Review and Update of the 1995 Physical
Medicine and Rehabilitation Workforce Study
Tables
and Figures
Table 1:
Study Panel’s Estimates of Number of Residency Positions and New Entrants
(Median Response)
|
Residencies
|
Year
2005
|
Year
2010
|
Year
2015
|
Year
2020
|
|
Positions
|
1,200
|
1,150
|
1,250
|
|
|
New
Entrants
|
350
|
300
|
285
|
300
|
Table 2: Changes in the Age Distribution of
Physiatrists, 1989-1996
|
|
1989 |
1989 |
1996 |
|
Age
(yrs)
|
Physiatr
(n)
|
%
|
Physiatr
(n)
|
%
|
Physiatr
(n)
|
%
|
|
<35
|
1,171
|
29.73
|
1,399
|
28.88
|
1,369
|
23.75
|
|
35-44
|
1,288
|
32.70
|
1,629
|
33.62
|
2,176
|
37.76
|
|
45-54
|
685
|
17.39
|
912
|
18.82
|
1,238
|
21.48
|
|
55-64
|
522
|
13.25
|
553
|
11.41
|
574
|
9.96
|
|
65+
|
273
|
6.93
|
352
|
7.27
|
406
|
7.04
|
|
Mean
Age:
|
44.09
yrs
|
44.03
yrs
|
44.35
yrs
|
Table 3: Median Percentage Change in Effective
Clinical Hours
|
Year
|
2000
|
2005
|
2010
|
2015
|
2020
|
|
Relative Hrs
|
-5%
|
-10%
|
-15%
|
-15%
|
-15%
|
Table 4: Median Response Estimates of Growth Rate and
"Elasticity"
|
|
To
2005
|
Beyond
2005
|
|
Managed
care growth rate
|
3.5%
|
2.0%
|
|
Demand
"elasticity"
|
-0.2
|
-0.1
|
Table 5: Practice Area Trends, 1985-1996
|
Practice
Area
|
1985
|
1990
|
1995
|
1996
|
%
Change annually
|
|
Office-based
patient care
|
1,522
|
2,106
|
3,319
|
3,632
|
8.23%
|
|
Residents
|
653
|
777
|
926
|
819
|
2.08%
|
|
Hospital-based
patient care
|
531
|
645
|
643
|
630
|
1.57%
|
|
Patient
care subtotal
|
2,706
|
3,528
|
4,888
|
5,081
|
5.89%
|
|
Non-patient
care
|
|
Administration
|
98
|
122
|
184
|
191
|
6.25%
|
|
Teaching
|
26
|
28
|
40
|
52
|
6.50%
|
|
Research
|
41
|
26
|
30
|
37
|
-0.93%
|
|
Other
non-patient care
|
16
|
24
|
23
|
24
|
3.75%
|
|
Non-patient
care subtotal
|
181
|
200
|
277
|
304
|
4.83%
|
Table 6: Panel Estimates of Practice Area Growth
|
Practice
Area
|
Median
|
|
Inpatient
rehabilitation
|
-1
|
|
Sub/post
acute care
|
-1
|
|
Sports
medicine
|
0.5
|
|
Industrial
rehabilitation
|
1
|
|
Faculty
positions
|
-1
|
|
Primary
care
|
0
|
|
Primary
care for disabled
|
1
|
|
Alternative
complementary medicine
|
1
|
|
Outpatient
musculoskeletal
|
1
|
Table 7: Effects on Demand of Competing/Complementary
Providers
|
Provider
|
Median
|
|
Neurologists
|
-1
|
|
Orthopedic
surgeons
|
-0.5
|
|
Anesthesiologists
|
-1
|
|
Rheumatologists
|
0
|
|
Gerontologists
|
0.5
|
|
Chiropractors
|
0
|
|
Physical
therapists
|
-0.5
|
|
PAs and
nurse practitioners
|
-0.5
|
|
PAs =
physicians assistants
|
Table 8: Physiatrists per 100,000 Population: 1995
Study
|
|
Urban
|
Rural
|
|
1996
|
1.93
|
0.41
|
|
Current
information
|
2.55
|
0.75
|
|
Full
information
|
3.61
|
1.75
|
Table 9: Physiatrists per 100,000
Population—Panel’s Revision
|
|
1996-
1999
|
2000-
2004
|
2005-
2009
|
2010-
2014
|
2015-
2020
|
|
Urban
|
2.41
|
2.85
|
3.18
|
3.38
|
3.62
|
|
Rural
|
0.73
|
0.89
|
1.12
|
1.42
|
1.74
|
| Fig
1 |
Major
results of the 1995 Workforce Study |
| Fig
2 |
Residency
positions and the rate at which they fill. |
| Fig.
3 |
The
number of US and international medical graduates in training in
residency programs |
| Fig.
4 |
Actual
and projected rates of penetration by managed care plans |
| Fig.
5 |
The
involvement of physiatrists with patient care, 1985-1996 |
| Fig.
6 |
The
demand for physiatrists by three Federal agencies, 1990 through 1996 |
| Fig.
7 |
Physiatrists-to-population
ratio in the 50 largest metropolitan statistical areas, 1994 and 1996 |
| Fig.
8 |
Demand
and supply projections resulting from the 1998 workforce study |
| Fig.
9 |
Comparison
of original and revised projections of supply and demand |
| |
