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Medical oncology

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    Medical oncology Medical oncology Document Transcript

    • Census of Consultant Physicians in the UK, 2008 183 Medical oncology Medical oncology continues to be an expanding specialty. In 2008 there were 31 more consultant posts than in 2007, representing an 11.3% annual increase as compared with an average increase of 4.5% across the medical specialties as a whole. This continues the steady trend seen over the last five years. The demographics follow similar trends to other specialties, with increasing numbers of women, and these trends are set to continue as there are almost equal numbers of male and female trainees. Medical oncology is a fairly young specialty and therefore a retirement ‘bulge’ is not anticipated for several years. There is growing demand for consultant medical oncologists, with an increased incidence of cancer and increasing survival rates for patients with cancer. The national cancer director had estimated that between 270 and 330 whole-time equivalent medical oncologists are required for the UK. Several issues continue to drive the need for increased medical oncology, including an increase in treatment options, hence a growing workload, the provision for improved acute oncology services outlined in the National Chemotherapy Advisory Group report, and the need to meet National Cancer Research Network targets for clinical trails recruitment. To allow the translation of significant advances in cancer research into treatments for cancer patients, medical oncology has always had a strong academic influence. As these new systemic therapies are developed, medical oncologists also play an important role in the service development and provision of these treatments. The probable effect of all these factors is an increased requirement for consultant medical oncologists in the future. August 2009 Professor Poulam Patel FRCP Chair of Specialty Advisory Committee, Association of Cancer Physicians © Royal College of Physicians Medical oncology All rights reserved
    • 184 Specialty reports Medical oncology Consultant expansion Census of Consultant Physicians in the UK, 2008 England Wales N.Ireland Scotland Total 2008 Total 2007 Expansion since 2007 Medical oncology 248 7 9 22 286 257 11.3% All specialties 7,857 451 233 1,004 9,545 9,135 4.5% Retirement plans No. Consultants reaching 65 2009 2010 2011 2012 2013 2014 Total % of consultant body Medical oncology 2 4 3 3 3 4 19 6.6 All Specialties 101 82 142 194 248 261 1,028 10.8 Total numbers of consultants in medical oncology Consultants expansion in medical oncology vs. all specialties England, Wales and Northern Ireland 1993 - 2001 England, Wales and Northern Ireland 1994 - 2002 United Kingdom 2002 - 2008 United Kingdom 2003 - 2008 300 15 14 275 13 Annual consultant expansion (%) 12 Total number of consultants 250 11 225 10 9 200 8 175 7 6 150 5 4 125 © Royal College of Physicians 3 100 2 Medical oncology 1 All specialties 75 0 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 All rights reserved 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Census year Census year
    • Medical oncology consultant workforce by age and gender All rights reserved © Royal College of Physicians United Kingdom ------------------------------------Male------------------------------------- -----------------------------------Female----------------------------------- Age Total % gender Actual nos % age group % gender Actual nos % age group 34 and younger 0.0 0 0.0 1.1 1 100.0 1 35 - 39 19.6 38 59.4 28.3 26 40.6 64 40 - 44 21.1 41 50.6 43.5 40 49.4 81 45 - 49 24.7 48 82.8 10.9 10 17.2 58 50 - 54 16.5 32 76.2 10.9 10 23.8 42 55 - 59 9.3 18 85.7 3.3 3 14.3 21 60 - 64 7.7 15 100.0 0.0 0 0.0 15 65 and older 1.0 2 100.0 0.0 0 0.0 2 Unknown 0.0 0 0.0 2.2 2 100.0 2 Total 194 92 286 Age distribution of medical oncology workforce vs all specialties United Kingdom 100 90 Census of Consultant Physicians in the UK, 2008 80 Percentage of age group 70 60 50 40 30 20 10 Medical oncology 0 34 andyounger 34 or 35 - 35 - 39 39 40 - 40 - 44 44 45 - 45 - 49 49 50 - 50 - 54 54 55 - 55 - 59 59 60 - 60 - 64 64 65 and older 65 and younger older Age group Male: Medical Oncology Fem ale: Medical Oncology Male: All Specialties Female: All Specialties 185
    • 186 Specialty reports Medical oncology Working patterns Census of Consultant Physicians in the UK, 2008 Whole time Less than whole time Unknown Contract type Responses Nos. % Nos. % Nos. % Medical oncology 136 101 74.3 29 21.3 6 4.4 All specialties 5,017 4,160 82.9 617 12.4 240 4.8 NHS Academic (with NHS) Pure research Other Contract funding Nos. % Nos. % Nos. % Nos. % Medical oncology 94 69.1 41 30.1 - - 1 0.7 136 All specialties 4,435 86.1 510 9.9 15 0.3 188 3.7 5,148 Average PAs worked per week - by gender UK - Medical oncology 25 PAs worked per week for Medical Female Male Female oncology - by gender 20 Male Fewer than 10 22 2 Number of responses 10 to 10.9 5 5 11 to 11.9 6 8 15 12 to 12.9 9 21 13 to 13.9 2 15 14 to 14.9 6 7 10 15 or greater 3 8 © Royal College of Physicians 53 66 5 All rights reserved 0 Fewer than 10 to 10.9 11 to 11.9 12 to 12.9 13 to 13.9 14 to 14.9 15 or 10 greater Number of PAs worked per week
    • Census of Consultant Physicians in the UK, 2008 187 Medical oncology Working patterns (continued…) PAs contracted per week (whole Average PAs Clinical PAs Academic PAs Supporting PAs Other PAs time consultants) Medical oncology 11.3 6.8 3.0 1.9 0.6 All specialties 11.4 8.0 1.2 2.3 0.7 PAs worked per week (whole Average PAs Clinical PAs Academic PAs Supporting PAs Other PAs time consultants) Medical oncology 12.7 7.6 2.9 1.9 0.2 All specialties 12.2 8.6 0.9 2.4 0.2 Commitment to Acute / GIM Yes (%) No (%) Medical oncology 4.4 95.6 All specialties 38.4 61.6 Adequate time to support More than enough Adequate (%) Some (%) Little (%) None (%) trainees (%) Medical oncology - 10.9 19.3 25.2 44.5 All specialties 1.0 17.2 24.1 30.7 27.0 Need to work faster than RCP standards for post-take ward Always (%) Often (%) Sometimes (%) Rarely (%) Never (%) rounds Medical oncology 10.6 20.2 37.2 21.3 10.6 All specialties 30.4 27.7 22.5 13.8 5.6 Need to work faster than RCP Always (%) Often (%) Sometimes (%) Rarely (%) Never (%) standards for outpatients Medical oncology 22.7 24.2 38.3 10.9 3.9 All specialties 35.3 23.9 20.9 14.4 5.4 © Royal College of Physicians Medical oncology All rights reserved
    • 188 Census of Consultant Physicians in the UK, 2008 Medical oncology: Population served by each whole-time equivalent consultant Note: RCP recommendation ≤160,000 ≤160,000 160,000–200,000 200,000–240,000 240,000–280,000 280,000–320,000 320,000–360,000 >360,000 NHS Scotland (280,000–320,000) NHS North East (280,000–320,000) NHS Northern Ireland (200,000–240,000) NHS Yorkshire and the Humber (≤160,000) NHS North West (200,000–240,000) NHS East Midlands (>360,000) NHS Wales NHS East of (>360,000) England (>360,000) NHS West Midlands (>360,000) NHS London (≤160,000) NHS South East Coast NHS South West (>360,000) (>360,000) NHS South Central (200,000–240,000) Specialty reports © Royal College of Physicians All rights reserved