Anesthesiologist shortage in the United States: A call for action

Abstract

Anesthesiology is a vital component of modern healthcare. The United States is facing a shortage of anesthesiologists complicating the ability of hospitals and surgical specialties to meet the ever-growing demand. Recent local crises demand a reexamination of the issues. This shortage is complex and multifactorial, with causes on both supply and demand sides. The lack of sufficient graduate medical education funding for residency positions, changes in practice patterns and the aging and retiring workforce are limits to the supply. Increasing demand for surgical services will continue to rise by 2–3% per year over the next decade fueled by population growth, particularly among the elderly with the number of people 65 and older growing by 55% over the next decade. The problem of anesthesia supply and demand is complicated by the rapid expansion of private equity firms into the market. The effect is potentially increased cost and an alteration in the standards of care. While there are short-term solutions that can be adopted, such as hiring temporary help and expanding the role of mid-level providers, long-term solutions require a collaborative effort between healthcare providers, administrators, and policymakers to ensure that decisions are based on the best interests of patients and providers.