2008 physician specialty data

2008 Physician Specialty DataCenter for Workforce Studies

November 2008

Association ofAmerican Medical Colleges

I i I Association of American Medical Colleges 2008

2008 Physician Specialty Data

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 Degreesby Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Figure 10. Percentage of Active Physicians Practicing in the Same StateWhere 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 Femaleby Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28

Figure 14. Percentage of ACGME Residents/Fellows Who Are Black, American Indian/AlaskaNative, or Native Hawaiian/Pacific Islander by Specialty, August 2007 . . . . . . . . . . . . .30

Figure 15. Percentage of ACGME Residents/Fellows Who Are Hispanicby 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

Table of Contents

© 2008 AAMC. May not be reproduced without permission.

I ii I Association of American Medical Colleges 2008


Figure 18. Percentage of ACGME Residents/Fellows with International Medical Degreesby Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38

Figure 19. Percent Change in Number of First-Year ACGME Residents/Fellowsby 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 withUS Medical Doctorates (MD) by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Table 6. Number and Percentage of Active Physicians with a Doctorateof Osteopathy (D.O.) Degree by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Table 7. Number and Percentage of Active Physicians who Graduatedfrom an International Medical School by Specialty, 2007 . . . . . . . . . . . . . . . . . . . . . . . . . .21

Table 8. Number and Percentage of Active Physicians Practicing in the State Where TheyCompleted 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 andSpecialty, 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 HispanicOrigin and Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Table 14. Number and Percentage of ACGME Residents/Fellows with aU.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 anInternational Medical School by Specialty, August 2007 . . . . . . . . . . . . . . . . . . . . . . . . . .39

Table 17. Percent Change in Number of First-Year ACGME Residents/Fellowsby Specialty, 2002-2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

I 1 I Association of American Medical Colleges 2008


Introduction

This publication, prepared by the Association of American Medical Colleges’ Center for Workforce Studies, providesdetailed statistics about active physicians and physicians in training in the specialties with the largest number of activephysicians (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 thereport is a set of tables containing the data that are presented visually in the figures. This report is a companion to the2007 State Physician Workforce Data Book, which presents data at the state level. Physician Specialty Data will be updatedand published biennially.

Effective decision making, whether at the national, regional, local or individual level, requires accurate information. Thisreport 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 MedicalAssociation• Population estimates from the U.S. Census Bureau; and• The AAMC/AMA National GME Census.

Edward Salsberg, MPADirectorCenter for Workforce Studies

Kerri L. Rivers, MSSenior Data AnalystCenter for Workforce Studies

Acknowledgments

We would like to express our appreciation to our AAMC colleagues for their collaborative efforts, with additional thanksto the AMA for making the Masterfile data available to the AAMC for purposes of data analysis.



Key Definitions

Active physicians: Physicians (federal and non-federal) who are licensed by a state are considered active, provided theyare working at least 20 hours per week. Physicians who are retired, semi-retired, temporarily not in practice, not active forother reasons, or who have not completed their graduate medical education are excluded. Active physicians include thoseworking in direct patient care, administration, medical teaching, research, or other non-patient care activities. Activephysicians 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 informationin the data file. For example, to determine the percentage of active physicians who are female, the total number of activephysicians excludes people whose gender was not reported in the data file.

USM.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 theirspecialty are considered first year residents or fellows. In some cases, the resident or fellow may have had prior GMEtraining in a different specialty.

International medical graduate: An individual with an M.D. or related degree who graduated from a medical schooloutside the United States or Canada is considered an international medical graduate (IMG). This includes U.S. citizenswho have gone outside of the United States to attend medical school. To be eligible for licensure and practice in theUnited 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



Practice Specialty

This report presents data on the specialties with the largest number of active physicians in 2007, defined as having morethan 2,500 active physicians. Specialty designations for active physicians rely on the primary specialty selected by thephysician on the Census of Physicians, which is administered by the AMA. Specialty designations for residents andfellows 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 specialtiesand subspecialties. To give a comprehensive and informative view of the specialty category, we grouped some relatedspecialties together. Due to differences in the specialty designations between the AMA Physician Masterfile and theACGME, specialty groupings for active physicians and trainees are as indicated below.

AMA Physician Masterfile ACGME Specialties andSpecialty In This Report Specialties Included Subspecialties Included

Allergy & Immunology Allergy Allergy and ImmunologyAllergy and ImmunologyImmunology

Anatomic/Clinical Pathology Anatomic Pathology Chemical Pathology (Pathology)Anatomic/Clinical Pathology Pathology-Anatomic & ClinicalChemical PathologyClinical Pathology

Anesthesiology Anesthesiology Anesthesiology

Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease

Child & Adolescent Psychiatry Child & Adolescent Psychiatry Child & Adolescent PsychiatryPediatrics/Psych/Child & Adolescent Psych

Dermatology Dermatology Dermatology

Emergency Medicine Emergency Medicine Emergency Medicine

Endocrinology, Diabetes & Diabetes Endocrinology, Diabetes & MetabolismMetabolism Endocrinology, Diabetes &

Metabolism

Family Medicine/General Practice Family Medicine Family MedicineGeneral Practice

Gastroenterology Gastroenterology Gastroenterology

General Surgery General Surgery General Surgery



Geriatric Medicine Geriatric Medicine (Family Practice) Geriatric Medicine (Family Practice)Geriatric Medicine (Internal Medicine) Geriatric Medicine (Internal Medicine)

Hematology & Oncology Hematology (Internal Medicine) Hematology/OncologyMedical Oncology Hematology (Internal Medicine)Hematology and Oncology Oncology (Internal Medicine)(Internal Medicine)

Infectious Disease Infectious Disease Infectious Disease

Internal Medicine Internal Medicine Internal MedicineInternal 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 & GynecologyObstetricsObstetrics & 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 SurgeryPlastic SurgeryPlastic Surgery WithinThe Head & Neck

Preventive Medicine Aerospace Medicine Preventive MedicineGeneral Preventive MedicineOccupational MedicinePublic Health & GeneralPreventive Medicine



Psychiatry Addiction Medicine Addiction PsychiatryPsychiatry PsychiatryPsychoanalysis Psychosomatic Medicine (Psychiatry)Psychosomatic MedicineAddiction Psychiatry (Psychiatry)

Pulmonary Disease & Critical Critical Care Medicine (Internal Critical Care Medicine (Internal Medicine)Care Medicine Medicine) Pulmonary Disease (Internal Medicine)

Pulmonary & Critical Care Pulmonary Disease and Critical CareMedicine Medicine (Internal Medicine)Pulmonary Disease

Radiation Oncology Radiation Oncology Radiation Oncology

Radiology & Diagnostic Radiology Diagnostic Radiology RadiologyRadiology-Diagnostic

Rheumatology Rheumatology Rheumatology

Thoracic Surgery Cardiothoracic Surgery Congenital Cardiac Surgery (ThoracicCardiovascular Surgery Surgery)Thoracic Surgery Thoracic Surgery

Urology Urology Urology

Vascular Surgery Vascular Surgery Vascular Surgery (General Surgery)Vascular Surgery-Integrated



US MD532,01369.5%

54 orYounger477,24462.4%

Male548,68871.7%

DO50,0386.5%

55 orOlder

287,09537.6%

IMG183,64324.0%

0%

20%

40%

60%

80%

100%

Sex* Age+ Medical School Type In-State GMERetention++

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.

Female216,09528.3%

NotPracticingin Stateof GME380,02452.6%

Practicingin Stateof GME342,73447.4%

Figure 1. Characteristics of Active Physicians in the United States, 2007



US MD70,79966.1%

Hispani c7,1789.9%

Asian26,22327.5%

Male59,40355.4%

DO6,892, 6.4%

IMG29,46127.5%

White57,00059.8%

Other6,045, 6.3%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Sex* Race+ Hispanic Origin** Medical SchoolType++

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 origincan be any race.++ Excludes 4 residents whose medical school is unknown. Not shown here are 353 residents/fellowswho graduated from Canadian medical schools and 10 who graduated in the Fifth Pathway program.

Black5,9846.3%

Female47,83644.6%

NotHispanic65,18290.1%

Figure 2. Characteristics of Residents/Fellows in ACGME-Accredited Programs, 2007



0 10,000 20,000 30,000 40,000 50,000 60,000 100,000 110,000

Vascular Surgery

Internal Medicine/Pediatrics

Geriatric Medicine

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

Family Medicine/General Practice

Internal Medicine

Primary Care


Figure 3. Specialties with the Largest Number of Active Physicians, 2007



Specialty05263324495,3222,4ygolonummI&ygrellA256,2276643898,11865,51ygolohtaPlacinilC/cimotanA415,2532415164,53427,83ygoloisehtsenA510,1896223674,91115,12esaesiDralucsavoidraC527821141813,6213,7yrtaihcysPtnecselodA&dlihC10480128997,9093,01ygolotamreD353,269213189,72247,03enicideMycnegremE

Endocrinology, Diabetes & Metabolism 5,448 4,112 150 630 556Family Medicine/General Practice 103,315 95,627 1,618 259 5,811

395823761899,01680,21ygoloretneortsaG564,3471872258,22967,62yregruSlareneG46561149599,2967,3enicideMcirtaireG940,1799271485,9208,11ygolocnO&ygolotameH378357132765,4424,6esaesiDsuoitcefnI835,01316,1692,1754,19409,401enicideMlanretnI2149183417,2381,3scirtaideP/enicideMlanretnI044602901992,3450,4enicideMlatanireP-latanoeN676783821953,6055,7ygolorhpeN6539364084,4129,4yregruSlacigolorueN390,1317712795,01026,21ygolorueN991,2791664728,63986,93ygolocenyG&scirtetsbO959241921616,61648,71ygolomlahthpO70987531219,81230,02yregruScidepohtrO2931368117,8022,9ygolognyralotO933,4167058111,84160,45scirtaideP7181584861,7480,8noitatilibaheR&enicideMlacisyhP2923294703,6176,6yregruScitsalP531,2955661422,4480,7enicideMevitneverP499,3568775539,33173,93yrtaihcysP

Pulmonary Disease & Critical Care Medicine 11,567 9,829 258 464 1,0165428303698,3902,4ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 27,562 24,899 368 186 2,109493482401687,3865,4ygolotamuehR3136635883,4028,4yregruScicarohT5742518803,9619,9ygolorU2618183293,2016,2yregruSralucsaV

Source: AMA Physician Masterfile (January 2008)* Other includes physicians whose self-designated major professional activity was "Administration," "Not Classified," or "Other."

Other*

TotalActive

PhysiciansPatient

Care Teaching Research

Table 1. Number of Physicians in the Largest Specialties by Major Professional Activity, 2007



Figure 4. Number of People per Active Physician by Specialty,* 2007

0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000

Internal Medicine


Pediatrics


Psychiatry

Anesthesiology

Emergency Medicine


General Surgery


Orthopedic Surgery

Ophthalmology


Neurology

Gastroenterology



Dermatology

Urology

Otolaryngology


Nephrology


Preventive Medicine

Plastic Surgery

Infectious Disease



Thoracic Surgery

Rheumatology


Radiation Oncology


Primary Care

* 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 theUnited States, Regions, States, and Puerto Rico: April 1, 2000 to July 1, 2007 (NST-EST2007-01).Population Division, U.S. Census Bureau.



Specialty044,17222,4ygolonummI&ygrellA473,91865,51ygolohtaPlacinilC/cimotanA987,7427,83ygoloisehtsenA220,41115,12esaesiDralucsavoidraC052,14213,7yrtaihcysPtnecselodA&dlihC030,92093,01ygolotamreD118,9247,03enicideMycnegremE463,55844,5msilobateM&setebaiD,ygolonircodnE919,2513,301ecitcarPlareneG/enicideMylimaF659,42680,21ygoloretneortsaG862,11967,62yregruSlareneG

755,52208,11ygolocnO&ygolotameH259,64424,6esaesiDsuoitcefnI578,2409,401enicideMlanretnI

104,47450,4enicideMlatanireP-latanoeN059,93055,7ygolorhpeN392,16129,4yregruSlacigolorueN009,32026,21ygolorueN006,7986,93ygolocenyG&scirtetsbO109,61648,71ygolomlahthpO750,51230,02yregruScidepohtrO417,23022,9ygolognyralotO975,5160,45scirtaideP113,73480,8noitatilibaheR&enicideMlacisyhP412,54176,6yregruScitsalP875,24480,7enicideMevitneverP166,7173,93yrtaihcysP

Pulmonary Disease & Critical Care Medicine 11,567 26,076166,17902,4ygolocnOnoitaidaR349,01265,72ygoloidaRcitsongaiD&ygoloidaR920,66865,4ygolotamuehR775,26028,4yregruScicarohT814,03619,9ygolorU

Sources: AMA Physician Masterfile (January 2008) and Annual Estimates of thePopulation for the United States, Regions, States and Puerto Rico: April 1, 2000 to July2007 (NST_EST2007-01). Population Division, U.S. Census Bureau.

People PerPhysician

Total ActivePhysicians

Vascular Surgery 2,610 115,564

Geriatric Medicine 3,069 8,027

Internal Medicine/Pediatrics 3,183 94,760

Table 2. Number of People per Active Physician by Speciality, 2007



Figure 5. Percentage of Active PhysiciansWho are Female by Specialty, 2007


0% 10% 20% 30% 40% 50% 60%

Orthopedic Surgery

Thoracic Surgery

Urology


Vascular Surgery


Gastroenterology

Otolaryngology

Plastic Surgery

General Surgery

Pulmonary Disease and Critical Care Medicine

Ophthalmology

Radiology and Diagnostic Radiology

Nephrology

Emergency Medicine

Anesthesiology

Neurology

Radiation Oncology

Hematology and Oncology

Preventive Medicine

Allergy And Immunology



Internal Medicine

Psychiatry

Rheumatology

Infectious Disease

Physical Medicine And Rehabilitation


Dermatology


Obstetrics and Gynecology

Geriatric Medicine



Pediatrics

Primary Care

Average = 28.3%



Specialty3.82590,6127.17886,845387,467seitlaicepSllA4.72651,16.27460,3022,4ygolonummI&ygrellA1.23100,59.76165,01265,51ygolohtaPlacinilC/cimotanA0.22515,80.87671,03196,83ygoloisehtsenA7.9970,23.09814,91794,12esaesiDralucsavoidraC8.54943,32.45169,3013,7yrtaihcysPtnecselodA&dlihC2.83469,38.16124,6583,01ygolotamreD5.12695,65.87221,42817,03enicideMycnegremE

Endocrinology, Diabetes & Metabolism 5,441 3,527 64.8 1,914 35.2Family Medicine/General Practice 103,182 70,854 68.7 32,328 31.3

0.11433,10.98947,01380,21ygoloretneortsaG6.31536,34.68611,32157,62yregruSlareneG7.34546,13.65221,2767,3enicideMcirtaireG0.52259,20.57738,8987,11ygolocnO&ygolotameH3.33331,27.66282,4514,6esaesiDsuoitcefnI2.23717,338.76289,07996,401enicideMlanretnI0.84725,10.25556,1281,3scirtaideP/enicideMlanretnI4.24917,16.75433,2350,4enicideMlatanireP-latanoeN3.12806,17.87539,5345,7ygolorhpeN6.57724.49146,4819,4yregruSlacigolorueN2.32329,28.67986,9216,21ygolorueN2.34731,718.65825,22566,93ygolocenyG&scirtetsbO2.81442,38.18795,41148,71ygolomlahthpO6.32274.69603,91820,02yregruScidepohtrO2.11430,18.88481,8812,9ygolognyralotO4.55919,926.44790,42610,45scirtaideP

Physical Medicine & Rehabilitation 8,068 5,364 66.5 2,704 33.59.114971.88678,5076,6yregruScitsalP3.72039,17.27051,5080,7enicideMevitneverP8.23988,212.76664,62553,93yrtaihcysP

Pulmonary Disease & Critical Care Medicine 11,558 9,775 84.6 1,783 15.48.32300,12.67502,3802,4ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 27,550 21,821 79.2 5,729 20.89.23105,11.76850,3955,4ygolotamuehR8.31812.69936,4028,4yregruScicarohT7.43643.59254,9519,9ygolorU0.73810.39624,2906,2yregruSralucsaV

Note: Figures exclude 905 active physicians for whom sex was not indicated.Source: AMA Physician Masterfile (January 2008)

Total ActivetnecrePsnaicisyhP NumberPercentNumber

Male Female

Table 3. Number and Percentage of Active Physicians by Sex and Specialty, 2007



Figure 6. Percentage of Active PhysiciansWho are Age 55 or Older by Specialty, 2007

0% 10% 20% 30% 40% 50% 60% 70%


Geriatric Medicine


Emergency Medicine

Infectious Disease

Internal Medicine

Anesthesiology

Pediatrics

Nephrology


Radiation Oncology



Vascular Surgery


Gastroenterology


Dermatology



Ophthalmology

Neurology

Otolaryngology


General Surgery

Plastic Surgery

Rheumatology



Orthopedic Surgery

Urology

Thoracic Surgery



Psychiatry

Preventive Medicine

Primary Care


Average = 37.6%



SpecialtyAll Specialties 764,772 477,244 62.4 287,528 37.6

0.94070,20.15251,2222,4ygolonummI&ygrellAAnatomic/Clinical Pathology 15,568 7,347 47.2 8,221 52.8

4.33359,216.66177,52427,83ygoloisehtsenA6.44995,94.55219,11115,12esaesiDralucsavoidraC

Child & Adolescent Psychiatry 7,312 4,335 59.3 2,977 40.76.04712,44.95371,6093,01ygolotamreD0.03232,90.07015,12247,03enicideMycnegremE

Endocrinology, Diabetes & Metabolism 5,448 3,165 58.1 2,283 41.9Family Medicine/General Practice 103,315 65,388 63.3 37,927 36.7

0.93617,40.16073,7680,21ygoloretneortsaG4.24343,116.75624,51967,62yregruSlareneG8.521792.47897,2967,3enicideMcirtaireG0.04227,40.06080,7208,11ygolocnO&ygolotameH1.13699,19.86824,4424,6esaesiDsuoitcefnI3.23368,337.76140,17409,401enicideMlanretnI2.2968.79411,3381,3scirtaideP/enicideMlanretnI1.73605,19.26845,2450,4enicideMlatanireP-latanoeN2.43585,28.56569,4055,7ygolorhpeN3.14130,27.85098,2129,4yregruSlacigolorueN5.14632,55.85483,7026,21ygolorueN5.83172,515.16814,42986,93ygolocenyG&scirtetsbO3.14673,77.85074,01648,71ygolomlahthpO0.64702,90.45528,01230,02yregruScidepohtrO5.14828,35.85293,5022,9ygolognyralotO6.33441,814.66719,53160,45scirtaideP

Physical Medicine & Rehabilitation 8,084 5,889 72.8 2,195 27.22.34188,28.65097,3176,6yregruScitsalP1.65579,39.34901,3480,7enicideMevitneverP5.45544,125.54629,71173,93yrtaihcysP

Pulmonary Disease & Critical Care Medicine 11,567 7,522 65.0 4,045 35.02.63225,18.36786,2902,4ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 27,562 15,423 56.0 12,139 44.02.34379,18.65595,2865,4ygolotamuehR5.84833,25.15284,2028,4yregruScicarohT7.74037,43.25681,5619,9ygolorU2.731798.26936,1016,2yregruSralucsaV

Note: Figures exclude 916 active physicians whose age is unknown.Source: AMA Physician Masterfile (January 2008)

NumberPercentTotal ActivePhysicians Number

Under Age 55 Age 55 or OlderPercent

Table 4. Number and Percentage of Active Physicians by Age and Specialty, 2007



Figure 7. Percentage of Active Physicians with a US Medical Doctorate (MD) by Specialty, 2007

0% 20% 40% 60% 80% 100%

Geriatric Medicine

Nephrology


Internal Medicine






Neurology


Psychiatry

Anesthesiology



Pediatrics

Infectious Disease

Gastroenterology

Rheumatology


General Surgery

Thoracic Surgery


Radiation Oncology

Preventive Medicine

Vascular Surgery

Emergency Medicine


Urology



Plastic Surgery

Otolaryngology

Orthopedic Surgery

Ophthalmology

Dermatology

PrimaryCare


Average =69.5%



Specialty5.96310,235886,567seitlaicepSllA9.27670,3222,4ygolonummI&ygrellA8.46190,01865,51ygolohtaPlacinilC/cimotanA6.66408,52427,83ygoloisehtsenA1.76444,41115,12esaesiDralucsavoidraC2.76519,4213,7yrtaihcysPtnecselodA&dlihC0.09643,9093,01ygolotamreD8.18161,52247,03enicideMycnegremE

Endocrinology, Diabetes & Metabolism 5,448 3,527 64.7Family Medicine/General Practice 103,315 67,464 65.3

3.07005,8680,21ygoloretneortsaG4.47719,91967,62yregruSlareneG6.94968,1967,3enicideMcirtaireG1.66608,7208,11ygolocnO&ygolotameH9.96884,4424,6esaesiDsuoitcefnI8.95167,26409,401enicideMlanretnI4.48886,2381,3scirtaideP/enicideMlanretnI6.75733,2450,4enicideMlatanireP-latanoeN6.65272,4055,7ygolorhpeN1.48731,4129,4yregruSlacigolorueN9.56313,8026,21ygolorueN7.87812,13986,93ygolocenyG&scirtetsbO7.98510,61648,71ygolomlahthpO4.88817,71230,02yregruScidepohtrO8.68500,8022,9ygolognyralotO2.96224,73160,45scirtaideP0.06458,4480,8noitatilibaheR&enicideMlacisyhP7.68687,5176,6yregruScitsalP8.97456,5480,7enicideMevitneverP3.66801,62173,93yrtaihcysP

Pulmonary Disease & Critical Care Medicine 11,567 7,332 63.42.97533,3902,4ygolocnOnoitaidaR3.28786,22265,72ygoloidaRcitsongaiD&ygoloidaR6.07622,3865,4ygolotamuehR8.67307,3028,4yregruScicarohT6.28881,8619,9ygolorU6.18031,2016,2yregruSralucsaV


PercentActive

US M.D.sTotal ActivePhysicians

Table 5. Number and Percentage of Active Physicians with a U.S. Medical Doctorate (M.D.) by Specialty, 2007



Figure 8. Percentage of Active Physicians with a Doctorate of Osteopathy (DO) by Specialty, 2007

0% 5% 10% 15% 20%

Plastic Surgery

Thoracic Surgery



Radiation Oncology

Urology


Ophthalmology




Infectious Disease

Vascular Surgery

Gastroenterology


General Surgery

Psychiatry

Pediatrics


Nephrology


Otolaryngology


Rheumatology

Dermatology

Neurology

Orthopedic Surgery


Internal Medicine

Geriatric Medicine


Anesthesiology

Preventive Medicine

Emergency Medicine




Average = 6.5%

Primary Care



Specialty5.6830,05886,567seitlaicepSllA5.2601222,4ygolonummI&ygrellA0.2403865,51ygolohtaPlacinilC/cimotanA5.5721,2427,83ygoloisehtsenA0.3556115,12esaesiDralucsavoidraC5.3652213,7yrtaihcysPtnecselodA&dlihC0.4314093,01ygolotamreD5.01822,3247,03enicideMycnegremE

Endocrinology, Diabetes & Metabolism 5,448 84 1.5Family Medicine/General Practice 103,315 16,914 16.4

0.3663680,21ygoloretneortsaG2.3648967,62yregruSlareneG8.4181967,3enicideMcirtaireG4.2872208,11ygolocnO&ygolotameH5.2261424,6esaesiDsuoitcefnI6.4658,4409,401enicideMlanretnI5.4341381,3scirtaideP/enicideMlanretnI5.2101450,4enicideMlatanireP-latanoeN5.3162055,7ygolorhpeN4.107129,4yregruSlacigolorueN0.4705026,21ygolorueN8.4809,1986,93ygolocenyG&scirtetsbO2.2583648,71ygolomlahthpO4.4978230,02yregruScidepohtrO7.3343022,9ygolognyralotO3.3297,1160,45scirtaideP

Physical Medicine & Rehabilitation 8,084 889 11.00.186176,6yregruScitsalP0.8965480,7enicideMevitneverP2.3362,1173,93yrtaihcysP

Pulmonary Disease & Critical Care Med. 11,567 433 3.78.157902,4ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 27,562 920 3.39.3871865,4ygolotamuehR4.166028,4yregruScicarohT9.1091619,9ygolorU8.227016,2yregruSralucsaV


PercentTotal ActivePhysicians Active D.O.s

(D.O.) Degree by Specialty, 2007

Table 6. Number and Percentage of Active Physicians with a D.O. by Speciality, 2007



Figure 9. Percentage of Active Physicians with International Medical Degrees by Specialty, 2007

0% 10% 20% 30% 40% 50%

Dermatology

Orthopedic Surgery

Emergency Medicine

Ophthalmology

Otolaryngology


Preventive Medicine

Plastic Surgery



Urology

Vascular Surgery



Radiation Oncology

Thoracic Surgery

General Surgery


Rheumatology

Gastroenterology

Pediatrics

Infectious Disease

Anesthesiology




Neurology

Psychiatry





Internal Medicine


Nephrology

Geriatric Medicine

Average = 24.0%

Primary Care




Specialty0.42346,381376,567seitlaicepSllA6.42040,1222,4ygolonummI&ygrellA2.33371,5865,51ygolohtaPlacinilC/cimotanA9.72397,01427,83ygoloisehtsenA8.92214,6115,12esaesiDralucsavoidraC3.92141,2213,7yrtaihcysPtnecselodA&dlihC1.6136093,01ygolotamreD7.7453,2247,03enicideMycnegremE


6.62022,3680,21ygoloretneortsaG4.22600,6967,62yregruSlareneG6.54917,1967,3enicideMcirtaireG5.13817,3208,11ygolocnO&ygolotameH6.72477,1424,6esaesiDsuoitcefnI5.53882,73009,401enicideMlanretnI1.11253381,3scirtaideP/enicideMlanretnI9.93616,1450,4enicideMlatanireP-latanoeN0.04710,3055,7ygolorhpeN5.41417129,4yregruSlacigolorueN1.03008,3026,21ygolorueN5.61565,6986,93ygolocenyG&scirtetsbO1.8644,1648,71ygolomlahthpO2.7634,1230,02yregruScidepohtrO5.9278022,9ygolognyralotO5.72848,41160,45scirtaideP

Physical Medicine & Rehabilitation 8,084 2,341 29.02.21718176,6yregruScitsalP2.21168480,7enicideMevitneverP5.03999,11073,93yrtaihcysP

Pulmonary Disease & Critical Care Med. 11,567 3,802 32.90.91997902,4ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 27,562 3,955 14.35.52461,1865,4ygolotamuehR8.12150,1028,4yregruScicarohT5.51835,1619,9ygolorU6.51804016,2yregruSralucsaV


Note: Excludes 5 active physicians whose medical school information is unknown. Graduates ofCanadian medical schools are also excluded.

PercentActive IMGsTotal ActivePhysicians

g yInternational Medical School by Specialty, 2007

Table 7. Number and Percentage of Active Physicians who Graduated from an International Medical School bySpecialty, 2007



0% 10% 20% 30% 40% 50% 60% 70% 80%

Thoracic Surgery


Plastic Surgery

Vascular Surgery

Radiation Oncology

Otolaryngology

Orthopedic Surgery

Urology

Ophthalmology


Preventive Medicine


Neurology

Gastroenterology



Dermatology



General Surgery


Nephrology


Rheumatology

Emergency Medicine


Infectious Disease


Anesthesiology

Pediatrics

Internal Medicine

Geriatric Medicine




Psychiatry


Average = 47.4%

Primary Care

Figure 10. Percentage of Active Physicians Practicing in the Same StateWhere They Trained by Specialty, 2007



SpecialtyAll Specialties 722,758 342,734 47.4

7.93526,1090,4ygolonummI&ygrellA9.64511,7681,51ygolohtaPlacinilC/cimotanA7.74179,71636,73ygoloisehtsenA3.14116,8968,02esaesiDralucsavoidraC8.55940,4062,7yrtaihcysPtnecselodA&dlihC4.34014,4751,01ygolotamreD1.54081,31622,92enicideMycnegremE


3.24299,4008,11ygoloretneortsaG4.44145,11120,62yregruSlareneG8.35659,1936,3enicideMcirtaireG2.34739,4144,11ygolocnO&ygolotameH0.74669,2013,6esaesiDsuoitcefnI8.25489,35572,201enicideMlanretnI0.45817,1971,3scirtaideP/enicideMlanretnI3.34417,1959,3enicideMlatanireP-latanoeN4.44262,3343,7ygolorhpeN9.23665,1767,4yregruSlacigolorueN3.14590,5133,21ygolorueN4.74183,81157,83ygolocenyG&scirtetsbO6.83117,6573,71ygolomlahthpO2.83463,7452,91yregruScidepohtrO0.83593,3249,8ygolognyralotO9.05250,72101,35scirtaideP

Physical Medicine & Rehabilitation 7,974 3,486 43.76.43062,2035,6yregruScitsalP2.14437,2336,6enicideMevitneverP0.65346,12966,83yrtaihcysP

Pulmonary Disease & Critical Care Med. 11,321 5,028 44.45.53164,1011,4ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 26,801 11,697 43.68.44399,1444,4ygolotamuehR3.23905,1876,4yregruScicarohT4.83727,3907,9ygolorU1.53898655,2yregruSralucsaV


Note: Total active physicians are those active anywhere in the United States. Figures exclude 42,930active physicians whose GME program information is unknown.

Total ActivePhysicians

Practicing inSame State

as GME Percent

They Completed Graduate Medical Education (GME) by Specialty, 2007Table 8. Number and Percentage of Active Physicians Practicing in the StateWhere They Completed Graduate MedicalEducation (GME) by Specialty, 2007




-10% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

General Surgery

Preventive Medicine

Thoracic Surgery


Ophthalmology

Psychiatry

Urology

Orthopedic Surgery



Otolaryngology




Anesthesiology

Plastic Surgery

Radiation Oncology


Dermatology

Neurology

Rheumatology

Gastroenterology


Internal Medicine



Pediatrics




Vascular Surgery

Infectious Disease

Emergency Medicine

Nephrology

Geriatric Medicine

Primary Care

Figure 11. Percent Change in the Number of Active Physicians by Specialty, 1996-2006



Specialt y6.82208,428324,146seitlaicepSllA4.9609,3965,3ygolonummI&ygrellA8.1271,41429,31ygolohtaPlacinilC/cimotanA3.91024,43858,82ygoloisehtsenA1.71633,02963,71esaesiDralucsavoidraC7.03776,6901,5yrtaihcysPtnecselodA&dlihC8.12826,9709,7ygolotamreD0.94716,52191,71enicideMycnegremE


7.52012,11519,8ygoloretneortsaG3.2-235,32080,42yregruSlareneG2.38851,3427,1enicideMcirtaireG7.33096,01599,7ygolocnO&ygolotameH8.64976,5868,3esaesiDsuoitcefnI2.03256,29761,17enicideMlanretnI1.9412465,2411*scirtaideP/enicideMlanretnI9.03906,3857,2enicideMlatanireP-latanoeN7.94086,6264,4ygolorhpeN2.7565,4852,4yregruSlacigolorueN1.22333,11282,9ygolorueN0.41234,63459,13ygolocenyG&scirtetsbO7.4847,61099,51ygolomlahthpO7.6727,81645,71yregruScidepohtrO8.21446,8366,7ygolognyralotO7.13998,94878,73scirtaideP

Physical Medicine & Rehabilitation 4,824 6,776 40.56.91543,6403,5yregruScitsalP3.1-483,6174,6enicideMevitneverP2.6402,63090,43yrtaihcysP

Pulmonary Disease & Critical Care Med. 7,677 10,335 34.60.02819,3462,3ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 22,472 25,397 13.03.42201,4992,3ygolotamuehR8.0-755,4495,4yregruScicarohT3.6194,9529,8ygolorU7.14863,2176,1yregruSralucsaV

Sources: Physician Characteristics and Distribution in the US, 1997/98 Edition and PhysicianCharacteristics and Distribution in the US, 2008 Edition

PercentChange

* Internal Medicine/Pediatrics was not reported prior to the 1997/98 edition of Physician Characteristicsand Distribution .

Total Active Physicians1996 2006

Table 9. Percent Change in the Number of Active Physicians by Specialty, 1996-2006



0 1,000 2,000 3,000 4,000 8,000 9,000

Thoracic Surgery

Preventive Medicine


Radiation Oncology


Vascular Surgery

Plastic Surgery

Rheumatology


Urology


Geriatric Medicine

Otolaryngology

Infectious Disease

Dermatology


Nephrology



Ophthalmology

Gastroenterology


Neurology



Orthopedic Surgery




Psychiatry

Anesthesiology

Emergency Medicine

General Surgery

Pediatrics


Internal Medicine

Primary Care

Source: AAMC/AMA National GME Census as reported in JAMA 2008;300(10)1228-1243.

Figure 12. Number of First-Year ACGME Residents/Fellows by Specialty, August 2007



Specialty821ygolonummI&ygrellA906ygolohtaPlacinilC/cimotanA234,1ygoloisehtsenA497esaesiDralucsavoidraC173yrtaihcysPtnecselodA&dlihC733ygolotamreD944,1enicideMycnegremE532msilobateM&setebaiD,ygolonircodnE201,3ecitcarPlareneG/enicideMylimaF504ygoloretneortsaG934,2yregruSlareneG462enicideMcirtaireG035ygolocnO&ygolotameH823esaesiDsuoitcefnI926,8enicideMlanretnI483scirtaideP/enicideMlanretnI102enicideMlatanireP-latanoeN663ygolorhpeN341yregruSlacigolorueN

Neurology 494412,1ygolocenyG&scirtetsbO893ygolomlahthpO436yregruScidepohtrO962ygolognyralotO796,2scirtaideP853noitatilibaheR&enicideMlacisyhP781yregruScitsalP711enicideMevitneverP813,1yrtaihcysP645enicideMeraClacitirC&esaesiDyranomluP331ygolocnOnoitaidaR901,1ygoloidaRcitsongaiD&ygoloidaR391ygolotamuehR99yregruScicarohT

Urology 214911yregruSralucsaV

Source: AAMC/AMA National GME Census as reported in JAMA 2008;300(10)1228-1243.

PY1 Residentsand Fellows

Table 10. Number of First-Year ACGME Residents/Fellows by Specialty, August 2007



0% 10% 20% 30% 40% 50% 60% 70% 80%


Orthopedic Surgery

Vascular Surgery

Thoracic Surgery


Urology

Plastic Surgery


Otolaryngology


Gastroenterology

General Surgery

Radiation Oncology

Anesthesiology

Nephrology

Emergency Medicine


Ophthalmology


Preventive Medicine

Internal Medicine

Neurology

Infectious Disease


Psychiatry



Geriatric Medicine


Rheumatology



Dermatology


Pediatrics



Primary Care

Average = 44.6%

Figure 13. Percentage of ACGME Residents/FellowsWho Are Female by Specialty, August 2007



Specialt y6.44638,744.55304,95932,701seitlaicepSllA4.7566134321982ygolonummI&ygrellA1.25602,184901,1513,2ygolohtaPlacinilC/cimotanA3.53518,156123,3631,5ygoloisehtsenA0.9115418529,1673,2esaesiDralucsavoidraC5.0639404223518yrtaihcysPtnecselodA&dlihC8.3668663093670,1ygolotamreD8.83447,116057,2494,4enicideMycnegremE

Endocrinology, Diabetes & Metabolism 549 175 32 374 68.1Family Medicine/General Practice 9,633 4,346 45 5,287 54.9

8.9236307558812,1ygoloretneortsaG8.03853,296792,5556,7yregruSlareneG0.6587144041813enicideMcirtaireG9.2405675568515,1ygolocnO&ygolotameH7.7415325583637esaesiDsuoitcefnI0.44008,965754,21752,22enicideMlanretnI2.5562854176794,1scirtaideP/enicideMlanretnI4.1644393612065enicideMlatanireP-latanoeN0.6398246415308ygolorhpeN3.1140198318719yregruSlacigolorueN4.4490765988895,1ygolorueN6.67976,332321,1208,4ygolocenyG&scirtetsbO8.1471585917632,1ygolomlahthpO4.2189388308,2102,3yregruScidepohtrO5.7256327169623,1ygolognyralotO9.27759,572412,2171,8scirtaideP

Physical Medicine & Rehabilitation 1,193 727 61 466 39.12.2264187315956yregruScitsalP3.3422175061282enicideMevitneverP3.45726,264802,2538,4yrtaihcysP

Pulmonary Disease & Critical Care Medicine 1,463 1,080 74 383 26.20.5350256083585ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 4,396 3,171 72 1,225 27.98.8583214761504ygolotamuehR9.418358712552yregruScicarohT5.1261297987500,1ygolorU3.319278981812yregruSralucsaV

Note: Excludes 280 residents/fellows whose sex was not indicated.Source: AAMC/AMA National GME Census as of October 14, 2008

TotalResidents

and Fellows PercentMale Female

Number Number Percent

Table 11. Number and Percentage of ACGME Residents/Fellows by Sex and Specialty, August 2007



0% 2% 4% 6% 8% 10% 12% 14% 16%


Vascular Surgery

Otolaryngology

Gastroenterology


Ophthalmology

Dermatology

Urology




Neurology

Orthopedic Surgery

Radiation Oncology

Plastic Surgery



Rheumatology

Emergency Medicine

Anesthesiology


Internal Medicine

General Surgery

Nephrology

Infectious Disease

Pediatrics


Psychiatry





Thoracic Surgery

Geriatric Medicine


Preventive Medicine


Average =7.1%

Primary Care

Figure 14. Percentage of ACGME Residents/FellowsWho Are Black, American Indian/Alaska Native, orNative Hawaiian/Pacific Islander by Specialty, August 2007



Specialty Asian Black White Other5.58.958.03.65.72252,59seitlaicepSll5.81.853.22.49.62062ygolonummI&ygrellA6.30.568.07.49.52741,2ygolohtaPlacinilC/cimotanA9.37.667.06.50.32244,4ygoloisehtsenA9.89.555.02.45.03130,2esaesiDralucsavoidraC4.84.757.17.88.32296yrtaihcysPtnecselodA&dlihC7.48.376.08.31.71098ygolotamreD6.36.679.03.57.31432,4enicideMycnegremE

Endocrinology, Diabetes & Metabolism 475 31.8 3.6 1.1 54.3 9.3Family Medicine/General Practice 9,068 26.9 7.8 1.4 59.0 4.8

*8.25*2.31.43090,1ygoloretneortsaG3.68.467.08.64.12329,6yregruSlareneG4.516.333.29.88.93952enicideMcirtaireG5.69.259.07.31.63382,1ygolocnO&ygolotameH*6.35*5.72.13446esaesiDsuoitcefnI8.45.547.05.65.24515,91enicideMlanretnI6.34.667.00.93.02093,1scirtaideP/enicideMlanretnI1.77.554.21.88.62805enicideMlatanireP-latanoeN7.84.937.13.69.34517ygolorhpeN5.91.766.08.40.81928yregruSlacigolorueN3.88.455.03.41.23013,1ygolorueN3.55.667.00.216.51424,4ygolocenyG&scirtetsbO9.56.069.00.36.92940,1ygolomlahthpO1.62.677.02.47.21049,2yregruScidepohtrO6.40.964.00.30.32512,1ygolognyralotO4.46.367.06.77.32143,7scirtaideP

Physical Medicine & Rehabilitation 997 25.6 8.9 1.0 60.2 4.3*2.96*9.46.02795yregruScitsalP*9.85*0.413.91702enicideMevitneverP5.53.850.13.89.62992,4yrtaihcysP

Pulmonary Disease & Critical Care Medicine 1,284 31.1 3.0 0.8 55.5 9.77.62.956.14.31.92505ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 3,875 25.1 2.4 0.7 66.5 5.41.84.945.11.49.63443ygolotamuehR*4.45*2.97.32822yregruScicarohT2.49.376.09.35.71309ygolorU*4.06*7.24.92781yregruSralucsaV

Note: Figures exclude 12,267 residents/fellows whose race is unknown.Source: AAMC/AMA National GME Census as of October 14, 2008

TotalResidents

and FellowsAIAN orNHPI*

* AIAN = American Indian/Alaska Native. NHPI = Native Hawaiian/Pacific Islander. For specialties where there were lessthan 5 residents/fellows in the AIAN or NHPI race group, data are not shown for the either “AIAN or NHPI” race groupor the “Other” race group.

A

Table 12. Percentage of ACGME Residents/Fellows by Race and Specialty, August 2007



0% 2% 4% 6% 8% 10% 12% 14% 16% 18%



Orthopedic Surgery

Nephrology

Preventive Medicine

Otolaryngology

Ophthalmology

Radiation Oncology

Urology

Emergency Medicine


Vascular Surgery


Plastic Surgery

Gastroenterology

Dermatology

Anesthesiology





Internal Medicine

Neurology



General Surgery


Pediatrics




Psychiatry

Rheumatology

Infectious Disease

Thoracic Surgery

Geriatric Medicine

Primary Care

Average =9.9%


Figure 15. Percentage of ACGME Residents/FellowsWho Are Hispanic Origin by Specialty, August 2007



Specialt y Number Number9.9871,71.09281,56063,27seitlaicepSllA1.5959661571ygolonummI&ygrellA2.983119563,1305,1ygolohtaPlacinilC/cimotanA9.846219917,2389,2ygoloisehtsenA0.952119762,1293,1esaesiDralucsavoidraC1.111598014164yrtaihcysPtnecselodA&dlihC7.85419374815ygolotamreD4.733239639,2961,3enicideMycnegremE

Endocrinology, Diabetes & Metabolism 367 331 90 36 9.8Family Medicine/General Practice 6,922 6,099 88 823 11.9

5.84619586947ygoloretneortsaG1.1137598685,4951,5yregruSlareneG6.718228131951enicideMcirtaireG4.77639438109ygolocnO&ygolotameH2.319578983844esaesiDsuoitcefnI1.01917,109952,51879,61enicideMlanretnI3.55559089530,1scirtaideP/enicideMlanretnI7.111588583634enicideMlatanireP-latanoeN4.64349105535ygolorhpeN6.91509384435yregruSlacigolorueN2.0101109769770,1ygolorueN7.0195398589,2443,3ygolocenyG&scirtetsbO7.67439556207ygolomlahthpO9.591149398,1210,2yregruScidepohtrO7.63639488749ygolognyralotO6.1101788324,5331,6scirtaideP7.117788385066noitatilibaheR&enicideMlacisyhP5.84329763104yregruScitsalP5.61139751861enicideMevitneverP3.2171488169,2873,3yrtaihcysP

Pulmonary Disease & Critical Care Medicine 877 776 88 101 11.52.79139542462ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 2,302 2,107 92 195 8.57.210378702732ygolotamuehR8.512248711931yregruScicarohT3.72439735975ygolorU6.7929011911yregruSralucsaV

Note: Figures exclude 35,159 residents/fellows whose Hispanic origin status is unknown.Source: AAMC/AMA National GME Census as of October 14, 2008

PercentNot Hispanic Hispanic

TotalResidents

tnecrePswolleFdna

Table 13. Number and Percentage of ACGME Residents/Fellows by Hispanic Origin and Specialty, August 2007



0% 20% 40% 60% 80% 100%

Geriatric Medicine

Nephrology



Internal Medicine


Infectious Disease

Neurology



Rheumatology


Psychiatry




Gastroenterology

Pediatrics

Thoracic Surgery


Vascular Surgery

Preventive Medicine

Anesthesiology

General Surgery



Emergency Medicine



Ophthalmology

Plastic Surgery

Urology

Dermatology

Radiation Oncology

Otolaryngology

Orthopedic Surgery


Average =65.9%

Primary Care

Figure 16. Percentage of ACGME Residents/Fellows with U.S. M.D. by Specialty, August 2007



Specialty9.56997,07515,701seitlaicepSllA6.18532882ygolonummI&ygrellA8.46105,1813,2ygolohtaPlacinilC/cimotanA8.57909,3551,5ygoloisehtsenA3.56355,1773,2esaesiDralucsavoidraC8.46825518yrtaihcysPtnecselodA&dlihC6.49520,1380,1ygolotamreD0.58328,3994,4enicideMycnegremE

Endocrinology, Diabetes & Metabolism 549 326 59.41.54153,4156,9ecitcarPlareneG/enicideMylimaF4.56997222,1ygoloretneortsaG9.77579,5966,7yregruSlareneG8.6268123enicideMcirtaireG8.65168515,1ygolocnO&ygolotameH1.35293837esaesiDsuoitcefnI2.94279,01813,22enicideMlanretnI6.97302,1115,1scirtaideP/enicideMlanretnI2.25392165enicideMlatanireP-latanoeN2.44953318ygolorhpeN2.88118029yregruSlacigolorueN0.65109906,1ygolorueN0.17214,3508,4ygolocenyG&scirtetsbO8.09221,1632,1ygolomlahthpO6.69790,3602,3yregruScidepohtrO6.59862,1723,1ygolognyralotO6.86916,5781,8scirtaideP

Physical Medicine & Rehabilitation 1,194 681 57.06.39716956yregruScitsalP7.27502282enicideMevitneverP2.16269,2048,4yrtaihcysP

Pulmonary Disease & Critical Care Med. 1,467 689 47.04.59855585ygolocnOnoitaidaR2.98529,3204,4ygoloidaRcitsongaiD&ygoloidaR6.75532804ygolotamuehR0.17181552yregruScicarohT5.49359800,1ygolorU1.17551812yregruSralucsaV

Note: Figures exclude 4 residents whose medical school is unknown.Source: AAMC/AMA National GME Census as of October 14, 2008

Specialty, August 2007

Percent

US M.D.Residents

and Fellows

TotalResidents

and Fellows

Table 14. Number and Percentage of ACGME Residents/Fellows with a U.S. M.D. by Specialty, August 2007



0% 5% 10% 15% 20% 25% 30%


Plastic Surgery

Otolaryngology

Orthopedic Surgery

Ophthalmology

Urology

Radiation Oncology

Dermatology

Thoracic Surgery

Geriatric Medicine

General Surgery





Infectious Disease

Gastroenterology


Internal Medicine


Neurology




Vascular Surgery


Nephrology

Pediatrics

Rheumatology

Psychiatry


Preventive Medicine

Emergency Medicine

Anesthesiology




Average =6.4%

Primary Care

Figure 17. Percentage of ACGME Residents/Fellows with a D.O. by Specialty, August 2007



Specialty4.6298,6515,701seitlaicepSllA5.301882ygolonummI&ygrellA5.5721813,2ygolohtaPlacinilC/cimotanA6.9594551,5ygoloisehtsenA7.388773,2esaesiDralucsavoidraC3.615518yrtaihcysPtnecselodA&dlihC5.161380,1ygolotamreD1.9804994,4enicideMycnegremE

Endocrinology, Diabetes & Metabolism 549 34 6.2Family Medicine/General Practice 9,651 1,342 13.9

2.536222,1ygoloretneortsaG9.2522966,7yregruSlareneG5.28123enicideMcirtaireG9.395515,1ygolocnO&ygolotameH7.453837esaesiDsuoitcefnI7.5162,1813,22enicideMlanretnI0.609115,1scirtaideP/enicideMlanretnI6.673165enicideMlatanireP-latanoeN6.645318ygolorhpeN2.02029yregruSlacigolorueN8.549906,1ygolorueN6.7563508,4ygolocenyG&scirtetsbO1.131632,1ygolomlahthpO9.082602,3yregruScidepohtrO6.08723,1ygolognyralotO8.6555781,8scirtaideP

Physical Medicine & Rehabilitation 1,194 312 26.13.02956yregruScitsalP9.852282enicideMevitneverP4.7063048,4yrtaihcysP

Pulmonary Disease & Critical Care Med. 1,467 85 5.84.18585ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 4,402 152 3.59.682804ygolotamuehR6.14552yregruScicarohT1.111800,1ygolorU4.641812yregruSralucsaV

Figures exclude 4 residents whose medical school is unknown.Source: AAMC/AMA National GME Census as of October 14, 2008

(D.O.) by Specialty, August 2007

TotalResidents

and Fellows

D.O.Residents

and Fellows Percent

Table 15. Number and Percentage of ACGME Residents/Fellows with a D.O. by Specialty, August 2007




0% 10% 20% 30% 40% 50% 60% 70% 80%

Orthopedic Surgery

Radiation Oncology

Otolaryngology

Dermatology

Urology

Plastic Surgery

Emergency Medicine


Ophthalmology



Anesthesiology



Preventive Medicine

General Surgery


Vascular Surgery

Pediatrics

Thoracic Surgery


Gastroenterology



Psychiatry


Rheumatology

Neurology




Infectious Disease

Internal Medicine


Nephrology

Geriatric Medicine

Average =27.4%

Primary Care

Figure 18. Percentage of ACGME Residents/Fellows with International Medical Degrees by Specialty, August 2007



Specialty4.72164,92515,701seitlaicepSllA6.4124882ygolonummI&ygrellA6.92686813,2ygolohtaPlacinilC/cimotanA3.41937551,5ygoloisehtsenA6.03827773,2esaesiDralucsavoidraC8.82532518yrtaihcysPtnecselodA&dlihC7.304380,1ygolotamreD7.5752994,4enicideMycnegremE

Endocrinology, Diabetes & Metabolism 549 187 34.1Family Medicine/General Practice 9,651 3,940 40.8

1.92553222,1ygoloretneortsaG9.81054,1966,7yregruSlareneG8.96422123enicideMcirtaireG7.83785515,1ygolocnO&ygolotameH0.24013837esaesiDsuoitcefnI0.54630,01813,22enicideMlanretnI3.41612115,1scirtaideP/enicideMlanretnI0.14032165enicideMlatanireP-latanoeN8.74983318ygolorhpeN1.11201029yregruSlacigolorueN7.73606906,1ygolorueN1.12610,1508,4ygolocenyG&scirtetsbO7.759632,1ygolomlahthpO5.208602,3yregruScidepohtrO5.374723,1ygolognyralotO2.42289,1781,8scirtaideP

Physical Medicine & Rehabilitation 1,194 196 16.46.573956yregruScitsalP7.6174282enicideMevitneverP9.03594,1048,4yrtaihcysP

Pulmonary Disease & Critical Care Med. 1,467 686 46.81.381585ygolocnOnoitaidaR

Radiology & Diagnostic Radiology 4,402 314 7.10.53341804ygolotamuehR3.6276552yregruScicarohT2.424800,1ygolorU0.2284812yregruSralucsaV


an International Medical School by Specialty, August 2007

Note: Figures exclude 4 residents whose medical school is unknown. Graduates of Canadian medicalschools and graduates of the Fifth Pathway program are also excluded.

TotalResidents

and Fellows

IMGResidents

and Fellows Percent

Table 16. Number and Percentage of ACGME Residents/Fellows who Graduated from an International Medical Schoolby Specialty, August 2007



-30% -15% 0% 15% 30% 45% 60%

Thoracic Surgery

Preventive Medicine

Geriatric Medicine


General Surgery





Orthopedic Surgery

Internal Medicine

Pediatrics

Anesthesiology

Ophthalmology

Psychiatry

Nephrology

Emergency Medicine

Plastic Surgery

Dermatology

Urology

Gastroenterology



Infectious Disease





Vascular Surgery


Radiation Oncology


Neurology

Otolaryngology

Rheumatology


Primary Care

Sources: AAMC/AMA National GME Census as reported in JAMA 2003;290(9)1234-1248and JAMA 2008;300(10)1228-1243.

Figure 19. Percent Change in Number of First-Year ACGME Residents/Fellows by Specialty, 2002-2007



Specialty2.21813,73052,33seitlaicepSllA1.4821321ygolonummI&ygrellA7.3906785ygolohtaPlacinilC/cimotanA8.7234,1823,1ygoloisehtsenA1.92497516esaesiDralucsavoidraC5.72093603yrtaihcysPtnecselodA&dlihC1.91733382ygolotamreD9.41944,1162,1enicideMycnegremE

Endocrinology, Diabetes & Metabolism 185 235 27.09.2-201,3691,3ecitcarPlareneG/enicideMylimaF3.12504433ygoloretneortsaG7.0934,2324,2yregruSlareneG6.9-462292enicideMcirtaireG2.43035593ygolocnO&ygolotameH6.62823952esaesiDsuoitcefnI2.6536,8921,8enicideMlanretnI1.1483083scirtaideP/enicideMlanretnI6.93102441enicideMlatanireP-latanoeN4.41663023ygolorhpeN1.2534149yregruSlacigolorueN5.14494943ygolorueN9.1412,1191,1ygolocenyG&scirtetsbO7.8893663ygolomlahthpO0.5436406yregruScidepohtrO1.34962881ygolognyralotO2.7796,2715,2scirtaideP9.72853082noitatilibaheR&enicideMlacisyhP4.51781261yregruScitsalP9.02-711841enicideMevitneverP6.11813,1181,1yrtaihcysP

Pulmonary Disease & Critical Care Med. 445 546 22.73.4333199ygolocnOnoitaidaR5.42901,1198ygoloidaRcitsongaiD&ygoloidaR5.84391031ygolotamuehR4.42-99131yregruScicarohT9.02412771ygolorU8.0391119yregruSralucsaV

Sources: AAMC/AMA National GME Census as reported in JAMA 2003;290(9)1234-1248 and JAMA2008;300(10)1228-1243.

2002 2007PercentChange

Total Residents and Fellows

Note: Figures include first year residents and first year fellows. See page 3 for more details on thespecialties and subspecialties shown here.

Table 17. Percent Change in the Number of First-Year ACGME Residents/Fellows by Specialty, 2002-2007

2008 physician specialty data

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