Total Residents and Fellows All S pe c ia ltie s 107,515 Alle rgy & I mmunology 288 Ana tomic /C linic a l P a thology 2,318 Ane s the s iology 5,155 C a rdiov a s c ula r D is e a s e 2,377 C hild & Adole s c e nt P s y c hia try 815 D e rma tology 1,083 E me rge nc y Me dic ine 4,499 Endocrinology, Diabetes & Metabolism 549 Family Medicine/General Practice 9,651 G a s troe nte rology 1,222 G e ne ra l S urge ry 7,669 G e ria tric Me dic ine 321 H e ma tology & O nc ology 1,515 I nfe c tious D is e a s e 738 I nte rna l Me dic ine 22,318 I nte rna l Me dic ine /P e dia tric s 1,511 N e ona ta l-P e rina ta l Me dic ine 561 N e phrology 813 N e urologic a l S urge ry 920 N e urology 1,609 O bs te tric s & G y ne c ology 4,805 O phtha lmology 1,236 O rthope dic S urge ry 3,206 O tola ry ngology 1,327 P e dia tric s 8,187 Physical Medicine & Rehabilitation 1,194 P la s tic S urge ry 659 P re v e ntiv e Me dic ine 282 P s y c hia try 4,840 Pulmonary Disease & Critical Care Med. 1,467 R a dia tion O nc ology 585 Radiology & Diagnostic Radiology 4,402 R he uma tology 408 T hora c ic S urge ry 255 U rology 1,008 V a s c ula r S urge ry 218 Figures exclude 4 residents whose medical school is unknown. Source: AAMC/AMA National GME Census as of October 14, 2008 I 37 I D.O. Residents and Fellows 6,892 10 127 495 88 51 16 408 34 1,342 63 225 8 59 35 1,261 90 37 54 2 94 365 13 28 8 555 312 2 25 360 85 8 152 28 4 11 14 Percent 6.4 3.5 5.5 9.6 3.7 6.3 1.5 9.1 6.2 13.9 5.2 2.9 2.5 3.9 4.7 5.7 6.0 6.6 6.6 0.2 5.8 7.6 1.1 0.9 0.6 6.8 26.1 0.3 8.9 7.4 5.8 1.4 3.5 6.9 1.6 1.1 6.4 Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 18. Percentage of ACGME Residents/Fellows with International Medical Degrees by Specialty, August 2007 Geriatric Medicine Nephrology Pulmonary Disease & Critical Care Med. Internal Medicine Infectious Disease Neonatal-Perinatal Medicine Family Medicine/General Practice Hematology & Oncology Neurology Rheumatology Endocrinology, Diabetes & Metabolism Psychiatry Cardiovascular Disease Anatomic/Clinical Pathology Gastroenterology Child & Adolescent Psychiatry Thoracic Surgery Pediatrics Vascular Surgery Obstetrics & Gynecology General Surgery Average =27.4% Preventive Medicine Physical Medicine & Rehabilitation Allergy & Immunology Anesthesiology Internal Medicine/Pediatrics Neurological Surgery Ophthalmology Radiology & Diagnostic Radiology Emergency Medicine Plastic Surgery Urology Dermatology Otolaryngology Primary Care Radiation Oncology Orthopedic Surgery 0% 10% 20% 30% 40% 50% 60% 70% 80% Source: AAMC/AMA National GME Census as of October 14, 2008 I 38 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 16. Number and Percentage of ACGME Residents/Fellows who Graduated from an International Medical School by Specialty, August 2007 an International Medical School by Specialty, August 2007 Specialty Total Residents and Fellows IMG Residents and Fellows Percent All S pe c ia ltie s 107,515 29,461 27.4 Alle rgy & I mmunology 288 42 14.6 Ana tomic /C linic a l P a thology 2,318 686 29.6 Ane s the s iology 5,155 739 14.3 C a rdiov a s c ula r D is e a s e 2,377 728 30.6 C hild & Adole s c e nt P s y c hia try 815 235 28.8 D e rma tology 1,083 40 3.7 E me rge nc y Me dic ine 4,499 257 5.7 Endocrinology, Diabetes & Metabolism 549 187 34.1 Family Medicine/General Practice 9,651 3,940 40.8 G a s troe nte rology 1,222 355 29.1 G e ne ra l S urge ry 7,669 1,450 18.9 G e ria tric Me dic ine 321 224 69.8 H e ma tology & O nc ology 1,515 587 38.7 I nfe c tious D is e a s e 738 310 42.0 I nte rna l Me dic ine 22,318 10,036 45.0 I nte rna l Me dic ine /P e dia tric s 1,511 216 14.3 N e ona ta l-P e rina ta l Me dic ine 561 230 41.0 N e phrology 813 389 47.8 N e urologic a l S urge ry 920 102 11.1 N e urology 1,609 606 37.7 O bs te tric s & G y ne c ology 4,805 1,016 21.1 O phtha lmology 1,236 95 7.7 O rthope dic S urge ry 3,206 80 2.5 O tola ry ngology 1,327 47 3.5 P e dia tric s 8,187 1,982 24.2 Physical Medicine & Rehabilitation 1,194 196 16.4 P la s tic S urge ry 659 37 5.6 P re v e ntiv e Me dic ine 282 47 16.7 P s y c hia try 4,840 1,495 30.9 Pulmonary Disease & Critical Care Med. 1,467 686 46.8 R a dia tion O nc ology 585 18 3.1 Radiology & Diagnostic Radiology 4,402 314 7.1 R he uma tology 408 143 35.0 T hora c ic S urge ry 255 67 26.3 U rology 1,008 42 4.2 V a s c ula r S urge ry 218 48 22.0 Note: Figures exclude 4 residents whose medical school is unknown. Graduates of Canadian medical schools and graduates of the Fifth Pathway program are also excluded. Source: AAMC/AMA National GME Census as of October 14, 2008 I 39 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Figure 19. Percent Change in Number of First-Year ACGME Residents/Fellows by Specialty, 2002-2007 Neurological Surgery Rheumatology Otolaryngology Neurology Neonatal-Perinatal Medicine Radiation Oncology Hematology & Oncology Vascular Surgery Cardiovascular Disease Physical Medicine & Rehabilitation Child & Adolescent Psychiatry Endocrinology, Diabetes & Metabolism Infectious Disease Radiology & Diagnostic Radiology Pulmonary Disease & Critical Care Med. Gastroenterology Urology Dermatology Plastic Surgery Emergency Medicine Nephrology Psychiatry Ophthalmology Anesthesiology Pediatrics Internal Medicine Orthopedic Surgery Allergy & Immunology Anatomic/Clinical Pathology Obstetrics & Gynecology Internal Medicine/Pediatrics General Surgery Family Medicine/General Practice Geriatric Medicine Primary Care Preventive Medicine Thoracic Surgery -30% -15% 0% 15% 30% 45% 60% Sources: AAMC/AMA National GME Census as reported in JAMA 2003;290(9)1234-1248 and JAMA 2008;300(10)1228-1243. I 40 I Association of American Medical Colleges 2008 2008 Physician Specialty Data Table 17. Percent Change in the Number of First-Year ACGME Residents/Fellows by Specialty, 2002-2007 Total Residents and Fellows Specialty 2002 2007 Percent Change All S pe c ia ltie s 33,250 37,318 12.2 Alle rgy & I mmunology 123 128 4.1 Ana tomic /C linic a l P a thology 587 609 3.7 Ane s the s iology 1,328 1,432 7.8 C a rdiov a s c ula r D is e a s e 615 794 29.1 C hild & Adole s c e nt P s y c hia try 306 390 27.5 D e rma tology 283 337 19.1 E me rge nc y Me dic ine 1,261 1,449 14.9 Endocrinology, Diabetes & Metabolism 185 235 27.0 F a mily Me dic ine /G e ne ra l P ra c tic e 3,196 3,102 -2.9 G a s troe nte rology 334 405 21.3 G e ne ra l S urge ry 2,423 2,439 0.7 G e ria tric Me dic ine 292 264 -9.6 H e ma tology & O nc ology 395 530 34.2 I nfe c tious D is e a s e 259 328 26.6 I nte rna l Me dic ine 8,129 8,635 6.2 I nte rna l Me dic ine /P e dia tric s 380 384 1.1 N e ona ta l-P e rina ta l Me dic ine 144 201 39.6 N e phrology 320 366 14.4 N e urologic a l S urge ry 94 143 52.1 N e urology 349 494 41.5 O bs te tric s & G y ne c ology 1,191 1,214 1.9 O phtha lmology 366 398 8.7 O rthope dic S urge ry 604 634 5.0 O tola ry ngology 188 269 43.1 P e dia tric s 2,517 2,697 7.2 P hy s ic a l Me dic ine & R e ha bilita tion 280 358 27.9 P la s tic S urge ry 162 187 15.4 P re v e ntiv e Me dic ine 148 117 -20.9 P s y c hia try 1,181 1,318 11.6 Pulmonary Disease & Critical Care Med. 445 546 22.7 R a dia tion O nc ology 99 133 34.3 R a diology & D ia gnos tic R a diology 891 1,109 24.5 R he uma tology 130 193 48.5 T hora c ic S urge ry 131 99 -24.4 U rology 177 214 20.9 V a s c ula r S urge ry 91 119 30.8 Note: Figures include first year residents and first year fellows. See page 3 for more details on the specialties and subspecialties shown here. Sources: AAMC/AMA National GME Census as reported in JAMA 2003;290(9)1234-1248 and JAMA 2008;300(10)1228-1243. I 41 I Association of American Medical Colleges 2008